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1.
Bull Exp Biol Med ; 149(2): 187-90, 2010 Aug.
Artigo em Inglês, Russo | MEDLINE | ID: mdl-21113488

RESUMO

We studied the effect of BSA (in the isolation medium) on the oxidation rate of succinate, glutamate, pyruvate, and α-ketoglutarate by mitochondria of the brain and liver from C57Bl/6g mice and Taconic Sprague Dawley rats. BSA had no effect on liver mitochondrial respiration, but increased oxidation of substrates (particularly of succinate) in brain mitochondria. Therefore, the major effect of BSA on brain mitochondria is manifested in activation of SDH. The improvement of mitochondrial properties in the brain after treatment with BSA is associated with antioxidant activity of this agent. Our results confirm the hypothesis that inhibition of SDH in brain mitochondria is not the artifact. This process serves as a mechanism protecting neurons from free oxygen radicals during succinate oxidation.


Assuntos
Encéfalo/metabolismo , Respiração Celular/efeitos dos fármacos , Fígado/metabolismo , Mitocôndrias/metabolismo , Soroalbumina Bovina/farmacologia , Animais , Ácido Glutâmico/metabolismo , Ácidos Cetoglutáricos/metabolismo , Camundongos , Camundongos Endogâmicos C57BL , Mitocôndrias/efeitos dos fármacos , Oxirredução/efeitos dos fármacos , Ácido Pirúvico/metabolismo , Ratos , Ratos Sprague-Dawley , Ácido Succínico/metabolismo
2.
J Comput Chem ; 30(10): 1545-614, 2009 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-19444816

RESUMO

CHARMM (Chemistry at HARvard Molecular Mechanics) is a highly versatile and widely used molecular simulation program. It has been developed over the last three decades with a primary focus on molecules of biological interest, including proteins, peptides, lipids, nucleic acids, carbohydrates, and small molecule ligands, as they occur in solution, crystals, and membrane environments. For the study of such systems, the program provides a large suite of computational tools that include numerous conformational and path sampling methods, free energy estimators, molecular minimization, dynamics, and analysis techniques, and model-building capabilities. The CHARMM program is applicable to problems involving a much broader class of many-particle systems. Calculations with CHARMM can be performed using a number of different energy functions and models, from mixed quantum mechanical-molecular mechanical force fields, to all-atom classical potential energy functions with explicit solvent and various boundary conditions, to implicit solvent and membrane models. The program has been ported to numerous platforms in both serial and parallel architectures. This article provides an overview of the program as it exists today with an emphasis on developments since the publication of the original CHARMM article in 1983.


Assuntos
Simulação por Computador , Modelos Químicos , Modelos Moleculares , Teoria Quântica , Software , Carboidratos/química , Biologia Computacional , Lipídeos/química , Ácidos Nucleicos/química , Peptídeos/química , Proteínas/química
3.
Science ; 229(4713): 571-2, 1985 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-3839596

RESUMO

The internal motions of the double-stranded DNA oligomer (dCdG)3 (dC, deoxycytidylate; dG, deoxyguanylate) in the B and Z forms have been calculated in the harmonic approximation. A complete vibrational analysis has been made, and the resulting normal mode frequencies have been used to evaluate the vibrational entropy of B and Z DNA. The greater flexibility of the B DNA hexamer leads to an entropic stabilization relative to the stiffer Z DNA hexamer of 22 calories per mole per kelvin at 300 K. The calculated value is of the same order as that (21 to 27 calories per mole per kelvin) obtained from nuclear magnetic resonance measurements on the methylated duplexes (m5dCdG)3 and (dCdGm5dCdGdCdG). This result demonstrates the importance of internal motions, which have been neglected in earlier studies of the transition from B to Z DNA, in the stability of different nucleic acid conformers.


Assuntos
DNA , Conformação de Ácido Nucleico , Metanol , Oligodesoxirribonucleotídeos , Estereoisomerismo , Termodinâmica , Vibração
4.
J Chem Phys ; 130(8): 084107, 2009 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-19256597

RESUMO

In a previous paper [Ghysels et al., J. Chem. Phys. 126, 224102 (2007)] the mobile block Hessian (MBH) approach was presented. The method was designed to accurately compute vibrational modes of partially optimized molecular structures. The key concept was the introduction of several blocks of atoms, which can move as rigid bodies with respect to a local, fully optimized subsystem. The choice of the blocks was restricted in the sense that none of them could be connected, and also linear blocks were not taken into consideration. In this paper an extended version of the MBH method is presented that is generally applicable and allows blocks to be adjoined by one or two common atoms. This extension to all possible block partitions of the molecule provides a structural flexibility varying from very rigid to extremely relaxed. The general MBH method is very well suited to study selected normal modes of large macromolecules (such as proteins and polymers) because the number of degrees of freedom can be greatly reduced while still keeping the essential motions of the molecular system. The reduction in the number of degrees of freedom due to the block linkages is imposed here directly using a constraint method, in contrast to restraint methods where stiff harmonic couplings are introduced to restrain the relative motion of the blocks. The computational cost of this constraint method is less than that of an implementation using a restraint method. This is illustrated for the alpha-helix conformation of an alanine-20-polypeptide.


Assuntos
Modelos Moleculares , Polímeros/química , Vibração , Biopolímeros/química , Proteínas/química
5.
J Mol Biol ; 215(3): 439-55, 1990 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-2231714

RESUMO

Molecular dynamics is used to probe the atomic motions of the carboxy-myoglobin protein as a function of temperature. Simulations of 150 picoseconds in length are carried out on the protein at 20, 60, 100, 180, 220, 240, 260, 280, 300, 320 and 340 K. The simulations attempt to mimic neutron scattering experiments very closely by including a partial hydration shell around the protein. Theoretical elastic, quasielastic and inelastic neutron scattering data are derived from the trajectories and directly compared with experiment. Compared to experiment, the simulation-derived elastic scattering curves show a decrease in intensity as a function of the scattering wavevector, q2. The inelastic and quasielastic spectra show that the inelastic peak is shifted to lower frequency than the experimental value, while quasielastic behavior is in good agreement with experiment. This suggests that the theoretical model is too flexible in the harmonic limit (low temperature), but accurately reproduces high-temperature behavior. Time correlation functions of the intermediate scattering function are determined. At low temperature there is one fast decay process, and at high temperatures there is an additional slow relaxation process that is due to quasielastic scattering. The average atomic fluctuations show that the protein behaves harmonically at low temperatures. At approximately 210 K, a glass-like transition in atomic fluctuations is seen. Above the transition temperature, the atomic fluctuations exhibit both harmonic and anharmonic behavior. Comparison of protein mobility behavior with experiment indicate the fluctuations derived from simulations are larger in the harmonic region. However, the anharmonic region agrees very well with experiment. The anharmonicity is large at all temperatures, with a gradual monotonic increase from 0.5 at 20 K to greater than 0.7 at 340 K without a noticeable change at the glass transition temperature. Heavy-atom dihedral transitions are monitored as a function of temperature. Trends in the type of dihedral transitions that occur with temperature are clearly visible. Dihedral transitions involving backbone atoms occur only above the glass transition temperature. The overall protein behavior results suggest that at low temperatures there is purely vibrational motion with one fast decay process, and above the glass transition temperature there is more anharmonic motion with a fast and a slower relaxation process occurring simultaneously.(ABSTRACT TRUNCATED AT 400 WORDS)


Assuntos
Mioglobina/química , Simulação por Computador , Modelos Moleculares , Nêutrons , Relação Estrutura-Atividade , Temperatura , Água , Difração de Raios X
6.
J Mol Biol ; 194(4): 713-24, 1987 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-3656404

RESUMO

The primary amino acid structure of the lysozyme-binding antibody, HyHEL-10, as determined by amino acid and nucleotide sequencing was utilized to construct a scale model of the Fv (variable region domain of immunoglobulin) using energy-minimized torsional angles of the McPC603 Fv as a prototype template. This model was in turn used as a template for generating a computer-built set of co-ordinates, which were subjected to a total of 600 steps of Adopted Basis Newton-Raphson energy minimizations using the program CHARMM. Only minimal shifts of the backbone (root-mean-square 0.76 A) were required to give an energetically stable structure with a favorable van der Waals' energy. Several notable features were evident from both the scale model and the energy-minimized computer model: (1) the shape of the antibody combining region is that of a very shallow concavity approximately 20 A X 25 A; (2) the concavity is acidic and non-hydrophobic and is bordered by hydrophobic segments; (3) the lower portion of the combining site is dominated by a cluster of tyrosine residues over the L3 and H2 areas; (4) a somatic mutation encoded by the J region of the heavy chain (JH) may contribute significantly to the complementarity of heavy chain H3 to the epitope on hen egg white lysozyme. In addition, the space-filling energy-minimized model revealed that residue 49L, a framework residue, was prominently exposed and accessible in the center of the combining-site concavity. The model suggests that variation in length of complementarity-determining regions may function not only to change directly the shape of the antibody combining site, but may also influence indirectly the nature of the antibody surface by changing the accessibility of residues not usually involved in antigen binding.


Assuntos
Anticorpos , Modelos Moleculares , Muramidase/imunologia , Sequência de Aminoácidos , Simulação por Computador
7.
J Mol Biol ; 226(1): 239-50, 1992 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-1619653

RESUMO

We report the results of a 500 ps molecular dynamics simulation of the cytokine interleukin-1 beta, a protein of 153 amino acids, immersed in a sphere of 3783 bulk water molecules with a radius of 33 A. The simulation reproduces the amplitudes of the fast librational motions of the backbone N-H bonds determined from 15N nuclear magnetic relaxation data, as well as the crystallographic B-factors. Moreover, this study suggests a molecular picture of the nature of the slow internal motions that have been inferred from nuclear magnetic resonance relaxation experiments. These experiments indicated that, in addition to fast motions common to all residues, 32 surface residues exhibit slow motions on the 400 ps to 5 ns time-scale. While the present simulation is not sufficiently long to provide a quantitative description of events on this time-scale, it is long enough to observe several large amplitude transitions that are likely candidates for these slow motions. Specifically, in many of these 32 residues, the N-H groups are hydrogen bonded and infrequent dihedral transitions cause the N-H vectors to jump between states with well-defined orientations. It is shown that the time course of the angular reorientational correlation functions of these residues calculated from the trajectory is a reflection of the random times at which these infrequent jumps happen to have occurred. Thus, while the rate of these transitions cannot be quantified, the simulated decay of these correlation functions is completely consistent with the physical picture in which the N-H vectors, in addition to fast librational motion, undergo large amplitude jumps between conformations stabilized by hydrogen bonds.


Assuntos
Simulação por Computador , Interleucina-1/química , Ligação de Hidrogênio , Espectroscopia de Ressonância Magnética , Matemática , Água/química , Difração de Raios X
8.
J Mol Biol ; 190(3): 455-79, 1986 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-3783708

RESUMO

Molecular dynamics simulations of hen egg-white lysozyme in the free and substrate-bound states are reported and the nature of the average structures and atomic fluctuations are analyzed. Crystallographic water molecules of structural importance, as determined by hydrogen-bonding, were included in the simulations. Comparisons are made between the dynamics and the X-ray results for the atomic positions, the main-chain and side-chain dihedral angles, and the hydrogen-bonding geometry. Improvements over earlier simulations in the potential energy function and methodology resulted in stable trajectories with the C alpha co-ordinates within 1.5 A of the starting X-ray structure. Structural features analyzed in the simulations agreed well with the X-ray results except for some surface residues. The Asx chi 2 dihedral distribution and the geometry of hydrogen bonding at reverse turns show differences; possible causes are discussed. The relation between the magnitudes and time-scales of the residue fluctuations and secondary structural features, such as helices beta-sheets and coiled loops, is examined. Significant differences in the residue mobilities between the simulations of the free and substrate-bound states were found in a region of the enzyme that is in direct contact with the substrate and in a region that is distant from the active-site cleft. The dynamic behavior of the structural water molecules is analyzed by examining the correlation between the fluctuations of the water oxygens and the lysozyme heavy-atoms to which they are hydrogen-bonded.


Assuntos
Muramidase , Animais , Sítios de Ligação , Simulação por Computador , Cristalografia , Ligação de Hidrogênio , Modelos Biológicos , Movimento (Física) , Conformação Proteica , Água
9.
Leukemia ; 6 Suppl 3: 161S-165S, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1602815

RESUMO

The ts1 mutant of Moloney murine leukemia virus TB (MoMuLV-TB) causes a degenerative neurologic and immunologic disease in mice characterized by development of spongiform encephalomyelopathy that results in hind-limb paralysis, marked thymic atrophy associated with immunodeficiency, and generalized body wasting. T cells, particularly CD4+ helper T cells, play a key role in the pathogenesis of the disease induced by ts1. Therefore, ts1 is unique among the described murine retroviruses in its ability to afflict both the central nervous system (CNS) and the T-cell compartment of the immune system in the same host. This particular ability to cause degenerative diseases involving both the CNS and immune system is shared by the lentiviruses responsible for development of the acquired immunodeficiency syndromes of humans and macaques. Our goal has been to elucidate the specific cellular and molecular mechanisms that underlie this neuro- and immunopathogenicity of ts1. We have previously reported that the primary neuropathogenic determinant of ts1 maps to a single amino acid substitution, Val-25-Ile, in the precursor envelope protein gPr80env. Further, at the restrictive temperature, the Val-25-Ile substitution did not prevent oligomerization of the gPr80env proteins; however, the structure of the oligomer was incompetent for transport from the ER to the Golgi. These findings suggest that the cytopathic effect of ts1 in neural cells might be due to accumulation of the gPr80env oligomers in the ER. Since glial cells are targets of ts1 infection in vivo, primary astrocytic cultures were established and the cytopathic effect of ts1 and MoMuLV-TB on these cells assessed. Both viruses replicate well in astrocytes and their replication is cytopathic, albeit to different degrees. The ts1 mutant appears to produce greater cell killing than the wild-type virus. Furthermore, it was found that the rate of processing of gPr80env of ts1 in astrocytes is slower than that of MoMuLV-TB. Therefore, the inefficient transport and processing of gPr80env of ts1 appears to correlate with its cytopathic effect in these cells. Electron microscopic studies of the ts1-infected astrocytes revealed large numbers of aberrant particles in the ER. The in vitro cytopathic effect of ts1 on astrocytes may reflect what happens in vivo. An indirect mechanism of neuronal-cell killing by ts1 is proposed.


Assuntos
Neoplasias Encefálicas/etiologia , Genes env/genética , Leucemia Experimental/complicações , Vírus da Leucemia Murina de Moloney/patogenicidade , Mutação/genética , Linfócitos T/microbiologia , Proteínas do Envelope Viral/metabolismo , Animais , Leucemia Experimental/metabolismo , Leucemia Experimental/microbiologia , Camundongos , Camundongos Endogâmicos BALB C , Vírus da Leucemia Murina de Moloney/classificação , Vírus da Leucemia Murina de Moloney/genética , Vírus da Leucemia Murina de Moloney/fisiologia , Baço/microbiologia , Replicação Viral
10.
FEBS Lett ; 216(2): 249-52, 1987 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-3034676

RESUMO

A new NMR method is described for the generation of absorption mode two-dimensional NOE spectra of oligonucleotides in H2O solution. The method yields spectra that are free of baseline distortions with excellent suppression of the intense H2O resonance. The method is demonstrated for a sample of the dodecamer d(CGCGAATTCGCG)2. All exchangeable base protons are identified and a number of new types of NOE connectivities are observed.


Assuntos
Oligodesoxirribonucleotídeos , Aminas , Fenômenos Químicos , Físico-Química , Iminas , Espectroscopia de Ressonância Magnética , Prótons , Água
11.
Arch Neurol ; 34(8): 468-9, 1977 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-196581

RESUMO

A definite blood to lumbar CSF barrier for cyclic adenosine monophosphate (cAMP) exists in man under physiologic conditions. Lumbar CSF cAMP level remained unchanged, while the CSF glucose level rose significantly after a glucagon hydrochloride infusion that caused a 40-fold increase in the plasma cAMP level.


Assuntos
Barreira Hematoencefálica , AMP Cíclico/metabolismo , AMP Cíclico/sangue , AMP Cíclico/líquido cefalorraquidiano , GMP Cíclico/metabolismo , Glucagon , Glucose/metabolismo , Humanos
12.
Arch Neurol ; 36(5): 269-73, 1979 May.
Artigo em Inglês | MEDLINE | ID: mdl-220938

RESUMO

Serum and CSF from 48 patients with amyotrophic lateral sclerosis and six patients with late-onset postpoliomyelitis progressive muscular atrophy were investigated for the presence of antibody to poliovirus types 1, 2, and 3, coxsackie viruses B3 and B4, influenza A, measles, rubella, mumps, herpes simplex types 1 and 2, cytomegalovirus, varicella-zoster, and Toxoplasma gondii. These results were compared with those from 53 control patients with neuromuscular disease matched for age, sex, race, and poliovirus vaccine exposure. There was no difference either in distribution of serum or CSF antibody titers or the geometric-mean antibody titers. There was no evidence suggesting the presence of locally produced specific viral antibody within the CNS to any of the agents studied. In particular, there was no serological evidence to suggest an association between persistent infection with any poliovirus type and amyotrophic lateral sclerosis or late-onset postpoliomyelitis progressive muscular atrophy.


Assuntos
Esclerose Lateral Amiotrófica/líquido cefalorraquidiano , Anticorpos Antivirais/líquido cefalorraquidiano , Atrofia Muscular/líquido cefalorraquidiano , Poliomielite/complicações , Adulto , Citomegalovirus/imunologia , Enterovirus Humano B/imunologia , Feminino , Herpesvirus Humano 3/imunologia , Humanos , Vírus da Influenza A/imunologia , Masculino , Pessoa de Meia-Idade , Vírus da Caxumba/imunologia , Atrofia Muscular/complicações , Poliovirus/imunologia , Vírus da Rubéola/imunologia , Simplexvirus/imunologia , Toxoplasma/imunologia
13.
Arch Neurol ; 35(9): 590-1, 1978 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-210748

RESUMO

Of the secondary messengers, cyclic quanosine monophosphate, but not cyclic adenosine monophosphate, was reduced by 80% in the cervical spinal cord and by 56% in the cerebellum of clinically affected homozygote "wobbler" mice compared to sex- and age-matched litter-mate clinically unaffected control mice. A neurotransmitter, gamma aminobutyric acid, and high-energy intermediates, adenosine triphosphate and phosphocreatine, were not significantly different in affected or unaffected mice.


Assuntos
GMP Cíclico/análise , Neurônios Motores , Doenças Neuromusculares/metabolismo , Medula Espinal/análise , Animais , Química Encefálica , AMP Cíclico/análise , Modelos Animais de Doenças , Camundongos , Mutação , Ácido gama-Aminobutírico/análise
14.
Arch Neurol ; 47(1): 38-41, 1990 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-2294892

RESUMO

From 1975 to 1983, six cases of amyotrophic lateral sclerosis (ALS) were diagnosed in long-term residents of Two Rivers, Wis; the probability that this occurred due to chance was less than .05. To investigate potential risk factors for ALS, we conducted a case-control study using two control subjects matched to each case patient for age, gender, and duration of residence in Two Rivers. Physical trauma, the frequent consumption of freshly caught Lake Michigan fish, and a family history of cancer were reported more often by case patients than control subjects. These findings support previous studies proposing a role for trauma in ALS pathogenesis and suggest that the causative role of diet should be further explored. Continued surveillance for and epidemiologic investigation of ALS clusters with subsequent retrospective analysis may provide clues concerning the cause of ALS.


Assuntos
Esclerose Lateral Amiotrófica/epidemiologia , Esclerose Lateral Amiotrófica/etiologia , Esclerose Lateral Amiotrófica/metabolismo , Estudos de Casos e Controles , Dieta/efeitos adversos , Feminino , Humanos , Incidência , Entrevistas como Assunto , Chumbo/sangue , Masculino , Mercúrio/urina , Fatores de Risco , População Rural , Inquéritos e Questionários , Wisconsin/epidemiologia
15.
Neurology ; 53(8 Suppl 5): S1-3; discussion S20-1, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10560629

RESUMO

The advances in treatment for amyotrophic lateral sclerosis (ALS) have demonstrated the need to diagnose this disease precisely and directly. Two international initiatives, at El Escorial in 1990 and at Airlie House in 1998, have grappled with the clinical and laboratory elements that may accelerate the diagnostic process. Shortly after the Airlie House meeting in 1998, an international group of clinical neurologists met to discuss optimal management strategies in ALS. The goals were to examine current diagnosis and treatment pathways and to attempt to devise an algorithm that would foster early diagnosis, thus enhancing the possibility of optimal treatment.


Assuntos
Esclerose Lateral Amiotrófica/diagnóstico , Esclerose Lateral Amiotrófica/terapia , Procedimentos Clínicos , Algoritmos , Árvores de Decisões , Humanos
16.
Neurology ; 53(8 Suppl 5): S43-5; discussion S55-7, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10560637

RESUMO

As yet, there is no staging system for amyotrophic lateral sclerosis (ALS). One early attempt to define disease stages consisted of post-hoc analysis of the international, placebo-controlled, clinical trials of riluzole. In this analysis, five health states were defined for ALS (mild, moderate, severe, terminal, death) to determine whether therapeutic intervention with riluzole could favorably influence the time spent in the different stages. The time spent in the mild and moderate disease states (taken together) was considerably longer in patients treated with riluzole than in those treated with placebo (317 days compared with 242 days). Riluzole did not influence the median time in the mild, severe, or terminal ALS stages but did slightly shorten the time in the moderate ALS stage compared with placebo. In all the ALS stages, the 75th percentile of time in that state appeared to be extended. Survival analysis indicated that the relative risk was less than 1.0 with riluzole treatment in the moderate, severe, and terminal health states but not in the mild health state, when it remained at 1.0. The time to failure was longer in patients in the moderate, severe, and terminal ALS stages but was significantly longer only in the moderate ALS stage. These findings indicate that future studies of therapeutic intervention should examine rigorously defined stages of disease to examine end points other than death. The development of a staging system, analogous to the ones used in oncology, has implications for the concept of early diagnosis.


Assuntos
Esclerose Lateral Amiotrófica/diagnóstico , Esclerose Lateral Amiotrófica/tratamento farmacológico , Fármacos Neuroprotetores/administração & dosagem , Riluzol/administração & dosagem , Progressão da Doença , Humanos
17.
Neurology ; 53(8 Suppl 5): S53-4; discussion S55-7, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10560640

RESUMO

The concept of earlier diagnosis of amyotrophic lateral sclerosis (ALS) requires in-depth investigation of its benefits and consequences. First, how good must a treatment be before ALS is determined to be a treatable condition? Analogy with cancer therapy suggests that a good quality of life after treatment is an essential feature of a "good" therapy. Survival in some diseases may be prolonged without a significant improvement in the patient's quality of life. Neurologists need to be clear about what they are trying to achieve in prolonging survival and maintaining a good quality of life for their patients with ALS. Second, can early diagnosis extend apparent survival in the absence of a therapeutic intervention that significantly affects the disease process? Earlier diagnosis on the basis of confirmed clinical signs and earlier institution of therapy may lead to a perception of improved survival, which is greater in young ALS patients. Third, can early diagnosis provide a benefit through prolongation of the time the patient remains able to work? Any therapeutic intervention to slow the early stages of the disease would benefit patients who wanted to maintain their self-esteem by continuing to work. Finally, earlier diagnosis of ALS requires decisions to be made concerning the acceptable rate of misdiagnosis, which at present reaches 10% false-positive and up to 44% false-negative.


Assuntos
Esclerose Lateral Amiotrófica/diagnóstico , Esclerose Lateral Amiotrófica/psicologia , Emprego/estatística & dados numéricos , Qualidade de Vida , Humanos
18.
Neurology ; 25(10): 943-8, 1975 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1237104

RESUMO

Acid-base changes in arterial blood and lumbar cerebrospinal fluid were correlated with simultaneously determined lactate levels in patients admitted after alcohol withdrawal seizures. Arterial and cerebrospinal fluid lactate was elevated in association with a marked respiratory alkalosis in 13 patients studied 5 to 12 hours after the seizure. Similar elevations of arterial and cerebrospinal fluid lactate were found in five patients during delirium tremens without antecedent withdrawal seizure. The cerebrospinal fluid lactate determined on admission appeared to correlate best with the length and severity of the alcohol withdrawal syndrome that developed in patients after a withdrawal seizure.


Assuntos
Alcoolismo/líquido cefalorraquidiano , Alcalose/etiologia , Lactatos/líquido cefalorraquidiano , Convulsões/complicações , Síndrome de Abstinência a Substâncias/líquido cefalorraquidiano , Adulto , Idoso , Delirium por Abstinência Alcoólica/líquido cefalorraquidiano , Delirium por Abstinência Alcoólica/complicações , Alcoolismo/complicações , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Convulsões/líquido cefalorraquidiano
19.
Neurology ; 25(10): 935-42, 1975 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-809724

RESUMO

The natural course of acid-base changes in arterial blood and lumbar cerebrospinal fluid of patients admitted after major motor seizures was correlated with simultaneously determined lactate levels. In 10 patients with idopathic seizures studied less than 3 hours after the seizure, arterial lactate and cerebrospinal fluid lactate were elevated in association with a mild arterial metabolic acidosis. The elevated cerebrospinal fluid lactate persisted despite a return to normal of the arterial lactate in seven patients studied between 3 and 6 hours after the seizure. All values were normal in five patients studied more than 4 days after a major seizure.


Assuntos
Equilíbrio Ácido-Base , Epilepsia Tônico-Clônica/líquido cefalorraquidiano , Lactatos/líquido cefalorraquidiano , Acidose/metabolismo , Epilepsia Tônico-Clônica/sangue , Feminino , Humanos , Lactatos/sangue , Masculino , Fatores de Tempo
20.
Neurology ; 43(2): 438-43, 1993 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-8437718

RESUMO

We conducted this study to better inform amyotrophic lateral sclerosis (ALS) patients about home ventilation and to assist them in decision-making. We gathered data on the prevalence of ALS patients on home ventilation in northern Illinois and the percentage who chose it, and we asked identified subjects, their families, and physicians for their attitudes toward home ventilation. Fewer than 10% of ALS patients had chosen home ventilation, and fewer than 5% were still on it. Seventeen patients (90%) were glad to have chosen home ventilation and would choose it again. Family caregivers reported major burdens, and only half would choose it for themselves. The mean yearly cost of home ventilation was $153,252. Home ventilation is effective for ALS patients had desired by the small number who undergo it, but it imposes significant burdens on families.


Assuntos
Esclerose Lateral Amiotrófica/enfermagem , Serviços de Assistência Domiciliar , Respiração Artificial/métodos , Adulto , Idoso , Esclerose Lateral Amiotrófica/economia , Esclerose Lateral Amiotrófica/psicologia , Atitude , Atitude do Pessoal de Saúde , Família/psicologia , Feminino , Custos de Cuidados de Saúde , Serviços de Assistência Domiciliar/economia , Humanos , Illinois , Masculino , Pessoa de Meia-Idade , Médicos , Prognóstico , Respiração Artificial/economia , Respiração Artificial/psicologia , Inquéritos e Questionários , Resultado do Tratamento
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