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1.
Phys Rev Lett ; 131(15): 156701, 2023 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-37897745

RESUMO

Spin-wave amplification techniques are key to the realization of magnon-based computing concepts. We introduce a novel mechanism to amplify spin waves in magnonic nanostructures. Using the technique of rapid cooling, we create a nonequilibrium state in excess of high-energy magnons and demonstrate the stimulated amplification of an externally seeded, propagating spin wave. Using an extended kinetic model, we qualitatively show that the amplification is mediated by an effective energy flux of high energy magnons into the low energy propagating mode, driven by a nonequilibrium magnon distribution.

2.
Phys Rev Lett ; 126(9): 097202, 2021 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-33750157

RESUMO

Relaxation of linear magnetization dynamics is well described by the viscous Gilbert damping processes. However, for strong excitations, nonlinear damping processes such as the decay via magnon-magnon interactions emerge and trigger additional relaxation channels. Here, we use space- and time-resolved microfocused Brillouin light scattering spectroscopy and micromagnetic simulations to investigate the nonlinear relaxation of strongly driven propagating spin waves in yttrium iron garnet nanoconduits. We show that the nonlinear magnon relaxation in this highly quantized system possesses intermodal features, i.e., magnons scatter to higher-order quantized modes through a cascade of scattering events. We further show how to control such intermodal dissipation processes by quantization of the magnon band in single-mode devices, where this phenomenon approaches its fundamental limit. Our study extends the knowledge about nonlinear propagating spin waves in nanostructures which is essential for the construction of advanced spin-wave elements as well as the realization of Bose-Einstein condensates in scaled systems.

3.
Phys Rev Lett ; 122(24): 247202, 2019 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-31322366

RESUMO

Spin waves are investigated in yttrium iron garnet waveguides with a thickness of 39 nm and widths ranging down to 50 nm, i.e., with an aspect ratio thickness over width approaching unity, using Brillouin light scattering spectroscopy. The experimental results are verified by a semianalytical theory and micromagnetic simulations. A critical width is found, below which the exchange interaction suppresses the dipolar pinning phenomenon. This changes the quantization criterion for the spin-wave eigenmodes and results in a pronounced modification of the spin-wave characteristics. The presented semianalytical theory allows for the calculation of spin-wave mode profiles and dispersion relations in nanostructures.

4.
Pharmacol Biochem Behav ; 155: 43-55, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28285123

RESUMO

The novel mGlu2/3 receptor antagonist, LY3020371, has been shown to produce antidepressant-like effects comparable to that of the clinically-effective antidepressant ketamine. In the present study, we investigated whether LY3020371 would be predicted to be free of the side-effects and safety pharmacology issues associated with ketamine. In contrast to ketamine, LY3020371 produced small increases in locomotion and did not impair motor performance on an inverted screen. Ketamine, but not LY3020371, increased dopamine efflux in the nucleus accumbens of rats. Ketamine also produced cognitively-impairing effects in rats in a T-maze and in a psychomotor vigilance task and altered theta synchrony between the hippocampus and mPFC, whereas LY3020371 had either no significant impact or lesser effects in these assays. In mice, ketamine, but not LY3020371, negatively affected spontaneous alternation in a Y-maze. Rats were trained to discriminate LY3020371 from vehicle where 30mg/kg produced 100% drug-appropriate responding and the ED50 for LY3020371 was 9.4mg/kg, i.p. In rats discriminating LY3020371, neither d-amphetamine nor phencyclidine fully substituted for LY3020371 (35-45%) and the mGlu2/3 receptor agonist LY354740 partially attenuated the discriminative stimulus effects of LY3020371. These are the first data to demonstrate the discriminative stimulus effects of an mGlu2/3 receptor antagonist. Some alterations were suggested to occur in the density of mGlu2/3 receptor binding sites in the drug discrimination rats relative to their age-matched non-drug-exposed controls. In preclinical toxicology studies of 14day dosing of doses up to 1000mg/kg, i.v. in rats and up to 500m/kg, i.v. in Cynomologous monkeys, LY3020371 produced uM plasma exposures without producing critical toxicological findings. It is concluded that LY3020371 does not recapitulate the motor, cognitive, subjective, neurochemical, electrophysiological, or toxicological findings reported with ketamine. Thus, LY3020371 possesses both the efficacy signatures of a rapidly-acting antidepressant and a safety profile enabling proof of concept studies in patients.


Assuntos
Cognição/efeitos dos fármacos , Cicloexanos/farmacologia , Antagonistas de Aminoácidos Excitatórios/farmacologia , Ketamina/toxicidade , Atividade Motora/efeitos dos fármacos , Receptores de Glutamato Metabotrópico/antagonistas & inibidores , Transtornos Relacionados ao Uso de Substâncias/etiologia , Animais , Masculino , Ratos , Ratos Sprague-Dawley
5.
Sci Rep ; 6: 38235, 2016 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-27905539

RESUMO

Magnonic spin currents in the form of spin waves and their quanta, magnons, are a promising candidate for a new generation of wave-based logic devices beyond CMOS, where information is encoded in the phase of travelling spin-wave packets. The direct readout of this phase on a chip is of vital importance to couple magnonic circuits to conventional CMOS electronics. Here, we present the conversion of the spin-wave phase into a spin-wave intensity by local non-adiabatic parallel pumping in a microstructure. This conversion takes place within the spin-wave system itself and the resulting spin-wave intensity can be conveniently transformed into a DC voltage. We also demonstrate how the phase-to-intensity conversion can be used to extract the majority information from an all-magnonic majority gate. This conversion method promises a convenient readout of the magnon phase in future magnon-based devices.

6.
J Pharmacol Exp Ther ; 351(2): 448-56, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25187432

RESUMO

Scopolamine produces rapid and significant symptom improvement in patients with depression, and most notably in patients who do not respond to current antidepressant treatments. Scopolamine is a nonselective muscarinic acetylcholine receptor antagonist, and it is not known which one or more of the five receptor subtypes in the muscarinic family are mediating these therapeutic effects. We used the mouse forced-swim test, an antidepressant detecting assay, in wild-type and transgenic mice in which each muscarinic receptor subtype had been genetically deleted to define the relevant receptor subtypes. Only the M1 and M2 knockout (KO) mice had a blunted response to scopolamine in the forced-swim assay. In contrast, the effects of the tricyclic antidepressant imipramine were not significantly altered by gene deletion of any of the five muscarinic receptors. The muscarinic antagonists biperiden, pirenzepine, and VU0255035 (N-[3-oxo-3-[4-(4-pyridinyl)-1-piper azinyl]propyl]-2,1,3-benzothiadiazole-4-sulfonamide) with selectivity for M1 over M2 receptors also demonstrated activity in the forced-swim test, which was attenuated in M1 but not M2 receptor KO mice. An antagonist with selectivity of M2 over M1 receptors (SCH226206 [(2-amino-3-methyl-phenyl)-[4-[4-[[4-(3 chlorophenyl)sulfonylphenyl]methyl]-1-piperidyl]-1-piperidyl]methanone]) was also active in the forced-swim assay, and the effects were deleted in M2 (-/-) mice. Brain exposure and locomotor activity in the KO mice demonstrated that these behavioral effects of scopolamine are pharmacodynamic in nature. These data establish muscarinic M1 and M2 receptors as sufficient to generate behavioral effects consistent with an antidepressant phenotype and therefore as potential targets in the antidepressant effects of scopolamine.


Assuntos
Antidepressivos/farmacologia , Receptor Muscarínico M1/metabolismo , Receptor Muscarínico M2/metabolismo , Escopolamina/farmacologia , Animais , Encéfalo/efeitos dos fármacos , Encéfalo/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout/metabolismo , Atividade Motora/efeitos dos fármacos , Antagonistas Muscarínicos/farmacologia , Ratos , Ratos Sprague-Dawley , Natação/fisiologia
7.
CNS Neurol Disord Drug Targets ; 12(5): 554-66, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23574174

RESUMO

An assay to detect the on-target effects of mGlu2/3 receptor antagonists in vivo would be valuable in guiding dosing regimens for the exploration of biological effects of potential therapeutic import. Multiple approaches involving blockade of mGlu2/3 receptor agoinist-driven behavioral effects in mice and rats were investigated. Most of these methods failed to provide a useful method of detection of antagonists in vivo (e.g., locomotor activity). In contrast, the mGlu2/3 receptor agonist LY379268 produced dose-dependent increases in body temperature of mice. The hyperthermic effects of LY379268 was abolished in mGlu2 and in mGlu2/3 receptor null mice but not in mGlu3 null mice. Hyperthermia was not produced by an mGlu8 receptor agonist. Agonist-induced hyperthermia was prevented in a dose-dependent manner by structurally-distinct mGlu2/3 receptor antagonists. The blockade was stereo-specific. Moreover, this biological readout was responsive to both orthosteric and to negative allosteric modulators of mGlu2/3 receptors. Antagonism of agonist-induced hyperthermia predicted antidepressant-like efficacy in the mouse forced swim test. As with the hyperthermic response, the antidepressant-like effects of mGlu2/3 receptor antagonists were shown to be due to mGlu2 and not to mGlu3 or mGlu8 receptors through the use of receptor knock-out mice. The ability to rapidly assess on-target activity of mGlu2/3 receptor antagonists enables determination of parameters for setting efficacy doses in vivo. In turn, efficacy-related data in the preclinical laboratory can help to set expectations of therapeutic potential and dosing in humans.


Assuntos
Antidepressivos/uso terapêutico , Depressão/tratamento farmacológico , Avaliação Pré-Clínica de Medicamentos , Fármacos Atuantes sobre Aminoácidos Excitatórios/uso terapêutico , Receptores de Glutamato Metabotrópico/antagonistas & inibidores , Receptores de Glutamato Metabotrópico/metabolismo , Análise de Variância , Animais , Condicionamento Operante/efeitos dos fármacos , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Fármacos Atuantes sobre Aminoácidos Excitatórios/química , Fármacos Atuantes sobre Aminoácidos Excitatórios/farmacologia , Comportamento Exploratório/efeitos dos fármacos , Técnicas In Vitro , Masculino , Camundongos , Camundongos Knockout , Movimento/efeitos dos fármacos , Ratos , Receptores de Glutamato Metabotrópico/agonistas , Receptores de Glutamato Metabotrópico/deficiência
8.
J Allergy Clin Immunol ; 131(3): 875-85, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23265862

RESUMO

BACKGROUND: The generation and maintenance of allergen-specific T-cell tolerance is a key step in healthy immune responses to allergens and successful allergen-specific immunotherapy. Breaking of peripheral T-cell tolerance to allergens can lead to the development of allergies, but the mechanisms are not completely understood. OBJECTIVE: We sought to identify molecular mechanisms that break allergen-specific T-cell tolerance in human subjects. METHODS: Proliferative responses of allergen-specific T cells from tonsils and peripheral blood were measured by using tritiated thymidine incorporation and carboxyfluorescein succinimidyl ester (CFSE) dilution experiments. Cytokine levels in cell-free supernatants were quantified by using the cytometric bead array, and mRNA expression of transcription factors and cytokines was determined by using quantitative PCR. Myeloid dendritic cells (DCs) were characterized by using flow cytometry. RESULTS: In allergic patients the immune profile of the tonsils represents the atopic status of patients, with low expression of the TH1 cell-specific transcription factor T-bet and the cytokine IFN-γ, as well as IL-10. Human tonsils show very low levels of allergen-induced T-cell proliferation, thus representing a very suitable in vivo model to assess mechanisms of breaking allergen-specific T-cell tolerance. Triggering of Toll-like receptor (TLR) 4 or TLR8 and the proinflammatory cytokines IL-1ß or IL-6 break allergen-specific T-cell tolerance in human tonsils and peripheral blood through a mechanism dependent on the adaptor molecule myeloid differentiation primary response gene (88) (MyD88). In particular, myeloid DCs and stimulations that activate them broke the tolerance of allergen-specific CD4(+) T cells, whereas plasmacytoid DCs and stimulations that activate them, such as TLR7 and TLR9, did not have any effect. Tolerance-breaking conditions induced by different molecular mechanisms were associated with a mixed cytokine profile with a tendency toward increased levels of IL-13 and IL-17, which are TH2 and TH17 cytokines, respectively. CONCLUSION: Certain innate immune response signals and proinflammatory cytokines break allergen-specific CD4(+) T-cell tolerance in normally unresponsive subjects, which might lead to the development or exacerbation of allergic diseases after encountering microbes or inflammatory conditions.


Assuntos
Citocinas/imunologia , Tolerância Imunológica , Tonsila Palatina/imunologia , Linfócitos T/imunologia , Receptores Toll-Like/imunologia , Alérgenos/imunologia , Antígenos de Plantas/imunologia , Linfócitos T CD4-Positivos , Células Cultivadas , Citocinas/genética , Células Dendríticas/imunologia , Humanos , Hipersensibilidade/sangue , Hipersensibilidade/diagnóstico , Hipersensibilidade/imunologia , Imunoglobulina E/sangue , Imunoglobulina G/sangue , Leucócitos Mononucleares/imunologia , Proteínas de Plantas/imunologia , RNA Mensageiro/metabolismo
9.
J Allergy Clin Immunol ; 129(2): 510-20, 520.e1-9, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22051696

RESUMO

BACKGROUND: Tonsils are strategically located in the gateway of both alimentary and respiratory tracts representing the first contact point of food and aeroallergens with the immune system. Tonsillectomy removes only the palatine tonsils and sometimes adenoids. Lingual tonsil is anatomically big and remains lifelong intact. OBJECTIVE: The aim of this study was to demonstrate cellular and molecular mechanisms of oral tolerance induction to food and aeroallergens in human tonsils. METHODS: Tonsil allergen-specific FOXP3(+) regulatory T (Treg) cells, plasmacytoid dendritic cells (pDCs), and myeloid dendritic cells were characterized by flow cytometry and suppressive assays. Intracellular staining, [(3)H]-thymidine incorporation, and carboxy-fluorescein succinimidyl ester dilution experiments were performed. Tonsil biopsies were analyzed by confocal microscopy. RESULTS: CD4(+)FOXP3(+) Treg cells and pDCs constitute important T- and dendritic cell-compartments in palatine and lingual tonsils. Tonsil pDCs have the ability to generate functional CD4(+)CD25(+)CD127(-)FOXP3(+) Treg cells with suppressive property from naive T cells. CD4(+)FOXP3(+) Treg cells proliferate and colocalize with pDCs in vivo in T-cell areas of lingual and palatine tonsils. Tonsil T cells did not proliferate to common food and aeroallergens. Depletion of FOXP3(+) Treg cells enables the allergen-induced proliferation of tonsil T cells, indicating an active role of Treg cells in allergen-specific T-cell unresponsiveness. High numbers of major birch pollen allergen, Bet v 1-specific CD4(+)FOXP3(+) Treg cells, are identified in human tonsils compared with peripheral blood. A positive correlation between the percentages of FOXP3(+) Treg cells and pDCs is observed in tonsils from nonatopic individuals. CONCLUSION: Functional allergen-specific Treg cells are identified both in lingual and in palatine tonsils.


Assuntos
Alérgenos/imunologia , Fatores de Transcrição Forkhead/imunologia , Tolerância Imunológica , Tonsila Palatina/imunologia , Linfócitos T Reguladores/imunologia , Linfócitos T CD4-Positivos/imunologia , Células Cultivadas , Células Dendríticas/imunologia , Humanos , Interleucina-3/imunologia , Receptores Toll-Like/imunologia
11.
Med Sci Sports Exerc ; 43(6): 974-81, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21085033

RESUMO

PURPOSE: There is evolving evidence that intense exercise may place a disproportionate load on the right ventricle (RV) when compared with the left ventricle (LV) of the heart. Using a novel method of estimating end-systolic wall stress (ES-σ), we compared the RV and LV during exercise and assessed whether this influenced chronic ventricular remodeling in athletes. METHODS: For this study, 39 endurance athletes (EA) and 14 nonathletes (NA) underwent resting cardiac magnetic resonance (CMR), maximal oxygen uptake (VO2), and exercise echocardiography studies. LV and RV end-systolic wall stress (ES-σ) were calculated using the Laplace relation (ES-σ = Pr/(2h)). Ventricular size and wall thickness were determined by CMR; invasive and Doppler echo estimates were used to measure systemic and pulmonary ventricular pressures, respectively; and stroke volume was quantified by Doppler echocardiography and used to calculate changes in ventricular geometry during exercise. RESULTS: In EA, compared with NA, resting CMR measures showed greater RV than LV remodeling. The ratios RV ESV/LV ESV (1.40 ± 0.23 vs 1.26 ± 0.12, P = 0.007) and RV mass/LV mass (0.29 ± 0.04 vs 0.25 ± 0.03, P = 0.012) were greater in EA than in NA. RVES-σ was lower at rest than LVES-σ (143 ± 44 vs 252 ± 49 kdyn · cm, P < 0.001) but increased more with strenuous exercise (125% vs 14%, P < 0.001), resulting in similar peak exercise ES-σ (321 ± 106 vs 286 ± 77 kdyn · cm, P = 0.058). Peak exercise RVES-σ was greater in EA than in NA (340 ± 107 vs 266 ± 82 kdyn · cm, P = 0.028), whereas RVES-σ at matched absolute workloads did not differ (P = 0.79). CONCLUSIONS: Exercise induces a relative increase in RVES-σ which exceeds LVES-σ. In athletes, greater RV enlargement and greater wall thickening may be a product of this disproportionate load excess.


Assuntos
Atletas , Exercício Físico/fisiologia , Ventrículos do Coração/patologia , Função Ventricular Direita/fisiologia , Remodelação Ventricular/fisiologia , Adulto , Estudos de Casos e Controles , Feminino , Ventrículos do Coração/diagnóstico por imagem , Humanos , Imagem Cinética por Ressonância Magnética , Masculino , Consumo de Oxigênio/fisiologia , Esforço Físico/fisiologia , Volume Sistólico/fisiologia , Sístole/fisiologia , Ultrassonografia Doppler , Função Ventricular Esquerda/fisiologia
12.
Artigo em Alemão | MEDLINE | ID: mdl-20700785

RESUMO

The education of medical professionals is divided into medical studies, postgraduate training leading to the qualification as a specialist, and continuing professional development. During education, all scientific knowledge and practical skills are to be acquired, which enable the physician to practice responsibly in a specialized medical area. In the present article, relevant curricula are analyzed regarding the consideration of medical device-related topics, as the clinical application of medical technology has reached a central position in modern patient care. Due to the enormous scientific and technical progress, this area has become as important as pharmacotherapy. Our evaluation shows that medical device-related topics are currently underrepresented in the course of medical education and training and should be given greater consideration in all areas of medical education. Possible solutions are presented.


Assuntos
Tecnologia Biomédica/educação , Educação Médica Continuada/tendências , Educação de Pós-Graduação em Medicina/tendências , Educação Médica/tendências , Competência Clínica , Currículo/tendências , Tratamento Farmacológico , Equipamentos e Provisões , Alemanha , Humanos , Erros Médicos/prevenção & controle , Objetivos Organizacionais
13.
Heart Lung Circ ; 19(9): 541-8, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20457009

RESUMO

BACKGROUND: Estimations of right ventricular (RV) and left ventricular (LV) size and function based on 1D and 2D measures are commonly used. However, their correlation with volumetric analysis methods is not well documented. METHODS: We analysed a series of subjects undergoing CMR (n=30). Contiguous short axis cine imaging was obtained to assess RV and LV volumes and function. Standard short and long axis cine imaging were performed to evaluate linear and planimetric dimensions as well as functional analysis. RESULTS: Linear and planimetric measurements of the RV in standard long and short axis views correlated weakly with standard volumetric measurements (r=0.34-0.73). RV ejection fraction (EF), when calculated from single plane functional analysis correlated only moderately with the volumetric EF (r=0.75, p<0.001). In contrast, estimation of LV volumes, mass and EF by biplane area-length method demonstrated excellent correlation with volumetric data (r=0.89, 0.92 and 0.91, p<0.001 for all). CONCLUSION: Two-dimensional estimations of volume and function correlate well with LV volumetric analysis, but not with RV volumetric analysis. Estimation of RV size and function based on linear or planimetric assumption models should be performed and interpreted with caution.


Assuntos
Volume Cardíaco/fisiologia , Ventrículos do Coração/anatomia & histologia , Imagem Cinética por Ressonância Magnética , Volume Sistólico/fisiologia , Função Ventricular/fisiologia , Técnicas de Imagem Cardíaca , Feminino , Humanos , Imagem Cinética por Ressonância Magnética/estatística & dados numéricos , Masculino , Tamanho do Órgão , Estatísticas não Paramétricas
14.
Artigo em Alemão | MEDLINE | ID: mdl-19412594

RESUMO

The aims of a nationwide German arthroplasty registry are to contribute to continuous design improvement of implants by monitoring their long-term performance, to inform the public of the quality of the components used, and to form a database for further research in the field of epidemiology or the development of new devices and patient care concepts. A registry can in this way serve as an addition to the existing vigilance system and can help to further minimize risks for patients with respect to design weakness or inferiority. As a contribution to the safety of patient care, the establishment of a German arthroplasty registry is welcomed.


Assuntos
Artroplastia/instrumentação , Segurança de Equipamentos/normas , Equipamentos e Provisões/normas , Prótese Articular/normas , Vigilância de Produtos Comercializados/normas , Sistema de Registros/normas , Gestão da Segurança/legislação & jurisprudência , Artroplastia/normas , Atenção à Saúde/normas , Alemanha
15.
Dtsch Med Wochenschr ; 133(40): 2008-13, 2008 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-18819043

RESUMO

BACKGROUND: The purpose of this study was to collect the experience gained from risk assessment of incidents associated with mechanical heart valves as reported to the German Medical Devices Vigilance System. METHODS: All events in connection with the use of prosthetic heart valves which had been reported to the Federal Institute for Drugs and Medical Products were identified in the Institute's anonymized database. Subsequently all information that had been obtained and the reports of investigations by the various responsible manufacturer of medical products were retrospectively analysed. RESULTS: Of 53 incident reports the aortic valve position was involved 32 times, the mitral valve position 21 times. 17 cases of leaflet breakage, 12 of leaflet dysfunction, 6 of valve thrombosis, 4 of paravalvular leakage, 4 of damage to the suture ring, 3 of endocarditis and 7 of various other singular defects were reported. The outcome was mostly very serious (re-surgery, prolongation of surgery, death). Corrective actions taken by the manufacturers consisted of recalls, advisory notices and stoppage of production. CONCLUSIONS: The Medical Devices Vigilance System is able to detect product failures of mechanical heart valves and to initiate corrective action. As the reporting rate over more than 10 years is relatively low, it can be assumed that in general mechanical heart valves are safe medical devices. The quality of incident reporting by manufactures and users of medical devices should be improved to reduce the number of undetected and unsolved incidents.


Assuntos
Valva Aórtica , Próteses Valvulares Cardíacas/estatística & dados numéricos , Valva Mitral , Bases de Dados Factuais , Endocardite/epidemiologia , Endocardite/etiologia , Falha de Equipamento/estatística & dados numéricos , Alemanha/epidemiologia , Próteses Valvulares Cardíacas/efeitos adversos , Humanos , Vigilância de Produtos Comercializados/normas , Trombose/epidemiologia , Trombose/etiologia
16.
Heart Lung Circ ; 17(6): 478-83, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18538631

RESUMO

INTRODUCTION: Cardiac magnetic resonance imaging (CMR) has evolved as a major diagnostic tool to evaluate arrhythmogenic right ventricular dysplasia (ARVD). However, there is a lack of consensus in the interpretation of findings such as fatty infiltration or myocardial fibrosis. We examined the diagnostic utility of these two features in the diagnosis of ARVD. METHODS: We performed fast imaging employing steady-state acquisition cine imaging, T(1)-weighted black blood imaging with and without fat suppression and post-contrast delayed enhancement on a 1.5-T scanner to evaluate ventricular function and morphology, fatty infiltration and regional myocardial fibrosis in 52 subjects with suspected ARVD. RESULTS: Eight subjects met the international diagnostic criteria for ARVD. Right ventricle (RV) delayed hyper-enhancement was found in 7 of 8 (88%) ARVD subjects compared to 6 of 44 (14%) subjects without ARVD (p<0.001). Fatty infiltration was only identified in 1 ARVD patient, and 1 non-ARVD patient. On multiple logistic regression analysis RV enhancement remained an independent predictor for the diagnosis of ARVD (p<0.05). CONCLUSION: RV delayed enhancement is common in patients with ARVD, whereas detection of fatty infiltration of the right ventricle was rare in our patient population. The inclusion of RV fibrosis on CMR as a feature of ARVD may improve the diagnostic accuracy of this condition.


Assuntos
Displasia Arritmogênica Ventricular Direita/diagnóstico , Displasia Arritmogênica Ventricular Direita/patologia , Imagem Cinética por Ressonância Magnética , Adulto , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sensibilidade e Especificidade , Adulto Jovem
17.
Artigo em Alemão | MEDLINE | ID: mdl-18560778

RESUMO

The purpose of this study was to address the experience gained from the risk assessment of incident reports associated with the use of dermal filler materials. In total, 136 incident reports were registered between January 1, 2000, and September 30, 2005. A retrospective survey of all reports was conducted. 143 patients were concerned; the symptom most frequently reported was the formation of nodules (n = 89). The majority of cases resulted in either conservative or surgical treatment (n = 93). In 4 cases the implementation of corrective action with respect to the medical device became necessary. As a result of the severity or the incidence of undesired effects of wrinkle correction deficiencies of the products involved may become obvious. Thus, following German medical device legislation, the criteria for an incident to be reported may be met.


Assuntos
Materiais Biocompatíveis/efeitos adversos , Técnicas Cosméticas/efeitos adversos , Injeções/efeitos adversos , Notificação de Abuso , Próteses e Implantes/efeitos adversos , Dermatopatias/etiologia , Dermatopatias/prevenção & controle , Materiais Biocompatíveis/administração & dosagem , Coleta de Dados , Alemanha , Humanos , Injeções/métodos , Injeções Subcutâneas , Vigilância de Produtos Comercializados , Rejuvenescimento , Medição de Risco , Fatores de Risco
18.
J Refract Surg ; 24(3): 251-6, 2008 03.
Artigo em Inglês | MEDLINE | ID: mdl-18416259

RESUMO

PURPOSE: To retrospectively evaluate reading performance at intermediate distances of three types of multifocal intraocular lenses (IOLs) under different light conditions based on reading acuity and reading speed tests. METHODS: Thirty cataract patients (60 eyes) randomly assigned to receive the Array SA40N lens (n = 20 eyes), the Tecnis ZM001 lens (n = 20 eyes), and the ReSTOR lens (n = 20 eyes) were retrospectively tested for their reading abilities at distances of 40 cm, 60 cm, and 80 cm under low light conditions (6 cd/m2) and bright light conditions (100 cd/m2). RESULTS: LogMAR distance-corrected acuity in dim (bright) light at 40 cm was 0.456 (0.363) (Array), 0.446 (0.293) (ReSTOR), and 0.299 (0.140) (Tecnis); at 60 cm, it was 0.417 (0.259) (Array), 0.448 (0.318) (ReSTOR), and 0.381 (0.121) (Tecnis); at 80 cm, it was 0.359 (0.195) (Array), 0.395 (0.245) (ReSTOR), and 0.373 (0.124) (Tecnis). Uncorrected reading speed (words/min) in dim (bright) light at 40 cm was 25 (69) (Array), 58 (138) (ReSTOR), and 110 (166) (Tecnis); at 60 cm, it was 65 (129) (Array), 58 (129) (ReSTOR), and 135 (173) (Tecnis); and at 80 cm, it was 59 (153) (Array), 79 (164) (ReSTOR), and 121 (176 (Tecnis). CONCLUSIONS: Our study indicates that Array, ReSTOR, and Tecnis IOLs provide functional intermediate vision in bright light. In dim light, however, the Tecnis IOL provides better uncorrected reading speed at intermediate distances than Array and ReSTOR IOLs.


Assuntos
Implante de Lente Intraocular , Lentes Intraoculares , Pseudofacia/fisiopatologia , Leitura , Visão Ocular/fisiologia , Acomodação Ocular/fisiologia , Idoso , Biometria , Extração de Catarata , Feminino , Humanos , Luz , Masculino , Desenho de Prótese , Estudos Retrospectivos , Acuidade Visual/fisiologia
19.
J Clin Periodontol ; 35(5): 420-8, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18341601

RESUMO

OBJECTIVES: Comparison of the outcomes of a combination of an enamel matrix derivative and a synthetic bone graft (EMD/SBC) with EMD alone in wide intra-bony defects. MATERIAL AND METHODS: Seventy-three patients with chronic periodontitis were recruited in five centres in Germany. All patients had one wide intra-bony defect of >/=4 mm. Surgical procedures involved microsurgical technique and the modified papilla preservation flap. After debridement, defects were randomly assigned to EMD/SBC (test) or EMD (control). Assessments at baseline and after 6 months included bone sounding, attachment levels, probing pocket depths, bleeding on probing and recessions. Early wound-healing, adverse effects and patients' perceptions were also recorded. RESULTS: Both treatment modalities led to significant clinical improvements. Change in bone fill 6 months after surgery was 2.0 mm (+/- 2.1) in the test group and 2.1 mm (+/- 1.2) in the control group. A gain in clinical attachment of 1.3 mm (+/- 1.8) in the test group and 1.8 mm (+/- 1.6) in the control group was observed. One week after surgery, primary closure was maintained in 95% of the test sites and 100% of the control sites. No differences in patients' perceptions were found. CONCLUSION: The results of the present study showed similar clinical outcomes following both treatment modalities.


Assuntos
Perda do Osso Alveolar/tratamento farmacológico , Perda do Osso Alveolar/cirurgia , Regeneração Óssea , Substitutos Ósseos , Proteínas do Esmalte Dentário/uso terapêutico , Adulto , Idoso , Fosfatos de Cálcio , Doença Crônica , Durapatita , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Periodontite/tratamento farmacológico , Periodontite/cirurgia , Resultado do Tratamento
20.
Phys Chem Chem Phys ; 8(29): 3432-9, 2006 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-16855722

RESUMO

Photo-excited xanthone is known to undergo ultrafast intersystem crossing (ISC) in the 1 ps time domain. Correspondingly, its fluorescence quantum yield in most solvents is very small ( approximately 10(-4)). Surprisingly, the quantum yield in water is 100 times larger, while ISC is still rapid ( approximately 1 ps), as seen by ultrafast pump probe absorption spectroscopy. Temperature dependent steady state and time resolved fluorescence experiments point to a delayed fluorescence mechanism, where the triplet (3)npi* state primarily accessed by ISC is nearly isoenergetic with the photo-excited (1)pipi* state. The delayed fluorescence of xanthone in water decays with a time constant of 700 ps, apparently by internal conversion between the (3)npi* state and the lowest lying triplet state (3)pipi*.


Assuntos
Luminescência , Substâncias Luminescentes/análise , Substâncias Luminescentes/química , Espectrometria de Fluorescência , Água/química , Xantonas/análise , Xantonas/química , Solventes/análise , Solventes/química , Água/análise
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