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Sample records for cardiopulmonary function parameters

  1. EFFECT OF CARDIOPULMONARY BYPASS ON PULMONARY FUNCTION IN INFANTS

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Objective To evaluate the effect of the cardiopulmonary bypass (CPB) on the pulmonary function in infants with or without pulmonary hypertension in congential ventricular septal defect (VSD). Methods Twenty infants with VSD were enrolled in the study from Jan. to Dec. 2004. They were divided into two groups: pulmonary hypertension group and non-pulmonary hypertension group, ten infants respectively. Pulmonary function parameters were measured before CPB and 3, 6, 9, 12, 15, 18, 21, 24h after CPB, the following data were recorded: duration for mechanical ventilation (Tmv) and staying in the cardiac intensive care unit (Tcicu) after cardiac surgery. Results Before CPB, the pulmonary function parameters in non-pulmonary hypertension group were more superior than in pulmonary hypertension group ( P < 0. 01 ). By contraries, the pulmonary function parameters in every time stage after CPB statistically significant decreased in non-pulmonary hypertension group ( P < 0. 05),especially at 6, 9, and 15h after CPB ( P < 0. 01 ). In pulmonary hypertension group, the pulmonary function parameters in 3h after CPB were more improved than before CPB, though there was no statistical significance. But they had statistically significant decreased at 9, 12, 15h after CPB ( P <0. 05). There was a similar change in pulmonary function between two groups at 21,24h after CPB. Conclusion Exposure to CPB adversely affects pulmonary function after surgical repair of VSD in infants. We consider that the benefits of the surgical correction in infants with pulmonary hypertension outweight the negative effects of CPB on pulmonary function. We should improve cardiac function to avoid the presence of the nadir trough in pulmonary function. The infants with pulomonary hypertension also have ability to wean from mechanical ventilation as soon as possible, if the hemodynamics is stable, and without the responsive pulmonary hypertension or pulmonary hypertension crisis after surgical repair.

  2. Myocardial contractile function in survived neonatal piglets after cardiopulmonary bypass

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    Popov Aron-Frederik

    2010-11-01

    Full Text Available Abstract Background Hemodynamic function may be depressed in the early postoperative stages after cardiac surgery. The aim of this study was the analysis of the myocardial contractility in neonates after cardiopulmonary bypass (CPB and mild hypothermia. Methods Three indices of left ventricular myocardial contractile function (dP/dt, (dP/dt/P, and wall thickening were studied up to 6 hours after CPB in neonatal piglets (CPB group; n = 4. The contractility data were analysed and then compared to the data of newborn piglets who also underwent median thoracotomy and instrumentation for the same time intervals but without CPB (non-CPB group; n = 3. Results Left ventricular dP/dtmax and (dP/dtmax/P remained stable in CPB group, while dP/dtmax decreased in non-CPB group 5 hours postoperatively (1761 ± 205 mmHg/s at baseline vs. 1170 ± 205 mmHg/s after 5 h; p max and (dP/dtmax/P there were no statistically significant differences between the two groups. Comparably, although myocardial thickening decreased in the non-CPB group the differences between the two groups were not statistically significant. Conclusions The myocardial contractile function in survived neonatal piglets remained stable 6 hours after cardiopulmonary bypass and mild hypothermia probably due to regional hypercontractility.

  3. Protective effects of hypovolemic hypotension preconditioning on cardiopulmonary function after myocardium ischemia/reperfusion injury

    Institute of Scientific and Technical Information of China (English)

    陈雪君; 王昕; 夏中元; 罗涛; 涂仲凡

    2004-01-01

    Objective: To identify the protective effects of hypovolemic hypotension preconditioning on cardiopulmonary function after myocardial ischemia/reperfusion injury and to explore the possible mechanism.Methods: Twenty-four male white rabbits were randomly assigned to two groups. In the control group, ischemia/reperfusion animals(Group I/R, n=10) were subjected to thirty-minute occlusion of left anterior descending coronary artery and two-hour reperfusion. Animals in hypovolemic hypotension preconditioning group (Group HHP, n=14) experienced brief systemic ischemia preconditioning through blood withdrawl to lower blood pressure to 40%-50% of the baseline before myocardial ischemia/reperfusion. Hemodynamic parameters were recorded. Blood sample was taken to measure superoxide dismutase (SOD), malondialdehyde (MDA) and nitrogen monoxide (NO) changes with blood gas analysis. Myocardium specimens were sampled to examine apoptosis-related gene interleukin-1 beta converting enzyme (ICE) mRNA. Results: Cardiac mechanical function and lung gas exchange remained stable in Group HHP with a significant increase in NO level; while in Group I/R without preconditioning, cardiopulmonary dysfunction was present after 2 h reperfusion associated with a significant reduction in NO formation and an increase in MDA (P<0.001). There was negative expression of ICE mRNA in the two groups.Conclusions: Hypovolemic hypotension preconditioning significantly improves cardiopulmonary function and increases NO formation and the protective benefit associated with hypovolemic hypotension preconditioning of the heart may be regulated through NO mediated mechanism.

  4. Inhibition of neutrophil activity improves cardiac function after cardiopulmonary bypass

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    Grünwald Frank

    2007-10-01

    Full Text Available Abstract Background The arterial in line application of the leukocyte inhibition module (LIM in the cardiopulmonary bypass (CPB limits overshooting leukocyte activity during cardiac surgery. We studied in a porcine model whether LIM may have beneficial effects on cardiac function after CPB. Methods German landrace pigs underwent CPB (60 min myocardial ischemia; 30 min reperfusion without (group I; n = 6 or with LIM (group II; n = 6. The cardiac indices (CI and cardiac function were analyzed pre and post CPB with a Swan-Ganz catheter and the cardiac function analyzer. Neutrophil labeling with technetium, scintigraphy, and histological analyses were done to track activated neutrophils within the organs. Results LIM prevented CPB-associated increase of neutrophil counts in peripheral blood. In group I, the CI significantly declined post CPB (post: 3.26 ± 0.31; pre: 4.05 ± 0.45 l/min/m2; p 2; p = 0.23. Post CPB, the intergroup difference showed significantly higher CI values in the LIM group (p Conclusion Our data provides strong evidence that LIM improves perioperative hemodynamics and cardiac function after CPB by limiting neutrophil activity and inducing accelerated sequestration of neutrophils in the spleen.

  5. Hydrogen sulfide improves neural function in rats following cardiopulmonary resuscitation

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    LIN, JI-YAN; ZHANG, MIN-WEI; WANG, JIN-GAO; LI, HUI; WEI, HONG-YAN; LIU, RONG; DAI, GANG; LIAO, XIAO-XING

    2016-01-01

    The alleviation of brain injury is a key issue following cardiopulmonary resuscitation (CPR). Hydrogen sulfide (H2S) is hypothesized to be involved in the pathophysiological process of ischemia-reperfusion injury, and exerts a protective effect on neurons. The aim of the present study was to investigate the effects of H2S on neural functions following cardiac arrest (CA) in rats. A total of 60 rats were allocated at random into three groups. CA was induced to establish the model and CPR was performed after 6 min. Subsequently, sodium hydrosulfide (NaHS), hydroxylamine or saline was administered to the rats. Serum levels of H2S, neuron-specific enolase (NSE) and S100β were determined following CPR. In addition, neurological deficit scoring (NDS), the beam walking test (BWT), prehensile traction test and Morris water maze experiment were conducted. Neuronal apoptosis rates were detected in the hippocampal region following sacrifice. After CPR, as the H2S levels increased or decreased, the serum NSE and S100β concentrations decreased or increased, respectively (P<0.0w. The NDS results of the NaHS group were improved compared with those of the hydroxylamine group at 24 h after CPR (P<0.05). In the Morris water maze experiment, BWT and prehensile traction test the animals in the NaHS group performed best and rats in the hydroxylamine group performed worst. At day 7, the apoptotic index and the expression of caspase-3 were reduced in the hippocampal CA1 region, while the expression of Bcl-2 increased in the NaHS group; and results of the hydroxylamine group were in contrast. Therefore, the results of the present study indicate that H2S is able to improve neural function in rats following CPR. PMID:26893650

  6. Relations between cardiopulmonary function during exercise and exercise tolerance in patients with COPD

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    Cuypers, Maarten; Vos, Tine

    2015-01-01

    Methods: In part 1, a cross-sectional study took place. Sixty COPD patients performed a spirometry and a cardiopulmonary exercise test (CPET). Predictors of exercise tolerance were examined. In part 2, a longitudinal observational study took place. Twelve COPD patients completed an exercise training intervention. A study on relations between changes in cardiopulmonary function and changes in exercise tolerance was performed. Results: Significant predictors of VO2peak are peak carbon d...

  7. Cardiopulmonary function in dogs with serious chronic heartworm disease.

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    Kitagawa, H; Kubota, A; Yasuda, K; Hirano, Y; Sasaki, Y

    1992-08-01

    Cardiopulmonary function was examined in 18 dogs with serious chronic heartworm disease showing ascites, subcutaneous edema, prostration, weakness, jaundice and so on. After surgical heartworm removal from the pulmonary arteries, 10 dogs recovered (surviving group), and 8 dogs died or were euthanatized because of poor prognosis (nonsurviving group). The number of live heartworms residing in the pulmonary arteries of the surviving group tended to be larger than that in the nonsurviving group. At necropsy, severe pulmonary arterial lesions such as thromboembolism including dead heartworms, proliferative and villous lesions and intimal hyperplasia were noticed in all dogs examined, and tended to be severer in the nonsurviving group. Heartworm-coiling around the tricuspid valve chord was found in 1 dog of the surviving group and 4 dogs of the nonsurviving group. Before heartworm removal, there was no significant difference in the mean pulmonary arterial pressure (MPAP) between the surviving and nonsurviving group. Right atrial pressure (v-wave) was higher, and the cardiac index (CI) was lower in the nonsurviving group. Arterial oxygen tension was lower in the surviving group than in the heartworm-free group, and it was lower in the nonsurviving group than in the surviving group. Carbon dioxide tension was lower in the surviving group than in the heartworm-free group. Bicarbonate concentration (HCO3-) was lower both in the surviving and nonsurviving groups than in the heartworm-free group. One week after heartworm removal, MPAP decreased (P less than 0.05), and CI and HCO3- tended to increase in the surviving group.

  8. The Effects of Cigarette Smoking on Cardiopulmonary Function and Exercise Tolerance in Teenagers

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    Dianna Louie

    2001-01-01

    Full Text Available Teenagers who smoke are frequently warned that cigarette smoking will have detrimental effects on the function of their cardiopulmonary system and on their ability to perform exercise. However, there is little published evidence to support this statement. Therefore, in the present study, peak expiratory flow was measured as an indicator of lung function, expired carbon monoxide level was measured as an indicator of current smoking and the associated reduction in the oxygen carrying capacity of the blood, and blood pressure and heart rate were measured as indicators of cardiovascular hemodynamics before and after a one-mile run in 27 teenagers. The results show that, even at a young age, cigarette smoking is associated with significant detrimental effects on cardiopulmonary function and exercise tolerance. Objective evidence of an effect of smoking on cardiopulmonary function and exercise tolerance in this age group may assist educators and health care professionals in convincing teenagers to quit smoking.

  9. EFFECTS OF INHALATION OF SOLUBLE METALLIC CONSTITUENTS OF PARTICULATE MATTER ON CARDIOPULMONARY, THERMOREGULATORY, AND BIOCHEMICAL PARAMETERS IN GUINEA PIGS

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    EFFECTS OF INHALATION OF SOLUBLE METALLIC CONSTITUENTS OF PARTICULATE MATTER ON CARDIOPULMONARY, THERMOREGULATORY, AND BIOCHEMICAL PARAMETERS IN GUINEA PIGS. JP Nolan1, LB Wichers2, J Stanek3, UP Kodavanti1, MCJ Schladweiler1, PA Evansky1, ER Lappi1, DL Costa1, and WP Watkinson1...

  10. The effect of pulsatile cardiopulmonary bypass on lung function in elderly patients

    NARCIS (Netherlands)

    Engels, Gerwin E.; Dodonov, Mikhail; Rakhorst, Gerhard; van Oeveren, Willem; Milano, Aldo D.; Gu, Y. John; Faggian, Giuseppe

    2014-01-01

    Purpose: Cardiopulmonary bypass is still a major cause of lung injury and delay in pulmonary recovery after cardiac surgery. Although it has been shown that pulsatile flow induced by intra-aortic balloon pumping is beneficial for preserving lung function, it is not clear if the same beneficial effec

  11. HEMOSTATIC FUNCTION OF ASPIRIN-TREATED PLATELETS VULNERABLE TO CARDIOPULMONARY BYPASS - ALTERED SHEAR-INDUCED PATHWAY

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    TABUCHI, N; HUET, RCGG; STURK, A; EIJSMAN, L; WILDEVUUR, CRH

    1995-01-01

    The impaired hemostasis of aspirin-treated patients is an annoying problem during and after cardiopulmonary bypass, The hemostatic function of platelets comprises two mechanisms: the shear-induced and the cyclooxygenase pathways, Because the latter is inhibited in aspirin-treated patients, the hemos

  12. Role of exercise and nutrition on cardiopulmonary fitness and pulmonary functions on residential and non-residential school children.

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    Khodnapur, Jyoti P; Dhanakshirur, Gopal B; Aithala, Manjunatha

    2012-01-01

    Physical fitness is the prime criterion for survival and to lead a healthy life. Our aim is to find out effect of exercise and nutrition on physical fitness on growing children with scientific records. The present study was designed on healthy school children of a Residential-Sainik (100) and Non-Residential (100) school children (12-16 yrs) of Bijapur. To evaluate cardiopulmonary fitness parameters included are VO2Max (ml/kg/min) and Physical Fitness Index (PFI %). Harvard Step Test determined VO2 Max and PFI. Also recorded pulmonary function parameters like Forced Expiratory Volume in 1 sec (FEV1 in %) by recording spirometry. Peak Expiratory Flow Rate (PEFR in L/Min) by Peak flow meter and Maximal Expiratory Pressure (MEP in mmHg) by modified Black's apparatus. We found statistically significant higher values (p = 0.000) of VO2Max, PFI, FEV1, PEFR and MEP in residential school children compared to nonresidential school children higher. So, our study shows that regular exercise and nutritious food increase the cardiopulmonary fitness values and pulmonary functions in Residential school children.

  13. Platelet Function in Stored Heparinised Autologous Blood Is Not Superior to in Patient Platelet Function during Routine Cardiopulmonary Bypass

    NARCIS (Netherlands)

    Huet, Rolf C. G. Gallandat; de Vries, Adrianus J.; Cernak, Vladimir; Lisman, Ton

    2012-01-01

    Background: In cardiac surgery, cardiopulmonary bypass (CPB) and unfractionated heparin have negative effects on blood platelet function. In acute normovolemic haemodilution autologous unfractionated heparinised blood is stored ex-vivo and retransfused at the end of the procedure to reduce (allogene

  14. Effect of carotid and aortic baroreceptors on cardiopulmonary reflex: the role of autonomic function

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    T.L. Fernandes

    2010-07-01

    Full Text Available We determined the sympathetic and parasympathetic control of heart rate (HR and the sensitivity of the cardiopulmonary receptors after selective carotid and aortic denervation. We also investigated the participation of the autonomic nervous system in the Bezold-Jarish reflex after selective removal of aortic and carotid baroreceptors. Male Wistar rats (220-270 g were divided into three groups: control (CG, N = 8, aortic denervation (AG, N = 5 and carotid denervation (CAG, N = 9. AG animals presented increased arterial pressure (12% and HR (11% compared with CG, while CAG animals presented a reduction in arterial pressure (16% and unchanged HR compared with CG. The sequential blockade of autonomic effects by atropine and propranolol indicated a reduction in vagal function in CAG (a 50 and 62% reduction in vagal effect and tonus, respectively while AG showed an increase of more than 100% in sympathetic control of HR. The Bezold-Jarish reflex was evaluated using serotonin, which induced increased bradycardia and hypotension in AG and CAG, suggesting that the sensitivity of the cardiopulmonary reflex is augmented after selective denervation. Atropine administration abolished the bradycardic responses induced by serotonin in all groups; however, the hypotensive response was still increased in AG. Although the responses after atropine were lower than the responses before the drug, indicating a reduction in vagal outflow after selective denervation, our data suggest that both denervation procedures are associated with an increase in sympathetic modulation of the vessels, indicating that the sensitivity of the cardiopulmonary receptors was modulated by baroreceptor fibers.

  15. Effects of sevoflurane on cardiopulmonary function in patients undergoing coronary artery bypass.

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    Zhang, J; Wang, S

    2016-01-01

    The objective of the current study was to investigate effects of sevoflurane on cardiopulmonary function in patients undergoing coronary artery bypass grafting (CABG). In this study, 60 cases of patients with coronary heart disease (CHD) were selected and randomly divided into the sevoflurane group (group S) and the control group C (group C) with 30 cases in each group. The two groups received intravenous anesthesia. The patients of group C were only given oxygen mask and physiological saline to keep vein open; while the patients of group S were administered with 1% sevoflurane immediately after the beginning of cardiopulmonary bypass (CPB) until the end of the treatment. The cardiopulmonary functions at 30 min before operation (T0), postoperative 2 h (T1), 6h (T2), 24h (T3) and 48 (T4) were observed. The mean arterial pressure (MAP) of the group S at T1, T2, T3 was lower than that of the group C, as were the heart rate (HR) and left ventricular ejection fraction (LVEF). The creatine kinase isoenzyme (CK-MB) during T1 to T4 in the group S was less than that of the group C, and there were significant differences between the two groups (P less than 0.05). The tidal volume (Vt), vital capacity (Vc) and oxygenation index (PaO2/FiO2) of the two groups during T1 and T2 were decreased, while respiratory frequency (RR) and alveolar-arterial blood oxygen partial pressure (PA-aO2) were increased and they began to decrease during T3 and T4. Vt and Vc of the group S were higher during T1 and T2 periods than those of the group C, while RR was lower than that of the group C; PaO2 / FiO2 during T1 to T4 period of group S was higher than that of group C, while PA-aO2 was significantly lower than that of the control group (P less than 0.05). In conclusion, although LVEF was not improved in the sevoflurane group, sevoflurane may contribute to stabilizing the cardiopulmonary function and preventing from myocardial injury.

  16. Quantitative evaluation of cardiopulmonary functional reserve in treated patients with pulmonary embolism

    Institute of Scientific and Technical Information of China (English)

    YAN Wen-wen; WANG Le-min; CHE Lin; SONG Hao-ming; JIANG Jin-fa; XU Jia-hong; SHEN Yu-qin; ZHANG Qi-ping

    2012-01-01

    Background There is no research,either at home or abroad,focusing on assessing the cardiopulmonary functional reserve and exercise tolerance in patients with pulmonary embolism (PE),but the benefits of early exercise are well recognized.The goals of this study were to assess cardiopulmonary functional reserve in treated PE patients using the inert gas rebreathing method of the cardiopulmonary exercise test (CPET),and to compare it with traditional methods.Methods CPET on the bicycle ergometer were performed in 40 patients with age,gender,body mass index,systolic blood pressure,and pulmonary function matched.The first group was the PE group composed of 16 PE patients (5 male,11 female) who were given the standard antithrombotic therapy for two weeks.The second group was composed of 24 normal individuals (10 male,14 female).Both groups were evaluated by cardiac ultrasound examination,6-minute walking test (6MVVT),and CPET.Results (1) Right ventricular systolic pressure (RVSP) in the PE group increased significantly compared to the control group,(34.81±8.15) mmHg to (19.75±3.47) mmHg (P <0.01).But neither right atrial end-systolic diameter (RASD) nor right ventricular end-diastolic diameter (RVDD) in the PE patients had changed when compared with the controls.The 6-minute walk distance was significantly reduced in the PE patients compared with normal subjects,(447.81±79.20) m vs.(513.75±31.45) m (P <0.01).Both anaerobic threshold oxygen consumption (VO2AT) and peak oxygen consumption (VO2peak) were significantly lower in patients with PE,while CO2 equivalent ventilation (VE/VCO2 slope) was higher;VO2AT (9.44±3.82) ml·kg1.min-1 vs.(14.62±2.93) ml.kg-1.min-1 (P <0.01) and VO2peak (12.26±4.06) ml.kg-1.min-1 vs.(23.46±6.15) ml.kg-1.min-1 (P <0.01) and VE/VCO2 slope 35.47±6.66 vs.26.94±3.16 (P <0.01).There was no significant difference in resting cardiac output (CO) between the PE and normal groups,whereas peak cardiac output (peak CO)and the

  17. MECHANISM OF PRESERVING EFFECT OF APROTININ ON PLATELET FUNCTION DURING CARDIOPULMONARY BYPASS

    Institute of Scientific and Technical Information of China (English)

    黄惠民; 丁文祥; 苏肇伉; 张伟忠

    1992-01-01

    The deficiency of platelet function is the main defect of hemostatic mechanism during cardiopulmonary bypass (CPB), which attributed to the postoperative bleeding complication to a great extent. The proteinase inhibitor aprotinin was reported to have preserving effect on platelet adhesion during CPB. In this clinical reserch we found that CPB caused plasma alpha 2-antiplasmin decreasing, indicating the fibrinolytic system activation. Meanwhile, the ristocetin-induced aggregation declined to 39.6% and platelet GPIb decreased to 50% of preoperative value. However, by treatment with aprotinin, the plasma alpha 2-antiplasmin during CPB did not change, platelet aggregation was improved and platelet GPIb was preserved, and consequently resulted in a 46% lower blood loss postoperatively. These results confirmed that aprotinin could inhibit the fibrinolysis during CPB, and thus relieve the platelet damage and improve the postoperative hemostatic mechanism.

  18. Superior Cardiac Function Via Anaplerotic Pyruvate in the Immature Swine Heart After Cardiopulmonary Bypass and Reperfusion

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    Olson, Aaron; Hyyti, Outi M.; Cohen, Gordon A.; Ning, Xue-Han; Sadilek, Martin; Isern, Nancy G.; Portman, Michael A.

    2008-12-01

    Pyruvate produces inotropic responses in the adult reperfused heart. Pyruvate oxidation and anaplerotic entry into the citric acid cycle (CAC) via carboxylation are linked to stimulation of contractile function. The goals of this study were to determine if these metabolic pathways operate and are maintained in the developing myocardium after reperfusion. Immature male swine (age 10-18 days) were subjected to cardiopulmonary bypass (CPB). Intracoronary infusion of [2]-13C-pyruvate (to achieve a final concentration of 8 mM) was given for 35 minutes starting either during weaning (Group I), after discontinuation (Group II) or without (Control) CPB. Hemodynamic data was collected. 13C NMR spectroscopy was used to determine the fraction of pyruvate entering the CAC via pyruvate carboxylation (PC) to total CAC entry (PC plus decarboxlyation via pyruvate dehydrogenase). Liquid chromatography-mass spectrometry was used to determine total glutamate enrichment.

  19. Physiological parameters during the initial stages of cardiopulmonary exercise testing in patients with chronic heart failure - Their value in the assessment of clinical severity and prognosis

    NARCIS (Netherlands)

    de Vries, RJM; van Veldhuisen, DJ; Dunselman, PHJM; van der Veer, N; Crijns, HJGM

    1997-01-01

    Aims To analyse the relationship between initial exercise parameters and peak oxygen consumption and prognosis in 96 patients with congestive heart failure. Methods and Results Comparison of responses during the initial 6 min of cardiopulmonary exercise testing (Naughton modified protocol) in patien

  20. Impaired Cerebral Mitochondrial Oxidative Phosphorylation Function in a Rat Model of Ventricular Fibrillation and Cardiopulmonary Resuscitation

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    Jun Jiang

    2014-01-01

    Full Text Available Postcardiac arrest brain injury significantly contributes to mortality and morbidity in patients suffering from cardiac arrest (CA. Evidence that shows that mitochondrial dysfunction appears to be a key factor in tissue damage after ischemia/reperfusion is accumulating. However, limited data are available regarding the cerebral mitochondrial dysfunction during CA and cardiopulmonary resuscitation (CPR and its relationship to the alterations of high-energy phosphate. Here, we sought to identify alterations of mitochondrial morphology and oxidative phosphorylation function as well as high-energy phosphates during CA and CPR in a rat model of ventricular fibrillation (VF. We found that impairment of mitochondrial respiration and partial depletion of adenosine triphosphate (ATP and phosphocreatine (PCr developed in the cerebral cortex and hippocampus following a prolonged cardiac arrest. Optimal CPR might ameliorate the deranged phosphorus metabolism and preserve mitochondrial function. No obvious ultrastructural abnormalities of mitochondria have been found during CA. We conclude that CA causes cerebral mitochondrial dysfunction along with decay of high-energy phosphates, which would be mitigated with CPR. This study may broaden our understanding of the pathogenic processes underlying global cerebral ischemic injury and provide a potential therapeutic strategy that aimed at preserving cerebral mitochondrial function during CA.

  1. Cardiopulmonary function of Young bronchitics (mostly mineworkers) before and after respiratory physiotherapy and physical training. Comparison with a control group

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    Marcq, M.; Minette, A.

    1981-01-01

    This article covers the effects of 4 weeks' treatment consisting of respiratory physiotherapy associated with physical training on cardiopulmonary function. It involved 12 patients (updated group) suffering from chronic bronchitis, still at an early stage in clinical terms. All patients showed signs of early broncho-destructive problems. This research was carried out with financial aid from the EEC (Agreement No. 7246-30-2-001). (32 refs.)

  2. Effects of the morphine-lidocaine-ketamine combination on cardiopulmonary function and isoflurane sparing in sheep

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    Suzane Lilian Beier

    2014-10-01

    Full Text Available The aims of this study were to evaluate the isoflurane sparing and clinical effects of a constant rate infusion of morphine – lidocaine – ketamine (MLK in healthy sheep undergoing experimental gastrointestinal surgery. Twelve adult female sheep (Texel breed were used, weighing 36.5 ± 8.1 kg. The sheep were anesthetized for the implantation of duodenal cannulas. The sheep were premedicated with 0.3 mg kg-1 intramuscular (IM morphine and 20 ?g kg-1 intravenous (IV detomidine. After premedication, anesthesia was induced using 5 mg kg-1 ketamine and 0.5 mg kg-1 diazepam IV and maintained using isoflurane in 100% oxygen. After the induction of anesthesia, the animals were allocated into two groups (each n=6; the GMLK (MLK group – 10 mg morphine, 150 mg lidocaine, 30 mg de ketamine were added in 500 mL saline received a 10 mL kg-1h-1 MLK infusion during the maintenance of anesthesia, and GCON (control group received 10 mL kg-1h-1 of 0.9% sodium chloride. The animals were mechanically ventilated. Cardiopulmonary variables and end-tidal isoflurane concentration (FE´Iso were measured at baseline (immediately before the surgery and 15, 30 and 45 minutes after initiation of surgery. In GMLK, there was a decrease in the FE´Iso at 15, 30 and 45 minutes, a reduction of up to 75.6% during the surgery. The HR was lower in GMLK compared with GCON at 30 minutes, and the MAP was at during baseline in GCON compared with GMLK. The standing time was less in GMLK than in GCON. The use of intravenous MLK was demonstrated to offer great efficiency as part of a balanced anesthesia protocol in sheep, with a 75.6% reduction in the need for isoflurane, providing stability of the cardiovascular parameters and blood gases with a shortened recovery period.

  3. Evaluation of cardiopulmonary parameters and recovery from anesthesia in cougars (Puma concolor anesthetized with detomidine/ketamine and isoflurane or sevoflurane

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    Verônica B. Albuquerque

    2016-01-01

    Full Text Available Abstract: The aim of this study was to assess the cardiopulmonary effects, the onset time after the administration of a detomidine/ketamine combination, and the recovery from anesthesia of cougars (Puma concolor anesthetized with detomidine/ketamine and isoflurane or sevoflurane for abdominal ultrasound imaging. Fourteen animals were randomly allocated into two experimental groups: GISO (n=7 and GSEVO (n=7. Chemical restraint was performed using 0.15mg/kg detomidine combined with 5mg/kg ketamine intramuscularly; anesthesia induction was achieved using 2mg/kg propofol intravenously and maintenance with isoflurane (GISO or sevoflurane (GSEVO. The following parameters were assessed: heart rate, respiratory rate, systolic and diastolic arterial blood pressure, mean arterial blood pressure, oxyhemoglobin saturation, rectal temperature, central venous pressure, and end-tidal carbon dioxide. The time to sternal recumbency (TSR and time to standing position (TSP were also determined. There was not statistically significant difference for the cardiopulmonary variables or TSP whereas TSR was significantly shorter in GSEVO. The time to onset of anesthesia was 11.1±1.2 minutes and 11.3±1.8 minutes for GISO and GSEVO, respectively. The anesthesia of cougars with detomidine/ketamine and isoflurane or sevoflurane was conducted with safety, cardiopulmonary stability, and increased time to sternal recumbency in the GISO group.

  4. The effectiveness of specific exercise types on cardiopulmonary functions in patients with ankylosing spondylitis: a systematic review.

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    Saracoglu, Ismail; Kurt, Gamze; Okur, Eda Ozge; Afsar, Emrah; Seyyar, Gulce Kallem; Calik, Bilge Basakci; Taspinar, Ferruh

    2017-03-01

    The aim of this review was to assess the effectiveness of specific exercise types on pulmonary functions, aerobic and functional capacity in patients with ankylosing spondylitis (AS). A systematic search of Cochrane Database of Systematic Review, MEDLINE (EBSCO), Physiotherapy Evidence Database (PEDro), CINAHL (EBSCO), PUBMED, AMED, EMBASE (OVID) was conducted in January 2016. The outcome measures were spirometric measurements, chest expansion, 6 minute walk distance (6MWD), pVO2, Bath Ankylosing Spondylitis Functional Index (BASFI) and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). The search strategy was applied with limitation of date and language and this initial electronic search resulted in 143 relevant studies. After duplicates were removed, the titles and abstracts of 52 articles were screened. Of these, 14 full-text articles met initial criteria and were retrieved for review, with eight studies meeting final inclusion criteria. Both specific and conventional exercise groups showed significant improvements in BASDAI and BASFI scores (p  0.05). Specific exercises are an effective adjuvant therapy to enhance cardiopulmonary functions in patients with AS; therefore, it is assumed that in addition to the medical treatments, specific exercise therapy might reduce the cardiopulmonary complications related with AS.

  5. Cardiopulmonary exercise testing in the evaluation of high risk patients with lung cancer

    Institute of Scientific and Technical Information of China (English)

    MAO You-sheng; WANG Yong-gang; HUANG Jin-feng; HE Jie; YAN Shao-ping; Dong Jing-si; CHENG Gui-yu; SUN Ke-lin; LIU Xiang-yang; FANG De-kang; LI Jian

    2010-01-01

    Background It is still unclear whether pulmonary function tests (PFTs) are sufficient for predicting perioperative risk,and whether all patients or only a subset of them need a cardiopulmonary exercise test (CPET) for further assessment.Thus, this study was designed to evaluate the CPET and compare the results of CPET and conventional PFTs to identify which parameters are more reliable and valuable in predicting perioperative risks for high risk patients with lung cancer.Methods From January 2005 to August 2008, 297 consecutive lung cancer patients underwent conventional PFTs (spirometry + single-breath carbon monoxide diffusing capacity of the lungs (DLCOsb) for diffusion capacity) and CPET preoperatively. The correlation of postoperative cardiopulmonary complications with the parameters of PFT and CPET was retrospectively analyzed using the chi-square test, independent sample t test and binary Logistic regression analysis.Results Of the 297 patients, 78 did not receive operation due to advanced disease stage or poor cardiopulmonary function. The remaining 219 underwent different modes of operations. Twenty-one cases were excluded from this study due to exploration alone (15 cases) and operation-related complications (6 cases). Thus, 198 cases were eligible for evaluation. Fifty of the 198 patients (25.2%) had postoperative cardiopulmonary complications. Three patients (1.5%)died of complications within 30 postoperative days. The patients were stratified into groups based on VO2max/pred respectively. The rate of postoperative cardiopulmonary complications was significantly higher in the group with cardiopulmonary complications were significantly correlated with age, comorbidities, and poor PFT and CPET results.used to stratify the patients' cardiopulmonary function status and to predict the risk of postoperative cardiopulmonary predicting perioperative risk. If available, cardiopulmonary exercise testing is strongly suggested for high-risk lung cancer patients in

  6. Triiodothyronine increases myocardial function and pyruvate entry into the citric acid cycle after reperfusion in a model of infant cardiopulmonary bypass.

    Science.gov (United States)

    Olson, Aaron K; Bouchard, Bertrand; Ning, Xue-Han; Isern, Nancy; Rosiers, Christine Des; Portman, Michael A

    2012-03-01

    Triiodothyronine (T3) supplementation improves clinical outcomes in infants after cardiac surgery using cardiopulmonary bypass by unknown mechanisms. We utilized a translational model of infant cardiopulmonary bypass to test the hypothesis that T3 modulates pyruvate entry into the citric acid cycle (CAC), thereby providing the energy support for improved cardiac function after ischemia-reperfusion (I/R). Neonatal piglets received intracoronary [2-(13)Carbon((13)C)]pyruvate for 40 min (8 mM) during control aerobic conditions (control) or immediately after reperfusion (I/R) from global hypothermic ischemia. A third group (I/R-Tr) received T3 (1.2 μg/kg) during reperfusion. We assessed absolute CAC intermediate levels and flux parameters into the CAC through oxidative pyruvate decarboxylation (PDC) and anaplerotic carboxylation (PC) using [2-(13)C]pyruvate and isotopomer analysis by gas and liquid chromatography-mass spectrometry and (13)C-nuclear magnetic resonance spectroscopy. When compared with I/R, T3 (group I/R-Tr) increased cardiac power and oxygen consumption after I/R while elevating flux of both PDC and PC (∼4-fold). Although neither I/R nor I/R-Tr modified absolute CAC levels, T3 inhibited I/R-induced reductions in their molar percent enrichment. Furthermore, (13)C-labeling of CAC intermediates suggests that T3 may decrease entry of unlabeled carbons at the level of oxaloacetate through anaplerosis or exchange reaction with asparate. T3 markedly enhances PC and PDC fluxes, thereby providing potential substrate for elevated cardiac function after reperfusion. This T3-induced increase in pyruvate fluxes occurs with preservation of the CAC intermediate pool. Our labeling data raise the possibility that T3 reduces reliance on amino acids for anaplerosis after reperfusion.

  7. Effect of clenbuterol on cardiopulmonary parameters and intramuscular blood flow by laser Doppler flowmetry in anesthetized ponies

    Science.gov (United States)

    Lee, Yong H.; Clarke, Kathleen W.; Alibhai, Hatim I. K.

    1994-09-01

    The cardiopulmonary affects and the affects on muscular microperfusion of the beta adrenergic agonist, clenbuterol (0.8 mcg/kg intravenously), were investigated in dorsally recumbent anesthetized ponies. Muscle microcirculation was measured by laser Doppler flowmetry, utilizing fine optical fiber probes. Other measurements included heart rate, cardiac output, arterial blood pressure, and arterial blood gas tensions. Clenbuterol injection caused a regular, but transitory rise in muscle microcirculation, an increase in heart rate, and cardiac output and a decrease in mean arterial blood pressure. Clenbuterol did appear to prevent the continuing fall in arterial blood oxygen tensions seen in the treatment groups, but had only minimal affects in reversing the hypoxia already present.

  8. Coronary Flow Reserve Predicts Cardiopulmonary Fitness in Patients with Coronary Artery Disease Independently of Systolic and Diastolic Function

    DEFF Research Database (Denmark)

    Snoer, Martin; Olsen, Rasmus Huan; Monk-Hansen, Tea

    2014-01-01

    Aims Despite revascularization and optimal medical treatment, patients with coronary artery disease (CAD) have reduced exercise capacity. In the absence of coronary artery stenosis, coronary flow reserve (CFR) is a measure of coronary microvascular function, and a marker of future poor outcome...... early (E) and late (A) inflow velocities, and tissue Doppler diastolic (e′) and systolic (s′) velocities. Peak coronary flow velocity (CFV) was measured in the LAD using pulse-wave Doppler. CFR was calculated as the ratio between peak CFV at rest and during vasodilator stress. Median CFR was 2.22 (1....... Conclusions Coronary flow reserve measured noninvasively predicts cardiopulmonary fitness independently of resting systolic and diastolic function in CAD patients, indicating that cardiac output during maximal exercise is dependent on the ability of the coronary circulation to adapt to the higher metabolic...

  9. Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: a literature review.

    Science.gov (United States)

    Raub, James A

    2002-12-01

    Yoga has become increasingly popular in Western cultures as a means of exercise and fitness training; however, it is still depicted as trendy as evidenced by an April 2001 Time magazine cover story on "The Power of Yoga." There is a need to have yoga better recognized by the health care community as a complement to conventional medical care. Over the last 10 years, a growing number of research studies have shown that the practice of Hatha Yoga can improve strength and flexibility, and may help control such physiological variables as blood pressure, respiration and heart rate, and metabolic rate to improve overall exercise capacity. This review presents a summary of medically substantiated information about the health benefits of yoga for healthy people and for people compromised by musculoskeletal and cardiopulmonary disease.

  10. Plasma renin activities, angiotensin II concentrations, atrial natriuretic peptide concentrations and cardiopulmonary function values in dogs with severe heartworm disease.

    Science.gov (United States)

    Kitagawa, H; Kitoh, K; Inoue, H; Ohba, Y; Suzuki, F; Sasaki, Y

    2000-04-01

    Relationships among plasma renin activities (PRA), plasma angiotensin II (ATII) concentrations, atrial natriuretic peptide (ANP) concentrations and cardiopulmonary function values were examined in dogs with ascitic pulmonary heartworm disease and acute- and chronic-vena caval syndrome (CS). PRA, plasma ATII concentration and plasma ANP concentration tended to be higher or were significantly higher in dogs with ascites, acute- and chronic-CS. PRA correlated significantly with plasma ATII concentration, WBC count, ALP activity, plasma concentrations of urea nitrogen, creatinine, sodium, potassium, and chloride, right ventricular endodiastolic pressure and right atrial pressure. Plasma ATII concentration correlated significantly with WBC count, plasma concentrations of urea nitrogen, sodium, and potassium, right ventricular endodiastolic pressure and right atrial pressure. Plasma ANP concentration did not correlate with PRA or ATII concentration, but correlated significantly only with pulmonary arterial pressure.

  11. Two levels of the inspired oxygen fraction in propofol-anesthetized dogs with high intracranial pressure: cardiopulmonary function

    Directory of Open Access Journals (Sweden)

    P.C. Ferro Lopes

    2014-10-01

    Full Text Available In the initial stage of traumatic brain injury, the use of 1.0 inspired oxygen fraction (FiO2 is indicated. However, high FiO2 has been correlated with atelectasis. Thus, the effects of FiO2 = 1.0 and FiO2 = 0.6 on the cardiopulmonary function in propofol-anesthetized dogs with high intracranial pressure (ICP were evaluated. Eight dogs were anesthetized on two occasions, receiving, during controlled ventilation, an FiO2 = 1 (G100 or an FiO2 = 0.6 (G60. Propofol was used for induction (10mg.kg-1 followed by a continuous rate infusion (0.6mg.kg-1.minute-1. An increase in the ICP was induced by temporary obliteration of the right jugular vein (OJv 50 minutes after induction of anesthesia. The measurement was taken twenty minutes after OJv (T0 and then at 15-minute intervals (T15 to T60. Alveolar oxygen partial pressure in G60 was lower than in G100 during the whole procedure. Alveolar-arterial oxygen gradient in G100 was greater than in G60 at T0 and at T60. No differences were observed for arterial oxygen partial pressure/inspired oxygen fraction ratio, arterial-to-alveolar oxygen pressure ratio, respiratory index, venous admixture, oxygen delivery, oxygen consumption, oxygen extraction, heart rate, mean pulmonary arterial pressure, pulmonary arterial occlusion pressure, cardiac index, stroke index and systemic vascular resistance index. In G100, mean arterial pressure at T0 was higher than at T45. In dogs with high ICP, the cardiopulmonary function was not influenced by the different FiO2 used.

  12. [Cardiopulmonary exercise testing in chronic obstructive pulmonary disease (COPD) - breath-functional characterization and disease severity assessment].

    Science.gov (United States)

    Mühle, A; Obst, A; Winkler, J; Ewert, R

    2015-09-01

    COPD is a heterogeneous disease with a wide range of clinical phenotypes and breath-functional dysfunctions. Cardiopulmonary exercise testing (CPET) allows describing all component parts of breathing and determining exercise capacity and the mechanisms of exercise limitation. From these aspects 64 COPD patient stages II, III and IV according to the conventional GOLD classification were examined by means of CPET to evaluate whether CPET can provide a better functional characterization of COPD than the standard investigation procedures in pulmonary practice.We could show that in pulmonary practice CPET is safely and effectively practicable in stable COPD patients of all GOLD stages. This method allowed a clinical and prognostic disease severity assessment of all patients, proving important differences of peak oxygen uptake in each GOLD stage, so that patients in spite of identical GOLD disease severity were to be assigned to different prognostic groups according CPET criteria. Furthermore, we found relevant differences of individual breath-functional patterns in exercise, which can neither be objectified nor be prognosticated by standard investigation procedures at rest.Therefore CPET allows, aside from an objective clinical and prognostic disease severity assessment, also a breath-functional evaluation in a subtly way in COPD patients reflecting the multidimensional background of the disease with variable dysfunctions in pulmonary ventilation, gas exchange, circulation and muscular function as well as associated cardio vascular comorbidities. The breath-functional phenotyping of the COPD patient seems to be meaningful in particular for an individualised therapy management.

  13. Effect of sevoflurane and propofol on cerebral oxygen metabolism in cardiopulmonary bypass and postoperative neurological function injury

    Institute of Scientific and Technical Information of China (English)

    Zhu Zhu; Wei-Wei Li

    2016-01-01

    Objective:To study the effect of sevoflurane and propofol on cerebral oxygen metabolism in cardiopulmonary bypass (CPB) and postoperative neurological function injury.Methods:A total of 48 cases of patients who received mitral valve replacement under CPB in our hospital were selected and randomly divided into sevoflurane group (S group) and propofol group (P group) who received sevoflurane-based intravenous inhalational anesthesia and propofol-based total intravenous anesthesia respectively, cerebral oxygen metabolism indexes were determined before CPB started (T0), when nasopharyngeal temperature fell to a constant low temperature (T1), when CPB ended (T2) and 1 h after CPB ended (T3) respectively during operation, and serum neurological function, cardiac function and liver function injury molecules were determined after operation.Results: Intraoperative SjvO2, AVDO2, O2ER and rSO2 were not significantly different between two groups, SjvO2 at T1 significantly increased, AVDO2 and O2ER significantly decreased and rSO2 didn’t change significantly, SjvO2 at T2 significantly decreased, AVDO2 and O2ER significantly increased and rSO2 didn’t change significantly; postoperative serum NSE, S100β, Aβ, Glu, Asp and Gly levels of S group were significantly lower than those of P group, and CK-MB, LDH, cTnI, ALT and AST levels were not significantly different from those of P group.Conclusion:Both sevoflurane and propofol can maintain the balance of cerebral oxygen metabolism in mitral valve replacement under CPB and protect the cardiac function and liver function, but sevoflurane has more ideal protective effect on postoperative neurological function.

  14. Relationship between serum cardiac troponin T level and cardiopulmonary function in stable chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Hattori K

    2015-02-01

    Full Text Available Kumiko Hattori, Takeo Ishii, Takashi Motegi, Yuji Kusunoki, Akihiko Gemma, Kozui Kida Department of Pulmonary Medicine and Oncology; Respiratory Care Clinic, Nippon Medical School, Tokyo, Japan Background: High-sensitivity cardiac troponin T (hs-cTnT in serum is a useful marker of acute myocardial injury, yet information is limited in patients with chronic obstructive pulmonary disease. We aimed to explore the association between hs-cTnT levels and cardiac and pulmonary dysfunction in patients with stable chronic obstructive pulmonary disease and at-risk individuals. Methods: We examined community-dwelling adults with/without chronic obstructive pulmonary disease, with a life-long smoking history, current symptoms of dyspnea during exertion, prolonged coughing, and/or sputum. Serum hs-cTnT concentrations were measured, and subjects underwent pulmonary function tests, high-resolution computed tomography of the chest, an echocardiogram, and a 6-minute walking test. Results: Eighty-six stable patients were identified (mean age 65.5 years; predicted forced expiratory volume in 1 second [FEV1% predicted] 75.0%. Their overall mean hs-cTnT level was 0.008 ng/mL. Logarithmically transformed hs-cTnT levels significantly and positively correlated with age, smoking index, serum high-sensitivity C-reactive protein levels, right ventricle systolic pressure, low attenuation area percentage, and brain natriuretic peptide levels (range r=0.231–0.534, P=0.000 to P=0.042. Further, logarithmically transformed hs-cTnT values significantly and negatively correlated with forced vital capacity, FEV1% predicted, diffusion capacity, arterial oxygen tension, and 6-minute walking distance (range r= -0.482 to -0.377, P=0.000 to P=0.002. Multivariate analyses showed that hs-cTnT values varied independently according to the following three parameters: high-sensitivity C-reactive protein levels (B=0.157, ß=0.450, t=3.571, P=0.001, age (B=0.008, ß=0.352, t=2.789, P=0

  15. Testing an intervention to improve functional capability in advanced cardiopulmonary illness.

    Science.gov (United States)

    Dougherty, Cynthia M; Steele, Bonnie G; Hunziker, Jim

    2011-01-01

    The development of a conceptually driven exercise and self-management intervention for improving functional capability and reducing health care costs using social cognitive theory is described. The intervention has 2 components: a 1-month outpatient exercise intervention followed by a home component, lasting 5 months. The intervention is expected to have significant impact on daily function, quality of life, gait/balance, self-efficacy, and health care utilization in persons with advanced heart failure or chronic obstructive pulmonary disease. We report preliminary results related to process-related variables, including feasibility, safety, and intervention adherence. Intervention outcomes are currently under study and will be reported when available.

  16. Cardio-Pulmonary Function Testing. Continuing Education Curriculum for Respiratory Therapy.

    Science.gov (United States)

    Saint Paul Technical Vocational Inst., MN.

    Compiled from interviews with personnel in pulmonary function testing (PFT) laboratories in the Minneapolis/St. Paul area, this competency-based curriculum guide is intended to provide a knowledge of PFT for persons who provide respiratory care. The guide contains 20 sections covering the following topics: vital capacity, flow measurements,…

  17. Influence of recombinant human brain natriuretic peptide on myocardial enzymes, serum cardiac function indexes and oxygen metabolism of patients with open heart surgery with cardiopulmonary bypass

    Institute of Scientific and Technical Information of China (English)

    Shu-Tian Song; Ming Yang; Kun-Peng Li; Juan Xu; Chuan-Ming Bai; Ji-Wu Zhou

    2016-01-01

    Objective:To investigate and analyze the influence of recombinant human brain natriuretic peptide on myocardial enzymes, serum cardiac function indexes and oxygen metabolism of patients with open heart surgery with cardiopulmonary bypass.Methods:A total of 42 patients with open heart surgery with cardiopulmonary bypass during the period of June 2014 to January 2016 were randomly divided into the control group of 21 cases and the observation group of 21 cases. The control group was treated with routine postoperative treatment, and the observation group was treated with recombinant human brain natriuretic peptide on the basic treatment of control group, then the myocardial enzymes, serum cardiac function indexes and oxygen metabolism indexes of the two groups before the surgery and at 2 h, 12 h and 24 h after the surgery were respectively detected and compared.Results: There were no significant difference in myocardial enzymes, serum cardiac function indexes and oxygen metabolism indexes between two groups before the surgery (allP>0.05), while the myocardial enzymes and serum cardiac function indexes of the observation group at 2 h ,12 h and 24 h after the surgery were all significantly lower than those of control group, the oxygen metabolism indexes were significantly better than the levels of control group (allP<0.05).Conclusions:The recombinant human brain natriuretic peptide can effectively improve the myocardial enzymes, serum cardiac function indexes and oxygen metabolism state of patients with open heart surgery with cardiopulmonary bypass, and it has application value for the patients with the surgery is higher.

  18. Preliminary investigation of cardiopulmonary function in stroke patients with stable heart failure and exertional dyspnea

    Science.gov (United States)

    Liaw, Mei-Yun; Wang, Lin-Yi; Pong, Ya-Ping; Tsai, Yu-Chin; Huang, Yu-Chi; Yang, Tsung-Hsun; Lin, Meng-Chih

    2016-01-01

    Abstract The aim of this study was to investigate the relationships between pulmonary function, respiratory muscle strength, perceived dyspnea, degree of fatigue, and activity of daily living with motor function and neurological status in stroke patients with stable congestive heart failure (CHF). This was a cohort study in a tertiary care medical center. Stroke patients with CHF and exertional dyspnea (New York Heart Association class I–III) were recruited. The baseline characteristics included duration of disease, Brunnstrom stage, spirometry, resting heart rate, resting oxyhemoglobin saturation (SpO2), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), Borg scale, fatigue scale, and Barthel index. A total of 47 stroke patients (24 males, 23 females, mean age 65.9 ± 11.5 years) were included. The average Brunnstrom stages of affected limbs were 3.6 ± 1.3 over the proximal parts and 3.5 ± 1.4 over the distal parts of upper limbs, and 3.9 ± 0.9 over lower limbs. The average forced vital capacity (FVC) was 2.0 ± 0.8 L, with a predicted FVC% of 67.9 ± 18.8%, forced expiratory volume in the first second (FEV1) of 1.6 ± 0.7 L, predicted FEV1% of 70.6 ± 20.1%, FEV1/FVC of 84.2 ± 10.5%, and maximum mid-expiratory flow of 65.4 ± 29.5%. The average MIP and MEP were −52.9 ± 33.3 cmH2O and 60.8 ± 29.0 cmH2O, respectively. The Borg scale was 1.5 ± 0.8. MIP was negatively associated with the average Brunnstrom stage of the proximal (r = −0.318, P lower extremities (r = −0.288, P lower extremities (r = −0.311, P limbs. FVC was more strongly associated with MIP and MEP than predicted FVC%. FEV1/FVC may be used as a reference for the pulmonary dysfunction. PMID:27749577

  19. Hypergeometric Functions with Integral Parameter Differences

    DEFF Research Database (Denmark)

    Karlsson, Per W.

    1971-01-01

    For a generalized hypergeometric function pFq(z) with positive integral differences between certain numerator and denominator parameters, a formula expressing the pFq(z) as a finite sum of lower-order functions is proved. From this formula, Minton's two summation theorems for p = q + 1, z = 1...

  20. Penalty parameter of the penalty function method

    DEFF Research Database (Denmark)

    Si, Cheng Yong; Lan, Tian; Hu, Junjie;

    2014-01-01

    The penalty parameter of penalty function method is systematically analyzed and discussed. For the problem that Deb's feasibility-based rule doesnot give the detailed instruction as how to rank two solutions when they have the same constraint violation, an improved Deb's feasibility-based rule...

  1. Cardiopulmonary stress testing using ambulatory radionuclide monitoring system: The relationship between vascular endothelial function and cardiac response in patients with ischemic heart disease

    Energy Technology Data Exchange (ETDEWEB)

    Akima, Takashi; Tabata, Hirotsugu [Self-Defense Forces Central Hospital, Tokyo (Japan); Takase, Bonpei [National Defense Medical Coll., Tokorozawa, Saitama (Japan)] [and others

    2002-02-01

    The relationship in the title was studied with a new type ambulatory radionuclide monitoring system. Subjects were 12 male patients with ischemic heart diseases. After cardiac scintigraphy at rest of {sup 99m}Tc-human serum albumin (740 MBq) with GE Mirenium, patients wore the C-VEST jacket (Capintec medset cardiolight), which consisted from 2 radioactivity detectors and Holter ECG recorder, and underwent the cardiopulmonary stress testing with Treadmill Ramp exercise to evaluate the anaerobic threshold (AT), VO{sub 2}, left ventricular ejection flow (EF) and stroke volume (SV). Vascular endothelial function was recorded by ultrasonography of brachial artery by monitoring the flow-mediated dilation (FD). Mean EF at rest was 56% and there was no relationship between VO{sub 2} at rest or exercise and FD. However, the relationship between FD and change of SV or EF from rest to AT was recognized and thus FD was suggested to participate in cardiac function change at exercise of those patients. (K.H.)

  2. A Filled Function with Adjustable Parameters for Unconstrained Global Optimization

    Institute of Scientific and Technical Information of China (English)

    SHANGYou-lin; LIXiao-yan

    2004-01-01

    A filled function with adjustable parameters is suggested in this paper for finding a global minimum point of a general class of nonlinear programming problems with a bounded and closed domain. This function has two adjustable parameters. We will discuss the properties of the proposed filled function. Conditions on this function and on the values of parameters are given so that the constructed function has the desired properties of traditional filled function.

  3. Cardiopulmonary Exercise Test: Background, Applicability and Interpretation

    Science.gov (United States)

    Herdy, Artur Haddad; Ritt, Luiz Eduardo Fonteles; Stein, Ricardo; de Araújo, Claudio Gil Soares; Milani, Mauricio; Meneghelo, Romeu Sérgio; Ferraz, Almir Sérgio; Hossri, Carlos; de Almeida, Antonio Eduardo Monteiro; Fernandes-Silva, Miguel Morita; Serra, Salvador Manoel

    2016-01-01

    Cardiopulmonary exercise test (CPET) has been gaining importance as a method of functional assessment in Brazil and worldwide. In its most frequent applications, CPET consists in applying a gradually increasing intensity exercise until exhaustion or until the appearance of limiting symptoms and/or signs. The following parameters are measured: ventilation; oxygen consumption (VO2); carbon dioxide production (VCO2); and the other variables of conventional exercise testing. In addition, in specific situations, pulse oximetry and flow-volume loops during and after exertion are measured. The CPET provides joint data analysis that allows complete assessment of the cardiovascular, respiratory, muscular and metabolic systems during exertion, being considered gold standard for cardiorespiratory functional assessment.1-6 The CPET allows defining mechanisms related to low functional capacity that can cause symptoms, such as dyspnea, and correlate them with changes in the cardiovascular, pulmonary and skeletal muscle systems. Furthermore, it can be used to provide the prognostic assessment of patients with heart or lung diseases, and in the preoperative period, in addition to aiding in a more careful exercise prescription to healthy subjects, athletes and patients with heart or lung diseases. Similarly to CPET clinical use, its research also increases, with the publication of several scientific contributions from Brazilian researchers in high-impact journals. Therefore, this study aimed at providing a comprehensive review on the applicability of CPET to different clinical situations, in addition to serving as a practical guide for the interpretation of that test. PMID:27982272

  4. On generalized trigonometric functions with two parameters

    OpenAIRE

    Bhayo, Barkat Ali; Vuorinen, Matti

    2011-01-01

    The generalized $p$-trigonometric and ($p,q$)-trigonometric functions were introduced by P. Lindqvist and S. Takeuchi, respectively. We prove some inequalities and present a few conjectures for the ($p,q$)-functions.

  5. Pulsatile compared with nonpulsatile perfusion using a centrifugal pump for cardiopulmonary bypass during coronary artery bypass grafting. Effects on systemic haemodynamics, oxygenation, and inflammatory response parameters.

    Science.gov (United States)

    Driessen, J J; Dhaese, H; Fransen, G; Verrelst, P; Rondelez, L; Gevaert, L; van Becelaere, M; Schelstraete, E

    1995-01-01

    The present study investigated the influence of pulsatile or nonpulsatile flow delivery with a centrifugal pump for cardiopulmonary bypass (CPB) during coronary artery bypass grafting (CABG) in two randomized groups of 19 patients each. All patients received a standard anaesthetic and surgical protocol. Pulsatile perfusion during CPB was created by accelerating the baseline pump speed of the Sarns centrifugal pump at a rate of 50 cycles per minute. Measurements included perioperative systemic haemodynamics and oxygen exchange, total haemolytic complement (CH50), polymorphonuclear (neutrophil) granulocyte (PMN) count and plasma granulocyte elastase bound to alpha 1-proteinase inhibitor (E-alpha 1-PI). Laboratory measurements were corrected for haemodilution. During and after CPB there were only a few significant differences between the groups in systemic haemodynamics and oxygenation, i.e. a lower mean arterial blood pressure after the end of CPB in the nonpulsatile group (65 mmHg, SD = 11 vs 76 mmHg, SD = 11) and a lower SvO2 during rewarming on CPB in the nonpulsatile group (62%, SD = 8 vs 67%, SD = 8). The decrease in percentage of PMNs in the total white blood cell count during CPB was greater in the nonpulsatile group than in the pulsatile group (from 61 to 46% vs 63 to 53% of prebypass value). The steep increase of PMN count at the end of CPB and postoperatively was comparable in both groups. The maximal decrease of CH50 levels, occurring after surgery, was significantly higher in the nonpulsatile group (70% SD = 15 vs 79%, SD = 16, of baseline value), suggesting a greater complement activation. E-alpha 1-PI levels increased significantly in both groups during and after CPB with higher peak levels, obtained at one hour after admission to an intensive care unit, in the nonpulsatile group (316 micrograms/l, SD = 102) than in the pulsatile group (247 micrograms/l, SD = 106). There was a partly inverse correlation between the peak postoperative elastase levels and

  6. Influence of acid functionalization on the cardio-pulmonary toxicity of carbon nanotubes and carbon black in mice

    Science.gov (United States)

    Engineered carbon nanotubes are being developed for a wide range of industrial and medical applications. Because of their unique properties, nanotubes can impose potentially toxic effects, particularly if they have been modified to express functionally reactive chemical groups o...

  7. EFECTOS DE LA HEMODILUCIÓN NORMOVOLÉMICA CON AUTODONACIÓN DE BAJO VOLUMEN SOBRE ALGUNOS PARÁMETROS HEMATOLÓGICOS EN LA CIRUGÍA CARDIOVASCULAR CON CIRCULACIÓN EXTRACORPÓREA / Effects of normovolemic hemodilution with low volume autologous donations on various hematological parameters in cardiovascular surgery with cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Shemanet García Cid

    2011-09-01

    Full Text Available Introduction and Objectives: Cardiac surgery with extracorporeal circulation is characterized by large perioperative blood loss and multifactorial disorders of coagulation parameters. For these reasons, there is frequent use of allogeneic transfusions. The purpose of this study was to determine the effects of intentional normovolemic hemodilution, with low volume autologous donation, on some hematological parameters in patients undergoing cardiopulmonary bypass. Method: A longitudinal, comparative, prospective study was performed in 27 patients who underwent cardiovascular surgery with cardiopulmonary bypass, subjected to intentional low volume normovolemic hemodilution. The following parameters were studied: the patient's blood volume, bleeding count, hematocrit figures, platelet count, thromboplastin time and INR before and after hemodilution and autotransfusion. Results: A blood volume average extraction of 10.5% for men and 13,12 % for women was found, with a highly significant reduction in hematocrit, and a significant reduction in platelet, although both variables were within normal values, without involvement of the coagulation parameters with hemodilution. After autotransfusion, a highly significant increase in hematocrit and platelet count was found, with significant reduction of thromboplastin time and INR. Conclusions: The low volume normovolemic hemodilution does not produce clinically important changes in the studied hematological parameters, and autotransfusion after cardiopulmonary bypass improves these parameters.

  8. Strategies for cardiopulmonary exercise testing of pectus excavatum patients

    Directory of Open Access Journals (Sweden)

    Moh H. Malek

    2008-01-01

    Full Text Available The purpose of this paper is to provide strategies for cardiopulmonary exercise testing of pectus excavatum patients. Currently, there are no standardized methods for assessing cardiovascular and pulmonary responses in this population; therefore, making comparisons across studies is difficult if not impossible. These strategies are intended for physicians, pulmonary technicians, exercise physiologists, and other healthcare professionals who conduct cardiopulmonary exercise testing on pectus excavatum patients. By using the strategies outlined in this report, comparisons across studies can be made, and the effects of pectus excavatum on cardiopulmonary function can be assessed with greater detail.

  9. N-nitrosodimethylamine (NDMA, Liver Function Enzymes, Renal Function Parameters and Oxidative Stress Parameters: A Review

    Directory of Open Access Journals (Sweden)

    Usunobun Usunomena

    2012-08-01

    Full Text Available The aim of this study is to review a procarcinogen, the N-Nitrosodimethylamine (NDMA, liver and kidney functional enzymes (in assessing action of toxicants such as NDMA as well as oxidative stress parameters (in assessing the extent of free radical damage and scavenging. Catalase and hydro peroxidase enzymes convert hydrogen peroxide and hydro peroxides to non-radical forms and functions as natural antioxidant in human body. Enzymes like Superoxide Dismutase (SOD and Catalase (CAT and compounds such as tocopherol and ascorbic acid can protect organisms against free radical damage. Lipid peroxidation is a mechanism generally recognized as being the most important in the pathogenesis of liver injury by a number of toxic compounds including NDMA.

  10. Reference values for cardiopulmonary exercise testing in healthy volunteers: the SHIP study.

    Science.gov (United States)

    Koch, B; Schäper, C; Ittermann, T; Spielhagen, T; Dörr, M; Völzke, H; Opitz, C F; Ewert, R; Gläser, S

    2009-02-01

    Cardiopulmonary exercise testing (CPET) is a widely applied clinical procedure. The aim of the present study was to acquire a comprehensive set of reference values for cardiopulmonary responses to exercise and to evaluate possible associations with sex, age and body mass index (BMI). A standardised progressive incremental exercise protocol on a cycle ergometer was applied to 1,708 volunteers of a cross-sectional epidemiologic survey, called "Study of Health in Pomerania". Individuals with cardiopulmonary disorders, or echocardiographic or lung function pathologies, were excluded. The influence of potential confounding factors, such as smoking, taking beta-blockers, hypertension, diastolic dysfunction, BMI and physical activity, were analysed for their influencing power. Reference values of CPET parameters were determined by regression analyses. Of the volunteers, 542 current smokers and obese individuals were excluded for not being representative of a healthy population. The final sample size was 534 (253 males), with age 25-80 yrs. The current study provides a representative set of reference values for CPET parameters based on age and weight. Sex and age have a significant influence on exercise parameters. While addressing the problem of a selection bias, the current study provides the first comprehensive set of reference values obtained in a large number of healthy volunteers within a population-based survey.

  11. Hereditary spherocytosis in a patient undergoing coronary artery bypass grafting with cardiopulmonary bypass--a case report.

    Science.gov (United States)

    Spegar, J; Riha, H; Kotulak, T; Vanek, T

    2015-01-01

    Hereditary spherocytosis is a genetically determined abnormality of red blood cells. It is the most common cause of inherited haemolysis in Europe and North America within the Caucasian population. We document a patient who underwent an aortocoronary bypass procedure on cardiopulmonary bypass. In view of the uncertain tolerance of the abnormal red cells in hereditary spherocytosis to cardiopulmonary bypass, we reviewed the patient's chart and analyzed recorded values of these parameters: free plasma haemoglobin, renal parameters, cystatin C, bilirubin, liver tests, urine samples. From the results, we can see that slight haemolysis-elevated bilirubin in the blood sample and elevated bilirubin and urobilinogen in the urine sample occurred on the first postoperative day. The levels of these parameters slowly decreased during the next postoperative days. There was no real clinical effect of this haemolysis on renal functions.

  12. Changes in Cardiopulmonary Reserve and Peripheral Arterial Function Concomitantly with Subclinical Inflammation and Oxidative Stress in Patients with Heart Failure with Preserved Ejection Fraction

    Directory of Open Access Journals (Sweden)

    Damien Vitiello

    2014-01-01

    Full Text Available Background. Changes in cardiopulmonary reserve and biomarkers related to wall stress, inflammation, and oxidative stress concomitantly with the evaluation of peripheral arterial blood flow have not been investigated in patients with heart failure with preserved ejection fraction (HFpEF compared with healthy subjects (CTL. Methods and Results. Eighteen HFpEF patients and 14 CTL were recruited. Plasma levels of inflammatory and oxidative stress biomarkers were measured at rest. Brain natriuretic peptide (BNP was measured at rest and peak exercise. Cardiopulmonary reserve was assessed using an exercise protocol with gas exchange analyses. Peripheral arterial blood flow was determined by strain gauge plethysmography. Peak VO2 (12.0±0.4 versus 19.1±1.1 mL/min/kg, P<0.001 and oxygen uptake efficiency slope (1.55±0.12 versus 2.06±0.14, P<0.05 were significantly decreased in HFpEF patients compared with CTL. BNP at rest and following stress, C-reactive-protein, interleukin-6, and TBARS were significantly elevated in HFpEF. Both basal and posthyperemic arterial blood flow were not significantly different between the HFpEF patients and CTL. Conclusions. HFpEF exhibits a severe reduction in cardiopulmonary reserve and oxygen uptake efficiency concomitantly with an elevation in a broad spectrum of biomarkers confirming an inflammatory and prooxidative status in patients with HFpEF.

  13. 强污染下运动对心肺功能的影响分析%Impact of Movement Under Heavy Pollution on Cardiopulmonary Function

    Institute of Scientific and Technical Information of China (English)

    聂剑; 刘杰

    2015-01-01

    Objective: to analyze the impact of cardiopulmonary function teams under heavy pollution. Methods:selecting 60 college volunteers, city a school, the boys 30, female 30, will be randomly divided into four groups, strong pollution exercise group, strong pollution control group respectively, low pollution and low pollution controls, each group of 20 people, strong pollution exercise group under the environment of strong pollution Bruce, strong pollution control group don't exercise, but with strong pollution campaign group together under strong environmental pollution, low pollution control group without movement, but under low environmental pollution.Results:strong pollution campaign group quiet heart rate, systolic pressure, diastolic blood pressure, pulse pressure, and cardiac function index were higher than strong pollution control group with control group, low pollution and quiet heart rate, pulse pressure, cardiac function index and low pollution control group compared with significant difference ( P<0.05), compared with strong pollution control group with very significant difference (P<0.01);Systolic blood pressure compared with strong pollution control group with significant difference (P<0.05).Strong pollution exercise group of ESD, EDD, ESV, EDV, MSER and MVCF were higher than in pollution control and low pollution control, which EDV compared with MVCF and low pollution control, with significant difference (P<0.05);EDV, MSER compared with strong pollution control group, with significant difference (P<0.05);MVCF compared with strong pollution control group with very significant difference (P<0.01).After the experiments of pollution motion FVC, FEV1, FEF25%-75%, FEF increased significantly compared with before the trial, and has a very significant difference (P<0.01);MVV is significantly reduced after the experiment, and it has very significant difference (P<0.01), and strong pollution control and low pollution control group had no significant difference

  14. Fitting Ranked Linguistic Data with Two-Parameter Functions

    Directory of Open Access Journals (Sweden)

    Wentian Li

    2010-07-01

    Full Text Available It is well known that many ranked linguistic data can fit well with one-parameter models such as Zipf’s law for ranked word frequencies. However, in cases where discrepancies from the one-parameter model occur (these will come at the two extremes of the rank, it is natural to use one more parameter in the fitting model. In this paper, we compare several two-parameter models, including Beta function, Yule function, Weibull function—all can be framed as a multiple regression in the logarithmic scale—in their fitting performance of several ranked linguistic data, such as letter frequencies, word-spacings, and word frequencies. We observed that Beta function fits the ranked letter frequency the best, Yule function fits the ranked word-spacing distribution the best, and Altmann, Beta, Yule functions all slightly outperform the Zipf’s power-law function in word ranked- frequency distribution.

  15. An Empirical Study on the lnfluence of Weight Lifting Training on Children’s Cardio-Pulmonary Function%举重运动训练对儿童心肺功能影响的实证研究

    Institute of Scientific and Technical Information of China (English)

    龙玉萍

    2015-01-01

    In order to understand the influence of weight lifting training on children’s cardio-pulmonary function, this study tests cardio-pulmonary function index of newly-recruited male athletes from 10 to 12 before and after the experiment. The result shows that after a period of weight lifting training, teenagers demonstrate no difference in physical index such as heart rate or blood pressure, which suggests that weight lifting can improve teenagers’ pulmonary function and enhance their vital capacity.%为了解举重运动训练对儿童心肺功能影响。文章在实验前后对10-12岁新招进的男性运动员进行心肺功能指标测试,结果显示:经过一段时间举重运动训练后,少年身体机能心率、血压等指标未表现出差异,肺活量方面有着显著提高,表明举重运动能有效改善少年肺功能,提高肺活量。

  16. Cardiopulmonary bypass in pregnancy

    Directory of Open Access Journals (Sweden)

    Mukul Chandra Kapoor

    2014-01-01

    Full Text Available Cardiac surgery carried out on cardiopulmonary bypass (CPB in a pregnant woman is associated with poor neonatal outcomes although maternal outcomes are similar to cardiac surgery in non-pregnant women. Most adverse maternal and fetal outcomes from cardiac surgery during pregnancy are attributed to effects of CPB. The CPB is associated with utero-placental hypoperfusion due to a number of factors, which may translate into low fetal cardiac output, hypoxia and even death. Better maternal and fetal outcomes may be achieved by early pre-operative optimization of maternal cardiovascular status, use of perioperative fetal monitoring, optimization of CPB, delivery of a viable fetus before the operation and scheduling cardiac surgery on an elective basis during the second trimester.

  17. Improved parameter estimation for hydrological models using weighted object functions

    NARCIS (Netherlands)

    Stein, A.; Zaadnoordijk, W.J.

    1999-01-01

    This paper discusses the sensitivity of calibration of hydrological model parameters to different objective functions. Several functions are defined with weights depending upon the hydrological background. These are compared with an objective function based upon kriging. Calibration is applied to pi

  18. Function projective synchronization of different chaotic systems with uncertain parameters

    Energy Technology Data Exchange (ETDEWEB)

    Du Hongyue [Space Control and Inertial Technology Research Center, Harbin Institute of Technology, Harbin 150001 (China)], E-mail: du_hong_yue@yahoo.com.cn; Zeng Qingshuang; Wang Changhong [Space Control and Inertial Technology Research Center, Harbin Institute of Technology, Harbin 150001 (China)

    2008-08-11

    This Letter investigates the function projective synchronization of different chaotic systems with unknown parameters. By Lyapunov stability theory, the adaptive control law and the parameter update law are derived to make the states of two different chaotic systems asymptotically synchronized up to a desired scaling function. Numerical simulations on Lorenz system and Newton-Leipnik system are presented to verify the effectiveness of the proposed scheme.

  19. Asymptomatic cardiopulmonary changes caused by adenoid hypertrophy.

    Science.gov (United States)

    Abdel-Aziz, Mosaad

    2011-07-01

    Adenoid hypertrophy is the most common cause of pediatric upper airway obstruction, and it can lead to cardiopulmonary complications such as pulmonary hypertension, cor pulmonale, and even heart failure. The aim of this study was to detect the asymptomatic cardiopulmonary changes that could happen in children with adenoid hypertrophy.Eighty children with adenoid hypertrophy were included in this study. Chest x-ray was used to assess the cardiothoracic ratio, whereas echocardiography was used for measuring the pulmonary arterial pressures, right ventricular diastolic filling parameters, and right ventricular end-diastolic diameters. All patients underwent adenoidectomy with or without tonsillectomy, and they were subjected again to echocardiographic assessment 6 months after the operation. No patient showed an increase in the cardiothoracic ratio on x-ray. Preoperative echocardiography showed an increase in pulmonary artery pressure (22.7 [SD, 3.8] mm Hg), a decrease in right ventricular diastolic filling parameters (E/A = 1.03 [SD, 0.17]), and an increase in right ventricular end-diastolic diameters (1.89 [SD, 0.19] cm). Postoperatively, pulmonary artery pressure decreased to 17.2 [SD, 2.1] mm Hg, right ventricular diastolic filling (E/A) increased to 1.25 [SD, 0.11], and right ventricular end-diastolic diameters decreased to 1.68 [SD, 0.12] cm. The comparison between preoperative and postoperative results for each individual parameter was statistically significant. Clinically asymptomatic cardiopulmonary changes due to adenoid hypertrophy are not rare. Early diagnosis and treatment of upper airway obstruction can prevent these serious complications. Echocardiographic examination should be recommended for these patients as a part of preoperative preparation to avoid anesthetic complications.

  20. Effects of brief and intermediate exposures to sulfate submicron aerosols and sulfate injections on cardiopulmonary function of dogs and tracheal mucous velocity of sheep

    Energy Technology Data Exchange (ETDEWEB)

    Sackner, M.A. (Mount Sinai Medical Center, Miami Beach, FL); Dougherty, R.L.; Chapman, G.A.; Cipley, J.; Perez, D.; Kwoka, M.; Reinhart, M.; Brito, M.; Schreck, R.

    1981-06-01

    Pulmonary mechanics of anesthetized dogs were not changed or were minimally altered by breathing the following compounds as submicron aerosols in concentrations up to 17.3 mg/m/sup 3/ for 7.5 min: (1) sodium chloride (as a control), (2) sodium sulfate, (3) ammonium sulfate, (4) zinc sulfate, (5) zinc ammonium sulfate, (6) ammonium bisulfate, (7) aluminum sulfate, (8) manganese sulfate, (9) nickel sulfate, (10) copper sulfate, (11) ferrous fulfate, and (12) ferric sulfate. Submicron aerosols of these compounds in concentrations of 4.1 to 8.8 mg/m/sup 3/, administered for 4 h to anesthetized dogs, did not affect mechanics of breathing, hemodynamics, and arterial blood gases. In conscious sheep, tracheal mucous velocity was not altered by exposure to the submicron aerosols of the sulfate compounds. None of these compounds, injected iv in a dose of 1 mg, had adverse effects on mechanics of breathing, pulmonary and systemic hemodynamics, or arterial blood gases. In 100-mg injections, zinc sulfate and zinc ammonium sulfate produced a fall in cardiac output, systemic hypotension, hypoxemia, and metabolic acidosis. Copper sulfate at this dose produced pulmonary hypertension, a fall in cardiac output, hypoxemia, respiratory acidosis, and a decrease of specific total respiratory conductance. It is concluded that submicron aerosols of sulfate salts do not have adverse cardiopulmonary effects when administered in high concentrations for up to 4 h. However, prolonged exposure to high concentrations of zinc sulfate, zinc ammonium sulfate, and copper sulfate aerosols might have adverse cardiopulmonary effects.

  1. Ethical issues in cardiopulmonary resuscitation.

    Science.gov (United States)

    Holm, S; Jørgensen, E O

    2001-08-01

    If patients are to benefit from resuscitation, they must regain consciousness and their full faculties. In recent years, we have acquired important information about the natural history of neurological recovery from circulatory arrest. There are clinical tests that predict the outcome, both during ongoing cardiopulmonary resuscitation (CPR) and in the period after restoration of spontaneous circulation. The ability to predict neurological outcome at this stage offers a basis for certain ethical considerations, which are not exclusively centered on "do-not-attempt-resuscitation" (DNAR)- orders. Instead of being forced to make the decision that "I do not want CPR", the patient should be able to decide that "I want resuscitation to be discontinued, if you predict that I will not recover to a level of neurological function that is acceptable to me". Ideally, no competent patient should be given a DNAR-status without his or her consent. No CPR-attempt should be stopped, and no treatment decision for a patient recovering after CPR should be taken without knowing and assessing the available information. Good ethical decision-making requires reliable facts, which we now know are available.

  2. Comparative study on cardiopulmonary function and body feature between malnourished and normal adolescents%营养不良与营养正常青少年心肺功能和体型特征比较

    Institute of Scientific and Technical Information of China (English)

    张迪; 陈容; 裴丽红; 顾国家; 张微微

    2011-01-01

    Objective To understand malnutrition on physical development of adolescents and cardiopulmonary function, in order to improve the physical health of adolescents.Methods By a cluster sample survey methods, 1 320 secondary school students were chosen from Yucai Middle School to screen malnourished students according weight for height.Thirty-seven malnutrition students were selected as malnutrition group, and another 37 ones were chosen as the control according age, sex and grade.The cardiopulmonary function and body characteristics were analyzed between two groups by using t-test.Results The vital capacity index and Erisman index were lower than the control group ( P < 0.05 ); Erisman index decreased with increasing severity of malnutrition ( P < 0.01 ).Conclusion Malnutrition has adverse effects on cardiopulmonary function and physical development adolescents.Effective intervention strategies should be taken to strengthen students' nutrition and promote physical development of adolescents.%目的 了解营养不良对青春期青少年身体发育、心肺功能的影响,为提高青少年身体健康水平提供科学指导.方法 整群抽取育才学校1 320名中学生,对12~14岁中学生按身高标准体重筛选营养不良学生.共筛选出37名营养不良学生作为营养不良组,根据年龄、性别、年级匹配原则选取37名营养正常学生作为对照组.对2组学生的心肺功能、体型特点进行对比分析.结果 营养不良组学生肺活量指数、Erisman指数低于正常对照组(P<0.05);Erisman指数随营养不良程度加重而降低(P<0.01).结论 营养不良对青少年心肺功能及体型发育产生负面影响.应采取积极干预措施,加强学生营养,提高青少年身体发育水平.

  3. [Portable lung function parameters testing system based on DSP].

    Science.gov (United States)

    Guo, Zhanshe; Yuan, Minzhong; Zhou, Hui

    2012-11-01

    Lung function monitoring is a critical technique for clinical medicine. Currently, the lung function testing devices used in our domestic hospitals are both expensive and bulky. A portable and accurate lung function parameters testing system is highly desired and is proposed in this paper. The hardware of the system is based on DSP technology. The breathing passage is designed with an aim suitable for the breathe and signal detection. We use the direct detection method to detect the gas flow, the breathing passage pressure and the breathing time. Thanks to the powerful data processing ability and the high operation speed of the DSP, breathing signals can be easily analyzed. Thus, several lung function parameters of clinical significance can be obtained. Experiments show that the accuracy of the system is better than 3%, and could meet the demand of the lung function testing.

  4. Physicochemical and functional parameters of Cochlospermum vitifolium (bototo gum exudate

    Directory of Open Access Journals (Sweden)

    Maritza Coromoto Martínez

    2016-12-01

    Full Text Available The physicochemical parameters of Cochlospermum vitifolium they were evaluated and were linked to certain functional properties of industrial interest. The physicochemical parameters were determined by the classic methodology used for carbohydrates and the functional properties, as reported in the literature. The results obtained showed that the gum object of this study is low soluble in water, which corresponds with relatively high values of swelling indexes and water absorption capacity. Also, the intrinsic viscosity of the C. vitifolium exudate was related to a high molar mass, in the order of 106. Its emulsifying capacity is high, which is attributed to hydrophobic groups present in its structure. The gum gels at a minimum concentration, similar to that of the gum karaya (4.5%, but the gel that forms agglomerates, it is not uniform. The C. vitifolium gum exhibits important physicochemical and functional parameters which could serve as a criterion for testing its use in various industries.

  5. On Parameter Differentiation for Integral Representations of Associated Legendre Functions

    Science.gov (United States)

    Cohl, Howard S.

    2011-05-01

    For integral representations of associated Legendre functions in terms of modified Bessel functions, we establish justification for differentiation under the integral sign with respect to parameters. With this justification, derivatives for associated Legendre functions of the first and second kind with respect to the degree are evaluated at odd-half-integer degrees, for general complex-orders, and derivatives with respect to the order are evaluated at integer-orders, for general complex-degrees. We also discuss the properties of the complex function f: C\\{-1,1}→C given by f(z)=z/((z+1)1/2(z-1)1/2).

  6. On parameter differentiation for integral representations of associated Legendre functions

    CERN Document Server

    Cohl, Howard S

    2011-01-01

    For integral representations of associated Legendre functions in terms of modified Bessel functions, we establish justification for differentiation under the integral sign with respect to parameters. With this justification, derivatives for associated Legendre functions of the first and second kind with respect to the degree are evaluated at odd-half-integer degrees, for general complex-orders, and derivatives with respect to the order are evaluated at integer-orders, for general complex-degrees. We also discuss the properties of the complex function $f:\\C\\setminus\\{-1,1\\}\\to\\C$ given by $f(z)=z/\\sqrt{(z+1)(z-1)}$.

  7. 心肺运动试验比较三种肺动脉高压患者心肺功能状态的价值%Value of cardiopulmonary exercise testing in comparing cardio-pulmonary function among patients with three kinds of pulmonary artery hypertension

    Institute of Scientific and Technical Information of China (English)

    赵青; 柳志红; 马秀平; 赵智慧; 罗勤; 顾晴; 熊长明; 张洪亮; 王勇

    2015-01-01

    enrolled into this study from December 2012 to May 2013.CPET was performed in all patients, and clinical features, routine tests results, N-terminal B-type natriuretic peptide (NT-proBNP), Six-minutes-walk distance (6MWD) were all collected.Results Thirty-two patients with IPAH, 38 patients with CHD-PAH, 25 patients with CTD-PAH were enrolled.For IPAH, CHD-PAH, and CTD-PAH patients, the peak oxygen uptake via body weight (VO2max/kg) was (12.3±2.3), (14.9 ±4.0), and (11.1 ±2.5) ml · min-1 · kg-1, respectively.The peak VO2/kg was significantly different within these three groups (P < 0.001), and was significantly higher in CHD-PAH patients compared with the other two groups (P =0.003, P < 0.001).The peak VO2/heartrate (HR) was (5.8±1.4), (6.4±1.8), (5.3±1.7) ml · beat-1 · min-1 in the above three groups and was significantly different within these three groups (P =0.034).The peak VO2/HR was significantly increased in CHD-PAH patients than CTD-PAD patients (P =0.012).The peak HR was (136.1 ±21.4), (140.8 ± 19.9), (124.5 ± 21.6) beat/min respectively and was significantly lower in CTD-PAD patients than CHD-PAH patients (P =0.009).The 6MWD was significantly decreased in CTDPAD patients compared with CHD-PAH and IPAH patients (P =0.006, 0.010).Nt-proBNP was significantly decreased in CTD-PAD patients compared with CHD-PAH patients (P =0.012).In Pearson and partial correlation analysis, the peak VO2/kg was significantly correlated with peak VO2/HR, peak HR, 6MWD, Nt-proBNP, left ventricular end-diastolic diameter, right ventricular end-diastolic diameter (r =0.477, 0.518, 0.387, 0.465,-0.350, 0.349,-0.259).Conclusion CPET parameters can objectively evaluate exercise capacity and cardiopulmonary function of the patients with pulmonary hypertension.

  8. Cardiac arrest - cardiopulmonary resuscitation

    Institute of Scientific and Technical Information of China (English)

    Basri Lenjani; Besnik Elshani; Nehat Baftiu; Kelmend Pallaska; Kadir Hyseni; Njazi Gashi; Nexhbedin Karemani; Ilaz Bunjaku; Taxhidin Zaimi; Arianit Jakupi

    2014-01-01

    Objective:To investigate application of cardiopulmonary resuscitation(CPR) measures within the golden minutes inEurope.Methods:The material was taken from theUniversityClinical Center ofKosovo -EmergencyCentre inPristina, during the two(2) year period(2010-2011).The collected date belong to the patients with cardiac arrest have been recorded in the patients' log book protocol at the emergency clinic.Results:During the2010 to2011 in the emergency center of theCUCK inPristina have been treated a total of269 patients with cardiac arrest, of whom159 or59.1% have been treated in2010, and110 patients or40.9% in2011.Of the269 patients treated in the emergency centre,93 or34.6% have exited lethally in the emergency centre, and176 or 65.4% have been transferred to other clinics.In the total number of patients with cardiac arrest, males have dominated with186 cases, or69.1%.The average age of patients included in the survey was56.7 year oldSD±16.0 years.Of the269 patients with cardiac arrest, defibrillation has been applied for93 or34.6% of patients.In the outpatient settings defibrillation has been applied for3 or3.2% of patients.Patients were defibrillated with application of one to four shocks. Of27 cases with who have survived cardiac arrest, none of them have suffered cardiac arrest at home,3 or11.1% of them have suffered cardiac arrest on the street, and24 or88.9% of them have suffered cardiac arrest in the hospital.5 out of27 patients survived have ended with neurological impairment.Cardiac arrest cases were present during all days of the week, but frequently most reported cases have been onMonday with32.0% of cases, and onFriday with24.5% of cases. Conclusions:All survivors from cardiac arrest have received appropriate medical assistance within10 min from attack, which implies that if cardiac arrest occurs near an institution health care(with an opportunity to provide the emergent health care) the rate of survival is higher.

  9. The Effect of Aerobic Training for Lower Limbs on the Early Cardiopulmonary Function Recovery of Racing Athletes%下肢有氧训练对竞速运动员早期心肺功能恢复的影响

    Institute of Scientific and Technical Information of China (English)

    刘伟; 王振涛

    2016-01-01

    为探讨下肢有氧训练对竞速运动员早期心肺功能恢复的影响,制定科学合理的有氧运动策略。本文基于对竞速运动员的运动特点及心肺功能情况全面了解,选取10名山东省竞速运动员作为测试对象,采用产自德国耶格公司的心肺功能测试系统,对训练对象进行下肢有氧训练,并对训练前后的心肺功能指标进行比较,利用EXCEL进行评测数据整理统计。结果表明:(1)受测运动员在心肺耐受时间、耐受负荷、肺部通气量和摄氧量等方面都得到了有效改善,加速了心肺功能的恢复;(2)适度的运动量非常重要,过小或者过大的训练量都不利于早期心肺功能的恢复;(3)男女运动员由于生理结构的差异性,机体指标存在差异,因此,在制定有氧训练策略时,应考虑性别差异。%To study the effect of aerobic training for lower limbs on the early cardiopulmonary function recovery of racing athletes, this paper selected ten athletes who were known well their profiles about the movement characteristics and cardiopulmonary function to detect them with the cardiopulmonary function detector made in Germany and compared cardiopulmonary function indexes before and after exercise with EXCEL to analyze the test data. The results showed that tested athletes effectively improved in the cardiopulmonary tolerance time, resistance load, pulmonary ventilation, oxygen uptake etc. and accelerated the cardiopulmonary function recovery. It was important for early cardiopulmonary function recovery to suitably exercise rather than an excess. In view of physiological differences between men and women, when athletes were trained, they were treated differently according to a gender.

  10. Internal pressure and solubility parameter as a function of pressure

    DEFF Research Database (Denmark)

    Verdier, Sylvain Charles Roland; Andersen, Simon Ivar

    2005-01-01

    The main goal of this work was to measure the solubility parameter of a complex mixture, such as a crude oil, especially as a function of pressure. Thus, its definition is explained, as well as the main approximations generally used in literature. Then, the internal pressure is investigated, since...... it is presented as an alternative of the solubility parameter. In this work, the assumption that internal pressure is a measure of the physical solubility parameter was made, i.e. representing the dispersion and polar forces. As for the pressure influence, it was seen that internal pressure reaches a maximum...... contrary to solubility parameter. An indirect method was chosen to estimate internal pressure, using thermal expansivities (determined by microcalorimetry) and isothermal compressibilities (determined by density measurements). The uncertainty is within 2% for the expansivity and 0.1% for the density. Five...

  11. EFFECT OF PENALTY FUNCTION PARAMETER IN OBJECTIVE FUNCTION OF SYSTEM IDENTIFICATION

    Directory of Open Access Journals (Sweden)

    M.F. Abd Samad

    2013-06-01

    Full Text Available The evaluation of an objective function for a particular model allows one to determine the optimality of a model structure with the aim of selecting an adequate model in system identification. Recently, an objective function was introduced that, besides evaluating predictive accuracy, includes a logarithmic penalty function to achieve a suitable balance between the former model’s characteristics and model parsimony. However, the parameter value in the penalty function was made arbitrarily. This paper presents a study on the effect of the penalty function parameter in model structure selection in system identification on a number of simulated models. The search was done using genetic algorithms. A representation of the sensitivity of the penalty function parameter value in model structure selection is given, along with a proposed mathematical function that defines it. A recommendation is made regarding how a suitable penalty function parameter value can be determined.

  12. Modeling of state parameter and hardening function for granular materials

    Institute of Scientific and Technical Information of China (English)

    彭芳乐; 李建中

    2004-01-01

    A modified plastic strain energy as hardening state parameter for dense sand was proposed, based on the results from a series of drained plane strain tests on saturated dense Japanese Toyoura sand with precise stress and strain measurements along many stress paths. In addition, a unique hardening function between the plastic strain energy and the instantaneous stress path was also presented, which was independent of stress history. The proposed state parameter and hardening function was directly verified by the simple numerical integration method. It is shown that the proposed hardening function is independent of stress history and stress path and is appropriate to be used as the hardening rule in constitutive modeling for dense sand, and it is also capable of simulating the effects on the deformation characteristics of stress history and stress path for dense sand.

  13. Adaptive generalized functional synchronization of Chaotic systems with unknown parameters

    Institute of Scientific and Technical Information of China (English)

    Wang Dong-Feng; Han Pu

    2008-01-01

    A universal adaptive generalized functional synchronization approach to any two different or identical chaotic systems with unknown parameters is proposed,based on a unified mathematical expression of a large class of chaotic system.Self-adaptive parameter law and control law are given in the form of a theorem.The synchronization between the three-dimensional R(o)ssler chaotic system and the four-dimensional Chen's hyper-chaotic system is studied as an example for illustration.The computer simulation results demonstrate the feasibility of the method proposed.

  14. Cardiopulmonary interactions during mechanical ventilation in critically ill patients

    NARCIS (Netherlands)

    T.G.V. Cherpanath (Thomas); W.K. Lagrand (Wim); M.J. Schultz (Marcus); A.B.J. Groeneveld (Johan)

    2013-01-01

    textabstractCardiopulmonary interactions induced by mechan-ical ventilation are complex and only partly understood. Ap-plied tidal volumes and/or airway pressures largely mediate changes in right ventricular preload and afterload. Effects on left ventricular function are mostly secondary to changes

  15. On Parameter Differentiation for Integral Representations of Associated Legendre Functions

    Directory of Open Access Journals (Sweden)

    Howard S. Cohl

    2011-05-01

    Full Text Available For integral representations of associated Legendre functions in terms of modified Bessel functions, we establish justification for differentiation under the integral sign with respect to parameters. With this justification, derivatives for associated Legendre functions of the first and second kind with respect to the degree are evaluated at odd-half-integer degrees, for general complex-orders, and derivatives with respect to the order are evaluated at integer-orders, for general complex-degrees. We also discuss the properties of the complex function f: C{−1,1}→C given by f(z=z/((z+1^{1/2}(z−1^{1/2}.

  16. Connecting Jacobi elliptic functions with different modulus parameters

    Indian Academy of Sciences (India)

    Avinash Khare; Uday Sukhatme

    2004-11-01

    The simplest formulas connecting Jacobi elliptic functions with different modulus parameters were first obtained over two hundred years ago by John Landen. His approach was to change integration variables in elliptic integrals. We show that Landen’s formulas and their subsequent generalizations can also be obtained from a different approach, using which we also obtain several new Landen transformations. Our new method is based on recently obtained periodic solutions of physically interesting non-linear differential equations and remarkable new cyclic identities involving Jacobi elliptic functions.

  17. (SERCA2a)Effects of Rhodioside on heart function in rats after cardiopulmonary resuscitation%红景天苷对心肺复苏后大鼠心脏功能的保护作用

    Institute of Scientific and Technical Information of China (English)

    邓节喜; 陈劲松; 王子敬; 郭寿贵; 赵蓓; 阮发晖; 窦燕; 林庚海; 吴轲

    2013-01-01

    目的 研究红景天苷对复苏后大鼠心脏功能的保护作用.方法 60只成年SD大鼠随机分为5组,每组12只:复苏前给药组、复苏即刻给药组、自主循环恢复(ROSC)时给药组、不给药组、假手术组.窒息法建立大鼠心肺复苏模型,按分组在不同时间点给予红景天苷注射液,自主循环恢复维持2 h后超声检查大鼠左心室功能.分离培养成年大鼠心肌细胞,给予红景天苷干预后检测钙调神经磷酸酶(CaN-Aβ)、肌浆网钙泵(SERCA2a)的表达.结果 与假手术组比较,模型各组左心室功能明显下降(P<0.05),红景天苷干预组细胞的CaN-Aβ表达下调,SERCA2a表达上调(P<0.05).结论 红景天苷可以保护复苏后大鼠的心脏功能,可能与调节CaN-Aβ、SERCA2a表达有关.%Objective To observe the protective effect of Rhodioside on heart function after cardiopulmonary resuscitation in rats. Methods 60 rats were randomized into 5 groups. Rat models of cardiopulmonary resuscitation were established. Rhodioside was administrated before or after resuscitation at different time. When return of spontaneous circulation sustained for 2 h, heart function was assessed by echocardiography. Cardiac myocytes of adult rats were isolated and cultured with or without Rhodioside, atorvastatin and irbesartan. RT - PCR and Western blot were used to evaluate the expression change of SERCA2a and CaN - Aβ. Results Echocardiography revealed that heart function in model groups was significantly lower than that in false surgery group. Further analysis demonstrated that when given Rhodioside before resuscitation, better improvement of heart function could be observed. RT - PCR and Western blot demonstrated that Rhodioside could down - regulate CaN - Aβ and up - regulate SERCA2a. Conclusion Rhodioside could improve heart function after resuscitation in rats possibly associated with the regulation of SERCA2a and CaN - Aβ.

  18. Probability of detection as a function of multiple influencing parameters

    Energy Technology Data Exchange (ETDEWEB)

    Pavlovic, Mato

    2014-10-15

    Non-destructive testing is subject to measurement uncertainties. In safety critical applications the reliability assessment of its capability to detect flaws is therefore necessary. In most applications, the flaw size is the single most important parameter that influences the probability of detection (POD) of the flaw. That is why the POD is typically calculated and expressed as a function of the flaw size. The capability of the inspection system to detect flaws is established by comparing the size of reliably detected flaw with the size of the flaw that is critical for the structural integrity. Applications where several factors have an important influence on the POD are investigated in this dissertation. To devise a reliable estimation of the NDT system capability it is necessary to express the POD as a function of all these factors. A multi-parameter POD model is developed. It enables POD to be calculated and expressed as a function of several influencing parameters. The model was tested on the data from the ultrasonic inspection of copper and cast iron components with artificial flaws. Also, a technique to spatially present POD data called the volume POD is developed. The fusion of the POD data coming from multiple inspections of the same component with different sensors is performed to reach the overall POD of the inspection system.

  19. Functional clinical typology of the foot and kinematic gait parameters

    Directory of Open Access Journals (Sweden)

    Jitka Marenčáková

    2016-06-01

    Full Text Available Background: The foot plays a key role in a standing posture, walking and running performance. Changes in its structure or function may alter upper segments of kinematic chain which can lead to formation of musculoskeletal disorders. Although functional clinical typology provides a complex view of foot kinesiology there is a lack of knowledge and evidence about influences of different foot types on human gait. Objective: The aim of the study was to analyse differences of kinematic gait parameters of lower extremity joints and pelvis between functional clinical foot types in healthy young men. Methods: Three-dimensional kinematic analysis by the Vicon Motion Capture MX System device in synchronization with 2 Kistler force platforms was used to obtain kinematic data from 18 healthy men (mean age 23.2 ± 1.9 years. The functional clinical foot type was clinically examined and sorted into 3 basic foot type groups - forefoot varus (FFvar, rearfoot varus (RFvar and forefoot valgus (FFvalg. Peak angular values and range of an angular displacement in all of three movement planes were analysed for pelvis, hip, knee and ankle joint. For statistical analysis of kinematic gait parameters differences between foot types Mann Whitney U test at a statistical significance level p < .05 and Cohen's coefficient d for effect size were used. Results: This study showed that functional clinical foot type can affect kinematic parameters of gait in the joints of the lower limb and pelvis. Significant differences were presented in the FFvar in comparison with other two foot type groups with middle and high size of effect. The most alterations were observed in pelvis area and in a sagittal plane of movement. Nevertheless, significant differences between FFvalg and RFvar foot types were not noticed. Conclusions: Functional clinical foot typology provides one of the possible methods to describe foot structure and function. Our results showed that foot type could

  20. Cardiopulmonary exercise testing – Its application in cardiology and occupational medicine

    Directory of Open Access Journals (Sweden)

    Małgorzata Kurpesa

    2014-10-01

    Full Text Available Cardiopulmonary exercise testing is a method used to assess the exercise capacity. It is used in cardiology to define the diagnostic and prognostic information, the treatment and its effectiveness. This method is also useful in sport medicine and in occupational medicine. The cardiopulmonary exercise test involves measuring of gas exchange during exercise testing. The article presents the main parameters assessed during the test and the indications and contraindications for conducting the test. It also reveals the results of recently published clinical trials on the use of cardiopulmonary exercise test in patients with cardiovascular disease and in the working population. The study included variability of respiratory parameters during the cardiopulmonary exercise test and after its completion, as well as their impact on the prognostic value. In addition, the results of a study involving an optimal choice of interval training on the basis of oxygen consumption at peak exercise are summarized. Med Pr 2014;65(5:665–674

  1. TRIIODOTHYRONINE INCREASES MYOCARDIAL FUNCTION AND PYRUVATE ENTRY INTO THE CITRIC ACID CYCLE AFTER REPERFUSION IN A MODEL OF INFANT CARDIOPULMONARY BYPASS

    Energy Technology Data Exchange (ETDEWEB)

    Olson, Aaron; Bouchard, Bertrand; Ning, Xue-Han; Isern, Nancy G.; Des Rosiers, Christine; Portman, Michael A.

    2012-03-01

    We utilized a translational model of infant CPB to test the hypothesis that T3 modulates pyruvate entry into the citric acid cycle (CAC) thereby providing the energy support for improved cardiac function after ischemia-reperfusion. Methods and Results: Neonatal piglets received intracoronary [2-13Carbon(13C)]-pyruvate for 40 minutes (8 mM) during control aerobic conditions (Cont) or immediately after reperfusion (IR) from global hypothermic ischemia. A third group (IR-Tr) received T3 (1.2 ug/kg) during reperfusion. We assessed absolute CAC intermediate levels (aCAC) and flux parameters into the CAC through oxidative pyruvate decarboxylation (PDC ) and anaplerotic carboxylation (PC; ) using 13C-labeled pyruvate and isotopomer analysis by gas and liquid chromatography-mass spectrometry and 13C NMR. Neither IR nor IR-Tr modified aCAC. However, compared to IR, T3 (group IR-Tr) increased cardiac power and oxygen consumption after CPB while elevating both PDC and PC (~ four-fold). T3 inhibited IR induced reductions in CAC intermediate molar percent enrichment (MPE) and oxaloacetate(citrate)/malate MPE ratio; an index of aspartate entry into the CAC. Conclusions: T3 markedly enhances PC and PDC thereby providing substrate for elevated cardiac function and work after reperfusion. The increases in pyruvate flux occur with preservation of the CAC intermediate pool. Additionally, T3 inhibition of reductions in CAC intermediate MPEs indicates that T3 reduces the reliance on amino acids (AA) for anaplerosis after reperfusion. Thus, AA should be more available for other functions such as protein synthesis.

  2. The changes of cardiopulmonary function and the correlation with the ratios of regulatory T cells in OA rats%骨关节炎大鼠心、肺功能变化与CD4+ CD25+ Foxp3+ Treg的相关性分析

    Institute of Scientific and Technical Information of China (English)

    程园园; 刘健; 冯云霞; 刘磊; 万磊

    2013-01-01

    Objective:To observe the changes of cardiopulmonary function and expression of CD4 + CD25+ Foxp3+ Treg in Os-teoarthritis ( OA) rats, thus to explore the role that CD4+ CD25 + Foxp3 + Treg played in decline of cardiopulmonary of OA rats. Methods: 20 rats were randomly divided into 2 groups; normal group( NC) and model group( NC) , 10 in each group. Rats in MC group were induced to OA model by injecting papain and L-cystine into right knee joint. Cartilage lesions were scored by the modified Mankin Scale; cardiac function was detected by ultrasonography; pulmonary function was detected by spirometry; interleukin (IL) -17 ,4 were evaluated by ELJSA; the ratios of CD4+ CD25 + Foxp3 + Treg in peripheral blood were measured by Flow cytometry. Results: Compared to NC group, Mankin scores in MC group were significantly increased; part of parameters of cardiopulmonary function were obviously changed, and accounts for 60% and 20% of the selected indexes respectively; expression of IL-17 was significantly ascend, expression of IL-4 and CD4 + CD25+ Foxp3 + Treg were significantly descend ( P < 0. 01 or P < 0. 05 ). Conclusion: While articular cartilage lesions occurred in OA rats, cardiopulmonary function and the expression of peripheral CD4 + CD25 + Foxp3+ Treg were also declined, and significantly correlated with Mankin scores, expression of IL-17,IL-4, suggesting that immune imbalance and aggravated inflammatory due to attenuated regulatory effect of regulatory T cells (Treg) , result in joint, cardiac and pulmonary injury, finally causing cardiopulmonary function declined.%目的:通过观察骨关节炎(Osteoarthritis,OA)大鼠、心肺功能的变化,及其与外周血CD4+CD25+Foxp3+Treg表达量变化,探讨骨关节炎中心、肺功能的异常与CD4+CD25+Foxp3+Treg的关系.方法:20只大鼠随机分为正常对照组(NC)和模型对照组(MC),每组各10只.MC组大鼠采用关节腔注射木瓜蛋白酶(Papain)和L-半胱氨酸(L-cystine)方法制成骨关节炎

  3. Pedotransfer functions estimating soil hydraulic properties using different soil parameters

    DEFF Research Database (Denmark)

    Børgesen, Christen Duus; Iversen, Bo Vangsø; Jacobsen, Ole Hørbye;

    2008-01-01

    Estimates of soil hydraulic properties using pedotransfer functions (PTF) are useful in many studies such as hydrochemical modelling and soil mapping. The objective of this study was to calibrate and test parametric PTFs that predict soil water retention and unsaturated hydraulic conductivity...... parameters. The PTFs are based on neural networks and the Bootstrap method using different sets of predictors and predict the van Genuchten/Mualem parameters. A Danish soil data set (152 horizons) dominated by sandy and sandy loamy soils was used in the development of PTFs to predict the Mualem hydraulic...... of the hydraulic properties of the studied soils. We found that introducing measured water content as a predictor generally gave lower errors for water retention predictions and higher errors for conductivity predictions. The best of the developed PTFs for predicting hydraulic conductivity was tested against PTFs...

  4. Transient Diabetes Insipidus Following Cardiopulmonary Bypass.

    Science.gov (United States)

    Ekim, Meral; Ekim, Hasan; Yilmaz, Yunus Keser; Bolat, Ali

    2015-04-01

    Diabetes insipidus (DI) results from inadequate output of Antidiuretic Hormone (ADH) from the pituitary gland (central DI) or the inability of the kidney tubules to respond to ADH (nephrogenic DI). ADH is an octapeptide produced in the supraoptic and paraventricular nuclei of the hypothalamus and stored in the posterior lobe of the pituitary gland. Cardiopulmonary Bypass (CPB) has been shown to cause a six-fold increased circulating ADH levels 12 hours after surgery. However, in some cases, ADH release may be transiently suppressed due to cardioplegia (cardiac standstill) or CPB leading to DI. We present the postoperative course of a 60-year-old man who developed transient DI after CPB. He was successfully treated by applying nasal desmopressin therapy. Relevant biochemical parameters should be monitored closely in patients who produce excessive urine after open heart surgery.

  5. History of the evolution of cardiopulmonary resuscitation

    OpenAIRE

    2013-01-01

    Cardiopulmonary resuscitation (CPR) is as old as humankind. The evolution of CPR represents a combination of human errors and discoveries. Aim: The present study reviews the most important moments in the history of resuscitation, from the first attempts of CPR until now. Methods: The methodology followed included bibliography research from review literature, through databases PubMed, Medline, Scopus, with the use of keywords, such as cardiopulmonary arrest, cardiopulmonary resuscitation, hist...

  6. Influência da fisioterapia respiratória sobre a função cardiopulmonar em recém-nascidos de muito baixo peso Effects of respiratory physiotherapy on the cardiopulmonary function of very low birth weight newborn infants

    Directory of Open Access Journals (Sweden)

    Carla Marques Nicolau

    2010-06-01

    Full Text Available OBJETIVO: Avaliar as repercussões da fisioterapia respiratória sobre a função cardiopulmonar em recém-nascidos pré-termo (RNPT submetidos à ventilação mecânica. MÉTODOS: Estudo prospectivo de RNPT com peso de nascimento menor que 1500g, sendo verificados os valores de frequência cardíaca (FC, saturação de oxigênio (SatO2, frequência respiratória (FR e pressão arterial sistêmica (PA antes e após a fisioterapia respiratória e a aspiração endotraqueal. Os RNPT incluídos foram avaliados em sessões sequenciais entre o 3º-7º dias de vida por dois fisioterapeutas da unidade neonatal. Os valores de FC, SatO2 e PA foram coletados por monitorização eletrônica e a FR, por cronômetro. Na análise estatística, foi utilizado o teste de ANOVA para medidas repetidas, sendo significante pOBJECTIVE: To assess the effects of respiratory physiotherapy on cardiopulmonary function of ventilated preterm newborns infants (PTNB. METHODS: This prospective study included PTNB with birth weight lower than 1500g. Before and after respiratory physiotherapy and endotracheal suction, the following parameters were evaluated: heart rate (HR, oxygen saturation (O2Sat, respiratory rate (RR and blood pressure (BP. The newborns were evaluated in consecutive sessions between the 3rd-7th day of life by two therapists in the neonatal unit. HR, O2Sat and BP data were collected by electronic monitoring and RR by a stopwatch. Results were analyzed by repeated measures ANOVA, being significant p<0.05. RESULTS: We evaluated 42 PTNB, 57% females, with a mean birth weight of 1024g and a mean gestational age of 29.5 weeks. Only three PTNB had a 5th minute Apgar lower than 5. Respiratory Distress Syndrome was the most prevalent disease (88%. In total, 252 physiotherapy sessions were applied to these 42 infants. HR, RR, O2Sat and BP remained within the physiological limits after procedures, including endotracheal suction. CONCLUSIONS: Procedures for physiotherapy

  7. Photon albedo coefficients as functions of μ/Zeff parameter

    Directory of Open Access Journals (Sweden)

    Ljubenov Vladan L.

    2013-01-01

    Full Text Available This paper presents the results of the analyses of photon reflection from planar targets for normal photon incidence and for different shielding materials (water, concrete, aluminum, iron, and copper, in the range of the initial photon energies from 20 keV to 300 keV. Calculations of photon reflection parameters based on the results of Monte Carlo simulations of the photon transport have been performed using MCNP4C code. Integral reflection coefficients, presented as functions of the ratio of total cross-section of photons and effective atomic number of target material, show universal behaviour for all the analyzed shielding materials in the selected energy domain.

  8. 参与社区体育对老年人心肺功能的影响%Influence of the Community Sports Participation on the Old People’ s Cardiopulmonary Function

    Institute of Scientific and Technical Information of China (English)

    刘丹婷; 李社旺

    2013-01-01

    In order to clarify the old people ’ s cardiorespiratory changes when they participate in community sports, and provide theoretical basis for the old people doing a rational and scientific fitness , it takes 60 old people who often participate in community sports as the experimental group , takes 60 old people who do not often take part in community sports activity as control group , tests the indicators of cardiopulmonary function .And it finds that the lung’ s capacity, the chase volume, stroke output, ejection fraction and cardiac muscle contraction ability of the experimental group are significantly improved .It concludes that frequently taking part in community sports has a good effect on the cardiopulmonary function of old people and can help the old people resisting diseases , keeping health.It suggests that older people should often take part in community sports , improve their physical quality .%为了阐明老年人在参与社区体育活动时的心肺功能的变化,为老年人合理、科学的健身提供参考依据,本研究以经常参加社区体育活动的60名老年人为实验组,以不经常参加社区体育活动的60名老年人为对照组,测试各项心肺功能指标,发现实验组的肺活量、最大通气量、每搏输出量、心肌收缩能力和射血分数等指标均明显提高。得出结论:经常参加社区体育活动对老年人的心肺功能有良好的影响,并能够抵抗疾病,保持身心健康,建议老年人积极参与社区体育活动,提高自身身体素质。

  9. 高强度间歇性耐力训练对大学生心肺功能的影响%Effects of high-intensity interval endurance training on improving college students'cardiopulmonary function

    Institute of Scientific and Technical Information of China (English)

    梁丰; 王磊; 曹震宇; 王尊; 晁敏

    2014-01-01

    目的:研究高强度间歇性耐力训练对大学生心肺功能的影响。方法:58名健康大学生分为男生组31人、女生组27人,2组进行9个阶段为期9周的渐进性增强高强度间歇性耐力训练,所有受试者训练前后均进行心肺运动试验(CPET),主要监测指标包括安静心率、安静血压、峰值摄氧量(VO2peak)、通气阈值(VT)及力竭时值(TTE)。结果:经过9个阶段的高强度间歇性耐力训练,2组安静心率均较训练前下降(P<0.01),但安静血压训练前后差异无统计学意义;2组VO2peak及TTE均较训练前提高(P<0.05);VT总体及男生组训练前后差异无统计学意义,但女生组较训练前明显提高(P<0.05)。结论:高强度间歇性耐力训练可改善大学生心肺功能。%Objective:To examine the effect of high intensity intermittent endurance training (HIIT ) on college students'cardiopulmonary function .Methods:Fifty‐eight healthy college students were divided into male group (n=31) and female group (n=27) .Cardiopulmonary exercise test (CPET) was performed on all students before and af‐ter the 9 sessions of HIIT on a cycle ergometer for 9 weeks ,and the main monitoring indicators included heart rate (HR) ,blood pressure ,VO2peak ,VT ,and TTE .Results:The results indicated that HR was increased after 9 training sessions in both two groups (P<0 .01) ,and blood pressure had no obvious change after training .VO2 peak and TTE in two groups were increased after training as compared with those before training (P< 0 .05) .The students in the male group had no obvious change in VT after the training ,and VT in female group and after train‐ing was significantly increased as compared with that before training (P<0 .05) .Conclusion:HIIT can improve col‐lege students'cardiopulmonary function .

  10. Clinical Practice Guidelines for Cardiopulmonary and Cerebral Resuscitation.

    Directory of Open Access Journals (Sweden)

    Victor Rene Navarro Machado

    2009-03-01

    Full Text Available Clinical Practice Guidelines for Cardiopulmonary and Cerebral Resuscitation. It is the group of procedures that should be accomplished to restore circulation and ventilation in a patient with cardiac arrest, including actions to reintegrate upper neurological functions after restoring cardiac function. This document includes a review of concepts, aetiology and updates the main clinical aspects related with diagnosis and treatment aimed at the post-resuscitation syndrome. It includes assessment guidelines focused on the most important aspects to be accomplished.

  11. WSLA Schema for Functionality Based Weight fixing of Non-Functional Parameters of Web Services

    Directory of Open Access Journals (Sweden)

    S.Pavithra

    2013-04-01

    Full Text Available Recently Web services have evolved as a cost-effective solution for exchanging information between distributed applications over different operating system, platform, and software environment. The success of such a system is mainly depends on the quality offered by the service and the extent to which the web service meets the customer requirements. So while selection of a service the top priority is given to the functionality related aspects. From the list of service with same functionality the selection of a service is made by evaluating the QoS by considering the domain specific and domain independent attribute that leads to the achievement of maximum functionality. But while monitoring the performance of a service, the quality is mainly evaluated by measuring the non functional parameters such as response time, throughput, availability, reliability and sucessiblity. Satisfied level for these non functional values shows that the web service met the customer needs. In this paper we are proposing a method and a schema to assign functionality related weight to the non functional parameters and thereby evaluate the expected level of QoS at the time of selection itself. Apart from the guaranteed level of non functional values asserted in the WSLA, the weights are also assigned to the non functional parameters to evaluate the actual QoS.

  12. Evaluation of coma patients after cardiopulmonary resuscitation

    Institute of Scientific and Technical Information of China (English)

    SU Ying-ying; YANG Qing-lin; PANG Ying; LV Xiang-ping

    2005-01-01

    Background Coma after cardiopulmonary resuscitation (CPR) is commonly seen in daily clinical practice. How to objectively evaluate brain function after CPR is essential to the following treatment. Coma patients after CPR had been studied prospectively at the Neuro-Intensive Care Unit of Xuanwu Hospital since 2002. In this study, we focused on the topic of how to evaluate the severity of coma after CPR .Methods From April 2002 to November 2004, patients in coma 24 hours after CPR were monitored, the evaluation methods included Glasgow coma score (GCS),brain stem reflection, and spinal reflection. Laboratory evaluation included electroencephalography (EEG),brainstem auditory evoked potential (BAEP), short latency somatosensory evoked potential (SLSEP), and transcranial Doppler (TCD) .Results Twenty-four of 35 patients(68.57%)were in deep coma. The GCS was 3 except for 2 patients;EEG was evaluated not less than grade Ⅳ except for 4 patients, BAEP was evaluated as grade Ⅲ except for 3 patients, and SLSEP was evaluated as grade Ⅲ except for 1 patient.Twenty-four patients died within 1 month and 11 of them(45.83%)were determined as brain death. Glasgow outcome score (GOS) was evaluated as grade Ⅰ. Eleven of the 35 patients survived and their consciousness changed from deep coma to coma vigil. EEG was evaluated as gradeⅠin 5 patients, BAEP and SLSEP were evaluated as grade Ⅰ in 3 patients, and GOS was all evaluated as grade Ⅱ among the 11 patients.Two patients(18.18%)regained consciousness in 35 and 90 days after cardiopulmonary resuscitation and GOS was evaluated as grade Ⅳ and Ⅲ, respectively.Conclusion Combined or continuous evaluation of clinical examinations and laboratory tests can accurately and objectively determine brain function after CPR.

  13. Multiple dimensions of cardiopulmonary dyspnea

    Institute of Scientific and Technical Information of China (English)

    HAN Jiang-na; XIONG Chang-ming; YAO Wei; FANG Qiu-hong; ZHU Yuan-jue; CHENG Xian-sheng; Karel P Van de Woestijne

    2011-01-01

    Background The current theory of dyspnea perception presumes a multidimensional conception of dyspnea.However,its validity in patients with cardiopulmonary dyspnea has not been investigated.Methods A respiratory symptom checklist incorporating spontaneously reported descriptors of sensory experiences of breathing discomfort,affective aspects,and behavioral items was administered to 396 patients with asthma,chronic obstructive pulmonary disease (COPD),diffuse parenchymal lung disease,pulmonary vascular disease,chronic heart failure,and medically unexplained dyspnea.Symptom factors measuring different qualitative components of dyspnea were derived by a principal component analysis.The separation of patient groups was achieved by a variance analysis on symptom factors.Results Seven factors appeared to measure three dimensions of dyspnea:sensory (difficulty breathing and phase of respiration,depth and frequency of breathing,urge to breathe,wheeze),affective (chest tightness,anxiety),and behavioral (refraining from physical activity) dimensions.Difficulty breathing and phase of respiration occurred more often in COPD,followed by asthma (R2=0.12).Urge to breathe was unique for patients with medically unexplained dyspnea (R2=0.12).Wheeze occurred most frequently in asthma,followed by COPD and heart failure (R2=0.17).Chest tightness was specifically linked to medically unexplained dyspnea and asthma (R2=0.04).Anxiety characterized medically unexplained dyspnea (R2=0.08).Refraining from physical activity appeared more often in heart failure,pulmonary vascular disease,and COPD (R2=0.15).Conclusions Three dimensions with seven qualitative components of dyspnea appeared in cardiopulmonary disease and the components under each dimension allowed separation of different patient groups.These findings may serve as a validation on the multiple dimensions of cardiopulmonary dyspnea.

  14. Noninvasive topographical investigation of functional parameters in the human skin

    Science.gov (United States)

    Kessler, Manfred D.; Krug, Alfons; Hoeper, Jens

    1996-04-01

    A rapid micro-lightguide spectrometer (EMPHO II) coupled to an automatic three axis positioning system enables very precise and fast 2D-scans at the surface of human skin. The positioning accuracy amounts to 1 micrometer. This allows measurements with excellent spatial reproducibility. With this system examinations of local distribution of HbO2 and Hb have been performed in human skin. For this purpose at the back of the hand areas of 5 by 5 mm to 5 by 10 mm were scanned in defined steps of 100 micrometers. Functional images of local hemoglobin concentration and hemoglobin oxygenation of microscopical structures have been resolved by use of 250 micrometer lightguide sensors. Two-dimensional-images of local oxygen supply parameters corresponding directly to morphological structures of human skin have been gained. The local pattern matches the distribution of the papillas of the corium. In the papillas the capillary loops supplying the lower part of the epidermis are situated. The measured parameters describe very exactly the local oxygen supply situation of the area under investigation.

  15. History of cardiopulmonary bypass (CPB).

    Science.gov (United States)

    Hessel, Eugene A

    2015-06-01

    The development of cardiopulmonary bypass (CPB), thereby permitting open-heart surgery, is one of the most important advances in medicine in the 20th century. Many currently practicing cardiac anesthesiologists, cardiac surgeons, and perfusionists are unaware of how recently it came into use (60 years) and how much the practice of CPB has changed during its short existence. In this paper, the development of CPB and the many changes and progress that has taken place over this brief period of time, making it a remarkably safe endeavor, are reviewed. The many as yet unresolved questions are also identified, which sets the stage for the other papers in this issue of this journal.

  16. Angiotensin-converting enzyme inhibitors in preventing remodeling and development of heart failure after acute myocardial infarction: results of the German multicenter study of the effects of captopril on cardiopulmonary exercise parameters (ECCE).

    Science.gov (United States)

    Kleber, F X; Sabin, G V; Winter, U J; Reindl, I; Beil, S; Wenzel, M; Fischer, M; Doering, W

    1997-08-04

    Early action of angiotensin-converting enzyme (ACE) inhibitors after myocardial infarction (MI) has been shown in large scale clinical trials to reduce mortality over the first weeks. However, the mechanisms involved are yet unclear and several trials showed a tendency toward a small, albeit unexpected, rise in cardiogenic shock or mortality. Since cardiopulmonary exercise testing (CPX) has become a "gold standard" in assessing the severity of heart failure, we studied--after finishing a pilot trial--the effect of captopril versus placebo in 208 patients who were individually titrated (titrated dose, mean 46/69 mg/day after 7 days/4 weeks, respectively) in order to preserve their blood pressure in the acute phase of myocardial infarction; we followed the development of congestive heart failure (CHF) over 4 weeks by measuring oxygen consumption. After 4 weeks, overall oxygen consumption at the anaerobic threshold (VO2-AT; 13.7 vs 13.1), maximal oxygen consumption (VO2max 19.3 vs 18.9 mL/kg per min) and exercise duration (896 vs 839 sec) showed a nonsignificant difference in favor of the captopril group. The predefined, categorized, combined endpoint of severe heart failure or death (heart failure necessitating ACE inhibition, VO2max 10 patients per 100 treated gained major benefits from this therapy.

  17. Coastline complexity: A parameter for functional classification of coastal environments

    Science.gov (United States)

    Bartley, J.D.; Buddemeier, R.W.; Bennett, D.A.

    2001-01-01

    To understand the role of the world's coastal zone (CZ) in global biogeochemical fluxes (particularly those of carbon, nitrogen, phosphorus, and sediments) we must generalise from a limited number of observations associated with a few well-studied coastal systems to the global scale. Global generalisation must be based on globally available data and on robust techniques for classification and upscaling. These requirements impose severe constraints on the set of variables that can be used to extract information about local CZ functions such as advective and metabolic fluxes, and differences resulting from changes in biotic communities. Coastal complexity (plan-view tortuosity of the coastline) is a potentially useful parameter, since it interacts strongly with both marine and terrestrial forcing functions to determine coastal energy regimes and water residence times, and since 'open' vs. 'sheltered' categories are important components of most coastal habitat classification schemes. This study employs the World Vector Shoreline (WVS) dataset, originally developed at a scale of 1:250 000. Coastline complexity measures are generated using a modification of the Angle Measurement Technique (AMT), in which the basic measurement is the angle between two lines of specified length drawn from a selected point to the closest points of intersection with the coastline. Repetition of these measurements for different lengths at the same point yields a distribution of angles descriptive of the extent and scale of complexity in the vicinity of that point; repetition of the process at different points on the coast provides a basis for comparing both the extent and the characteristic scale of coastline variation along different reaches of the coast. The coast of northwestern Mexico (Baja California and the Gulf of California) was used as a case study for initial development and testing of the method. The characteristic angle distribution plots generated by the AMT analysis were

  18. The impact of structural and functional parameters in glaucoma patients on patient-reported visual functioning.

    Directory of Open Access Journals (Sweden)

    Christoph Hirneiß

    Full Text Available BACKGROUND: To evaluate the impact of structural changes of the retinal nerve fiber layer (RNFL, and visual field loss, on functional impairment assessed by patient-reported visual functioning in glaucoma. METHODS: Patients with glaucomatous optic nerve damage were enrolled in this cross-sectional study. Peripapillary RNFL thickness was obtained with spectral-domain optical coherence tomography (SD-OCT. Function was assessed by patient-reported visual functioning using the Rasch-calibrated Glaucoma Activity Limitation 9 (GAL-9 questionnaire and standard automated perimetry. The impact of peripapillary RNFL loss on functional impairment was analyzed with correlation and linear regression analyses. RESULTS: A total of 176 eyes from 88 glaucoma patients were included. The SD-OCT assessed temporal-superior and temporal-inferior RNFL sector of the worse eye revealed significant correlation with the GAL-9 scores (r=-0.298, p=0.011 and r=-0.251, p=0.033, respectively. In mutivariate regression analysis, the best predictors for patient-reported visual functioning were visual acuity of the better eye and mean defect of the worse eye (R(2=0.334, while structural parameters could not enhance the prediction of GAL-9 scores. CONCLUSIONS: Self-reported visual functioning of patients with glaucoma is better predicted by visual performance data than structural parameters. However, some structural changes of the worse eye are significantly correlated with patient-reported visual functioning.

  19. Cardiopulmonary helminths in foxes from the Pyrenees.

    Science.gov (United States)

    Garrido-Castañé, Ignasi; Ortuño, Anna; Marco, Ignasi; Castellà, Joaquim

    2015-12-01

    The present survey was carried out to investigate the prevalence of cardiopulmonary helminths in red foxes in Pyrenees area and to evaluate the role of foxes in the eco-epidemiology of these nematodes. Hearts and entire respiratory tracts were obtained from 87 foxes from Vall d'Aran region, Pyrenees, Catalonia, north-eastern Spain. The cardiopulmonary tracts were dissected, flushed and examined for nematodes using sedimented flushing water. Of the 87 examined foxes, 53 (61%) were positive for cardiopulmonary helminths. The identified nematodes were Crenosoma vulpis (44.8%), Eucoleus aerophilus (29.9%) and Angiostrongylus vasorum (3.4%). Statistical differences were observed only on comparing age and C.vulpis prevalence, with young foxes being more infected than adults. The high prevalence of cardiopulmonary nematodes suggested that red foxes may play an important role in their transmission and maintenance in the studied area.

  20. Evaluation of coagulation factors and platelet function from an off-line modified ultrafiltration technique for post-cardiopulmonary bypass circuit blood recovery.

    Science.gov (United States)

    Beckmann, S; Lynn, P; Miller, S; Harris, R; DiMarco, R F; Ross, J E

    2013-05-01

    Modified ultrafiltration (MUF) is a technique that hemoconcentrates residual CPB circuit blood and the patient at the same time. Hemoconcentration and MUF are Class 1-A recommendations in the anesthesia and surgical blood conservation guidelines. This study evaluated the off-line MUF process of the Hemobag (HB, Global Blood Resources, Somers, CT, USA) to quantitate coagulation factor levels, platelet (PLT) count and function in one facility and cellular growth factor concentrations of the final product that were transfused to the patient in another facility In two cardiac surgery facilities, after decannulation, the extracorporeal circuit (ECC) blood from 22 patients undergoing cardiac surgery was processed with the HB device. In eleven patients from the first facility by the study design, blood samples for coagulation factor levels and PLT aggregation were drawn from the reservoir of the MUF device pre- and post-processing. The samples (n = 11) were sent to a reference laboratory where testing for prothrombin time (PT), international normalized ratio (INR), activated partial thromboplastin time (aPTT), reptilase time, fibrinogen, clotting factors II, V, VII, VIII, IX, X, ADAMTS-13, protein C, protein S, antithrombin III, von Willebrand Factor (vWF), and platelet (PLT) aggregation were performed. A portion of the final concentrated HB blood samples (n = 5-10) from the second facility by design were evaluated for transforming and platelet-derived cellular growth factor concentrations. On average, approximately 800 - 2000 mls of whole blood were removed from the ECC post-CPB for processing in the HB device. After processing, there was, on the average, approximately 300 - 950 mls of concentrated whole blood salvaged for reinfusion. The PT and INR were significantly lower in the post-processing product compared to the pre-processing samples while the aPTT times were not significantly different. All coagulation factors and natural anti-coagulants were significantly

  1. A systematic review of intensive cardiopulmonary management after spinal cord injury.

    Science.gov (United States)

    Casha, Steven; Christie, Sean

    2011-08-01

    Intensive cardiopulmonary management is frequently undertaken in patients with spinal cord injury (SCI), particularly due to the occurrence of neurogenic shock and ventilatory insufficiency and in an attempt to reduce secondary injury. We undertook a systematic review of the literature to examine the evidence that intensive care management improves outcome after SCI and to attempt to define key parameters for cardiopulmonary support/resuscitation. We review the literature in five areas: management of SCI patients in specialized centers, risk in SCI patients of cardiopulmonary complications, parameters for blood pressure and oxygenation/ventilation support following SCI, risk factors for cardiopulmonary insufficiency requiring ICU care after SCI, and preventative strategies to reduce the risks of cardiopulmonary complications in SCI patients. The literature supports that, in light of the significant incidence of cardiorespiratory complications, SCI patients should be managed in a monitored special care unit. There is weak evidence supporting the maintenance of MAP >85 mmHg for a period extending up to 1 week following SCI.

  2. Cardiopulmonary response to exercise and cardiac assessment in patients with turner syndrome.

    Science.gov (United States)

    Tancredi, Giancarlo; Versacci, Paolo; Pasquino, Anna Maria; Vittucci, Anna Chiara; Pucarelli, Ida; Cappa, Marco; Di Mambro, Corrado; Marino, Bruno

    2011-04-01

    Turner syndrome (TS) is a chromosomal disorder; however, little is known about the exercise tolerance of patients with this syndrome. The aim of the present study was to measure the maximal aerobic capacity and cardiac function using cardiopulmonary exercise testing and lung function tests and to evaluate the cardiac parameters using echocardiography in patients with TS and control subjects. A total of 50 women with TS (mean age 21.3 ± 8.5 years) and 56 age-matched controls (mean age 21.1 ± 3.7 years) were enrolled from the Pediatric Department of "Sapienza" University of Rome and underwent cardiopulmonary exercise testing, lung function testing, and echocardiography. The maximal oxygen uptake was lower in the patients with TS than in the controls (28.4 ± 4.0 vs 35.6 ± 6.2 ml/min/kg; p <0.0001). Also, the forced expiratory volume in 1 second, expressed as a percentage of the predicted value, was greater in the patients with TS than in the controls (116.2 ± 15.2% vs 102.8 ± 4.8%, p <0.0001). The patients with TS had a smaller left ventricle than did the controls. Tissue Doppler imaging revealed subclinical systolic and diastolic dysfunction in the left ventricle in those with TS but not in the controls. The left ventricular mass index was greater in the patients with TS than in the controls (38.6 ± 9.3 vs 27.2 ± 4.5 g/m(2.7), p <0.0001). In conclusion, the patients with TS had a lower maximal aerobic capacity and exercise tolerance than did the controls. The anatomic and functional cardiac aspects were peculiar to those with TS and might represent a specific cardiac phenotype.

  3. Identifiability of altimetry-based rating curve parameters in function of river morphological parameters

    Science.gov (United States)

    Paris, Adrien; André Garambois, Pierre; Calmant, Stéphane; Paiva, Rodrigo; Walter, Collischonn; Santos da Silva, Joecila; Medeiros Moreira, Daniel; Bonnet, Marie-Paule; Seyler, Frédérique; Monnier, Jérôme

    2016-04-01

    Estimating river discharge for ungauged river reaches from satellite measurements is not straightforward given the nonlinearity of flow behavior with respect to measurable and non measurable hydraulic parameters. As a matter of facts, current satellite datasets do not give access to key parameters such as river bed topography and roughness. A unique set of almost one thousand altimetry-based rating curves was built by fit of ENVISAT and Jason-2 water stages with discharges obtained from the MGB-IPH rainfall-runoff model in the Amazon basin. These rated discharges were successfully validated towards simulated discharges (Ens = 0.70) and in-situ discharges (Ens = 0.71) and are not mission-dependent. The rating curve writes Q = a(Z-Z0)b*sqrt(S), with Z the water surface elevation and S its slope gained from satellite altimetry, a and b power law coefficient and exponent and Z0 the river bed elevation such as Q(Z0) = 0. For several river reaches in the Amazon basin where ADCP measurements are available, the Z0 values are fairly well validated with a relative error lower than 10%. The present contribution aims at relating the identifiability and the physical meaning of a, b and Z0given various hydraulic and geomorphologic conditions. Synthetic river bathymetries sampling a wide range of rivers and inflow discharges are used to perform twin experiments. A shallow water model is run for generating synthetic satellite observations, and then rating curve parameters are determined for each river section thanks to a MCMC algorithm. Thanks to twin experiments, it is shown that rating curve formulation with water surface slope, i.e. closer from Manning equation form, improves parameter identifiability. The compensation between parameters is limited, especially for reaches with little water surface variability. Rating curve parameters are analyzed for riffle and pools for small to large rivers, different river slopes and cross section shapes. It is shown that the river bed

  4. 有氧运动对维持性血液透析患者生理功能、心肺耐力及生活质量的影响%Effects of aerobic exercise training on physical functioning, cardiopulmonary endurance and health related quality of life in maintenance hemodialysis patients

    Institute of Scientific and Technical Information of China (English)

    王欣欣; 宋桂芸; 宿志梅; 恽小平; 马迎春

    2012-01-01

    Objectives To explore the effect of the 12-week aerobic exercise on physiology function, cardiopulmonary endurance and health related life quality in maintenance hemodialysis (MHD) patients. Methods Fourteen patients from our hospital were enrolled in this study. We measured peak oxygen uptake (VO2peak), metabolic equivalents (METs) and stress test duration while taking treadmill exercise of Bruce Sport program, meanwhile, blood pressure and heart rate were recorded. Furthermore, the physical function was evaluated by the results of six-minute walking test (6MWT), cardiopulmonary endurance was measured by VO2peak, METs and stress test duration, and health related quality of life was evaluated by the Health-Related Short Form questionnaire (SF-36) recommended by Kidney Disease Outcomes Quality Initiative (K/ DOQI) clinical practice. Aerobic exercise was defined as treadmill exercise in inter-dialysis of moderate intensity that reaches 50%~80% VO2peak. The strategy of exercise was 30 minutes each time, three times per week for 12 weeks, which included 15 minutes warming-up before exercises and 5 minutes relaxing after exercises. We then evaluated the parameters after 12 weeks, and explored if there were statistical differences in these parameters before and after aerobic exercise training for 12 weeks. Results 6MWT slightly enhanced (Z =-1.132, P= 0.241), and VO2peak and stress test duration increased obviously (Z =-2.226, P =0.028 and Z=-2.701, P =0.007, respectively). MRTs was partially improvement but without statistical significance (Z = -1.632, P =0.103). The results of SF-36 improved significantly (Z =-2.701, P=0.007) after the 12-week exercise. Conclusion The 12-week exercise can partially improve physiological function, cardiopulmonary endurance and health related quality of life in M.HD patients.%目的 探讨12周有氧运动对维持性血液透析(maintenance hemodialysis,MHD)患者生理功能、心肺耐力、健康相关生活质量的影响.

  5. NLC Luminosity as a Function of Beam Parameters

    CERN Document Server

    Nosochkov, Yu M; Raubenheimer, T O; Seryi, Andrei

    2002-01-01

    Realistic calculation of NLC luminosity has been performed using particle tracking in DIMAD and beam-beam simulations in GUINEA-PIG code for various values of beam emittance, energy and beta functions at the Interaction Point (IP). Results of the simulations are compared with analytic luminosity calculations. The optimum range of IP beta functions for high luminosity was identified.

  6. Postoperative abdominal complications after cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Dong Guohua

    2012-10-01

    Full Text Available Abstract Background To summarize the diagnostic and therapeutic experiences on the patients who suffered abdominal complications after cardiovascular surgery with cardiopulmonary bypass(CPB. Methods A total of 2349 consecutive patients submitted to cardiovascular surgery with CPB in our hospital from Jan 2004 to Dec 2010 were involved. The clinical data of any abdominal complication, including its incidence, characters, relative risks, diagnostic measures, medical or surgical management and mortality, was retrospectively analyzed. Results Of all the patients, 33(1.4% developed abdominal complications postoperatively, including 11(33.3% cases of paralytic ileus, 9(27.3% of gastrointestinal haemorrhage, 2(6.1% of gastroduodenal ulcer perforation, 2(6.1% of acute calculus cholecystitis, 3(9.1% of acute acalculus cholecystitis, 4(12.1% of hepatic dysfunction and 2(6.1% of ischemia bowel diseases. Of the 33 patients, 26 (78.8% accepted medical treatment and 7 (21.2% underwent subsequent surgical intervention. There were 5(15.2% deaths in this series, which was significantly higher than the overall mortality (2.7%. Positive history of peptic ulcer, advanced ages, bad heart function, preoperative IABP support, prolonged CPB time, low cardiac output and prolonged mechanical ventilation are the risk factors of abdominal complications. Conclusions Abdominal complications after cardiovascular surgery with CPB have a low incidence but a higher mortality. Early detection and prompt appropriate intervention are essential for the outcome of the patients.

  7. Town planning parameters in the function of building energy efficiency

    Directory of Open Access Journals (Sweden)

    Bogdanović-Protić Ivana

    2015-01-01

    Full Text Available Energy efficient building is that consuming the least energy while providing comfort. The energy consumption of buildings, in general, as well as in Serbia, is among other things conditioned by the heating, cooling and lighting requirements with a goal of achieving of thermal and light comfort. Heating energy consumption is the result of heat loss and gain, and their values, in addition to other parameters, depend on town planning parameters. The paper focuses on the comparative analysis of impact of building different exposures to wind as well as on impact of the different prevailing orientations on energy efficiency of buildings. [Projekat Ministarstva nauke Republike Srbije, br. 36042: Optimizacija arhitektonskog i urbanističkog planiranja i projektovanja u funkciji održivog razvoja Srbije

  8. Effect of different forms of exercise on the cardiopulmonary function of female college students%不同运动形式对女大学生心肺功能的影响

    Institute of Scientific and Technical Information of China (English)

    车广伟

    2015-01-01

    为了分析不同形式有氧运动对女大学生心肺功能的影响,采用对照组、匀速组、完全恢复组和不完全恢复组对参加有氧运动的女大学生心肺功能进行测量研究.研究显示:经过16周不同形式有氧运动,匀速组、完全恢复组和不完全恢复组女大学生心肺功能都有所提升,其中匀速组和不完全恢复组的心率指标呈现显著性改变(P<0.05);肺活量(VC)、每分最大通气量(MVV)、用力肺活量(FVC)和第1秒用力呼气量(FEV1)各指标在运动前后也呈显著性改变(P<0.05);不完全恢复组各心肺功能指标的改变均优于其它组.说明有持续有规律的有氧健身运动对女大学生心肺功能的改变有积极意义,从三种运动形式对心肺功能的改变情况看:不完全恢复组最优,匀速组次之,完全恢复组较差.%In order to analyze the different forms of the effect of Aerobics on female college students'' heart and lung function, the control group, uniform group, complete recovery group and incomplete recovery group to participate in the exercise of female college students'' heart and lung function measurements were performed on. Study shows: after 16 weeks of different forms of aerobic exercise, uniform group, complete recovery group and incomplete recovery of heart and lung function of female college students have improved, the indexes of the uniform group and incomplete recovery group of heart rate index shows a significant change (P < 0. 05); vital capacity (VC), every maximal ventilatory volume (MVV), forced vital capacity (FVC) and one second forced expiratory volume (FEV1) before and after exercise was also significantly changed (P < 0.05); incomplete recovery group, heart and lung function index were higher than those of other groups. Continue to have regular aerobic exercise on female college students'' heart and lung function change has a positive meaning, from three forms of exercise on cardiopulmonary function changes

  9. 七氟醚对感染性休克大鼠全身炎性反应及心肺功能的影响%Effects of sevoflurane on systemic inflammatory response and cardiopulmonary function in septic shock rats

    Institute of Scientific and Technical Information of China (English)

    胡柳; 景亮

    2009-01-01

    目的 评价七氟醚对感染性休克大鼠全身炎性反应及心肺功能的影响.方法 清洁级SD大鼠32只,体重250~300 g,月龄8~10月,雌雄各半,随机分为4组(n=8):假手术组(S组)仅开腹,不行盲肠结扎穿孔(CLP);感染性休克组(CLP组)采用CLP法建立感染性休克模型;七氟醚I组(SEV1组)感染性休克后1 h时吸入2.4%七氟醚30 min;七氟醚Ⅱ组(SEV2组)感染性休克后3 h时吸入2.4%七氟醚30 min.于感染性休克后1、3、5 h时记录MAP和HR,并采集动脉血样1.5ml,取0.3 ml血样行血气分析,剩余1.2 ml血样检测血浆肿瘤坏死因子α(TNF-α)、白细胞介素1(IL-1)、丙二醛(MDA)及一氧化氮(NO)的浓度.于感染性休克后5 h时测定心功能,记录心脏左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)、左心室短轴缩短率(LVFS)和心输出量(CO).心功能测定后处死动物,取肺组织,计算肺湿干重比(W/D),测定伊文氏兰(EB)含量;取心、肺、肝、肾组织,检测NF-κB活性.结果 与s组比较,CLP组、SEV1组和SEV2组MAP降低,HR增快,LVEDD、LVESD、LVFS、CO、pH值、PaOz和PaCO2降低,肺W/D、EB含量、血浆TNF-α、IL-1、MDA和NO的浓度增加,心、肺、肝、肾组织的NF-κB活性升高(P0.05).结论 感染性休克后1 h大鼠吸入2.4%七氟醚30 min可抑制全身炎性反应,但抑制程度较低,不足以改善心肺功能.%Objective To investigate the effects of sevoflurane on the systemic inflammatory response and cardiopulmonary function in septic shock rats. Methods Thirty-two SD rats, 8-10 months old, weighing 250-300 g, were randomly divided into 4 groups (n = 8 each): sham operation group (group S), cecal ligation and puncture (CLP) induced septic shock group (group CLP) , sevoflurane I group (group SEV, ) and sevoflurane II group (group SEV,). The abdomen was opened but CLP was not performed in group S. The septic shock was induced by CLP as described by Baker et al. Group SEV, and SEV, inhaled 2

  10. Successful application of acute cardiopulmonary resuscitation

    Institute of Scientific and Technical Information of China (English)

    Derya ztrk; Erturul Altinbilek; Murat Koyuncu; Bedriye Mge Snmez; ilem altili; Ibrahim Ikzcel; Cemil Kavalci; Glsm Kavalci

    2015-01-01

    Objective: To compare the quality and correct the deficiencies of cardiopulmonary resuscitation (CPR) procedures performed in patients who developed cardiopulmonary cardiopulmonary arrest before or after Emergency Department admission. Methods: This study was conducted on patients who were applied CPR atŞŞişli Etfal Training and Research and Research Hospital, Emergency Department between 01 January 2012 and 31 December 2012. Chi-square and Mann-Whitney U test were used to compare the patients' data. The study data were analyzed in SPSS 18.0 software package. A P value less than 0.05 was considered statistically significant. Results: A total of 155 patients who were applied CPR were included in the analysis. Among the study patients, seventy eight (50.3%) were brought to Emergency Department after developing cardiopulmonary arrest while 77 (49.7%) developed cardiopulmonary arrest at Emergency Department. The mean age of the study population was (66 ± 16) years and 64%of the patients were male. The initial rhythms of the CPR-applied patients were different (P 0.05). The CPR response time was longer in ED (P Conclusions: The scientific data obtained in this study suggest that an early response and therapy improves outcomes in CPR procedure.

  11. A new four-parameter empirical potential energy function for diatomic molecules

    Indian Academy of Sciences (India)

    M Rafi; Reem Al-Tuwirqi; Hanaa Farhan; I A Khan

    2007-06-01

    A new empirical four-parameter function is proposed for the construction of potential curves of 15 stable states of diatomic molecules. The parameters are evaluated in terms of experimentally known spectroscopic constants. On comparing its performance with other functions, the proposed function is found to be simple and reliable for a wide range of molecules.

  12. Graft function and nutritional parameters in stable postrenal transplant patients.

    Science.gov (United States)

    Saxena, Anita; Sharma, R K; Gupta, Amit

    2016-03-01

    Bioelectrical impedance analysis (BIA) is a method for the assessment of nutritional status. We studied the effect of graft function on nutritional status in postrenal 45 transplant patients with borderline to good allograft function using BIA. The patients had a mean serum creatinine of 1.42 ± 0.42 mg% and mean glomerular filtration rate (GFR) of 45.1 ± 14.1 mL/min. Based on BIA-derived GFR, the patients were divided into two groups; group 1: borderline graft function GFR nutritional status compared with those in group 2. Based on phase angle, there were significant differences between group A (phase angle 4.0) in extracellular water (P nutritional status, but when compared with healthy individuals as assessed by BIA, there were significant differences in FM, FFM, and body cell mass. In conclusion, BIA was more sensitive to evaluate nutritional depletion than SGA in transplant patients with borderline.

  13. Cardiopulmonary Exercise Test: Background, Applicability and Interpretation.

    Science.gov (United States)

    Herdy, Artur Haddad; Ritt, Luiz Eduardo Fonteles; Stein, Ricardo; Araújo, Claudio Gil Soares de; Milani, Mauricio; Meneghelo, Romeu Sérgio; Ferraz, Almir Sérgio; Hossri, Carlos; Almeida, Antonio Eduardo Monteiro de; Fernandes-Silva, Miguel Morita; Serra, Salvador Manoel

    2016-11-01

    Cardiopulmonary exercise test (CPET) has been gaining importance as a method of functional assessment in Brazil and worldwide. In its most frequent applications, CPET consists in applying a gradually increasing intensity exercise until exhaustion or until the appearance of limiting symptoms and/or signs. The following parameters are measured: ventilation; oxygen consumption (VO2); carbon dioxide production (VCO2); and the other variables of conventional exercise testing. In addition, in specific situations, pulse oximetry and flow-volume loops during and after exertion are measured. The CPET provides joint data analysis that allows complete assessment of the cardiovascular, respiratory, muscular and metabolic systems during exertion, being considered gold standard for cardiorespiratory functional assessment.1-6 The CPET allows defining mechanisms related to low functional capacity that can cause symptoms, such as dyspnea, and correlate them with changes in the cardiovascular, pulmonary and skeletal muscle systems. Furthermore, it can be used to provide the prognostic assessment of patients with heart or lung diseases, and in the preoperative period, in addition to aiding in a more careful exercise prescription to healthy subjects, athletes and patients with heart or lung diseases. Similarly to CPET clinical use, its research also increases, with the publication of several scientific contributions from Brazilian researchers in high-impact journals. Therefore, this study aimed at providing a comprehensive review on the applicability of CPET to different clinical situations, in addition to serving as a practical guide for the interpretation of that test. Resumo O teste cardiopulmonar de exercício (TCPE) vem ganhando importância crescente como método de avaliação funcional tanto no Brasil quanto no Mundo. Nas suas aplicações mais frequentes, o teste consiste em submeter o indivíduo a um exercício de intensidade gradativamente crescente até a exaustão ou o

  14. 肺胀常见证候心肺功能特点%The characteristics of cardiopulmonary function in common syndrome types of traditional Chinese medicine lung distension disease

    Institute of Scientific and Technical Information of China (English)

    韦衮政; 王凤英; 潘承政; 钱锐; 陈必勤; 余群; 储丽英; 张馨予; 祁向荣; 欧阳丽

    2014-01-01

    目的:探讨肺胀常见证候之间心肺功能的变化特点。方法对符合诊断标准的临床收治肺胀阳虚水泛证、肺肾气虚证、痰热郁肺证患者分别进行心、肺功能评价、心脏超声检查、肺功能测定等,并统计各组之间的差异性。结果肺胀阳虚水泛证、肺肾气虚证、痰热郁肺证左心室射血分数、肺功能检查的用力肺活量(forced vital capacity,FVC)、一秒用力呼气容积(forced expiratory volume in one second,FEV1)、FEV1/FVC比较无显著性差异(P>0.05);阳虚水泛证与肺肾气虚证之间心功能分级、肺功能分级比较无显著性差异(P>0.05);肺肾气虚证与痰热郁肺证患者证候之间的心功能分级、肺功能分级比较无显著性差异(P>0.05);痰热郁肺证与阳虚水泛证之间肺动脉压水平比较无显著性差异(P>0.05)。痰热郁肺证与阳虚水泛证患者心功能分级、肺功能分级比较有显著性差异(P<0.05);阳虚水泛证与肺肾气虚证之间肺动脉压比较以及肺肾气虚证与痰热郁肺证之间肺动脉压比较有显著性差异(P<0.05)。结论肺胀阳虚水泛证的心功能分级、肺功能分级处于较低水平,痰热郁肺证的心功能、肺功能水平相对较好,肺肾气虚证的肺动脉压相对较低。%Objective To discuss the changes of cardiopulmonary function characteristics between the common syndrome types of lung distension disease. Methods According to the diagnostic standard of clinical admitted lung distension syndrome due to syndrome of water diffusion due to deficiency of yang, lung and kidney qi deficiency syndrome,phlegm-heat obstructing lung syndrome were treated with cardiac function,pulmonary function evaluation,cardiac ultrasound examination,pulmonary function test,and sta-tistical the difference between groups. Results No significant difference is found in Left ventricular ejec-tion fraction

  15. 21 CFR 868.6175 - Cardiopulmonary emergency cart.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary emergency cart. 868.6175 Section... (CONTINUED) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Miscellaneous § 868.6175 Cardiopulmonary emergency cart. (a) Identification. A cardiopulmonary emergency cart is a device intended to store and...

  16. Teamwork and leadership in cardiopulmonary resuscitation.

    Science.gov (United States)

    Hunziker, Sabina; Johansson, Anna C; Tschan, Franziska; Semmer, Norbert K; Rock, Laura; Howell, Michael D; Marsch, Stephan

    2011-06-14

    Despite substantial efforts to make cardiopulmonary resuscitation (CPR) algorithms known to healthcare workers, the outcome of CPR has remained poor during the past decades. Resuscitation teams often deviate from algorithms of CPR. Emerging evidence suggests that in addition to technical skills of individual rescuers, human factors such as teamwork and leadership affect adherence to algorithms and hence the outcome of CPR. This review describes the state of the science linking team interactions to the performance of CPR. Because logistical barriers make controlled measurement of team interaction in the earliest moments of real-life resuscitations challenging, our review focuses mainly on high-fidelity human simulator studies. This technique allows in-depth investigation of complex human interactions using precise and reproducible methods. It also removes variability in the clinical parameters of resuscitation, thus letting researchers study human factors and team interactions without confounding by clinical variability from resuscitation to resuscitation. Research has shown that a prolonged process of team building and poor leadership behavior are associated with significant shortcomings in CPR. Teamwork and leadership training have been shown to improve subsequent team performance during resuscitation and have recently been included in guidelines for advanced life support courses. We propose that further studies on the effects of team interactions on performance of complex medical emergency interventions such as resuscitation are needed. Future efforts to better understand the influence of team factors (e.g., team member status, team hierarchy, handling of human errors), individual factors (e.g., sex differences, perceived stress), and external factors (e.g., equipment, algorithms, institutional characteristics) on team performance in resuscitation situations are critical to improve CPR performance and medical outcomes of patients.

  17. Correlation analysis between pulmonary function test parameters and CT image parameters of emphysema

    Science.gov (United States)

    Liu, Cheng-Pei; Li, Chia-Chen; Yu, Chong-Jen; Chang, Yeun-Chung; Wang, Cheng-Yi; Yu, Wen-Kuang; Chen, Chung-Ming

    2016-03-01

    Conventionally, diagnosis and severity classification of Chronic Obstructive Pulmonary Disease (COPD) are usually based on the pulmonary function tests (PFTs). To reduce the need of PFT for the diagnosis of COPD, this paper proposes a correlation model between the lung CT images and the crucial index of the PFT, FEV1/FVC, a severity index of COPD distinguishing a normal subject from a COPD patient. A new lung CT image index, Mirage Index (MI), has been developed to describe the severity of COPD primarily with emphysema disease. Unlike conventional Pixel Index (PI) which takes into account all voxels with HU values less than -950, the proposed approach modeled these voxels by different sizes of bullae balls and defines MI as a weighted sum of the percentages of the bullae balls of different size classes and locations in a lung. For evaluation of the efficacy of the proposed model, 45 emphysema subjects of different severity were involved in this study. In comparison with the conventional index, PI, the correlation between MI and FEV1/FVC is -0.75+/-0.08, which substantially outperforms the correlation between PI and FEV1/FVC, i.e., -0.63+/-0.11. Moreover, we have shown that the emphysematous lesion areas constituted by small bullae balls are basically irrelevant to FEV1/FVC. The statistical analysis and special case study results show that MI can offer better assessment in different analyses.

  18. 体外循环行肺动脉灌注液对术后肺功能的保护%Protection of Postoperative Lung Function by Cardiopulmonary Bypass Pulmonary Artery Perfusion Fluid

    Institute of Scientific and Technical Information of China (English)

    赵宇; 康忠奎

    2012-01-01

    Objective To study the protective effect of cardiopulmonary bypass (CPB) pulmonary perfusion on postoperative lung function. Methods Thirty patients receiving purely artificial mitral valve replacement surgery with CPB between January 2007 and April 2011 were randomly divided into the lung protection group and the control group with 15 patients in each. For patients in the lung protection group, pulmonary artery perfusion with hypothermic protective solution during the CPB period was performed, while patients in the control group received no protective solution. Then, we monitored respiratory index (RJ), oxygenation index (01), IL-6, and TNF-a after induction of anesthesia, 10 minutes after aortic cross-clamping, and 10 minutes, 2 hours, 12 hours, and 24 hours after aortic opening, and preoperative and postoperative pulmonary artery pressure (PAPm), static lung compliance (CLS), and airway resistance (AR). Furthermore, we compared the ICU caring time, postoperative ventilation time, hospital stay and the presence of postoperative complications between the two groups. Results IL-6, TNF-a, RJ, OI, PAPm, AR, and CLS between the two group of patients had significant differences (P 0.05). Conclusion Pulmonary arterial perfusion during CPB has a protective effect on postoperative pulmonary function.%目的 探讨体外循环(CPB)期间行肺动脉灌注液对术后肺功能的保护作用.方法 2007年1月-2011年4月30例在CPB下行单纯二尖瓣人工机械瓣置换术患者,随机分成肺保护组和对照组各15例,肺保护组患者CPB期间经肺动脉灌注低温肺保护液,对照组患者CPB期间未经肺动脉灌注低温肺保护液.监测两组患者在麻醉诱导后、阻断主动脉10 mm及开放主动脉10 min,2、12、24 h各时间点的呼吸指数(RI)、氧合指数(OI)、白介素6 (IL-6)、肿瘤坏死因子α(TNF-α)及术前、术后肺动脉压力(PAPm)、静态肺顺应性(CLS)、气道阻力(AR)变化,并比较术后ICU监护时间、术

  19. Effect of enteral nutrition on cardio-pulmonary function and immunity function in elderly patients with AE-COPD complicated with respiratory failure%肠内营养支持对老年慢阻肺急性加重期合并呼吸衰竭患者心肺功能及免疫功能的影响

    Institute of Scientific and Technical Information of China (English)

    彭顺刚; 卢建刚; 曾秋蓉; 余灿; 刘仁海; 刘洪; 刘晓春

    2016-01-01

    Objective To investigate the effect of enteral nutrition on cardio-pulmonary function and immu-nity function in elderly patients with AECOPD complicated with respiratory failure who had received non-invasive pos-itive pressure ventilation ( NIPPV) . Methods 127 elderly patients with AECOPD and respiratory failure who had received NIPPV were randomly divided into the enteral nutrition group (n=68) and the control group (n=59, regu-lar diet) . All patients were given antibiotics and other symptomatic treatment, and nutritional support treatment peri-od was two weeks. Results After the treatment, the nutrition indicators were significantly higher in the treatment group than in the control group (P<0. 05), and the cardio-pulmonary and immunity function in the enteral nutrition group were better than in the control group (P<0. 05). After the treatment, the levels of hs-CRP and TNF-αpresen-ted earlier downward trend in the treatment group while compared with those in the control group (P<0. 05). Con-clusion The enteral nutrition combined with conventional treatment can improve the nutrition status, cardio-pulmo-nary function and immunity function in elderly patients with AECOPD complicated with respiratory failure.%目的:探讨肠内营养支持对老年慢性阻塞性肺疾病急性加重期( AECOPD)并呼吸衰竭患者的心肺功能及营养免疫状况等的影响。方法127例机械通气AECOPD并呼吸衰竭的老年患者随机分为两组,肠内营养组68例和对照组59例(常规饮食),两组患者均给予抗感染、相关对症治疗,营养支持治疗期为2周。结果肠内营养组治疗后,营养指标较治疗前及对照组明显提高(P<0.05)。肠内营养组治疗后心肺功能及免疫功能指标均较治疗前及对照组显著改善,hs-CRP和TNF-α等炎症指标提前降低(P<0.05)。结论老年AECOPD合并呼吸衰竭患者,在常规治疗的同时给予早期肠内营养治疗,可以改善患者营养状况、心肺功能、免疫功能。

  20. A Note on the Item Information Function of the Four-Parameter Logistic Model

    Science.gov (United States)

    Magis, David

    2013-01-01

    This article focuses on four-parameter logistic (4PL) model as an extension of the usual three-parameter logistic (3PL) model with an upper asymptote possibly different from 1. For a given item with fixed item parameters, Lord derived the value of the latent ability level that maximizes the item information function under the 3PL model. The…

  1. Progress of cardiopulmonary exercise testing%心肺运动试验研究进展

    Institute of Scientific and Technical Information of China (English)

    蔡永前; 苏建奎; 桂星雨; 王芳利; 李建国; 王二鹏

    2015-01-01

    Cardiopulmonary exercise testing (CPET) provides a global assessment of the integrative exercise responses involving the pulmonary and cardiovascular systems by testing the gas exchange in airway. CPET is commonly used to evaluate the presence and severity of coronary ischemia, as well as exertional symptoms, heart rate and blood pressure responses and estimated aerobic capacity. CPET has become an important global clinical detection tool, while fewer related researches are carried out in China. The parameters, methods, exercise protocol, equipment, cardiopulmonary function evaluation and clinical application of CPET are introduced in this review.%心肺运动试验(CPET)是在一定运动负荷下,通过检测代谢与生理指标反映心、肺储备能力以及2者的协调性,进而同步、整体评估运动状态下呼吸系统、心血管系统、神经系统、骨骼肌肉系统等多器官、系统的功能。 CPET综合各种工程及医学技术,具有相对无创、客观定量等优点,目前已成为国际上用于评价心肺储备能力和心肺协调性水平的普遍且重要的临床检测手段,但我国的相关研究较少。从测量参数、试验方法、运动方案、试验设备、评价指标及临床应用等方面对CPET作一综述。

  2. A novel rat model of cardiopulmonary bypass for deep hypothermic circulatory arrest without blood priming

    Institute of Scientific and Technical Information of China (English)

    Zhang Weihua; Zhang Yanbo; Liu Donghai; Zhu Yaobin; Qiao Chenhui; Wang Jiaxiang; Xu Yulin

    2014-01-01

    Background Large animal cardiopulmonary bypass (CPB) models are expensive,and prevent assessment of neurocognitive function,and difficulties with long-term recovery.The purpose of this study was to establish a novel rat model of cardiopulmonary bypass for deep hypothermic circulatory arrest without blood priming.Methods Twenty adult male Sprague-Dawley rats weighing 450-560 g were randomized to CPB with deep hypothermic circulatory arrest (DHCA) and control groups,with 10 rats each.The experimental protocols,including blood and crystalloid fluid administration,anesthesia,orotracheal intubation,ventilation,cannulation,and heparinization were identical in both groups.After inducing cardiac arrest,the circuit was turned off and rats were left in a DHCA state for 15 minutes.Rats were rewarmed to 34℃ to 35℃ over a period of 36 to 42 minutes using CPB-assisted rewarming,a heating blanket,and a heating lamp along with administration of 0.1 mEq of sodium bicarbonate and 0.14 mEq of calcium chloride.The remaining priming volume was reinfused and animals were weaned from CPB.Results All CPB with DHCA processes were successfully achieved.Blood gas analysis and hemodynamic parameters were in the normal range.The vital signs of all rats were stable.Conclusions Our CPB circuit has several novel features,including a small priming volume,active cooling/rewarming processes,vacuum-assisted venous drainage,peripheral cannulation without thoracotomy or stemotomy,and an accurate means of monitoring peripheral tissue oxygenation.

  3. Gravity and Development of Cardiopulmonary Reflex

    Science.gov (United States)

    Nagaoka, Shunji; Eno, Yuko; Ohira, Yoshinobu

    Cardio-pulmonary reflex, which our cardiac activity is synchronized to the respiration by autonomic nervous system regulation, is called as "respiratory sinus arrhythmia" and commonly found in adult. The physiological function of the espiratory sinus arrhythmia is considered to maximize the gas exchange during respiration cycle. This respiration induced heart rate variability (RHRV) is only found in mammals and avian showing a remarkable postnatal development, whereas no RHRV in aquatic species such as fish or amphibian. To elucidate our hypothesis that gravity exposure may plays a key role in the postnatal development of RHRV as well as its evolutional origin in these ground animals, we have studied effects of hypergravity (2G) on the postnatal development of RHRV using rat. Pregnant Wister rats were kept in centrifugal cages system for 38 days from 6th days of pregnant mother to have neonates until 23 days old. Electrocardiograph was recorded from the neonates in 2 to 23 days old in 2G group with simultaneous control (1G) group. The RHRV analysis was performed by calculating a component of Fourier power spectral coincide with the respiration frequency. In both groups, averaged resting heart rate gradually increase from 2 to 23 days old. When comparing the heart rate between the two groups, the 2G group indicated significantly lower (240± 8 bpm) than 1G control (326±21 bpm, p¡0.001) in 2 days old, where as no significance in 23 days old. The RHRV of 2 days old neonates in both groups indicated very small magnitude but significantly lower in 2G group than 1G control (p¡0.01). The RHRV gradually increase during the first 2 weeks and then rapid increased to reached 45 fold of magnitude in 1G control, whereas 69 fold in 2G group. The results strongly suggested that the postnatal innervation from respiration to cardiovascular centers was gravity dependent.

  4. A One-parameter Filled Function Method for Nonlinear Integer Programming

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    This paper gives a new definition of the filled function for nonlinear integer programming problem. A filled function satisfying our definition is presented. This function contains only one parameter. The properties of the proposed filled function and the method using this filled function to solve nonlinear integer programming problem are also discussed. Numerical results indicate the efficiency and reliability of the proposed filled function algorithm.

  5. One-parameter quasi-filled function algorithm for nonlinear integer programming

    Institute of Scientific and Technical Information of China (English)

    SHANG You-lin; HAN Bo-shun

    2005-01-01

    A definition of the quasi-filled function for nonlinear integer programming problem is given in this paper. A quasi-filled function satisfying our definition is presented. This function contains only one parameter. The properties of the proposed quasi-filled function and the method using this quasi-filled function to solve nonlinear integer programming problem are also discussed in this paper. Numerical results indicated the efficiency and reliability of the proposed quasi-filled function algorithm.

  6. Physiological consequences : Cardiopulmonary, vestibular, and sensory aspects

    NARCIS (Netherlands)

    Welsch, H.; Albery, W.; Banks, R.D.; Bles, W.

    2000-01-01

    Discussing the physiological consequences of enhanced fighter manoeuvrability (EFM), aspects of cardiopulmonary reactions will be seen during high G manoeuvres, especially the combination of negative G-load followed by high G-onset manoeuvres ("push-pull"). The aircraft's capability to reach high al

  7. Acute posthypoxic myoclonus after cardiopulmonary resuscitation

    NARCIS (Netherlands)

    Bouwes, Aline; van Poppelen, Daniel; Koelman, Johannes H. T. M.; Kuiper, Michael A.; Zandstra, Durk F.; Weinstein, Henry C.; Tromp, Selma C.; Zandbergen, Eveline G. J.; Tijssen, Marina A. J.; Horn, Janneke

    2012-01-01

    Background: Acute posthypoxic myoclonus (PHM) can occur in patients admitted after cardiopulmonary resuscitation (CPR) and is considered to have a poor prognosis. The origin can be cortical and/or subcortical and this might be an important determinant for treatment options and prognosis. The aim of

  8. Intramedullary nailing of femoral shaft fractures in polytraumatized patients. a longitudinal, prospective and observational study of the procedure-related impact on cardiopulmonary- and inflammatory responses

    Directory of Open Access Journals (Sweden)

    Husebye Elisabeth E

    2012-01-01

    Full Text Available Abstract Background Early intramedullary nailing (IMN of long bone fractures in severely injured patients has been evaluated as beneficial, but has also been associated with increased inflammation, multi organ failure (MOF and morbidity. This study was initiated to evaluate the impact of primary femoral IMN on coagulation-, fibrinolysis-, inflammatory- and cardiopulmonary responses in polytraumatized patients. Methods Twelve adult polytraumatized patients with femoral shaft fractures were included. Serial blood samples were collected to evaluate coagulation-, fibrinolytic-, and cytokine activation in arterial blood. A flow-directed pulmonary artery (PA catheter was inserted prior to IMN. Cardiopulmonary function parameters were recorded peri- and postoperatively. The clinical course of the patients and complications were monitored and recorded daily. Results Mean Injury Severity Score (ISS was 31 ± 2.6. No procedure-related effect of the primary IMN on coagulation- and fibrinolysis activation was evident. Tumor necrosis factor alpha (TNF-α increased significantly from 6 hours post procedure to peak levels on the third postoperative day. Interleukin-6 (IL-6 increased from the first to the third postoperative day. Interleukin-10 (IL-10 peaked on the first postoperative day. A procedure-related transient hemodynamic response was observed on indexed pulmonary vascular resistance (PVRI two hours post procedure. 11/12 patients developed systemic inflammatory response syndrome (SIRS, 7/12 pneumonia, 3/12 acute lung injury (ALI, 3/12 adult respiratory distress syndrome (ARDS, 3/12 sepsis, 0/12 wound infection. Conclusion In the polytraumatized patients with femoral shaft fractures operated with primary IMN we observed a substantial response related to the initial trauma. We could not demonstrate any major additional IMN-related impact on the inflammatory responses or on the cardiopulmonary function parameters. These results have to be interpreted

  9. Median sternotomy for double lung transplantation with cardiopulmonary bypass in seven consecutive patients

    DEFF Research Database (Denmark)

    Kohno, Mitsutomo; Steinbrüchel, Daniel A

    2012-01-01

    We describe our technique of using median sternotomy to perform double lung transplantations with cardiopulmonary bypass. By sparing the respiratory muscles, median sternotomy is probably less invasive and preserves lung function. Furthermore, it causes less long-term discomfort than intercostal...

  10. Effects of resistance exercise on cardiopulmonary factors in sedentary individuals.

    Science.gov (United States)

    Janyacharoen, Taweesak; Thayon, Methiya; Bushong, Wanwisa; Jaikla, Nussamol; Sawanyawisuth, Kittisak

    2016-01-01

    [Purpose] This study investigated the effects of resistance exercise on cardiopulmonary functions in young sedentary subjects. [Subjects] Forty-two young and healthy subjects with a sedentary lifestyle were included in this study. [Methods] The subjects were randomly divided into 2 groups: control and experimental. The control group (n=21) received health education and continued with normal activities of daily living. The experimental group (n=21) underwent resistance training, health education, and continued with normal activities of daily living. The resistance exercise program consisted of 3 postural exercises: chest press, dumbbell pullover, and flat-bench dumbbell fly. The subjects received this intervention 3 times/week for 8 weeks. [Results] The baseline characteristics were comparable between the 2 groups. The 6-minute-walk test score, peak expiratory flow, forced vital capacity, forced expiratory volume in 1 second, maximal voluntary ventilation, and chest expansions were significantly improved post-intervention in the experimental group and between the 2 groups. [Conclusion] Cardiopulmonary functions in young sedentary subjects were significantly improved with the 8-week resistance exercise program.

  11. Incorporating Soil Hydraulic Parameter Statistics in Developing Pedo-transfer Functions

    Science.gov (United States)

    Zhao, Y.; Zhu, J.; Ye, M.; Meyer, P. D.; Pan, F.; Hassan, A. E.

    2007-12-01

    In this study, we develop artificial neural network (ANN) based pedotransfer functions (PTFs) to predict soil hydraulic properties. The PTF approach is an efficient way of translating less costly available data, such as particle-size distributions, soil textures and other geophysical measurements, to soil hydraulic parameters required for numerical simulations and other applications. The ANN PTFs need to be trained before being used to transfer indirect measurements to soil hydraulic parameters. The traditional training process, in general, is to adjust ANN's coefficients to solely minimize the difference between the estimated and measured soil hydraulic parameters. The training process, however, did not consider the distributions of soil hydraulic parameters and the trained neural networks may yield improper distributions, which may severely affect probabilistic predictions. We incorporate the distributions of the soil hydraulic parameters into the ANN PTF development. In addition, it has been observed that PTFs can introduce unrealistic correlations between the output parameters. The unwanted artificial correlations need to be penalized during the training process, since it is well known that parameter correlations have significant effect on predictions. We achieve these two goals by adding two regularization terms to the ANN objective functions. A suite of new neural network models are developed to estimate soil hydraulic parameters. These neural network models have the same input and output variables, but different objective functions, which incorporate sequentially the site soil hydraulic parameter measurements, parameter probability distributions, and parameter correlations.

  12. Application of the Marquardt least-squares method to the estimation of pulse function parameters

    Science.gov (United States)

    Lundengârd, Karl; Rančić, Milica; Javor, Vesna; Silvestrov, Sergei

    2014-12-01

    Application of the Marquardt least-squares method (MLSM) to the estimation of non-linear parameters of functions used for representing various lightning current waveshapes is presented in this paper. Parameters are determined for the Pulse, Heidler's and DEXP function representing the first positive, first and subsequent negative stroke currents as given in IEC 62305-1 Standard Ed.2, and also for some other fast- and slow-decaying lightning current waveshapes. The results prove the ability of the MLSM to be used for the estimation of parameters of the functions important in lightning discharge modeling.

  13. Analysis and prediction of the alpha-function parameters used in cubic equations of state

    DEFF Research Database (Denmark)

    Privata, Romain; Viscontea, Maxime; Zazoua-Khames, Anis

    2015-01-01

    The performance of two generalized alpha functions (Soave and generalized Twu functions requiring the acentric factor as input parameter) and two parameterizable alpha functions (Mathias-Copeman and Twu) incorporated in cubic equations of state (Redlich-Kwong and Peng-Robinson) are evaluated...

  14. Morphologic,mechanical and functional sonographic parameters of arteries in autosomal dominant polycystic kidney disease

    Institute of Scientific and Technical Information of China (English)

    戎殳

    2006-01-01

    Objective To investigate whether the risk factors of cardiovascular disease exist in early stage of ADPKD patients with normal renal function. Methods Morphologic , mechanical and functional sonographic parameters of arteries were examined by high-frequency ultrasonography in 32 hypertensive and 28 normotensive ADPKD patients with preserved renal function, 25 patients with es-

  15. A Comparison of Mantel-Haenszel Differential Item Functioning Parameters. LSAC Research Report Series.

    Science.gov (United States)

    Schnipke, Deborah L.; Roussos, Louis A.; Pashley, Peter J.

    Differential item functioning (DIF) analyses are conducted to investigate how items function in various subgroups. The Mantel-Haenszel (MH) DIF statistic is used at the Law School Admission Council and other testing companies. When item functioning can be well-described in terms of a one- or two-parameter logistic item response theory (IRT) model…

  16. Magnetic resonance imaging derived left ventricular global and region function parameters in healthy adults

    Institute of Scientific and Technical Information of China (English)

    穆莉莎

    2014-01-01

    Objective To establish cardiac magnetic resonance imaging(MRI)derived left ventricular(LV)global and region function parameters in normal adults.Methods Twenty normal adults were examined with fast imaging employing steady-state(Fiesta)acquisition sequence of cardiac MRI,LV global function and LV region function were measured at basal,middle,apical level and at 16

  17. History of the evolution of cardiopulmonary resuscitation

    Directory of Open Access Journals (Sweden)

    George Karlis

    2013-04-01

    Full Text Available Cardiopulmonary resuscitation (CPR is as old as humankind. The evolution of CPR represents a combination of human errors and discoveries. Aim: The present study reviews the most important moments in the history of resuscitation, from the first attempts of CPR until now. Methods: The methodology followed included bibliography research from review literature, through databases PubMed, Medline, Scopus, with the use of keywords, such as cardiopulmonary arrest, cardiopulmonary resuscitation, history, evolution and combinations of them. Complementary bibliography was found through the library of the National and Kapodistrian University of Athens. Results: The first historical references on CPR go back to the era of Ancient Egypt (3100 B.C.. Although the technique for mouth to mouth ventilation was known in ancient times, its efficacy was demonstrated just in 1958. The ease and efficacy of chest compressions were demonstrated in 1960. Electrical defibrillation may have begun in 1775, but it was applied to a victim of cardiac arrest in the 1950s. Conclusion: CPR is currently a rapidly evolving field of medical science. According to latest data, there is evidence that high quality chest compressions, prompt defibrillation if applicable and treatment of reversible causes improve Cardiopulmonary resuscitation (CPR is as old as humankind. The evolution of CPR represents a combination of human errors and discoveries. Aim: The present study reviews the most important moments in the history of resuscitation, from the first attempts of CPR until now. Methods: The methodology followed included bibliography research from review literature, through databases PubMed, Medline, Scopus, with the use of keywords, such as cardiopulmonary arrest, cardiopulmonary resuscitation, history, evolution and combinations of them. Complementary bibliography was found through the library of the National and Kapodistrian University of Athens. Results: The first historical references

  18. Parameter selection of support vector machine for function approximation based on chaos optimization

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    The support vector machine (SVM) is a novel machine learning method,which has the ability to approximate nonlinear functions with arbitrary accuracy.Setting parameters well is very crucial for SVM learning results and generalization ability,and now there is no systematic,general method for parameter selection.In this article,the SVM parameter selection for function approximation is regarded as a compound optimization problem and a mutative scale chaos optimization algorithm is employed to search for optimal parameter values.The chaos optimization algorithm is an effective way for global optimal and the mutative scale chaos algorithm could improve the search efficiency and accuracy.Several simulation examples show the sensitivity of the SVM parameters and demonstrate the superiority of this proposed method for nonlinear function approximation.

  19. Effect of α-lipoic acid on cognitive function after cardiopulmonary bypass in diabetic rats%α-硫辛酸对糖尿病大鼠体外循环后认知功能的影响

    Institute of Scientific and Technical Information of China (English)

    尹光明; 姚尚龙; 舒化青

    2012-01-01

    Objective To evaluate the effect of α-lipoic acid on the cognitive function after cardiopulmonary bypass (CPB) in diabetic rats.Methods Health adult male Sprague-Dawley rats,weighing 400-500 g,aged 16-22 weeks,were used in this study.Diabetes mellitus was induced by intraperitoneal streptozocin 60 mg/kg and confirmed by blood glucose≥ 16.7 mmol/L.Thirty-two diabetic rats were randomly divided into 2 groups (n =16 each):diabetes mellitus group (group D) and α-lipoi cacid group (group L).In group L,α-lipoic acid 30 mg/kg was intraperitoneally injected once a day for 7 consecutive days starting from 6th week after induction of diabetes mellitus.While the equal volume of normal saline was given instead in group D.The two groups underwent CPB after the last administration.Before induction of diabetes mellitus,on 5th week after induction of diabetes mellitus,before CPB,at the end of CPB,and on 3 and 5 days after termination of CPB,10 rats were chosen from each group and venous blood samples were collected for determination of plasma TNF-α and IL-10 concentrations.Ten rats in each group were chosen for detection of cognitive function before induction of diabetes mellitus,before CPB and 5 days after termination of CPB.The rats were then sacrificed and hippocampi were isolated for measurement of NF-κB activity.Results Compare with group D,the plasma TNF-α concentration,times of electric shock and activity of NF-κB in hippocampal tissues were significantly decreased and the plasma IL-10 concentration was increased in group L (P < 0.05 or 0.01).Conclusion α-lipoic acid can improve the cognitive function after CPB in diabetic rats and inhibition of activation of NF-κB in hippocampal neurons is involved in the mechanism.%目的 评价α-硫辛酸对糖尿病大鼠体外循环(CPB)后认知功能的影响.方法 成年雄性SD大鼠,体重400~ 450 g,16 ~ 22周龄,腹腔注射1%链脲佐菌素60 mg/kg建立糖尿病模型.取糖尿

  20. The Direction Function of Materialistic Dialectics for Cardiopulmonary Resuscitation in Prehospital Emergency%唯物辩证法在院前心肺复苏实践中的指导作用

    Institute of Scientific and Technical Information of China (English)

    郑进

    2011-01-01

    According to the viewpoint of materialistic dialectics , this paper analyzed some contradictory problem of Cardiopulmonary resuscitation in pre-hospital emergency, and proposed some ideas to resolve this problem too. It benefits for professional and nonprofessional rescuer in pre-hospital emergency care.%在院前心肺复苏实践中,我们会遇到很多矛盾的问题.本文从唯物辩证法的角度出发,分析了院前心肺复苏中一些比较棘手的问题,并为解决这些问题提出建议,对从事院前急救的医学专业人士以及非医学专业人士均具有一定的启发意义.

  1. Association of growth and nutritional parameters with pulmonary function in cystic fibrosis: a literature review

    Science.gov (United States)

    Mauch, Renan Marrichi; Kmit, Arthur Henrique Pezzo; Marson, Fernando Augusto de Lima; Levy, Carlos Emilio; Barros-Filho, Antonio de Azevedo; Ribeiro, José Dirceu

    2016-01-01

    Abstract Objective: To review the literature addressing the relationship of growth and nutritional parameters with pulmonary function in pediatric patients with cystic fibrosis. Data source: A collection of articles published in the last 15 years in English, Portuguese and Spanish was made by research in electronic databases - PubMed, Cochrane, Medline, Lilacs and Scielo - using the keywords cystic fibrosis, growth, nutrition, pulmonary function in varied combinations. Articles that addressed the long term association of growth and nutritional parameters, with an emphasis on growth, with pulmonary disease in cystic fibrosis, were included, and we excluded those that addressing only the relationship between nutritional parameters and cystic fibrosis and those in which the aim was to describe the disease. Data synthesis: Seven studies were included, with a total of 12,455 patients. Six studies reported relationship between growth parameters and lung function, including one study addressing the association of growth parameters, solely, with lung function, and all the seven studies reported relationship between nutritional parameters and lung function. Conclusions: The review suggests that the severity of the lung disease, determined by spirometry, is associated with body growth and nutritional status in cystic fibrosis. Thus, the intervention in these parameters can lead to the better prognosis and life expectancy for cystic fibrosis patients. PMID:27181343

  2. Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment

    OpenAIRE

    Sierpinska, Teresa; Kuc, Joanna; Golebiewska, Maria

    2013-01-01

    Advanced tooth wear often results in lost vertical dimension and impacts facial aesthetics. Complex restorative treatment can replace the lost tooth structure and improve functional occlusal and facial skeleton parameters. Purpose: The aim of the study is to assess changes in the morphological and functional occlusal parameters of the facial skeleton after prosthetic rehabilitation that increased lost occlusal vertical dimension. Material and Methodology: 50 patients with advanced tooth wear ...

  3. Function Projective Synchronization in Discrete-Time Chaotic System with Uncertain Parameters

    Institute of Scientific and Technical Information of China (English)

    CHEN Yong; LI Xin

    2009-01-01

    The function projective synchronization of discrete-time chaotic systems is presented. Based on backstep-ping design with three controllers, a systematic, concrete and automatic scheme is developed to investigate function projective synchronization (FPS) of discrete-time chaotic systems with uncertain parameters. With the aid of symbolic-numeric computation, we use the proposed scheme to illustrate FPS between two identical 3D Henon-like maps with uncertain parameters. Numeric simulations are used to verify the effectiveness of our scheme.

  4. Emergent cardiopulmonary bypass during pectus excavatum repair

    Directory of Open Access Journals (Sweden)

    Ryan Craner

    2013-01-01

    Full Text Available Pectus excavatum is a chest wall deformity that produces significant cardiopulmonary disability and is typically seen in younger patients. Minimally invasive repair of pectus excavatum or Nuss procedure has become a widely accepted technique for adult and pediatric patients. Although it is carried out through a thoracoscopic approach, the procedure is associated with a number of potential intraoperative and post-operative complications. We present a case of cardiac perforation requiring emergent cardiopulmonary bypass in a 29-year-old male with Marfan syndrome and previous mitral valve repair undergoing a Nuss procedure for pectus excavatum. This case illustrates the importance of vigilance and preparation by the surgeons, anesthesia providers as well as the institution to be prepared with resources to handle the possible complications. This includes available cardiac surgical backup, perfusionist support and adequate blood product availability.

  5. SCAN-based hybrid and double-hybrid density functionals from models without fitted parameters

    OpenAIRE

    Hui, Kerwin; Chai, Jeng-Da

    2015-01-01

    By incorporating the nonempirical SCAN semilocal density functional [Sun, Ruzsinszky, and Perdew, Phys. Rev. Lett. 115, 036402 (2015)] in the underlying expression of four existing hybrid and double-hybrid models, we propose one hybrid (SCAN0) and three double-hybrid (SCAN0-DH, SCAN-QIDH, and SCAN0-2) density functionals, which are free from any fitted parameters. The SCAN-based double-hybrid functionals consistently outperform their parent SCAN semilocal functional for self-interaction probl...

  6. [Clinical relevance of cardiopulmonary reflexes in anesthesiology].

    Science.gov (United States)

    Guerri-Guttenberg, R A; Siaba-Serrate, F; Cacheiro, F J

    2013-10-01

    The baroreflex, chemoreflex, pulmonary reflexes, Bezold-Jarisch and Bainbridge reflexes and their interaction with local mechanisms, are a demonstration of the richness of cardiovascular responses that occur in human beings. As well as these, the anesthesiologist must contend with other variables that interact by attenuating or accentuating cardiopulmonary reflexes such as, anesthetic drugs, surgical manipulation, and patient positioning. In the present article we review these reflexes and their clinical relevance in anesthesiology.

  7. Survival after in-hospital Cardiopulmonary Resuscitation

    Directory of Open Access Journals (Sweden)

    M Adib Hajbaghery

    2005-05-01

    Full Text Available Background: During recent years, cardiopulmonary resuscitation (CPR in hospital has received much attention. However, the survival rate of CPR in Iran’s hospitals is unknown. This study was designed to evaluate outcome of in-hospital CPR in Kashan. Methods: A longitudinal case registry study was conducted on all cases of in-hospital CPR during 6 months at 2002. Necessary data including; age, sex, underlying disease, working shift, time from cardiac arrest until initiating of CPR and until defibrillation, duration and result of CPR, frequency of tracheal intubations and time served for it were collected in a checklist. Results: In six months study, 206 cases of cardiopulmonary resuscitation attempted. The survival rate was similar for both sexes. Short-term survival observed in19.9% of cases and only 5.3% survived to discharge. Conclusions: Duration of CPR, time of the first defibrillation, response time and the location of cardiac arrest are the key predictors of survival to hospital discharge and in-hospital CPR strategies require improvement. This study promotes a national study on post CPR survival for accurate data on our performance in attention to chain of survival. KeyWords: Cardiopulmonary Resuscitation (CPR, Survival rate, Iran

  8. Stimulation of the cardiopulmonary baroreflex enhances ventricular contractility in awake dogs: a mathematical analysis study.

    Science.gov (United States)

    Sala-Mercado, Javier A; Moslehpour, Mohsen; Hammond, Robert L; Ichinose, Masashi; Chen, Xiaoxiao; Evan, Sell; O'Leary, Donal S; Mukkamala, Ramakrishna

    2014-08-15

    The cardiopulmonary baroreflex responds to an increase in central venous pressure (CVP) by decreasing total peripheral resistance and increasing heart rate (HR) in dogs. However, the direction of ventricular contractility change is not well understood. The aim was to elucidate the cardiopulmonary baroreflex control of ventricular contractility during normal physiological conditions via a mathematical analysis. Spontaneous beat-to-beat fluctuations in maximal ventricular elastance (Emax), which is perhaps the best available index of ventricular contractility, CVP, arterial blood pressure (ABP), and HR were measured from awake dogs at rest before and after β-adrenergic receptor blockade. An autoregressive exogenous input model was employed to jointly identify the three causal transfer functions relating beat-to-beat fluctuations in CVP to Emax (CVP → Emax), which characterizes the cardiopulmonary baroreflex control of ventricular contractility, ABP to Emax, which characterizes the arterial baroreflex control of ventricular contractility, and HR to Emax, which characterizes the force-frequency relation. The CVP → Emax transfer function showed a static gain of 0.037 ± 0.010 ml(-1) (different from zero; P < 0.05) and an overall time constant of 3.2 ± 1.2 s. Hence, Emax would increase and reach steady state in ∼16 s in response to a step increase in CVP, without any change to ABP or HR, due to the cardiopulmonary baroreflex. Following β-adrenergic receptor blockade, the CVP → Emax transfer function showed a static gain of 0.0007 ± 0.0113 ml(-1) (different from control; P < 0.10). Hence, Emax would change little in steady state in response to a step increase in CVP. Stimulation of the cardiopulmonary baroreflex increases ventricular contractility through β-adrenergic receptor system mediation.

  9. Design of Multi-Parameter Steerable Functions Using Cascade Basis Reduction

    Science.gov (United States)

    Teo, P.; Hel-Or, Y.; Null, Cynthia H. (Technical Monitor)

    1996-01-01

    A new cascade basis reduction method of computing the optimal least-squares set of basis functions steering a given function is presented. The method combines the Lie group-theoretic and the singular value decomposition approaches in such a way that their respective strengths complement each other. Since the Lie group-theoretic approach is used, the set of basis and steering functions computed can be expressed analytically. Because the singular value decomposition method is used, this set of basis and steering functions is optimal in the least-squares sense. Furthermore, the computational complexity in designing basis functions for transformation groups with large numbers of parameters is significantly reduced. The efficiency of the cascade basis reduction method is demonstrated by designing a set of basis functions that steers a Gabor function under the four-parameter linear transformation group.

  10. The Experiment and Comparative Study of Dragon Dance and Lion Dance Sports to College Students' Cardiopulmonary Function Impact%舞龙与舞狮运动项目对大学生心肺等功能影响的实验、对比研究

    Institute of Scientific and Technical Information of China (English)

    康杰; 喻庆; 龙伟; 杨鹏; 叶小宁

    2013-01-01

    In order to understand the dragon dance and lion dance movement and the influence on college students' cardiopulmonary function such as the difference between the two projects, this paper, taking shaanxi normal university dragon-lion dance of dragon dance team (5 people) and the lion dance routine practice (northern lion) as experiment object to heart rate, blood pressure and vital capacity index to determine index weight. The results show that the dragon dance, lion dance movement all belong to medium and large strength movement; But two exercise intensity have different characteristics, dragon dance sports emphasize cardiorespiratory endurance, and the lion dance puts forward higher requirements on power;After two months of training university students' cardiopulmonary function and training than before received the varying degree enhancement.%为了了解舞龙与舞狮运动对大学生心肺等功能的影响以及两个项目之间的差别,本文以陕西师范大学龙狮队队员进行舞龙(五人)和舞狮(北狮)规定套路练习为测试对象进行心率、血压、肺活量体重指数等多项指标进行测定。结果表明:舞龙、舞狮运动均属于中、大强度运动;但是两种运动强度特点也有所不同,舞龙运动强调心肺的耐力、而舞狮则对爆发力提出了更高的要求;经过两个月的训练大学生的心肺功能与训练前相比都得到了不同程度的增强。

  11. Reproducibility of physiologic parameters obtained using functional computed tomography in mice

    Science.gov (United States)

    Krishnamurthi, Ganapathy; Stantz, Keith M.; Steinmetz, Rosemary; Hutchins, Gary D.; Liang, Yun

    2004-04-01

    High-speed X-ray computed tomography (CT) has the potential to observe the transport of iodinated radio-opaque contrast agent (CA) through tissue enabling the quantification of tissue physiology in organs and tumors. The concentration of Iodine in the tissue and in the left ventricle is extracted as a function of time and is fit to a compartmental model for physiologic parameter estimation. The reproducibility of the physiologic parameters depend on the (1) The image-sampling rate. According to our simulations 5-second sampling is required for CA injection rates of 1.0ml/min (2) the compartmental model should reflect the real tissue function to give meaning results. In order to verify these limits a functional CT study was carried out in a group of 3 mice. Dynamic CT scans were performed on all the mice with 0.5ml/min, 1ml/min and 2ml/min CA injection rates. The physiologic parameters were extracted using 4 parameter and 6 parameter two compartmental models (2CM). Single factor ANOVA did not indicate a significant difference in the perfusion, in the kidneys for the different injection rates. The physiologic parameter obtained using the 6-parameter 2CM model was in line with literature values and the 6-parameter significantly improves chi-square goodness of fits for two cases.

  12. A marked increase in gastric fluid volume during cardiopulmonary bypass

    OpenAIRE

    2011-01-01

    Major physiological stress occurs during cardiac surgery with cardiopulmonary bypass. This is related to hypothermia and artificial organ perfusion. Thus, serious gastrointestinal complications, particularly upper gastrointestinal bleeding, sometimes follow cardiac surgery. We have compared the antisecretory effects of a preanesthetic H2 antagonist (roxatidine, cardiopulmonary bypass-H2 group, n = 15) and a proton pump inhibitor (rabeprazole, cardiopulmonary bypass-PPI group, n = 15) in patie...

  13. Synthetically quantitative evaluation function of characteristic parameters on CO2 arc welding process

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The statistical probability and their variation regularity of the measurable characteristic parameters in the CO2 arc welding droplet short-circuiting transfer process have been studied. The statistical analysis shows that the sensitivity of each characteristic parameter with regard to the variation of the short-circuiting transfer process is different. The sensitivity of 4 kinds among these characteristic parameters is more intense than that of the short-circuiting transfer frequency. In order to take account of the synthetic influence of these characteristic parameters, by means of the characteristic parameters synthetic value, a quantitative evaluation function is built up to describe and evaluate the short-circuiting transfer process of CO2 arc welding in real time. The testing shows that the evaluation function can give a suitable synthetic valuation for the short-circuiting transfer process with a variety of welding variables.

  14. Obtaining the Varshni potential function using the 2-body Kaxiras–Pandey parameters

    Directory of Open Access Journals (Sweden)

    TEIK-CHENG LIM

    2009-12-01

    Full Text Available A generalized version of the Varshni potential function was adopted by Kaxiras and Pandey for describing the 2-body energy portion of multi-body condensed matter. The former’s simplicity and resemblance to a Morse potential allows faster computation while the latter’s greater number of parameters allows better curve-fitting of spectroscopic data. This paper shows one set of parameter conversion from the Varshni function to the 2-body portion of the Kaxiras–Pandey function, and vice versa two sets of parameter conversion. The latter two sets reveal good correlation between plotted curves, and were verified by the imposition of equal energy curvatures at equilibrium and equal energy integral from equilibrium to dissociation. These parameter conversions can also be attained more easily by equating the product of indices (for short range and the summation of index reciprocals (for long range.

  15. The Item Parameter Replication Method for Detecting Differential Functioning in the Polytomous DFIT Framework

    Science.gov (United States)

    Raju, Nambury S.; Fortmann-Johnson, Kristen A.; Kim, Wonsuk; Morris, Scott B.; Nering, Michael L.; Oshima, T. C.

    2009-01-01

    The recent study of Oshima, Raju, and Nanda proposes the item parameter replication (IPR) method for assessing statistical significance of the noncompensatory differential item functioning (NCDIF) index within the differential functioning of items and tests (DFIT) framework. Previous Monte Carlo simulations have found that the appropriate cutoff…

  16. VO2@RER1.0: a novel submaximal cardiopulmonary exercise index.

    Science.gov (United States)

    Chin, Clifford; Kazmucha, Jeffrey; Kim, Nancy; Suryani, Reny; Olson, Inger

    2010-01-01

    Maximal oxygen consumption (VO2max) is the "gold standard" by which to assess functional capacity; however, it is effort dependent. VO2@RER1.0 is defined when VO2 = VCO2. Between December 22, 1997 and November 9, 2004, 305 pediatric subjects underwent cycle ergometer cardiopulmonary exercise testing, exercised to exhaustion, and reached a peak respiratory exchange ratio > or = 1.10. Group 1 subjects achieved a peak VO2 > or = 80% of predicted VO2max; group 2 subjects achieved a peak VO2 equation was created. VO2@RER1.0 data from groups 2 and 3 were plotted onto the normative graph. Contingency table and relative-risk analysis showed that an abnormal VO2@RER1.0 predicted an abnormal peak VO2(positive-predictive value 83%, negative-predictive value 85%, sensitivity 84%, and specificity 84%). VO2@RER1.0 is a highly sensitive, specific, and predictive submaximal index of functional capacity. This submaximal index is easy to identify without subjectivity. This index may aid in the evaluation of subjects who cannot exercise to maximal parameters.

  17. Bayes Estimation of Shape Parameter of Minimax Distribution under Different Loss Functions

    Directory of Open Access Journals (Sweden)

    Lanping Li

    2015-04-01

    Full Text Available The object of this study is to study the Bayes estimation of the unknown shape parameter of Minimax distribution. The prior distribution used here is the non-informative quasi-prior of the parameter. Bayes estimators are derived under squared error loss function and three asymmetric loss functions, which are the LINEX loss, precaution loss and entropy loss functions. Monte Carlo simulations are performed to compare the performances of these Bayes estimates under different situations. Finally, we summarize the result and give the conclusion of this study.

  18. Electron work function-a promising guiding parameter for material design.

    Science.gov (United States)

    Lu, Hao; Liu, Ziran; Yan, Xianguo; Li, Dongyang; Parent, Leo; Tian, Harry

    2016-04-14

    Using nickel added X70 steel as a sample material, we demonstrate that electron work function (EWF), which largely reflects the electron behavior of materials, could be used as a guide parameter for material modification or design. Adding Ni having a higher electron work function to X70 steel brings more "free" electrons to the steel, leading to increased overall work function, accompanied with enhanced e(-)-nuclei interactions or higher atomic bond strength. Young's modulus and hardness increase correspondingly. However, the free electron density and work function decrease as the Ni content is continuously increased, accompanied with the formation of a second phase, FeNi3, which is softer with a lower work function. The decrease in the overall work function corresponds to deterioration of the mechanical strength of the steel. It is expected that EWF, a simple but fundamental parameter, may lead to new methodologies or supplementary approaches for metallic materials design or tailoring on a feasible electronic base.

  19. Estimation of the reliability function for two-parameter exponentiated Rayleigh or Burr type X distribution

    Directory of Open Access Journals (Sweden)

    Anupam Pathak

    2014-11-01

    Full Text Available Abstract: Problem Statement: The two-parameter exponentiated Rayleigh distribution has been widely used especially in the modelling of life time event data. It provides a statistical model which has a wide variety of application in many areas and the main advantage is its ability in the context of life time event among other distributions. The uniformly minimum variance unbiased and maximum likelihood estimation methods are the way to estimate the parameters of the distribution. In this study we explore and compare the performance of the uniformly minimum variance unbiased and maximum likelihood estimators of the reliability function R(t=P(X>t and P=P(X>Y for the two-parameter exponentiated Rayleigh distribution. Approach: A new technique of obtaining these parametric functions is introduced in which major role is played by the powers of the parameter(s and the functional forms of the parametric functions to be estimated are not needed.  We explore the performance of these estimators numerically under varying conditions. Through the simulation study a comparison are made on the performance of these estimators with respect to the Biasness, Mean Square Error (MSE, 95% confidence length and corresponding coverage percentage. Conclusion: Based on the results of simulation study the UMVUES of R(t and ‘P’ for the two-parameter exponentiated Rayleigh distribution found to be superior than MLES of R(t and ‘P’.

  20. SCAN-based hybrid and double-hybrid density functionals from parameter-free models

    CERN Document Server

    Hui, Kerwin

    2015-01-01

    By incorporating the nonempirical SCAN semilocal density functional [Sun, Ruzsinszky, and Perdew, Phys. Rev. Lett. 115, 036402 (2015)] in the underlying expression, we propose one hybrid (SCAN0) and three double-hybrid (SCAN0-DH, SCAN-QIDH, and SCAN0-2) density functionals, which are free of any empirical parameter. The SCAN-based hybrid and double-hybrid functionals consistently outperform their parent SCAN semilocal functional for a wide range of applications. The SCAN-based semilocal, hybrid, and double-hybrid functionals generally perform better than the corresponding PBE-based functionals. In addition, the SCAN0-2 and SCAN-QIDH double-hybrid functionals significantly reduce the qualitative failures of the SCAN semilocal functional, such as the self-interaction error and noncovalent interaction error, extending the applicability of the SCAN-based functionals to a very diverse range of systems.

  1. Two-parameters quasi-filled function algorithm for nonlinear integer programming

    Institute of Scientific and Technical Information of China (English)

    WANG Wei-xiang; SHANG You-lin; ZHANG Lian-sheng

    2006-01-01

    A quasi-filled function for nonlinear integer programming problem is given in this paper. This function contains two parameters which are easily to be chosen. Theoretical properties of the proposed quasi-filled function are investigated. Moreover,we also propose a new solution algorithm using this quasi-filled function to solve nonlinear integer programming problem in this paper. The examples with 2 to 6 variables are tested and computational results indicated the efficiency and reliability of the proposed quasi-filled function algorithm.

  2. Fitting of alpha-efficiency versus quenching parameter by exponential functions in liquid scintillation counting

    Energy Technology Data Exchange (ETDEWEB)

    Sosa, M. [Departamento de Ingeniería Física, Campus León, Universidad de Guanajuato, 37150 León, Guanajuato (Mexico); Universidad de Sevilla, Departamento de Física Aplicada II, E.T.S. Arquitectura, Av. Reina Mercedes, 2, 41012 Sevilla (Spain); Manjón, G., E-mail: manjon@us.es [Universidad de Sevilla, Departamento de Física Aplicada II, E.T.S. Arquitectura, Av. Reina Mercedes, 2, 41012 Sevilla (Spain); Mantero, J.; García-Tenorio, R. [Universidad de Sevilla, Departamento de Física Aplicada II, E.T.S. Arquitectura, Av. Reina Mercedes, 2, 41012 Sevilla (Spain)

    2014-05-01

    The objective of this work is to propose an exponential fit for the low alpha-counting efficiency as a function of a sample quenching parameter using a Quantulus liquid scintillation counter. The sample quenching parameter in a Quantulus is the Spectral Quench Parameter of the External Standard (SQP(E)), which is defined as the number of channel under which lies the 99% of Compton spectrum generated by a gamma emitter ({sup 152}Eu). Although in the literature one usually finds a polynomial fitting of the alpha counting efficiency, it is shown here that an exponential function is a better description. - Highlights: • We have studied the quenching in alpha measurement by liquid scintillation counting. • We have reviewed typical fitting of alpha counting efficiency versus quenching parameter. • Exponential fitting of data is proposed as better fitting. • We consider exponential fitting has a physical basis.

  3. Intelligent, Robust Control of Deteriorated Turbofan Engines via Linear Parameter Varying Quadratic Lyapunov Function Design

    Science.gov (United States)

    Turso, James A.; Litt, Jonathan S.

    2004-01-01

    A method for accommodating engine deterioration via a scheduled Linear Parameter Varying Quadratic Lyapunov Function (LPVQLF)-Based controller is presented. The LPVQLF design methodology provides a means for developing unconditionally stable, robust control of Linear Parameter Varying (LPV) systems. The controller is scheduled on the Engine Deterioration Index, a function of estimated parameters that relate to engine health, and is computed using a multilayer feedforward neural network. Acceptable thrust response and tight control of exhaust gas temperature (EGT) is accomplished by adjusting the performance weights on these parameters for different levels of engine degradation. Nonlinear simulations demonstrate that the controller achieves specified performance objectives while being robust to engine deterioration as well as engine-to-engine variations.

  4. Modified Moment, Maximum Likelihood and Percentile Estimators for the Parameters of the Power Function Distribution

    Directory of Open Access Journals (Sweden)

    Azam Zaka

    2014-10-01

    Full Text Available This paper is concerned with the modifications of maximum likelihood, moments and percentile estimators of the two parameter Power function distribution. Sampling behavior of the estimators is indicated by Monte Carlo simulation. For some combinations of parameter values, some of the modified estimators appear better than the traditional maximum likelihood, moments and percentile estimators with respect to bias, mean square error and total deviation.

  5. Gauge-fixing parameter dependence of two-point gauge variant correlation functions

    CERN Document Server

    Zhai, C

    1996-01-01

    The gauge-fixing parameter \\xi dependence of two-point gauge variant correlation functions is studied for QED and QCD. We show that, in three Euclidean dimensions, or for four-dimensional thermal gauge theories, the usual procedure of getting a general covariant gauge-fixing term by averaging over a class of covariant gauge-fixing conditions leads to a nontrivial gauge-fixing parameter dependence in gauge variant two-point correlation functions (e.g. fermion propagators). This nontrivial gauge-fixing parameter dependence modifies the large distance behavior of the two-point correlation functions by introducing additional exponentially decaying factors. These factors are the origin of the gauge dependence encountered in some perturbative evaluations of the damping rates and the static chromoelectric screening length in a general covariant gauge. To avoid this modification of the long distance behavior introduced by performing the average over a class of covariant gauge-fixing conditions, one can either choose ...

  6. Conventional hemofiltration during cardiopulmonary bypass increases the serum lactate level in adult cardiac surgery

    Directory of Open Access Journals (Sweden)

    Rabie Soliman

    2016-01-01

    Full Text Available Objective: To evaluate the effect of hemofiltration during cardiopulmonary bypass on lactate level in adult patients who underwent cardiac surgery. Design: An observational study. Setting: Prince Sultan cardiac center, Riyadh, Saudi Arabia. Participants: The study included 283 patients classified into two groups: Hemofiltration group (n=138, hemofiltration was done during CPB. Control group (n = 145, patients without hemofiltration. Interventions: Hemofiltration during cardiopulmonary bypass. Measurements and Main Results: Monitors included hematocrit, lactate levels, mixed venous oxygen saturation, amount of fluid removal during hemofiltration and urine output. The lactate elevated in group H than group C (P < 0.05, and the PH showed metabolic acidosis in group H (P < 0.05. The mixed venous oxygen saturation decreased in group H than group C (P < 0.05. The number of transfused packed red blood cells was lower in group H than group C (P < 0.05. The hematocrit was higher in group H than group C (P < 0.05. The urine output was lower in group H than group C (P < 0.05. Conclusions: Hemofiltration during cardiopulmonary bypass leads to hemoconcentration, elevated lactate level and increased inotropic support. There are some recommendations for hemofiltration: First; Hemofiltration should be limited for patients with impaired renal function, positive fluid balance, reduced response to diuretics or prolonged bypass time more than 2 hours. Second; Minimal amount of fluids should be administered to maintain adequate cardiac output and reduction of priming volumes is preferable to maintain controlled hemodilution. Third; it should be done before weaning of or after cardiopulmonary bypass and not during the whole time of cardiopulmonary bypass.

  7. Fisher matrix forecast on cosmological parameters from the dark energy survey 2-point angular correlation function

    Energy Technology Data Exchange (ETDEWEB)

    Sobreira, F.; Rosenfeld, R. [Universidade Estadual Paulista Julio de Mesquita Filho (IFT/UNESP), Sao Paulo, SP (Brazil). Inst. Fisica Teorica; Simoni, F. de; Costa, L.A.N. da; Gaia, M.A.G.; Ramos, B.; Ogando, R.; Makler, M. [Laboratorio Interinstitucional de e-Astronomia (LIneA), Rio de Janeiro, RJ (Brazil)

    2011-07-01

    Full text: We study the cosmological constraints expected for the upcoming project Dark Energy Survey (DES) with the full functional form of the 2-point angular correlation function. The angular correlation function model applied in this work includes the effects of linear redshift-space distortion, photometric redshift errors (assumed to be Gaussian) and non-linearities prevenient from gravitational infall. The Fisher information matrix is constructed with the full covariance matrix, which takes the correlation between nearby redshift shells in a proper manner. The survey was sliced into 20 redshift shells in the range 0:4 {<=} z {<=} 1:40 with a variable angular scale in order to search only the scale around the signal from the baryon acoustic oscillation, therefore well within the validity of the non-linear model employed. We found that under those assumptions and with a flat {Lambda}CDM WMAP7 fiducial model, the DES will be able to constrain the dark energy equation of state parameter w with a precision of {approx} 20% and the cold dark matter with {approx} 11% when marginalizing over the other 25 parameters (bias is treated as a free parameter for each shell). When applying WMAP7 priors on {Omega}{sub baryon}, {Omega} c{sub dm}, n{sub s}, and HST priors on the Hubble parameter, w is constrained with {approx} 9% precision. This shows that the full shape of the angular correlation function with DES data will be a powerful probe to constrain cosmological parameters. (author)

  8. Parameter extraction of an organic solar cell using asymptotic estimation and Lambert W function

    Science.gov (United States)

    Bǎrar, Ana; Mǎnǎilǎ-Maximean, Doina; Dǎnilǎ, Octavian; Vlǎdescu, Marian

    2016-12-01

    A theoretical characterization of an organic solar cell has been realized based on its equivalent model and an I-V curve corresponding to ITO/PEDOT/MEH-PPV:PCBM(1:4)/LiF/Al cell, taken from the literature. The parameters of the equivalent model have been determined using two methods: the approximation method and the Lambert W function. For the considered curve, the parameter values that have been obtained are similar to the results presented in literature. It has also been shown that the Lambert W function presents a considerably smaller error compared to the approximation method.

  9. 21 CFR 870.4240 - Cardiopulmonary bypass heat exchanger.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass heat exchanger. 870.4240... bypass heat exchanger. (a) Identification. A cardiopulmonary bypass heat exchanger is a device, consisting of a heat exchange system used in extracorporeal circulation to warm or cool the blood...

  10. Cardiopulmonary resuscitation: how far have we come?

    Science.gov (United States)

    Whitcomb, John J; Blackman, Virginia Schmied

    2007-01-01

    In the 43 years since it was first described, cardiopulmonary resuscitation (CPR) has grown from an obscure medical theory to a basic first aid skill taught to adults and is now the near-universal technique used in CPR instruction. This article provides insight into the history of CPR. We explore the phenomenon of sudden cardiac arrest, the historical roots of CPR, current practice data and recommendations, and the society's role in the development of this life-saving technique. We conclude with a review of CPR's economic impact on the healthcare system and the ethical and policy issues surrounding CPR.

  11. Evidence of Allergic Reactions and Cardiopulmonary Impairments among Traders Operating from Foodstuff Warehouses

    Science.gov (United States)

    Egbosionu, Viola; Ibeneme, Georgian; Ezuma, Amarachi; Ettu, Theresa; Nwankwo, Joseph; Limaye, Dnyanesh; Nna, Emmanuel

    2016-01-01

    Background. Foodstuff traders operating from warehouses (FTFW) are potentially exposed to dangerous rodenticides/pesticides that may have adverse effects on cardiopulmonary function. Methods. Fifty consenting male foodstuff traders, comprising 15 traders (21–63 years) operating outside warehouses and 35 FTFW (20–64 years), were randomly recruited at Ogbete Market, Enugu, in a cross-sectional observational study of spirometric and electrocardiographic parameters. Seventeen FTFW (21–57 years) participated in focus group discussions. Qualitative and quantitative data were analysed thematically and with independent t-test and Pearson correlation coefficient at p 0.05) with a significantly prolonged (p < 0.05) QTc interval. Conclusion. Allergic response was evident in the FTFW. Significant decrease in FVC may negatively impact lung flow rates and explains the marginal decrease in FEF25–75, which implies a relative limitation in airflow of peripheral/distal airways and elastic recoil of the lungs. This is consistent with obstructive pulmonary disease; a significant decrease in FEF75–85/FEV1 supports this conclusion. Significant decrease in FEF200–1200 indicates abnormalities in the large airways/larynx just as significantly prolonged ventricular repolarization suggests cardiac arrhythmias. PMID:28116288

  12. MODAL PARAMETERS EXTRACTION WITH CROSS-CORRELATION FUNCTION AND CROSS-POWER SPECTRUM UNDER UNKNOWN EXCITATION

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    In most of real operational conditions only response data are measurable while the actual excitations are unknown, so modal parameter must be extracted only from responses. This paper gives a theoretical formulation for the cross-correlation functions and cross-power spectra between the outputs under the assumption of white-noise excitation. It widens the field of modal analysis under ambient excitation because many classical methods by impulse response functions or frequency response functions can be used easily for modal analysis under unknown excitation. The Polyreference Complex Exponential method and Eigensystem Realization Algorithm using cross-correlation functions in time domain and Orthogonal Polynomial method using cross-power spectra in frequency domain are applied to a steel frame to extract modal parameters under operational conditions. The modal properties of the steel frame from these three methods are compared with those from frequency response functions analysis. The results show that the modal analysis method using cross-correlation functions or cross-power spectra presented in this paper can extract modal parameters efficiently under unknown excitation.

  13. Nonlinear functional response parameter estimation in a stochastic predator-prey model.

    Science.gov (United States)

    Gilioli, Gianni; Pasquali, Sara; Ruggeri, Fabrizio

    2012-01-01

    Parameter estimation for the functional response of predator-prey systems is a critical methodological problem in population ecology. In this paper we consider a stochastic predator-prey system with non-linear Ivlev functional response and propose a method for model parameter estimation based on time series of field data. We tackle the problem of parameter estimation using a Bayesian approach relying on a Markov Chain Monte Carlo algorithm. The efficiency of the method is tested on a set of simulated data. Then, the method is applied to a predator-prey system of importance for Integrated Pest Management and biological control, the pest mite Tetranychus urticae and the predatory mite Phytoseiulus persimilis. The model is estimated on a dataset obtained from a field survey. Finally, the estimated model is used to forecast predator-prey dynamics in similar fields, with slightly different initial conditions.

  14. Changes of Pain Perception, Autonomic Function, and Endocrine Parameters during Treatment of Anorectic Adolescents

    Science.gov (United States)

    Bar, Karl-Jurgen; Boettger, Silke; Wagner, Gerd; Wilsdorf, Christine; Gerhard, Uwe Jens; Boettger, Michael K.; Blanz, Bernhard; Sauer, Heinrich

    2006-01-01

    Objectives: The underlying mechanisms of reduced pain perception in anorexia nervosa (AN) are unknown. To gain more insight into the pathology, the authors investigated pain perception, autonomic function, and endocrine parameters before and during successful treatment of adolescent AN patients. Method: Heat pain perception was assessed in 15…

  15. Evaluation of Fracture Parameters for Cracks in Coupled Thermoelasticity for Functionally Graded Materials

    Directory of Open Access Journals (Sweden)

    Repka M.

    2015-11-01

    Full Text Available The finite element method (FEM is developed for coupled thermoelastic crack problems if material properties are continuously varying. The weak form is utilized to derive the FEM equations. In conventional fracture theories the state of stress and strain at the crack tip vicinity is characterized by a single fracture parameter, namely the stress intensity factor or its equivalent, J-integral. In the present paper it is considered also the second fracture parameter called as the T-stress. For evaluation of both fracture parameters the quarter-point crack tip element is developed. Simple formulas for both fracture parameters are derived comparing the variation of displacements in the quarter-point element with asymptotic expression of displacement at the crack tip vicinity. The leading terms of the asymptotic expansions of fields in the crack-tip vicinity in a functionally graded material (FGM are the same as in a homogeneous one with material coefficients taken at the crack tip.

  16. Bronchodilator response of advanced lung function parameters depending on COPD severity

    Science.gov (United States)

    Jarenbäck, Linnea; Eriksson, Göran; Peterson, Stefan; Ankerst, Jaro; Bjermer, Leif; Tufvesson, Ellen

    2016-01-01

    Background COPD is defined as partly irreversible airflow obstruction. The response pattern of bronchodilators has not been followed in advanced lung function parameters. Purpose The aim of this study was to investigate bronchodilator response pattern in advanced lung function parameters in a continuous fashion along forced expiratory volume in 1 second (FEV1) percent predicted (%p) in COPD patients and controls. Patients and methods Eighty-one smokers/ex-smokers (41 controls and 40 COPD) performed spirometry, body plethysmography, impulse oscillometry and single-breath helium dilution carbon monoxide diffusion at baseline, after salbutamol inhalation and then after an additional inhalation of ipratropium. Results Most pulmonary function parameters showed a linear increase in response to decreased FEV1%p. The subjects were divided into groups of FEV1%p 65, and the findings from continuous analysis were verified. The exceptions to this linear response were inspiratory capacity (IC), forced vital capacity (FVC), FEV1/FVC and expiratory resistance (Rex), which showed a segmented response relationship to FEV1%p. IC and FVC, with break points (BP) of 57 and 58 FEV1%p respectively, showed no response above, but an incresed slope below the BP. In addition, in patients with FEV1%p 65, response of FEV1%p did not correlate to response of volume parameters. Conclusion Response of several advanced lung function parameters differs depending on patients’ baseline FEV1%p, and specifically response of volume parameters is most pronounced in COPD patients with FEV1%p <65. Volume and resistance responses do not follow the flow response measured with FEV1 and may thus be used as a complement to FEV1 reversibility to identify flow, volume and resistance responders. PMID:27932874

  17. Assessing Exercise Limitation Using Cardiopulmonary Exercise Testing

    Directory of Open Access Journals (Sweden)

    Michael K. Stickland

    2012-01-01

    Full Text Available The cardiopulmonary exercise test (CPET is an important physiological investigation that can aid clinicians in their evaluation of exercise intolerance and dyspnea. Maximal oxygen consumption (V˙O2max is the gold-standard measure of aerobic fitness and is determined by the variables that define oxygen delivery in the Fick equation (V˙O2 = cardiac output × arterial-venous O2 content difference. In healthy subjects, of the variables involved in oxygen delivery, it is the limitations of the cardiovascular system that are most responsible for limiting exercise, as ventilation and gas exchange are sufficient to maintain arterial O2 content up to peak exercise. Patients with lung disease can develop a pulmonary limitation to exercise which can contribute to exercise intolerance and dyspnea. In these patients, ventilation may be insufficient for metabolic demand, as demonstrated by an inadequate breathing reserve, expiratory flow limitation, dynamic hyperinflation, and/or retention of arterial CO2. Lung disease patients can also develop gas exchange impairments with exercise as demonstrated by an increased alveolar-to-arterial O2 pressure difference. CPET testing data, when combined with other clinical/investigation studies, can provide the clinician with an objective method to evaluate cardiopulmonary physiology and determination of exercise intolerance.

  18. Effect of Salmeterol and Fluticasone Propionate on Cardiopulmonary Function and 6 min Walking Distance in Patients with Severe COPD%沙美特罗替卡松对重度慢性阻塞性肺疾病患者心肺功能及6 min步行距离的影响

    Institute of Scientific and Technical Information of China (English)

    陈斌; 陈琼

    2016-01-01

    目的:探讨沙美特罗替卡松对重度慢性阻塞性肺疾病(COPD)患者心肺功能及6 min步行距离的影响。方法选取2013年3月至2015年5月收治的重度COPD患者100例,随机分为观察组和对照组,各50例。对照组患者给予茶碱缓释片及N-乙酰半胱氨酸治疗,观察组患者在对照组治疗基础上吸入沙美特罗替卡松粉吸入剂,均治疗6个月,比较治疗前后血清中白细胞介素8(IL-8)、肿瘤坏死因子-α(TNF-α)水平的变化,以评估抗炎疗效,并记录心肺功能的变化,同时观察并比较两组患者治疗前后6 min步行距离(6MWD)及不良反应发生率。结果治疗后,观察组IL-8为(133.5±32.1)ng/L,TNF-α为(140.9±21.3)mg/L,显著低于对照组的(156.8±28.4)ng/L和(181.2±25.4)mg/L( P0.05)。结论沙美特罗替卡松对重度COPD患者肺功能及6MWD有一定影响,对患者的右心功能有明显改善作用,且安全性较好,值得临床应用。%Objective To investigate the effect of salmeterol and fluticasone propionate on cardiopulmonary function and 6 min walking distance in patients with severe COPD. Methods 100 cases of patients with severe COPD who were treated in the hospital from March 2013 to May 2015 were selected as the study objects and were randomly divided into the observation group and the control group, 50 cases in each group. The control group was treated with theophylline sustained-release tablets and N-acetylcysteine. Based on this, the observation group inhaled salmeterol and fluticasone propionate powder inhalant. All patients were treated for 6 months. Serum inter-leukin 8(IL-8)and tumor necrosis factor-α(TNF-α)were compared before and after treatment between the two groups to evalu-ate the anti-inflammatory effect. The changes of cardiopulmonary function were recorded. Meanwhile,the 6 min walking distance (6MWD) and the incidence of adverse reactions were

  19. Effect of preoperative exercise training on cardiopulmonary function in perioperative period of lung cancer patients with COPD%术前运动训练对肺癌合并 COPD 患者围术期心肺功能的影响

    Institute of Scientific and Technical Information of China (English)

    贺斌; 李新; 张鹏; 曹玎

    2015-01-01

    目的:探讨术前心肺运动训练对肺癌合并慢性阻塞性肺疾病(COPD)患者围术期心肺功能及术后并发症的影响。方法选取98例拟行肺癌切除术且合并COPD的肺癌患者,随机分为观察组和对照组各49例,两组术前均给予改善肺功能治疗,观察组同时行心肺运动训练2周。比较两组术前1天静态肺功能[用力肺活量(FVC)、1秒用力呼气容积、最大自主通气量(MVV)、一氧化碳弥散总量(DLCO)及术后预计FEV1]运动心肺功能[最大摄氧量(VO2max)、公斤摄氧量(VO2/kg)、无氧阈(AT)、氧脉搏(O2 pulse)、最大心率、最大分钟通气量(VEmax)及呼吸困难指数]的变化。比较两组术后并发症、氧疗时间、机械通气时间和住院时间。结果观察组FVC、MVV、DL CO、VO2 max、VO2/kg、AT、O2 pulse、VEmax较对照组均有不同程度的改善(P均<0.05);两组术后总体心肺并发症及单个并发症的发生率、术后氧疗时间、机械通气时间及住院天数比较差异均有统计学意义(P均<0.05)。结论术前心肺运动训练能明显改善肺癌合并 COPD患者的心肺功能,减少术后并发症、缩短住院时间,利于患者早日康复。%Objective To investigate the effect of preoperatively cardiopulmonary exercise training on the cardiopul -monary function and postoperative complications in lung cancer patients with chronic obstructive pulmonary disease ( COPD) .Methods Ninety-eight lung cancer patients with COPD who would receive lung cancer resection were randomly divided into two groups:the observation group and the control group , 49 cases in each group .Both groups were treated to improve the lung function before surgery , and the observation group was treated with cardiopulmonary exercise training for two weeks .The indicators of static lung function and dynamic cardiopulmonary exercise were compared between the two groups the day

  20. Prognostic significance of cardiopulmonary exercise testing for 10-year survival in patients with mild to moderate heart failure.

    Science.gov (United States)

    Koike, A; Koyama, Y; Itoh, H; Adachi, H; Marumo, F; Hiroe, M

    2000-12-01

    Although a number of studies have investigated the prognostic significance of exercise variables, they have focused only on short-term prognosis in relatively severe heart failure. This study was carried out to determine whether the indices obtained during cardiopulmonary exercise testing have prognostic significance during a 10-year follow-up in mild to moderate heart failure. Three hundred and sixty-four consecutive patients with cardiac disease performed 4 min of 20-W warm-up, followed by a symptom-limited incremental exercise test on a cycle ergometer. In addition to the measurements of peak oxygen uptake (VO2) and gas exchange (anaerobic) threshold, the time constant of VO2 kinetics during the onset of warm-up exercise was calculated using a single exponential equation. Data on mortality were available for follow-up in 260 patients. After 3,331+/-610 days of follow-up, 29 cardiovascular-related deaths occurred. The time constant of VO2 in the nonsurvivors was 76.7+/-43.3 s and was significantly prolonged compared with that of survivors (55.3+/-30.6 s, p=0.001). Peak VO2 and gas exchange threshold were both significantly lower in nonsurvivors than in survivors. Kaplan-Meier survival curves for 10 years of follow-up demonstrated a survival rate of 89.0% for patients with a normal VO2 time constant ( or = 80 s), showing a significant difference in survival (p=0.0028). Respiratory gas parameters obtained during exercise testing, particularly the time constant of VO2 kinetics, were found to be useful for predicting long-term prognosis in patients with chronic heart failure. These results suggest that cardiopulmonary exercise testing could be more applicable in ambulatory patients with minimal symptoms or minimal functional impairment.

  1. Influence of Cardiopulmonary Bypass on the Interaction of Recombinant Factor VIIa with Activated Platelets

    OpenAIRE

    Kjalke, Marianne; Runge, Marx; Rojkjaer, Rasmus; Steinbruchel, Daniel; Johansson, Pär I

    2009-01-01

    Recombinant factor VIIa (rFVIIa) interacts preferentially with coated platelets characterized by a high exposure of phosphatidyl serine (PS), FV, FVIII, FIX, and FX binding, and fibrinogen. Cardiopulmonary bypass (CPB) is known to impair platelet function. In this study, the influence of CPB on formation of coated platelets and the interaction of rFVIIa with the platelets were studied. Blood was either exposed to a closed CPB circuit or obtained from patients undergoing CPB-assisted cardiac s...

  2. The role of cardiopulmonary exercise test for individualized exercise training recommendation in young obese subjects

    Directory of Open Access Journals (Sweden)

    Lucian Hoble

    2010-06-01

    Full Text Available Obesity is affecting a growing segment of the population and should be considered a serious health problem which will lead to medical complications and decreased life span. Lifestyle changes by adopting healthy food and increase energy consumption through physical activity is the most important treatment for obesity. Cardiopulmonary exercise test (CPET is considered the gold standard for exercise capacity assessment. Purpose: This study is aiming to demonstrate that individualized exercise training programs, designed using CPET results, leads to increase of physical fitness, aerobic capacity, ventilatory and cardiac exercise performance in young obese subjects.Material and method:We performed a prospective research study of 6 months. 43 sedentary subjects without contraindications to exercise, 21.3±3.1 years old, 93% female were included in the study. Assessments were made at baseline and after six months of intervention and consists of cardiopulmonary exercise test on bicycle ergometer. After we recorded oxygen uptake at aerobic threshold (AT, anaerobic threshold (in the range of respiratory compensation point – RCP and maximal oxygen uptake (VO2max we designed the training program according to these parameters and individualized heart rate training zones of each subject. Exercise training (60 minutes/session, 3 sessions/week was performed taking in consideration the training zones and using a circuit on cardio devices. Each subject was supervised by a physiotherapist and using heart rate monitors. The number of subjects evaluated at the end of the study was 27 (dropout rate 37%.Results:After six months of intervention we noticed an improvement of maximum oxygen uptake (VO2max (from 22.7±3.69 to 27.44±5.55, aerobic threshold (VO2_AT (from 15.48±2.66 to 20.07±4.64 ml/min/kg, p<0.0001 and anaerobic threshold (VO2_RCP (from 20.3±3.66 to 25.11±5.84 ml/min/kg, p<0.0001, cardiac performance during exercise evaluated trough maximal oxygen

  3. Extended SOA to Enable Web Service Discovery on Non Functional Parameters

    Directory of Open Access Journals (Sweden)

    Vandan Tiwari Dr. Nirmal Dagdee Dr. Aruna Tiwari Divesh Dixit

    2012-04-01

    Full Text Available The current Service Oriented Architecture (SOA standards, namely the concept of Web services and service registry lacks mechanism for managing the services’ nonfunctional properties of Web Services. Currently there is no standard that is capable of accurately representing quality of service parameters of web services. Such non functional properties are expressed by the term “Quality of Service (QoS”. QoS for Web services is an important decisive factor for service selection. Therefore it is important to extend the SOA so that non-functional characteristics of a web service can be determined at run-time and consumers are bound to a service that best meet their functional as well as non-functional requirements. Major research challenges in discovering Web services include, differentiating between services that share similar functionalities, improving Quality of Service (QoS, and enabling clients to customize the discovery process. To enable QoS enabled web services discovery, it is needed that a third party (other than service provider and service broker monitors quality of web service. In this paper, an extended web services framework based on SOA for enabling Web Service discovery based on QoS parameters such as availability and response time is proposed thereby maintaining the appropriate dynamic values of these QoS parameters.

  4. Parameter-dependent Lyapunov functional for systems with multiple time delays

    Institute of Scientific and Technical Information of China (English)

    Min WU; Yong HE

    2004-01-01

    The separation of the Lyapunov matrices and system matrices plays an important role when one uses parameter-dependent Lyapunov functional handling systems with polytopic type uncertainties.The delay-dependent robust stability problem for systems with polytopic type uncertainties is discussed by using parameter-dependent Lyapunov functional.The derivative term in the derivative of Lyapunov functional is reserved and the free weighting matrices are employed to express the relationship between the terms in the system equation such that the Lyapunov matrices are not involved in any product terms with the system matrices.In addition,the relationships between the terms in the Leibniz Newton formula are also described by some free weighting matrices and some delay-dependent stability conditions are derived.Numerical examples demonstrate that the proposed criteria are more effective than the previous results.

  5. Precise and full extraction of the coupling-of-mode parameters with periodic Green's function

    Institute of Scientific and Technical Information of China (English)

    林基明; 吴浩东; 王宁; 仇洪冰; 水永安

    2003-01-01

    Precise extraction of coupling-of-mode (COM) parameters plays a key role in the design for modern high performance surface acoustic wave (SAW) filters. An accurate and efficient analysis of characteristics for SAW propagating under periodic metal gratings has been developed based on the concept of harmonic admittance and periodic Green's function. Some further improvement is made on the numerical algorithm, such as isolation of the logarithmic singularity, asymptotic simplification of periodic Green's function, and utilization of Chebyshev polynomials as basis functions of the charge distribution. The most important point is extraction of the phase of coupling reflection coefficient by the characteris- tics of standing wave on the edges of stopband. This approach leads to a fast, precise and full extraction of COM parameters. The results and discussions for several materials have been presented.

  6. Simulating and analyzing engineering parameters of Kyushu Earthquake, Japan, 1997, by empirical Green function method

    Science.gov (United States)

    Li, Zongchao; Chen, Xueliang; Gao, Mengtan; Jiang, Han; Li, Tiefei

    2016-09-01

    Earthquake engineering parameters are very important in the engineering field, especially engineering anti-seismic design and earthquake disaster prevention. In this study, we focus on simulating earthquake engineering parameters by the empirical Green's function method. The simulated earthquake (MJMA6.5) occurred in Kyushu, Japan, 1997. Horizontal ground motion is separated as fault parallel and fault normal, in order to assess characteristics of two new direction components. Broadband frequency range of ground motion simulation is from 0.1 to 20 Hz. Through comparing observed parameters and synthetic parameters, we analyzed distribution characteristics of earthquake engineering parameters. From the comparison, the simulated waveform has high similarity with the observed waveform. We found the following. (1) Near-field PGA attenuates radically all around with strip radiation patterns in fault parallel while radiation patterns of fault normal is circular; PGV has a good similarity between observed record and synthetic record, but has different distribution characteristic in different components. (2) Rupture direction and terrain have a large influence on 90 % significant duration. (3) Arias Intensity is attenuating with increasing epicenter distance. Observed values have a high similarity with synthetic values. (4) Predominant period is very different in the part of Kyushu in fault normal. It is affected greatly by site conditions. (5) Most parameters have good reference values where the hypo-central is less than 35 km. (6) The GOF values of all these parameters are generally higher than 45 which means a good result according to Olsen's classification criterion. Not all parameters can fit well. Given these synthetic ground motion parameters, seismic hazard analysis can be performed and earthquake disaster analysis can be conducted in future urban planning.

  7. 21 CFR 870.4210 - Cardiopulmonary bypass vascular catheter, cannula, or tubing.

    Science.gov (United States)

    2010-04-01

    ... Devices § 870.4210 Cardiopulmonary bypass vascular catheter, cannula, or tubing. (a) Identification. A cardiopulmonary bypass vascular catheter, cannula, or tubing is a device used in cardiopulmonary surgery to... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass vascular catheter,...

  8. 22. Comparison of conventional echocardiographic parameters of rv systolic function with cardiac magnetic resonance imaging

    Directory of Open Access Journals (Sweden)

    H. Shamsan

    2016-07-01

    Full Text Available Nowadays, cardiac magnetic resonance (CMR imaging is considered the gold standard for quantification of RV size and function. Multiple 2D Echocardiography (echo parameters are recommended for quantification of systolic RV function including Fractional Area Change (FAC%, tricuspid annular plane systolic excursion (TAPSE and Tissue Doppler velocity (TDI of tricuspid annulus. The aim of our study was to compare the conventional 2-D echocardiographic parameters of RV systolic function with CMR derived RVEF and stroke volume (SV. The echo and cardiac magnetic parameters to assess the right ventricular function are different. Consecutive patients referred to CMR for RV assessment from January 2011 to December 2014 were screened. 69 patients with CMR and adequate echo were selected. 20 subjects with normal CMR were enrolled as a control group. Quantitative 2-D echo measures were compared with CMR RVEF (% and SV (ml. The comparison was made using linear correlation for the echo variables with CMR variables. The mean age of patients was 38.2 + 5.4 (51% females were enrolled. 84.1% of patients had normal RVEF by CMR. In patients, FAC% but not TAPSE or annular TDI, correlated with CMR derived RVEF (R = 0.45, p = 0.0001 with fair agreement (kappa 0.43. However, FAC% did not correlate with CMR RV stroke volume. In contrast, in normal subjects, TAPSE had the best correlation with CMR derived RVEF (R = 0.67, p = 0.0001. In patients, CMR reclassified RV function assessed by FAC% in 11 (16%. 6 (8% patients who had abnormal RV function by FAC% were reclassified as normal while 5 (7% with normal RV function by FAC% were reclassified as abnormal. In normal subjects, however, only one with abnormal RV function by TAPSE was reclassified as normal by CMR. The current quantitative 2-D echo parameters of RV systolic function assessment correlate poorly with CMR measured RVEF and SV and behave differently in comparison with CMR in patients with normal and

  9. A Formulation of the Mantel-Haenszel Differential Item Functioning Parameter with Practical Implications. Statistical Report. LSAC Research Report Series.

    Science.gov (United States)

    Roussos, Louis A.; Schnipke, Deborah L.; Pashley, Peter J.

    The Mantel-Haenszel (MH) differential item functioning (DIF) parameter for uniform DIF is well defined when item responses follow the two-parameter-logistic (2PPL) item response function (IRF), but not when they follow the three-parameter-logistic (3PL) IRF, the model typically used with multiple choice items. This research report presents a…

  10. Optimization of the dressing parameters in cylindrical grinding based on a generalized utility function

    Science.gov (United States)

    Aleksandrova, Irina

    2016-01-01

    The existing studies, concerning the dressing process, focus on the major influence of the dressing conditions on the grinding response variables. However, the choice of the dressing conditions is often made, based on the experience of the qualified staff or using data from reference books. The optimal dressing parameters, which are only valid for the particular methods and dressing and grinding conditions, are also used. The paper presents a methodology for optimization of the dressing parameters in cylindrical grinding. The generalized utility function has been chosen as an optimization parameter. It is a complex indicator determining the economic, dynamic and manufacturing characteristics of the grinding process. The developed methodology is implemented for the dressing of aluminium oxide grinding wheels by using experimental diamond roller dressers with different grit sizes made of medium- and high-strength synthetic diamonds type ??32 and ??80. To solve the optimization problem, a model of the generalized utility function is created which reflects the complex impact of dressing parameters. The model is built based on the results from the conducted complex study and modeling of the grinding wheel lifetime, cutting ability, production rate and cutting forces during grinding. They are closely related to the dressing conditions (dressing speed ratio, radial in-feed of the diamond roller dresser and dress-out time), the diamond roller dresser grit size/grinding wheel grit size ratio, the type of synthetic diamonds and the direction of dressing. Some dressing parameters are determined for which the generalized utility function has a maximum and which guarantee an optimum combination of the following: the lifetime and cutting ability of the abrasive wheels, the tangential cutting force magnitude and the production rate of the grinding process. The results obtained prove the possibility of control and optimization of grinding by selecting particular dressing

  11. A Novel Adaptive Routing through Fitness Function Estimation Technique with Multiple QoS Parameters Compliance

    CERN Document Server

    Nair, T R Gopalakrishnan

    2011-01-01

    The paper presents a method which shows a significant improvement in discovering the path over the distance vector protocol. The proposed method is a multi-parameter QoS along with the fitness function which shows that it overcomes the limitation of DV like routing loops by spanning tree approach, count-to-infinity problem by decision attribute. The input considered is a topology satisfying the QoS parameters of size 1 to 64 nodes and it was shown that an optimal path selection was obtained efficiently over the classical distance vector algorithm

  12. Renal function parameters of Thai vegans compared with non-vegans.

    Science.gov (United States)

    Wiwanitkit, Viroj

    2007-01-01

    In Asia, vegetarianism is a well-established eating behavior. It appears that the adoption of a vegan diet leads to a lessening of several health risk factors. Although vegetarianism has some notable effects on the hematological system, the effect on the nephrological system has not been well clarified. The pattern of renal function parameters was studied in 25 Thai vegans compared with 25 non-vegetarians. Of the studied parameters, it was found that urine protein was significantly different (p vegans and controls. Vegans had significantly lower urine protein level.

  13. Discriminant analysis of pulmonary function parameters. Healthy adults versus mild asthmatics and moderate asthmatics.

    Directory of Open Access Journals (Sweden)

    Meguro,Tadamichi

    1982-08-01

    Full Text Available Volume-time (V-T and flow-volume (F-V curves were measured in all the subjects of nonsmoking young males (mean value 26.3 yrs. of age, healthy and asthmatics. Eleven parameters of pulmonary function tests composed of two V-T, six F-V, and three mean time constant (MTC parameters, were calculated from the curves. These parameters were used in the two analyses through the all possible selection procedure (APSP discriminating between healthy adults and mild asthmatics and also between healthy and moderate. Flow rate at 75% of FVC (V75 proved to be the most useful parameter and V50 the next best in both analyses. The probability of misclassification using all eleven parameters was 19.64% in the analysis of healthy adults and mild asthmatics, and 4.29% in the analysis of healthy adults and moderate asthmatics. There was a little difference in the parameters selected at every step. The discriminant analysis proved that the flow-volume patterns were different according to the severity of bronchial asthma. Thus flow-volume recognition was considered to be important in analyzing the severity of bronchial asthma.

  14. Associates of Cardiopulmonary Arrest in the Perihemodialytic Period

    Directory of Open Access Journals (Sweden)

    Jennifer E. Flythe

    2014-01-01

    Full Text Available Cardiopulmonary arrest during and proximate to hemodialysis is rare but highly fatal. Studies have examined peridialytic sudden cardiac event risk factors, but no study has considered associates of cardiopulmonary arrests (fatal and nonfatal events including cardiac and respiratory causes. This study was designed to elucidate patient and procedural factors associated with peridialytic cardiopulmonary arrest. Data for this case-control study were taken from the hemodialysis population at Fresenius Medical Care, North America. 924 in-center cardiopulmonary events (cases and 75,538 controls were identified. Cases and controls were 1 : 5 matched on age, sex, race, and diabetes. Predictors of cardiopulmonary arrest were considered for logistic model inclusion. Missed treatments due to hospitalization, lower body mass, coronary artery disease, heart failure, lower albumin and hemoglobin, lower dialysate potassium, higher serum calcium, greater erythropoietin stimulating agent dose, and normalized protein catabolic rate (J-shaped were associated with peridialytic cardiopulmonary arrest. Of these, lower albumin, hemoglobin, and body mass index; higher erythropoietin stimulating agent dose; and greater missed sessions had the strongest associations with outcome. Patient health markers and procedural factors are associated with peridialytic cardiopulmonary arrest. In addition to optimizing nutritional status, it may be prudent to limit exposure to low dialysate potassium (<2 K bath and to use the lowest effective erythropoietin stimulating agent dose.

  15. Effects of sleep bruxism on functional and occlusal parameters: a prospective controlled investigation

    Science.gov (United States)

    Alicia Ommerborn, Michelle; Giraki, Maria; Schneider, Christine; Michael Fuck, Lars; Handschel, Jörg; Franz, Matthias; Hans-Michael Raab, Wolfgang; Schäfer, Ralf

    2012-01-01

    This study was conducted to verify the results of a preceding retrospective pilot study by means of a prospective controlled investigation including a larger sample size. Therefore, the aim of this clinical investigation was to analyze the relationship between sleep bruxism and several functional and occlusal parameters. The null hypothesis of this study was that there would be no differences among sleep bruxism subjects and non-sleep bruxism controls regarding several functional and occlusal parameters. Fifty-eight sleep bruxism subjects and 31 controls participated in this study. The diagnosis sleep bruxism was based on clinical criteria of the American Academy of Sleep Medicine. Sixteen functional and occlusal parameters were recorded clinically or from dental study casts. Similar to the recently published retrospective pilot study, with a mean slide of 0.77 mm (s.d., 0.69 mm) in the sleep bruxism group and a mean slide of 0.4 mm (s.d., 0.57 mm) in the control group, the evaluation of the mean comparison between the two groups demonstrated a larger slide from centric occlusion to maximum intercuspation in sleep bruxism subjects (Mann–Whitney U-test; P=0.008). However, following Bonferroni adjustment, none of the 16 occlusal and functional variables differed significantly between the sleep bruxism subjects and the non-sleep bruxism controls. The present study shows that the occlusal and functional parameters evaluated do not differ between sleep bruxism subjects and non-sleep bruxism subjects. However, as the literature reveals a possible association between bruxism and certain subgroups of temporomandibular disorders, it appears advisable to incorporate the individual adaptive capacity of the stomatognathic system into future investigations. PMID:22935746

  16. A marked increase in gastric fluid volume during cardiopulmonary bypass

    Science.gov (United States)

    Hirota, Kazuyoshi; Kudo, Mihoko; Hashimoto, Hiroshi; Kushikata, Tetsuya

    2011-01-01

    Major physiological stress occurs during cardiac surgery with cardiopulmonary bypass. This is related to hypothermia and artificial organ perfusion. Thus, serious gastrointestinal complications, particularly upper gastrointestinal bleeding, sometimes follow cardiac surgery. We have compared the antisecretory effects of a preanesthetic H2 antagonist (roxatidine, cardiopulmonary bypass-H2 group, n = 15) and a proton pump inhibitor (rabeprazole, cardiopulmonary bypass-PPI group, n = 15) in patients undergoing cardiac surgery with cardiopulmonary bypass, and also compared in patients undergoing a off-pump coronary artery bypass graft surgery (off-pump cardiopulmonary bypass-H2 group, n = 15). Gastric pH (5.14 ± 0.61) and gastric fluid volume (13.2 ± 2.4 mL) at the end of surgery in off-pump cardiopulmonary bypass-H2 groups was significantly lower and higher than those in both cardiopulmonary bypass-H2 (6.25 ± 0.54, 51.3 ± 8.0 mL) and cardiopulmonary bypass-PPI (7.29 ± 0.13, 63.5 ± 14.8 mL) groups, respectively although those variables did not differ between groups after the induction of anesthesia. Plasma gastrin (142 ± 7 pg/mL) at the end of surgery and maximal blood lactate levels (1.50 ± 0.61 mM) in off-pump cardiopulmonary bypass-H2 group were also significantly lower than those in both cardiopulmonary bypass-H2 (455 ± 96 pg/mL, 3.97 ± 0.80 mM) and cardiopulmonary bypass-PPI (525 ± 27 pg/mL, 3.15 ± 0.44 mM) groups, respectively. In addition, there was a significant correlation between gastric fluid volume and maximal blood lactate (r = 0.596). In conclusion, cardiopulmonary bypass may cause an increase in gastric fluid volume which neither H2 antagonist nor PPI suppresses. A significant correlation between gastric fluid volume and maximal blood lactate suggests that gastric fluid volume may predict degree of gastrointestinal tract hypoperfusion. PMID:21765601

  17. Seasonal changes in functional parameters of the hemolymph of Mytilus galloprovincialis

    Directory of Open Access Journals (Sweden)

    C Ciacci

    2009-04-01

    Full Text Available n bivalves, many functional parameters show seasonal changes in relation to both abiotic (such as temperature and salinity and biotic factors (such as gonad maturation, food availability. Available data indicate that also immune parameters can show seasonal fluctuations in the marine mussel Mytilus spp.. In this work we report data on hemocyte lysosomal membrane stability (LMS and phagocytic activity, as well as on soluble lysozyme activity, in the hemolymph of mussels (Mytilus galloprovincialis collected over a 24 month period in the Adriatic Sea (2006-2007. The results indicate that all the parameters measured show seasonal fluctuations over the year, with lysozyme activity showing the largest changes. Lowest LMS values were observed in early winter and early autumn, whereas maximal values of phagocytic activity were observed in winter and increasing serum lysozyme activities were recorded in autumn. The observed seasonal fluctuations are discussed in relation to both abiotic (temperature and biotic (changes in endogenous modulators factors.

  18. Design Considerations of Structural Parameters in Resonant Tunneling Diode by None-Equilibrium Green Function Method

    Directory of Open Access Journals (Sweden)

    M. Charmi

    2015-12-01

    Full Text Available This paper presents the effects of structural parameters like Quantum well width, barrier width, spacer width, contact width and contact doping, on performance of Resonant Tunneling Diode using full quantum simulation. The simulation is based on a self-consistent solution of the Poisson equation and Schrodinger equation with open boundary conditions, within the non-equilibrium Green’s function formalism. The effects of varying the structural parameters is investigated in terms of the output current, peak current, valley current, peak to valley current ratio and the voltage associated with the peak current. Simulation results illustrate that the device performance can be improved by proper selection of the structural parameters.

  19. Increased post-operative cardiopulmonary fitness in gastric bypass patients is explained by weight loss

    DEFF Research Database (Denmark)

    Lund, M. T.; Hansen, M.; Wimmelmann, C. L.

    2016-01-01

    Roux-en-Y gastric bypass (RYGB) leads to a major weight loss in obese patients. However, given that most patients remain obese after the weight loss, regular exercise should be part of a healthier lifestyle. The primary aim of this study was to investigate the cardiopulmonary fitness in obese......-perceived physical fitness increased after RYGB. Self-reported low- and high-intensity physical activity did not change. With weight loss, self-rated fitness level increased and the limitations to perform exercise decreased in RYGB patients. Nevertheless, as shown by the lower absolute VO2max, RYGB patients do...... patients before and after RYGB. Thirty-four patients had body composition and cardiopulmonary fitness (VO2max) assessed and completed questionnaires regarding physical activity and function twice before RYGB (time points A and B) and 4 and 18 months after surgery (time points C and D). Weight loss was 37...

  20. Bronchodilator response of advanced lung function parameters depending on COPD severity

    Directory of Open Access Journals (Sweden)

    Jarenbäck L

    2016-11-01

    Full Text Available Linnea Jarenbäck,1 Göran Eriksson,1 Stefan Peterson,2 Jaro Ankerst,1 Leif Bjermer,1 Ellen Tufvesson1 1Respiratory Medicine and Allergology, Department of Clinical Sciences Lund, Lund University, 2Regional Cancer Center South, Skåne University Hospital, Lund, Sweden Background: COPD is defined as partly irreversible airflow obstruction. The response pattern of bronchodilators has not been followed in advanced lung function parameters. Purpose: The aim of this study was to investigate bronchodilator response pattern in advanced lung function parameters in a continuous fashion along forced expiratory volume in 1 second (FEV1 percent predicted (%p in COPD patients and controls. Patients and methods: Eighty-one smokers/ex-smokers (41 controls and 40 COPD performed spirometry, body plethysmography, impulse oscillometry and single-breath helium dilution carbon monoxide diffusion at baseline, after salbutamol inhalation and then after an additional inhalation of ipratropium. Results: Most pulmonary function parameters showed a linear increase in response to decreased FEV1%p. The subjects were divided into groups of FEV1%p <65 and >65, and the findings from continuous analysis were verified. The exceptions to this linear response were inspiratory capacity (IC, forced vital capacity (FVC, FEV1/FVC and expiratory resistance (Rex, which showed a segmented response relationship to FEV1%p. IC and FVC, with break points (BP of 57 and 58 FEV1%p respectively, showed no response above, but an incresed slope below the BP. In addition, in patients with FEV1%p <65 and >65, response of FEV1%p did not correlate to response of volume parameters. Conclusion: Response of several advanced lung function parameters differs depending on patients’ baseline FEV1%p, and specifically response of volume parameters is most pronounced in COPD patients with FEV1%p <65. Volume and resistance responses do not follow the flow response measured with FEV1 and may thus be used as a

  1. Multiobjective evolutionary optimization of the size, shape, and position parameters of radial basis function networks for function approximation.

    Science.gov (United States)

    Gonzalez, J; Rojas, I; Ortega, J; Pomares, H; Fernandez, F J; Diaz, A F

    2003-01-01

    This paper presents a multiobjective evolutionary algorithm to optimize radial basis function neural networks (RBFNNs) in order to approach target functions from a set of input-output pairs. The procedure allows the application of heuristics to improve the solution of the problem at hand by including some new genetic operators in the evolutionary process. These new operators are based on two well-known matrix transformations: singular value decomposition (SVD) and orthogonal least squares (OLS), which have been used to define new mutation operators that produce local or global modifications in the radial basis functions (RBFs) of the networks (the individuals in the population in the evolutionary procedure). After analyzing the efficiency of the different operators, we have shown that the global mutation operators yield an improved procedure to adjust the parameters of the RBFNNs.

  2. Probabilistic density function estimation of geotechnical shear strength parameters using the second Chebyshev orthogonal polynomial

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    A method to estimate the probabilistic density function (PDF) of shear strength parameters was proposed. The second Chebyshev orthogonal polynomial(SCOP) combined with sample moments (the originmoments)was used to approximate the PDF of parameters. χ2 test was adopted to verify the availability of the method. It is distribution-free because no classical theoretical distributions were assumed in advance and the inference result provides a universal form of probability density curves. Six most commonly-used theoretical distributions named normal, lognormal, extreme value Ⅰ , gama, beta and Weibull distributions were used to verify SCOP method. An example from the observed data of cohesion c of a kind of silt clay was presented for illustrative purpose. The results show that the acceptance levels in SCOP are all smaller than those in the classical finite comparative method and the SCOP function is more accurate and effective in the reliability analysis of geotechnical engineering.

  3. Automated cardiopulmonary resuscitation: a case study.

    Science.gov (United States)

    Spiro, Jon; Theodosiou, Maria; Doshi, Sagar

    2014-02-01

    Rates of survival after cardiac arrest are low and correlate with the quality of cardiopulmonary resuscitation (CPR). Devices that deliver automated CPR (A-CPR) can provide sustained and effective chest compressions, which are especially useful during patient transfer and while simultaneous invasive procedures are being performed. The use of such devices can also release members of resuscitation teams for other work. This article presents a case study involving a man with acute myocardial infarction complicated by cardiogenic shock and pulmonary oedema. It describes how ED nursing and medical teams worked together to deliver A-CPR, discusses the use of A-CPR devices in a tertiary cardiac centre, and highlights the advantages of using such devices.

  4. Cardiopulmonary resuscitation: a review for clinicians.

    Science.gov (United States)

    Varon, J; Marik, P E; Fromm, R E

    1998-02-01

    Attempts at cardiopulmonary resuscitation (CPR) date from antiquity, but it is only in the last 50 years that a scientifically-based methodology has been developed. External chest compressions is the standard method for managing circulatory arrest, however, numerous alterations of this technique have been proposed in attempts to improve outcome from CPR. Defibrillation is the single most important therapy for the management of ventricular fibrillation or pulseless ventricular tachycardia. Adrenergic agents used to improve myocardial and cerebral perfusion are also the subject of considerable investigation with new agents entering clinical study. This paper reviews the history, current techniques and pharmacotherapy as well as controversial issues in the management of patients with cardiac arrest.

  5. Recursive Parameter Method for Computing the Predicting Function of the Multivariable ARMAX Model

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    New method for computing the predicting function of the ARMAX model is proposed. The proposed method constructs a set of schemes for recursively computing the parameters in predicting function of the ARMAX model. In contrast to the existing method, that only gives results for the special case of the ARX model, the method presented is suitable not only for an SISO system, but also for an MIMO system. For the SISO system, the method presented here is even more convenient than the exisiting ones.

  6. The Effect of Thermal Stress on Asphalt Workers’ Function and Their Physiological Parameters

    OpenAIRE

    RAMAZAN MIRZAEI; ROOHALAH HAJIZADEH; KEYKAOUS AZRAH; MOHAMMADHOSEIN BEHESHTI

    2015-01-01

    Heat stress effects on physical and mental health of workers and decreases human function. Asphalt workers are both exposed to the heat of their working process and to the sun heat. This study aimed at evaluating thermal stress and its following function fall and the effect of asphalt work on the degree of heat stress and asphalt workers’ physiological parameters. The present study was done at the work location of 29 asphalt workers in Qum City,  central  Iran.  The  degree  of  thermal stres...

  7. eGFR is a reliable preoperative renal function parameter in patients with gastric cancer

    Institute of Scientific and Technical Information of China (English)

    Takayuki; Kosuge; Tokihiko; Sawada; Yoshimi; Iwasaki; Junji; Kita; Mitsugi; Shimoda; Nobumi; Tagaya; Keiichi; Kubota

    2010-01-01

    AIM: To evaluate the validity of the estimated glomerular filtration rate (eGFR) as a preoperative renal function parameter in patients with gastric cancer. METHODS: A retrospective study was conducted in 147 patients with gastric cancer. Preoperative creatinine clearance (Ccr), eGFR, and preand postoperative serum creatinine (sCr) data were examined. Preoperative Ccr and eGFR were then compared for their reliability in predicting postoperative renal dysfunction. RESULTS: Among 110 patients with normal preo...

  8. Small x nonlinear evolution with impact parameter and the structure function data

    CERN Document Server

    Berger, Jeffrey

    2011-01-01

    Nonlinear evolution at small values of Bjorken x is evaluated numerically using the dipole framework with impact parameter dependence. Confinement effects are modeled by including masses into the evolution. Sensitivity of the predictions due to different prescriptions of the cuts on large dipole sizes is investigated. Running coupling effects are taken into account in this analysis. Finally, a comparison with the inclusive data from HERA on the structure functions F2 and FL is performed.

  9. Methane dissociation on Pt(111): Searching for a specific reaction parameter density functional

    Energy Technology Data Exchange (ETDEWEB)

    Nattino, Francesco, E-mail: f.nattino@chem.leidenuniv.nl; Migliorini, Davide; Kroes, Geert-Jan [Leiden Institute of Chemistry, Leiden University, Gorlaeus Laboratories, P.O. Box 9502, 2300 RA Leiden (Netherlands); Bonfanti, Matteo [Dipartimento di Chimica, Università degli Studi di Milano, via Golgi 19, 20133 Milano (Italy)

    2016-01-28

    The theoretical description of methane dissociating on metal surfaces is a current frontier in the field of gas-surface dynamics. Dynamical models that aim at achieving a highly accurate description of this reaction rely on potential energy surfaces based on density functional theory calculations at the generalized gradient approximation. We focus here on the effect that the exchange-correlation functional has on the reactivity of methane on a metal surface, using CHD{sub 3} + Pt(111) as a test case. We present new ab initio molecular dynamics calculations performed with various density functionals, looking also at functionals that account for the van der Waals (vdW) interaction. While searching for a semi-empirical specific reaction parameter density functional for this system, we find that the use of a weighted average of the PBE and the RPBE exchange functionals together with a vdW-corrected correlation functional leads to an improved agreement with quantum state-resolved experimental data for the sticking probability, compared to previous PBE calculations. With this semi-empirical density functional, we have also investigated the surface temperature dependence of the methane dissociation reaction and the influence of the rotational alignment on the reactivity, and compared our results with experiments.

  10. One-parameter families of supersymmetric isospectral potentials from Riccati solutions in function composition form

    Energy Technology Data Exchange (ETDEWEB)

    Rosu, Haret C., E-mail: hcr@ipicyt.edu.mx [IPICYT, Instituto Potosino de Investigacion Cientifica y Tecnologica, Camino a la presa San José 2055, Col. Lomas 4a Sección, 78216 San Luis Potosí, S.L.P. (Mexico); Mancas, Stefan C., E-mail: mancass@erau.edu [Department of Mathematics, Embry–Riddle Aeronautical University, Daytona Beach, FL 32114-3900 (United States); Chen, Pisin, E-mail: pisinchen@phys.ntu.edu.tw [Leung Center for Cosmology and Particle Astrophysics (LeCosPA) and Department of Physics, National Taiwan University, Taipei 10617, Taiwan (China)

    2014-04-15

    In the context of supersymmetric quantum mechanics, we define a potential through a particular Riccati solution of the composition form (F∘f)(x)=F(f(x)) and obtain a generalized Mielnik construction of one-parameter isospectral potentials when we use the general Riccati solution. Some examples for special cases of F and f are given to illustrate the method. An interesting result is obtained in the case of a parametric double well potential generated by this method, for which it is shown that the parameter of the potential controls the heights of the localization probability in the two wells, and for certain values of the parameter the height of the localization probability can be higher in the smaller well. -- Highlights: •Function-composition generalization of parametric isospectral potentials is presented. •Mielnik one-parameter family of harmonic potentials is obtained as a particular case. •Graphical discussion of regular and singular regions in the parameter space is given.

  11. PARAMETER ESTIMATION OF VSI FED PERMANENT MAGNET SYNCHRONOUS MOTOR BY USING HARTLEY MODULATING FUNCTION

    Directory of Open Access Journals (Sweden)

    P. Ramana

    2011-08-01

    Full Text Available This paper discusses modeling and parameter estimation of PMSM. The design of a control system for a high performance drive requires a mathematical model of the motor. This is usually derived fromphysical principles, then the parameters of the motor are determined through off-line testing or estimated on-line from input/output operating records data. The dynamics of synchronous motor can be described by a set of differential equations relating voltages, currents, speed and torque. The equations represented in d-q axes variables in the rotor reference frame using park’s transformation are presented. A parameter estimation technique employing the Hartley modulating function (HMF is detailed. Using the data obtained from open loop simulation physical parameters such as stator resistance andinductances as well as mechanical parameters such as moment of inertia and viscous friction coefficient have been estimated with a fair amount of accuracy. This estimate has been found to be quite sensitive to the choice of sampling period.

  12. On The Estimation of Survival Function and Parameter Exponential Life Time Distribution

    Directory of Open Access Journals (Sweden)

    Hadeel S. Al-Kutubi

    2009-01-01

    Full Text Available Problem statement: The study and research of survival or reliability or life time belong to the same area of study but they may belong to a different area of application. In survival analysis one can use several life time distribution, exponential distribution with mean life time θ is one of them. To estimate this parameter and survival function we must be used estimation procedures with less MSE and MPE. Approach: The only statistical theory that combined modeling inherent uncertainty and statistical uncertainty is Bayesian statistics. The theorem of Bayes provided a solution to how learn from data. Bayes theorem was depending on prior and posterior distribution and standard Bayes estimator depends on Jeffery prior information. In this study we annexed Jeffery prior information to get the modify Bayes estimator and then compared it with standard Bayes estimator and maximum likelihood estimator to find the best (less MSE and MPE. Results: when we derived Bayesian and Maximum likelihood of the scale parameter and survival functions. Simulation study was used to compare between estimators and Mean Square Error (MSE and Mean Percentage Error (MPE of estimators are computed. Conclusion: The new proposed estimator of modify Bayes estimator in parameter and survival function was the best estimator (less MSE and MPE when we compared it with standard Bayes and maximum likelihood estimator.

  13. Affinity functions: recognizing essential parameters in fuzzy connectedness based image segmentation

    Science.gov (United States)

    Ciesielski, Krzysztof C.; Udupa, Jayaram K.

    2009-02-01

    Fuzzy connectedness (FC) constitutes an important class of image segmentation schemas. Although affinity functions represent the core aspect (main variability parameter) of FC algorithms, they have not been studied systematically in the literature. In this paper, we present a thorough study to fill this gap. Our analysis is based on the notion of equivalent affinities: if any two equivalent affinities are used in the same FC schema to produce two versions of the algorithm, then these algorithms are equivalent in the sense that they lead to identical segmentations. We give a complete characterization of the affinity equivalence and show that many natural definitions of affinity functions and their parameters used in the literature are redundant in the sense that different definitions and values of such parameters lead to equivalent affinities. We also show that two main affinity types - homogeneity based and object feature based - are equivalent, respectively, to the difference quotient of the intensity function and Rosenfeld's degree of connectivity. In addition, we demonstrate that any segmentation obtained via relative fuzzy connectedness (RFC) algorithm can be viewed as segmentation obtained via absolute fuzzy connectedness (AFC) algorithm with an automatic and adaptive threshold detection. We finish with an analysis of possible ways of combining different component affinities that result in non equivalent affinities.

  14. Effects of active compression-decompression cardiopulmonary resuscitation on cardiac functions during ventricular fibrillation by two-dimensional echocardiography in dogs%二维超声观察主动性心肺复苏对心室颤动犬心功能的影响

    Institute of Scientific and Technical Information of China (English)

    刘红臻; 钟敬泉; 孟祥林; 陶文; 张运

    2010-01-01

    Objective To compare the effect of active compression-decompression cardiopulmonary resuscitation(ACD-CPR) with standard- cardiopulmonary resuscitation(S-CPR) on ventricular function in a canine ventricular fibrillation model. Methods Ventricular fibrillation was induced in anesthetized and instrumented canine. Twenty-four dogs were randomly assigned to either ACD-CPR group or S-CPR group.After 4 minutes of untreated VF,two-dimension echocardiography was used to evaluate the left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV) and left ventricular ejection fraction (LVEF) of every canine of the two groups when they were undergoing cardiopulmonary resuscitation. Results During ventricular fibrillation, both ACD-CPR group and S-CPR group showed decreased LVEDV compared with pre-ventricular fibrillation, but not statistically significant( P >0.05).LVEDV was increased in ACD-CPR group compared with S-CPR group, but not statistically significant (P> 0. 05). Both ACD-CPR group and S-CPR group showed significantly increased LVESV compared with pre-ventricular fibrillation,of which the difference was statistically significant ( P <0. 001). Both ACD-CPRgroup and S-CPR group showed significantly decreased LVEF compared with pre-ventricular fibrillation,of which the difference was statistically significant (P <0. 001). LVEF was increased in ACD-CPR group compared with S-CPR group,of which the difference was statistically significant ( P = 0.019). Conclusions Compared with S-CPR,ACD-CPR resulted in higher LVEF.%目的 探讨主动性心肺复苏对犬心室颤动(室颤)时心功能的影响.方法 应用经胸二维超声心动图分别测量犬室颤时主动性心肺复苏组(ACD-CPR组,12只)和标准心肺复苏组(S-CPR组,12只)左心室舒张末期容积、左心室收缩末期容积,计算左心室射血分数(LVEF),比较两组间各项测量结果.结果 室颤时,两组左心室舒张末期容积较室颤前均有下降,

  15. Spatial variation in nitrogen dioxide concentrations and cardiopulmonary hospital admissions

    NARCIS (Netherlands)

    Dijkema, Marieke B A; van Strien, Robert T; van der Zee, Saskia C; Mallant, Sanne F; Fischer, Paul; Hoek, Gerard; Brunekreef, Bert; Gehring, Ulrike

    2016-01-01

    BACKGROUND: Air pollution episodes are associated with increased cardiopulmonary hospital admissions. Cohort studies showed associations of spatial variation in traffic-related air pollution with respiratory and cardiovascular mortality. Much less is known in particular about associations with cardi

  16. Pediatric Cardiopulmonary Resuscitation: Advances in Science, Techniques, and Outcomes

    OpenAIRE

    Topjian, Alexis A.; Berg, Robert A; Nadkarni, Vinay M.

    2008-01-01

    More than 25% of children survive to hospital discharge after in-hospital cardiac arrests, and 5% to 10% survive after out-of-hospital cardiac arrests. This review of pediatric cardiopulmonary resuscitation addresses the epidemiology of pediatric cardiac arrests, mechanisms of coronary blood flow during cardiopulmonary resuscitation, the 4 phases of cardiac arrest resuscitation, appropriate interventions during each phase, special resuscitation circumstances, extracorporeal membrane oxygenati...

  17. Assessment of various parameters in the estimation of differential renal function using technetium-99m mercaptoacetyltriglycine

    Energy Technology Data Exchange (ETDEWEB)

    Lythgoe, M.F.; Gordon, I.; Khader, Z.; Smith, T.; Anderson, P.J. [Department of Radiology, Great Ormond Street Hospital for Children NHS Trust, London (United Kingdom)

    1999-02-01

    Differential renal function (DRF) is an important parameter that should be assessed from virtually every dynamic renogram. With the introduction of technetium-99m mercaptoacetyltriglycine ({sup 99m}Tc-MAG3), a tracer with a high renal extraction, the estimation of DRF might hopefully become accurate and reproducible both between observers in the same institution and also between institutions. The aim of this study was to assess the effect of different parameters on the estimation of DRF. To this end we investigated two groups of children: group A, comprising 35 children with a single kidney (27 of whom had poor renal function), and group B, comprising 20 children with two kidneys and normal global function who also had an associated {sup 99m}Tc-dimercaptosuccinic acid scan ({sup 99m}Tc-DMSA). The variables assessed for their effect on the estimation of DRF were: different operators, the choice of renal regions of interest (ROIs), the applied background subtraction, and six different techniques for analysis of the renogram. The six techniques were based on: linear regression of the slopes in the Rutland-Patlak plot, matrix deconvolution, differential method, integral method, linear regression of the slope of the renograms, and the area under the curve of the renogram. The estimation of DRF was less dependent upon both observer and method in patients with two normally functioning kidneys than in patients with a single kidney. The inter-observer comparison among children in either group was not dependent on either ROI or background subtraction. However, in patients with poor renal function the method of choice for the estimation of DRF was dependent on background subtraction, though not ROI. In children with two kidneys and normal renal function, the estimation of DRF from the 24 techniques gave similar results. Methods that produced DRF values closest to expected results, from either group of children, were the Rutland-Patlak plot and matrix deconvolution methods

  18. Parameter estimation for stiff equations of biosystems using radial basis function networks

    Directory of Open Access Journals (Sweden)

    Sugimoto Masahiro

    2006-04-01

    Full Text Available Abstract Background The modeling of dynamic systems requires estimating kinetic parameters from experimentally measured time-courses. Conventional global optimization methods used for parameter estimation, e.g. genetic algorithms (GA, consume enormous computational time because they require iterative numerical integrations for differential equations. When the target model is stiff, the computational time for reaching a solution increases further. Results In an attempt to solve this problem, we explored a learning technique that uses radial basis function networks (RBFN to achieve a parameter estimation for biochemical models. RBFN reduce the number of numerical integrations by replacing derivatives with slopes derived from the distribution of searching points. To introduce a slight search bias, we implemented additional data selection using a GA that searches data-sparse areas at low computational cost. In addition, we adopted logarithmic transformation that smoothes the fitness surface to obtain a solution simply. We conducted numerical experiments to validate our methods and compared the results with those obtained by GA. We found that the calculation time decreased by more than 50% and the convergence rate increased from 60% to 90%. Conclusion In this work, our RBFN technique was effective for parameter optimization of stiff biochemical models.

  19. Statistical normal values of visual parameters that characterize binocular function in children.

    Science.gov (United States)

    Jiménez, R; Pérez, M A; García, J A; González, M D

    2004-11-01

    A wide range of visual parameters used to evaluate binocular function were evaluated in a paediatric population (1056 subjects aged 6-12 years). Mean values are provided for these ages in optometric tests that directly assess the vergence system, horizontal phorias for near and far vision (measured by a modified version of the Thorington method), negative and positive vergence amplitude for near and far vision (step vergence testing), vergence facility (flippers 8 Delta BI/8 Delta BO), and near-point of convergence (penlight push-up technique and red-lens push-up technique), as well as stimulus accommodative convergence/accommodation ratio and stereoacuity (Randot test) which provide an overall evaluation of the vergence, accommodative and oculomotor systems. A statistical comparison (anova and Bonferroni post hoc test) of these values between ages was performed. The differences, although statistically significant, were not clinically meaningful, and therefore we identified two trends in the behaviour of these parameters. For all parameters, except for vergence facility, we established a single mean reference value for the age range studied. The difference between the means for vergence facility indicated the need to divide the population into two age ranges (6-8 and 8-12 years). This study establishes statistical normal values for these parameters in a paediatric population and their means are a valuable instrument for separating children with binocular anomalies from those with normal binocular vision.

  20. Multi Objective Optimization of Weld Parameters of Boiler Steel Using Fuzzy Based Desirability Function

    Directory of Open Access Journals (Sweden)

    M. Satheesh

    2014-01-01

    Full Text Available The high pressure differential across the wall of pressure vessels is potentially dangerous and has caused many fatal accidents in the history of their development and operation. For this reason the structural integrity of weldments is critical to the performance of pressure vessels. In recent years much research has been conducted to the study of variations in welding parameters and consumables on the mechanical properties of pressure vessel steel weldments to optimize weld integrity and ensure pressure vessels are safe. The quality of weld is a very important working aspect for the manufacturing and construction industries. Because of high quality and reliability, Submerged Arc Welding (SAW is one of the chief metal joining processes employed in industry. This paper addresses the application of desirability function approach combined with fuzzy logic analysis to optimize the multiple quality characteristics (bead reinforcement, bead width, bead penetration and dilution of submerged arc welding process parameters of SA 516 Grade 70 steels(boiler steel. Experiments were conducted using Taguchi’s L27 orthogonal array with varying the weld parameters of welding current, arc voltage, welding speed and electrode stickout. By analyzing the response table and response graph of the fuzzy reasoning grade, optimal parameters were obtained. Solutions from this method can be useful for pressure vessel manufacturers and operators to search an optimal solution of welding condition.

  1. The amylase-creatinine clearance ratio following cardiopulmonary bypass.

    Science.gov (United States)

    Murray, W R; Mittra, S; Mittra, D; Roberts, L B; Taylor, K M

    1981-08-01

    The incidence of unexplained pancreatitis in patients dying after cardiac operations has been recorded as 16%, with evidence to implicate ischemia in the pathogenesis of the pancreatitis. Increased amylase--to--creatinine clearance ratios (ACCR), suggesting pancreatic dysfunction, have been reported in patients following nonpulsatile cardiopulmonary bypass (CPB). Pulsatile CPB is increasingly recognized to be a more physiological form of perfusion, particularly with respect to capillary blood flow. In this study the ACCR has been determined before, during, and after cardiac operations performed with both nonpulsatile and pulsatile CPB. Twenty patients undergoing elective cardiac operations were studied. Ten patients had nonpulsatile CPB (nonpulsatile group) and 10 had pulsatile CPB (pulsatile group). The two groups were comparable as regards perioperative variables and perfusion parameters. In both groups the ACCR was estimated preoperatively, on three occasions during the operation, and daily on the first 5 postoperative days. A significant elevation in ACCR was observed in nine of 10 patients in the nonpulsatile group but in only one of 10 patients in the pulsatile group (p less than 0.001). The significant improvement of ACCR stability following pulsatile CPB may indicate that this form of perfusion will reduce the risk of pancreatitis following cardiac operations performed with CPB.

  2. The Protective Effect of Propofol on Erythrocytes during Cardiopulmonary Bypass

    Institute of Scientific and Technical Information of China (English)

    张诗海; 姚尚龙

    2001-01-01

    To evaluate the relationship between erythrocyte injury and intracellular calcium ion overload, and the protective effect of propofol on erythrocytes during cardiopulmonary bypass (CPB), 40 children with congenital heart diseases who underwent surgical repair under CPB were studied. The patients were randomly divided into two groups: control group (group C) and propofol group (group P). Anesthesia was maintained in the patients in group P with 6 mg*kg-1*h-1 propofol, and those in the group C inhaled 1 %-2 % isoflurane. The blood samples were taken before CPB, at the 30th min of CPB, at the end of CPB, and 2 h and 24 h after CPB to measure the content of erythrocyte intracellular calcium ion (E-Ca2+), Ca2+-Mg2+-ATPase and Na+-K+-ATPase activities, index filtration of erythrocytes (IF), mean corpuscular volume (MCV) and the concentration of plasma free hemoglobin (F-HB). Results showed that in the control group, E-Ca2+, IF, MCV and F-Hb were gradually increased and Ca2+-Mg2+-ATPase and Na+-K+-ATPase activities were decreased. The increase of E-Ca2+ was linearly paralleled to IF, MCV and F-Hb. In propofol group, all the above-mentioned parameters were significantly improved (P<0.05). This study suggests that erythrocyte injury is related to elevation of intracellular calcium during CPB and propofol has a protective effect on erythrocyte injury.

  3. The Protective Effect of Propofol on Erythrocytes during Cardiopulmonary Bypass

    Institute of Scientific and Technical Information of China (English)

    张诗海; 姚尚龙

    2004-01-01

    To evaluate the relationship between erythrocyte injury and intracellular calcium ion overload, and the protective effect of propofol on erythrocytes during cardiopulmonary bypass (CPB). 40 children with congenital heart diseases who underwent surgical repair under CPB were included. The patients were randomly divided into two groups: control group (group C) and propofol group (group P). Anesthesia was maintained in the patients with 6 mg/kg/h propofol in Group P, and those in the Group C inhaled 1 %-2 % isoflurane. The blood samples were taken before CPB, 30 min after CPB, at the end of CPB, and 2 h and 24 h after CPB to measure the content of erythrocyte intracellular calcium ion (E-Ca2+ ), Ca2+-Mg2+-ATPase and Na+-K+-ATPase activities, index filtration of erythrocytes (IF), mean corpuscular volume (MCV) and the concentration of plasma free hemoglobin (F-Hb). Results showed that in the control group, E-Ca2+ , IF, MCV and F-Hb were gradually increased and Ca2+-Mg2+-ATPase and Na+-K+-ATPase activities were decreased. The increase of E-Ca2+ was linearly paralleled to IF, MCV and F-Hb. In propofol group, all the above-mentioned parameters were significantly improved (P<0. 05). This study suggests that erythrocyte injury is related to elevation of intracellular calcium during CPB and propofol has a protective effect on erythrocyte injury.

  4. [Cardiopulmonary resuscitation already in Egypt 5,000 years ago?].

    Science.gov (United States)

    Ocklitz, A

    1997-06-06

    In light of the medically relevant features of the ancient Egyptian mouth-opening ceremony, the question of the effectiveness of medical practices in Egypt thousands of years ago is examined, whereby the religious and cultural framework also plays a significant role. In the Land on the Nile myth and reality clearly generated special conditions which favoured the systematic treatment of questions of resuscitation. Numerous examples show that this had practical consequences in the area of everyday medicine. In addition, rebirth and resurrection were central elements of the cult of the dead which had exact medical equivalents. These equivalents may demonstrate the advanced state of resuscitation practices in Egypt at that time. In this context, a reconstruction of an ancient Egyptian mouth-opening instrument is presented. In the cult of the dead, this instrument played a role which can be compared to the function of a modern laryngoscope. It appears possible that at the time of the pyramids the Egyptians already had an understanding of the technology required to perform instrument-aided artificial respiration. Whether or not they actually possessed a fundamental knowledge of the principles of cardio-pulmonary resuscitation remains unclear. Nevertheless, the astonishingly functional characteristics of the reconstructed mouth-opening instrument suggest that it was developed for more than purely symbolic purposes.

  5. Function of parotid gland following irradiation and its relation to biological parameters

    Energy Technology Data Exchange (ETDEWEB)

    Sasaki, T. (Tohoku Univ., Sendai, Japan); Yamamoto, M.; Takeda, M.

    1980-09-01

    The function of the parotid gland in the mouse (synthesis and secretion of ..cap alpha..-amylase) following X irradiation was analyzed in relation to the parameters of surviving acinar cell fraction, DNA or protein content, and wet weight of the gland. Both synthesis and secretion of amylase in parotid were essentially unchanged when mice were irradiated with a dose of up to 3000 rad. When mice were irradiated and then given a proliferative stimulus of isoproterenol, latent lethal damage in the acinar cell population was expressed and resulted in cell degeneration in a dose-dependent manner. The mean value of amylase activity per gland in similarly treated parotids was, however, totally unaffected. The relationship between amylase activity per gland and the other biological parameters was analyzed by regression analysis. The results indicate that amylase activity per surviving acinar cell increased proportionately to compensate for the loss of acinar cells.

  6. EXPERIMENTAL DETERMINATION OF DOUBLE VIBE FUNCTION PARAMETERS IN DIESEL ENGINES WITH BIODIESEL

    Directory of Open Access Journals (Sweden)

    Radivoje B Pešić

    2010-01-01

    Full Text Available A zero-dimensional, one zone model of engine cycle for steady-state regimes of engines and a simplified procedure for indicator diagrams analysis have been developed at the Laboratory for internal combustion engines, fuels and lubricants of the Faculty of Mechanical Engineering in Kragujevac. In addition to experimental research, thermodynamic modeling of working process of diesel engine with direct injection has been presented in this paper. The simplified procedure for indicator diagrams analysis has been applied, also. The basic problem, a selection of shape parameters of double Vibe function used for modeling the engine operation process, has been solved. The influence of biodiesel fuel and engine working regimes on the start of combustion, combustion duration and shape parameter of double Vibe was determined by a least square fit of experimental heat release curve.

  7. A Gaussian mixture model based cost function for parameter estimation of chaotic biological systems

    Science.gov (United States)

    Shekofteh, Yasser; Jafari, Sajad; Sprott, Julien Clinton; Hashemi Golpayegani, S. Mohammad Reza; Almasganj, Farshad

    2015-02-01

    As we know, many biological systems such as neurons or the heart can exhibit chaotic behavior. Conventional methods for parameter estimation in models of these systems have some limitations caused by sensitivity to initial conditions. In this paper, a novel cost function is proposed to overcome those limitations by building a statistical model on the distribution of the real system attractor in state space. This cost function is defined by the use of a likelihood score in a Gaussian mixture model (GMM) which is fitted to the observed attractor generated by the real system. Using that learned GMM, a similarity score can be defined by the computed likelihood score of the model time series. We have applied the proposed method to the parameter estimation of two important biological systems, a neuron and a cardiac pacemaker, which show chaotic behavior. Some simulated experiments are given to verify the usefulness of the proposed approach in clean and noisy conditions. The results show the adequacy of the proposed cost function.

  8. A Soft Parameter Function Penalized Normalized Maximum Correntropy Criterion Algorithm for Sparse System Identification

    Directory of Open Access Journals (Sweden)

    Yingsong Li

    2017-01-01

    Full Text Available A soft parameter function penalized normalized maximum correntropy criterion (SPF-NMCC algorithm is proposed for sparse system identification. The proposed SPF-NMCC algorithm is derived on the basis of the normalized adaptive filter theory, the maximum correntropy criterion (MCC algorithm and zero-attracting techniques. A soft parameter function is incorporated into the cost function of the traditional normalized MCC (NMCC algorithm to exploit the sparsity properties of the sparse signals. The proposed SPF-NMCC algorithm is mathematically derived in detail. As a result, the proposed SPF-NMCC algorithm can provide an efficient zero attractor term to effectively attract the zero taps and near-zero coefficients to zero, and, hence, it can speed up the convergence. Furthermore, the estimation behaviors are obtained by estimating a sparse system and a sparse acoustic echo channel. Computer simulation results indicate that the proposed SPF-NMCC algorithm can achieve a better performance in comparison with the MCC, NMCC, LMS (least mean square algorithms and their zero attraction forms in terms of both convergence speed and steady-state performance.

  9. Strategies to prevent intraoperative lung injury during cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Siminelakis Stavros N

    2010-01-01

    Full Text Available Abstract During open heart surgery the influence of a series of factors such as cardiopulmonary bypass (CPB, hypothermia, operation and anaesthesia, as well as medication and transfusion can cause a diffuse trauma in the lungs. This injury leads mostly to a postoperative interstitial pulmonary oedema and abnormal gas exchange. Substantial improvements in all of the above mentioned factors may lead to a better lung function postoperatively. By avoiding CPB, reducing its time, or by minimizing the extracorporeal surface area with the use of miniaturized circuits of CPB, beneficial effects on lung function are reported. In addition, replacement of circuit surface with biocompatible surfaces like heparin-coated, and material-independent sources of blood activation, a better postoperative lung function is observed. Meticulous myocardial protection by using hypothermia and cardioplegia methods during ischemia and reperfusion remain one of the cornerstones of postoperative lung function. The partial restoration of pulmonary artery perfusion during CPB possibly contributes to prevent pulmonary ischemia and lung dysfunction. Using medication such as corticosteroids and aprotinin, which protect the lungs during CPB, and leukocyte depletion filters for operations expected to exceed 90 minutes in CPB-time appear to be protective against the toxic impact of CPB in the lungs. The newer methods of ultrafiltration used to scavenge pro-inflammatory factors seem to be protective for the lung function. In a similar way, reducing the use of cardiotomy suction device, as well as the contact-time between free blood and pericardium, it is expected that the postoperative lung function will be improved.

  10. Generalised analysis of the potential of an enterprise as a function of environmental parameters (theoretical approach

    Directory of Open Access Journals (Sweden)

    Karapeychik Igor M.

    2013-03-01

    Full Text Available Within the frameworks of the author’s concept of the potential of an enterprise as the ability to conduct its immanently appropriate activity and also the idea of presentation of the size of the potential in the form of potential function from parameters of the state of an enterprise and foreign economic environment the article develops a scientific and methodical approach to construction and analysis of the potential function of an enterprise. The offered approach envisages building an economic and mathematical model of an enterprise of the optimisation type with consideration of environmental factors, determination of the size of economic potential as a maximum possible (optimal with the set condition of an enterprise and external environment of net income, statistical test of the model with possible values of external parameters (formation of statistical sampling of the graph of the potential function of an enterprise and application of statistical methods including methods of correlation, factor and regression analysis, for the study of its properties. Operability of this approach is shown on the example of the study of properties of the potential function of a model enterprise. In the course of approbation the article demonstrates its ability to reveal specific features of impact of external factors on economic potential of an enterprise; establishes, as a common regularity, differential influence of various environmental factors, caused not only by the nature of these factors, but also production and economic specific features and specific state of an enterprise. The article shows that the quantitative values of the force of influence of the said factors upon the value of economic potential, obtained during statistical analysis of the potential function of an enterprise, could serve as an instrument of ranking these factors by the priority level in the goal setting tasks at the stage of formation of the strategy of enterprise development

  11. Determination of dependence of feed intake level on functional and technological parameters of prescription mixture

    Directory of Open Access Journals (Sweden)

    Aksenova O. I.

    2016-12-01

    Full Text Available The problem of the development of pet food formulations in the conditions of information uncertainty which is characteristic of an actual business enterprise engaged in production of feed has been considered in the paper. The analysis of the literature [1–4] has shown that the main works are devoted to the extrusion of plastics and cereal products, with the temperature conditions equal to 130–200 ºC. This temperature range is not suitable for the production of pet food, and researches on this issue are virtually absent. This study is devoted to defining the functional and technological parameters of prescription mixture depending on the level of feed intake by unproductive animals; this knowledge will allow manufacturers to simplify the development of new formulations of balanced feed. Identification of this relationship has been carried out on the basis of modeling methods of mathematical statistics in Excel and Mathcad packages, as well as on the basis of fuzzy logic set theory in MatLAB package, as the construction of a complete mathematical model is complicated by absence of an explicit numerical form of the result received on the basis of sensory analysis. The research has revealed the dependence of feed intake level on functional and technological parameters of prescription mix for non-productive animals, in particular, the highest level of animal feed intake will be achieved at the following values of the main parameters: pH – 6.5; the moisture – 9 %; the protein concentration – 85 %; the particle size – 0.55 mm; the energy value – 267 kcal/100 g feed. The adequacy of the dependence for the input variables – the moisture feed and concentration of the protein component – is confirmed by the experimental investigations. This paper can be used to generate the optimal prescription composition for functional and technological characteristics of the samples in order to create balanced extruded feeds.

  12. The LASSO for generic design matrices as a function of the relaxation parameter

    CERN Document Server

    Chretien, Stephane

    2011-01-01

    The LASSO is a variable subset selection procedure in statistical linear regression based on $\\ell_1$ penalization of the least-squares operator. Its behavior crucially depends, both in practice and in theory, on the ratio between the fidelity term and the penalty term. We provide a detailed analysis of the fidelity vs. penalty ratio as a function of the relaxation parameter. Our study is based on a general position condition on the design matrix which holds with probability one for most experimental models. Along the way, the proofs of some well known basic properties of the LASSO are provided from this new generic point of view.

  13. Computerized System for Evaluating Small Arm Projectile Trajectory Parameters Involving Space Time Functions

    Directory of Open Access Journals (Sweden)

    M. Jauhari

    1982-07-01

    Full Text Available Evaluation of certain parameters of the trajectory of a small arm projectile on the basis of Siacci approximation requires the values of space (S and Time (T functions as tabulated in the Ingalls and Hodsock ballistic tables. The development is reported of a computerized system, whereby the necessity of referring to these tables has been completely obviated. Programme flow-char has been presented and the logic behind the flow of programme has been made explicit. The programme has been executed successfully on the DCM Microsystem 1121.

  14. Parameter estimation for stochastic diffusion process with drift proportional to Weibull density function

    OpenAIRE

    Hammou Elotmany; M'Hamed Eddahbi

    2015-01-01

    Hammou El-otmany, M'hamed Eddahbi Facult{\\'e} des Sciences et Techniques Marrakech-Maroc Laboratoire de m{\\'e}thodes stochastiques appliqu{\\'e}e a la finance et actuariat (LaMsaFA) Abstract. In the present paper we propose a new stochastic diffusion process with drift proportional to the Weibull density function defined as X $\\epsilon$ = x, dX t = $\\gamma$ t (1 -- t $\\gamma$+1) -- t $\\gamma$ X t dt + $\\sigma$X t dB t , t \\textgreater{} 0, with parameters $\\gamma$ \\textgreater{} 0 and $\\sigma$...

  15. Landau parameters for energy density functionals generated by local finite-range pseudopotentials

    CERN Document Server

    Idini, Andrea; Dobaczewski, Jacek

    2016-01-01

    In Landau theory of Fermi liquids, the particle-hole interaction near the Fermi energy in different spin-isospin channels is probed in terms of an expansion over the Legendre polynomials. This provides a useful and efficient way to constrain properties of nuclear energy density functionals in symmetric nuclear matter and finite nuclei. In this study, we present general expressions for Landau parameters corresponding to a two-body central local regularized pseudopotential. We also show results obtained for two recently adjusted NLO and N$^2$LO parametrizations. Such pseudopotentials will be used to determine mean-field and beyond-mean-field properties of paired nuclei across the entire nuclear chart.

  16. Detection and Parameter Estimation of Multicomponent LFM Signal Based on the Cubic Phase Function

    Directory of Open Access Journals (Sweden)

    Yi-Cheng Jiang

    2008-05-01

    Full Text Available A new algorithm for the detection and parameters estimation of LFM signal is presented in this paper. By the computation of the cubic phase function (CPF of the signal, it is shown that the CPF is concentrated along the frequency rate law of the signal, and the peak of the CPF yields the estimate of the frequency rate. The initial frequency and amplitude can be obtained by the dechirp technique and fast Fourier transform. And for multicomponent signal, the CLEAN technique combined with the CPF is proposed to detect the weak components submerged by the stronger components. The statistical performance is analyzed and the simulation results are shown simultaneously.

  17. Study of gain variation as a function of physical parameters of GEM foil

    Energy Technology Data Exchange (ETDEWEB)

    Das, Supriya, E-mail: Supriya.Das@cern.ch

    2016-07-11

    The ALICE experiment at LHC has planned to upgrade the TPC by replacing the MWPC with GEM based detecting elements to restrict the IBF to a tolerable value. However the variation of the gain as a function of physical parameters of industrially produced large size GEM foils is needed to be studied as a part of the QA procedure for the detector. The size of the electron avalanche and consequently the gain for GEM based detectors depend on the electric field distribution inside the holes. Geometry of a hole plays an important role in defining the electric field inside it. In this work we have studied the variation of the gain as a function of the hole diameters using Garfield++ simulation package.

  18. Pistachio diet improves erectile function parameters and serum lipid profiles in patients with erectile dysfunction.

    Science.gov (United States)

    Aldemir, M; Okulu, E; Neşelioğlu, S; Erel, O; Kayıgil, O

    2011-01-01

    We investigated the effects of Antep pistachio on International Index of Erectile Function (IIEF) scores, penile color Doppler ultrasound (PCDU) parameters and serum lipid levels in patients with ED. A total of 17 married male patients with ED for at least 12 months were included in this prospective study. Patients were put on a 100 g pistachio nuts diet for 3 weeks. IIEF and PCDU were evaluated before and after the pistachio diet. In addition, plasma total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL) and triglyceride were measured before and after dietary modifications from all subjects. Mean IIEF-15 score was 36 ± 7.5 before the diet and 54.2 ± 4.9 after the diet (P=0.001). Similarly, an increase in all five domains of IIEF was observed after the diet (Ppistachio diet were 35.5 ± 15.2 and 43.3 ± 12.4 cm s(-1), respectively (P=0.018). After the pistachio diet, TC and LDL levels decreased significantly, whereas HDL level increased (P=0.008, 0.007 and 0.001, respectively). We demonstrated that a pistachio diet improved IIEF scores and PCDU parameters without any associated side effects in patients with ED. Furthermore, the lipid parameters showed statistically significant improvements after this diet.

  19. The Cardiopulmonary effect of passive movement

    Directory of Open Access Journals (Sweden)

    L. Loram

    2002-02-01

    Full Text Available Eleven articles were reviewed on the cardiopulmonary effects of passive movements. These included two articles on theneurological effects of passive movements. Of the eleven articles, four were considered to have level II evidence in accordance with Sackett’s rules of evidence. There was little consensus regarding the rate or duration of passive movements. There were some suggestions that upper limb movement produces a greater ventilatory response than lower limb movement. There was a statistically significant increase (p< 0.05 in minute ventilation when the movement was done at a rate of 40 repetitions per minute or more, but this change may not be clinically significant. Passive movements were not detrimental to neurosurgical patients with a normal or slightly elevated intracranial pressure, although the values of the intracranial pressure were not stated.  The studies were limited in that eight of the eleven had small sample sizes and most studies were conducted using normal subjects. Further studies with higher levels of evidence need to be  conducted to verify any results reported to date in the literature. Studies that are relevant to clinical practice also need to be conducted in populations such as sedated intensive care patients.

  20. Cardiopulmonary exercise testing (CPET) in pulmonary emphysema.

    Science.gov (United States)

    Paoletti, Patrizia; De Filippis, Francesca; Fraioli, Francesco; Cinquanta, Alessandra; Valli, Gabriele; Laveneziana, Pierantonio; Vaccaro, Francesco; Martolini, Dario; Palange, Paolo

    2011-12-15

    In patients affected by chronic obstructive pulmonary disease (COPD), cardiopulmonary response to exercise was never related to the severity of emphysema (E) measured by high resolution computed tomography (HRCT). Sixteen patients (age=65±8 yrs; FEV(1)=54±18%pred; RV=160±28%pred) with moderate to severe E (quantified by lung HRCT as % voxels cycle-ergometer to exhaustion. Oxygen uptake (V˙(O2)), carbon dioxide output (V˙(CO2)), ventilation (V˙(E)), tidal volume (V(T)), and end-tidal P(CO2) (PET(CO2)) derived variables were measured breath-by-breath. The % of E correlated with: (1) the ratio V(Tpeak) (r=0.74; p=0.001); (2) the V˙(E)/V˙(CO2) slope (r=-0.77; p=0.0004); (3) PET(CO2) values at peak exercise (r=0.80; p=0.0001). Also, the %E was strongly predicted by the following exercise equation: %E(EST) = 58.1 + 11.9 × ΔV˙(E)/V˙(CO2) (r=0.94; p1 is typically observed in severe E patients; furthermore, the V˙(E)/V˙(CO2) slope and the PET(CO2peak) values decrease and increase respectively as more as the emphysema is severe.

  1. Conflicting perspectives compromising discussions on cardiopulmonary resuscitation.

    LENUS (Irish Health Repository)

    Groarke, J

    2010-09-01

    Healthcare professionals, patients and their relatives are expected to discuss resuscitation together. This study aims to identify the differences in the knowledge base and understanding of these parties. Questionnaires examining knowledge and opinion on resuscitation matters were completed during interviews of randomly selected doctors, nurses and the general public. 70% doctors, 24% nurses and 0% of a public group correctly estimated survival to discharge following in-hospital resuscitation attempts. Deficiencies were identified in doctor and nurse knowledge of ethics governing resuscitation decisions. Public opinion often conflicts with ethical guidelines. Public understanding of the nature of cardiopulmonary arrests and resuscitation attempts; and of the implications of a \\'Do Not Attempt Resuscitation (DNAR)\\' order is poor. Television medical dramas are the primary source of resuscitation knowledge. Deficiencies in healthcare professionals\\' knowledge of resuscitation ethics and outcomes may compromise resuscitation decisions. Educational initiatives to address deficiencies are necessary. Parties involved in discussion on resuscitation do not share the same knowledge base reducing the likelihood of meaningful discussion. Public misapprehensions surrounding resuscitation must be identified and corrected during discussion.

  2. A STUDY ON CARDIOPULMONARY CHANGES WITH EXERCISE IN ADOLESCENT BOYS AND GIRLS

    Directory of Open Access Journals (Sweden)

    Lakshmi

    2015-02-01

    Full Text Available INTRODUCTION: Exercise is an important part of keeping adolescents healthy . The prevalence of obesity - related hypertension , in children and adolescents is on the rise . Exercise regimen can reverse or retard the rate of progression from prehypertension to hypertension in adolescents . The incidence of lung diseases including bronchial asthma is high in adolescent age group . There are gender differences in cardiopulmonary changes with exercise . The pulmonary function testing during exercise is often used for further assessme nt and determ in ing the degree of airway impairment and response to treatment . The present study was performed t o study the effect of various intensity of exercise on cardiopulmonary variables and to evaluate quantitative relationship between the variables . MATERIALS AND METHODS: The present study is carried out in a group of 100 healthy First year medical students of both sexes , who were not regular athletes . The subjects being medical students presented an added advantage of belonging to matching age groups of between 18 - 21 years of comparable physical standards and also medically screened at the time of admission . Before undertaking the exercise regimen blood hemoglobin concentration , RMV , MVV , FVC , FEV1 , PEFR , RR , HR and Blood Pressure ( BP were determined in all the subjects . Then the subject exercised on a bicycle ergometer with incremental loads . The Pulse Rate of the subject is noted and mentioned as the heart rate per minute . During the exercise the pulse was monitored by a pulse Oximeter . Blood Pressure was manually measured using standard mercury sphygmomanometer . The recordings before exercise , during exercise and 30 minutes after end of exercise of FVC , FEV - 1 and PEFR were measured using a digital spirometer . RESULTS: All the observations recorded in Group - A ( Boys subjects and of Group - B ( Girls subjects were noted . The arithmetical mean , standard deviation and standard

  3. The effect of cytoflavin on functional and metabolic parameters rat liver in pancreatonecrosis

    Directory of Open Access Journals (Sweden)

    M. S. Sukach

    2012-01-01

    Full Text Available Problem of diagnosis and treatment of patients with necrotizing pancreatitis is an urgent. So it is interesting to study the effectiveness of a multicomponent antihypoxant and antioxidant cytoflavin to reduce violations of the detoxifying properties of the liver in experimental pancreatitis and reduce the severity of pancreatic endotoxemia. Pancreatic modeled by introducing into the pancreas of autobile in a dose of 0,15 ml/kg. Cytoflavin was injected into animals of a comparison group in a dose 0,21 ml/kg in 5 minutes after the model of pancreatic necrosis. We determined the activity of enzymes: alanine transaminase, amylase, and gamma glutamyltransferase, the content of direct bilirubin, glucose, and urea. After modeling of pancreatic necrosis in two days, there are signs of acute liver failure, as evidenced by the differences in the studied parameters of blood and hepatic portal vein: increased alanine transaminase and gamma glutamyltransferase, the change in concentration of metabolic products, such as direct bilirubin and urea. In addition, decreased glucose levels. Introduction of cytoflavin approached the control values the basic biochemical parameters of liver function: decreased hyperenzymemia, exchange function of the liver was restored, which is probably due to antihypoxic, membrane and antioxidant effects of the drug.

  4. Determination of the functional state of the fruits by parameters of the electric impedance

    Directory of Open Access Journals (Sweden)

    E. V. Guseva

    2014-04-01

    Full Text Available Introduction. To assess the freshness of various products are often used measuring impedance module. But due to the structure of plant foods diagnostic value should have exactly a complex component of impedance. Article tasked with developing criteria for assessing the functional state of the products subject to a comprehensive component of the impedance. Research methodology. To determine the functional status of the fruit were measured module and phase of impedance at the three frequencies of 20, 100 and 500 kHz. Criteria for recognition of functional status deter-mined by the dynamics of changes in the parameters of the complex impedance due to destructive processes caused by dehydration and putrefaction processes. Data processing and analysis. On the basis of experimental data obtained at three frequencies modeled frequency and phase response and their changes during losing of freshness and appear-ance of destructive processes. Discussion and conclusions. In fresh and stale fruit modulus and phase of the impedance at low and high frequencies have characteristic differences. But this is especially evident on the phase–frequency characteristic, which can be seen that the value of the phase with the loss of freshness at low frequency decreases and increases at high more than twice during one week. Therefore, to assess the functional state of fresh and stale products we suggest use phase portraits of phase response.

  5. Asymptotically adjusted self-consistent multiplicative parameter exchange-energy-functional method: Application to diatomic molecules

    Science.gov (United States)

    Karasiev, Valentin V.; Ludeña, Eduardo V.

    2002-03-01

    An asymptotically adjusted self-consistent α (AASCα) method is advanced for the purpose of constructing an accurate orbital-dependent local exchange potential with correct asymptotic behavior. This local potential is made up of the Slater potential plus an additional term containing a multiplicative parameter αx (a self-consistently determined orbital functional) times a local response potential that is approximated using standard exchange-energy functionals. Applications of the AASCα functionals to diatomic molecules yield significantly improved total, exchange, and atomization energies that compare quite well, but at a much lower computational cost, with those obtained by the exact orbital-dependent exchange energy treatment [S. Ivanov, S. Hirata, and R. J. Bartlett, Phys. Rev. Lett. 83, 5455 (1999); A. Görling, Phys. Rev. Lett. 83, 5459 (1999)] (in fact, the present results are very close to the Hartree-Fock ones). Moreover, because in the AASCα method the exchange potential tends toward the correct (-1/r) asymptotic behavior, the ionization potentials approximated by the negative of the highest-occupied-orbital energy have a closer agreement with experimental values than those resulting from current approximate density functionals. Finally, we show that in the context of the present method it is possible to introduce some generalizations to the Gritsenko-van Leeuwen-van Lenthe-Baerends model [O. Gritsenko, R. van Leeuwen, E. van Lenthe, and E. J. Baerends, Phys. Rev. A 51, 1944 (1995)].

  6. Effect of softening function on the cohesive crack fracture parameters of concrete CT specimen

    Indian Academy of Sciences (India)

    Shailendra Kumar; S V Barai

    2009-12-01

    The paper presents numerical study on the fracture parameters of concrete compact tension test specimens of different sizes using cohesive crack model. As softening function is the main ingredient of the cohesive crack model, seven numbers of widely used softening functions are incorporated in the model based on enhanced algorithm. It is found that the difference between the highest and the lowest peak loads obtained using various softening functions (except linear) is less than about 9%. The peak load predicted by the linear softening curve is about 16% larger than that of mean peak load predicted by other softening functions. The cohesive crack model with linear softening yields the fracture process zones lower by approximately 30–50% than those obtained by using the other softening relations for specimen size range 200–600 mm. The numerical results are further compared with a reference test result available in the literature. It is observed that some of softening relations (except linear) predict the experimentally obtained peak load up to 6% of accuracy whereas the linear softening curve overestimates it by about 30%. The numerically gained softening branch of load-displacement curves compare well with the experimental observation.

  7. Multivariate spatial Gaussian mixture modeling for statistical clustering of hemodynamic parameters in functional MRI

    Energy Technology Data Exchange (ETDEWEB)

    Fouque, A.L.; Ciuciu, Ph.; Risser, L. [NeuroSpin/CEA, F-91191 Gif-sur-Yvette (France); Fouque, A.L.; Ciuciu, Ph.; Risser, L. [IFR 49, Institut d' Imagerie Neurofonctionnelle, Paris (France)

    2009-07-01

    In this paper, a novel statistical parcellation of intra-subject functional MRI (fMRI) data is proposed. The key idea is to identify functionally homogenous regions of interest from their hemodynamic parameters. To this end, a non-parametric voxel-based estimation of hemodynamic response function is performed as a prerequisite. Then, the extracted hemodynamic features are entered as the input data of a Multivariate Spatial Gaussian Mixture Model (MSGMM) to be fitted. The goal of the spatial aspect is to favor the recovery of connected components in the mixture. Our statistical clustering approach is original in the sense that it extends existing works done on univariate spatially regularized Gaussian mixtures. A specific Gibbs sampler is derived to account for different covariance structures in the feature space. On realistic artificial fMRI datasets, it is shown that our algorithm is helpful for identifying a parsimonious functional parcellation required in the context of joint detection estimation of brain activity. This allows us to overcome the classical assumption of spatial stationarity of the BOLD signal model. (authors)

  8. Evaluation of ammonia volatilization losses by adjusted parameters of a logistic function

    Directory of Open Access Journals (Sweden)

    Marcos Lima Campos do Vale

    2014-02-01

    Full Text Available The dynamics of N losses in fertilizer by ammonia volatilization is affected by several factors, making investigation of these dynamics more complex. Moreover, some features of the behavior of the variable can lead to deviation from normal distribution, making the main commonly adopted statistical strategies inadequate for data analysis. Thus, the purpose of this study was to evaluate the patterns of cumulative N losses from urea through ammonia volatilization in order to find a more adequate and detailed way of assessing the behavior of the variable. For that reason, changes in patterns of ammonia volatilization losses as a result of applying different combinations of two soil classes [Planossolo and Chernossolo (Typic Albaqualf and Vertic Argiaquolls] and different rates of urea (50, 100 and 150 kg ha-1 N, in the presence or absence of a urease inhibitor, were evaluated, adopting a 2 × 3 × 2 factorial design with four replications. Univariate and multivariate analysis of variance were performed using the adjusted parameter values of a logistic function as a response variable. The results obtained from multivariate analysis indicated a prominent effect of the soil class factor on the set of parameters, indicating greater relevance of soil adsorption potential on ammonia volatilization losses. Univariate analysis showed that the parameters related to total N losses and rate of volatilization were more affected by soil class and the rate of urea applied. The urease inhibitor affected only the rate and inflection point parameters, decreasing the rate of losses and delaying the beginning of the process, but had no effect on total ammonia losses. Patterns of ammonia volatilization losses provide details on behavior of the variable, details which can be used to develop and adopt more accurate techniques for more efficient use of urea.

  9. 体外循环术对先天性心脏病儿童围术期凝血功能的影响及临床意义%Study on the clinical significance and effect of cardiopulmonary bypass on intraoperative blood clotting function in pediatric patients with congenital heart disease

    Institute of Scientific and Technical Information of China (English)

    冯永健; 杨宁; 董斌; 徐远久

    2015-01-01

    目的观察先天性心脏病儿童行体外循环术中凝血功能的变化,并分析其监测的应用价值。方法选取2012年1月至2013年12月间30例先天性心脏病体外循环术患儿为研究组,并且选取同期15例先天性心脏病非外循环术患儿为对照组。观察两组患儿手术前后的凝血功能变化。结果研究组患儿手术前后凝血指标比较差异无统计学意义( P >0.05);研究组患儿术后24 h 凝血指标显著低于对照组,差异有统计学意义( P 0. 05). The changes in blood coagula-tion parameters in patients of study group in 24 h after surgery were significantly lower than those of control group,and the difference was statisti-cally significant( P < 0. 05). The difference in PLT counts in 3 h after surgery in patients with Fallot′s tetralogy and ventricular septal defect im-mediately after surgery and 3 h after surgery was statistically significant( P < 0. 05). The difference in levels of FIB in patients with Fallot′s tetral-ogy and patients with ventricular septal defect at immediately and 24 h after surgery was statistically significant( P < 0. 05). Conclusion The application of bypass circulation is better than traditional non - cardiopulmonary bypass in surgical treatment of patients with Fallot′s tetralogy and ventricular septal defect in pediatric patients with congenital heart disease,it had certain impact on coagulation parameters,but they return to nor-mal in 24 h after surgery. It is important to strengthen the monitoring of clinical coagulation parameters,hence it can better guide surgeons in oper-ations,thereby it may reduce the risk of surgery,and it is important to apply in clinical practice.

  10. Can the Cardiopulmonary 6-Minute Walk Test Reproduce the Usual Activities of Patients with Heart Failure?

    Directory of Open Access Journals (Sweden)

    Guimarães Guilherme Veiga

    2002-01-01

    Full Text Available OBJECTIVE: The 6-minute walk test is an way of assessing exercise capacity and predicting survival in heart failure. The 6-minute walk test was suggested to be similar to that of daily activities. We investigated the effect of motivation during the 6-minute walk test in heart failure. METHODS: We studied 12 males, age 45±12 years, ejection fraction 23±7%, and functional class III. Patients underwent the following tests: maximal cardiopulmonary exercise test on the treadmill (max, cardiopulmonary 6-minute walk test with the walking rhythm maintained between relatively easy and slightly tiring (levels 11 and 13 on the Borg scale (6EB, and cardiopulmonary 6-minute walk test using the usual recommendations (6RU. The 6EB and 6RU tests were performed on a treadmill with zero inclination and control of the velocity by the patient. RESULTS: The values obtained in the max, 6EB, and 6RU tests were, respectively, as follows: O2 consumption (ml.kg-1.min-1 15.4±1.8, 9.8±1.9 (60±10%, and 13.3±2.2 (90±10%; heart rate (bpm 142±12, 110±13 (77±9%, and 126±11 (89±7%; distance walked (m 733±147, 332±66, and 470±48; and respiratory exchange ratio (R 1.13±0.06, 0.9±0.06, and 1.06±0.12. Significant differences were observed in the values of the variables cited between the max and 6EB tests, the max and 6RU tests, and the 6EB and 6RU tests (p<0.05. CONCLUSION: Patients, who undergo the cardiopulmonary 6-minute walk test and are motivated to walk as much as they possibly can, usually walk almost to their maximum capacity, which may not correspond to that of their daily activities. The use of the Borg scale during the cardiopulmonary 6-minute walk test seems to better correspond to the metabolic demand of the usual activities in this group of patients.

  11. Third-Order Doppler Parameter Estimation of Bistatic Forward-Looking SAR Based on Modified Cubic Phase Function

    Science.gov (United States)

    Li, Wenchao; Yang, Jianyu; Huang, Yulin; Kong, Lingjiang

    For Doppler parameter estimation of forward-looking SAR, the third-order Doppler parameter can not be neglected. In this paper, the azimuth signal of the transmitter fixed bistatic forward-looking SAR is modeled as a cubic polynomial phase signal (CPPS) and multiple time-overlapped CPPSs, and the modified cubic phase function is presented to estimate the third-order Doppler parameter. By combining the cubic phase function (CPF) with Radon transform, the method can give an accurate estimation of the third-order Doppler parameter. Simulations validate the effectiveness of the algorithm.

  12. Managing the Inflammatory Response after Cardiopulmonary Bypass : Review of the Studies in Animal Models

    NARCIS (Netherlands)

    Liguori, Gabriel Romero; Kanas, Alexandre Fligelman; Moreira, Luiz Felipe Pinho

    2014-01-01

    OBJECTIVE: To review studies performed in animal models that evaluated therapeutic interventions to inflammatory response and microcirculatory changes after cardiopulmonary bypass. METHODS: It was used the search strategy ("Cardiopulmonary Bypass" (MeSH)) and ("Microcirculation" (MeSH) or "Inflammat

  13. Metabolic and clinical comparative analysis of treadmill six-minute walking test and cardiopulmonary exercise testing in obese and eutrophic women

    Directory of Open Access Journals (Sweden)

    Luciana Di Thommazo-Luporini

    Full Text Available BACKGROUND: Impaired exercise tolerance is directly linked to decreased functional capacity as a consequence of obesity. OBJECTIVES: To analyze and compare the cardiopulmonary, metabolic, and perceptual responses during a cardiopulmonary exercise test (CPX and a treadmill six-minute walking test (tread6MWT in obese and eutrophic women. METHOD: Twenty-nine female participants, aged 20-45 years were included. Fourteen were allocated to the obese group and 15 to the eutrophic group. Anthropometric measurements and body composition assessment were performed. RESULTS: In both tests, obese women presented with significantly higher absolute oxygen uptake, minute ventilation, and systolic and diastolic blood pressure; they also presented with lower speed, distance walked, and oxygen uptake corrected by the weight compared to eutrophics. During the maximal exercise test, perceived dyspnea was greater and the respiratory exchange ratio was lower in obese subjects compared to eutrophics. During the submaximal test, carbon dioxide production, tidal volume, and heart rate were higher in obese subjects compared to eutrophic women. When analyzing possible correlations between the CPX and the tread6MWT at peak, there was a strong correlation for the variable heart rate and a moderate correlation for the variable oxygen uptake. The heart rate obtained in the submaximal test was able to predict the one obtained in the maximal test. Bland-Altman plots demonstrated the agreement between both tests to identify metabolic and physiological parameters at peak exercise. CONCLUSIONS: The six-minute walking test induced ventilatory, metabolic, and cardiovascular responses in agreement with the maximal testing. Thus, the six-minute walking test proves to be important for functional evaluation in the physical therapy routine.

  14. 胞二磷胆碱提高心肺复苏效果和减轻心肌损伤的作用研究%The effects of CDP-Choline on the improvement of the successful rate of cardiopulmonary resuscitation and post-resuscitation cardiac function

    Institute of Scientific and Technical Information of China (English)

    黄煜; 何庆; 詹磊

    2013-01-01

    Objective To investigate the effects of CDP-Choline on the improvement of recovery of spontaneous circulation (ROSC) and protection against myocardial injury in cardiopulmonary resuscitation (CPR).Methods Sprague-Dawley (SD) rats were randomized into four groups:control group (n =5,no asphyxia),model group (n =10),adrenaline group (n =10) and CDP-Choline group (n =10).Cardiac arrest (CA) was induced by asphyxia,and then CPR was initiated.Drugs were administered at 5 minutes before CPR and at the initiation of CPR.Equal amount of normal saline was given in the control group and the model group.The hemodynamic parameters were monitored during CPR and after ROSC.After 2 hours,the myocardial tissue of the rats was harvested to assess the degree of ischemia/reperfusion (I/R) injury by measuring ATPase activity,superoxide dismutase (SOD) activity and malondialdehyde (MDA) content.Results Compared with the model group,the rate of ROSC was significantly elevated (90%,80% vs.20%,both P<0.01) in the CDP-Choline group and the adrenaline group,the time of achieving ROSC (s) was shorter (53 ± 10,55 ± 9 vs.95 ± 7,both P<0.01),and the heart rate (HR,bpm) and mean arterial pressure (MAP,mm Hg,1 mm Hg=0.133 kPa) at 2 hours after CPR were higher (HR:222.78 ±41.55,167.75 ± 11.76 vs.131.50 ±0.70; MAP:36.53 ±8.69,39.30 ±6.45 vs.30.19 ±5.15,all P<0.01).The cardiac function [the maximal rate of left ventricular pressure increase/decline (± dp/dt max)] in the CDP-Choline group was gradually stabilized and significantly higher than that in the model and the adrenaline groups.The cardiac function in the adrenaline group was higher than that of the model group,but it was in a tendency of lowering.Compared with the model group and the adrenaline group,the reduction of Na+-K+-ATPase (μmol· mg-1· h-1) and SOD (U/mg) activity were significantly increased in the CDP-Choline group (Na+-K+-ATPase:7.35 ± 0.20 vs.5.11 ± 0.69,4.70 ± 0.41; SOD activity:320.65 ± 47.25 vs.225

  15. Robust L1 filtering with pole constraint in a disk via parameter-dependent Lyapunov functions

    Institute of Scientific and Technical Information of China (English)

    Li Yanhui; Wen Qiyong; Wang Junling; Wang Changhong; Gao Huijun

    2005-01-01

    The problem of robust L1 filtering with pole constraint in a disk for linear continuous polytopic uncertain systems is discussed. The attention is focused on design a linear asymptotically stable filter such that the filtering error system remains robustly stable, and has a L1 performance constraint and pole constraint in a disk. The new robust L1 performance criteria and regional pole placement condition are obtained via parameter-dependent Lyapunov functions method. Upon the proposed multiobjective performance criteria and by means of LMI technique, both full-order and reducedorder robust L1 filter with suitable dynamic behavior can be obtained from the solution of convex optimization problems.Compared with earlier result in the quadratic framework, this approach turns out to be less conservative. The efficiency of the proposed technique is demonstrated by a numerical example.

  16. Excitation functions of parameters in Erlang distribution, Schwinger mechanism, and Tsallis statistics in RHIC BES program

    CERN Document Server

    Gao, Li-Na; Lacey, Roy A

    2016-01-01

    Experimental results of the transverse momentum distributions of phi mesons and $\\Omega$ hyperons produced in gold-gold (Au-Au) collisions with different centrality intervals, measured by the STAR Collaboration at different energies (7.7, 11.5, 19.6, 27, and 39 GeV) in the beam energy scan (BES) program at the relativistic heavy ion collider (RHIC), are approximately described by the single Erlang distribution and the two-component Schwinger mechanism. Meanwhile, the STAR experimental transverse momentum distributions of negatively charged particles, produced in Au-Au collisions at RHIC BES energies, are approximately described by the two-component Erlang distribution and the single Tsallis statistics. The excitation functions of free parameters are obtained from the fit to the experimental data. A weak softest point in the string tension in $\\Omega$ hyperon spectra is observed at 7.7 GeV.

  17. Excitation functions of parameters in Erlang distribution, Schwinger mechanism, and Tsallis statistics in RHIC BES program

    Energy Technology Data Exchange (ETDEWEB)

    Gao, Li-Na; Liu, Fu-Hu [Shanxi University, Institute of Theoretical Physics, Shanxi (China); Lacey, Roy A. [Stony Brook University, Departments of Chemistry and Physics, Stony Brook, NY (United States)

    2016-05-15

    Experimental results of the transverse-momentum distributions of φ mesons and Ω hyperons produced in gold-gold (Au-Au) collisions with different centrality intervals, measured by the STAR Collaboration at different energies (7.7, 11.5, 19.6, 27, and 39 GeV) in the beam energy scan (BES) program at the relativistic heavy-ion collider (RHIC), are approximately described by the single Erlang distribution and the two-component Schwinger mechanism. Moreover, the STAR experimental transverse-momentum distributions of negatively charged particles, produced in Au-Au collisions at RHIC BES energies, are approximately described by the two-component Erlang distribution and the single Tsallis statistics. The excitation functions of free parameters are obtained from the fit to the experimental data. A weak softest point in the string tension in Ω hyperon spectra is observed at 7.7 GeV. (orig.)

  18. Prematurity and Related Biochemical Outcomes: Study of Bone Mineralization and Renal Function Parameters in Preterm Infants

    Directory of Open Access Journals (Sweden)

    Sarika Singh Chauhan

    2011-01-01

    phosphorus levels were found to be significantly decreased, and serum ALP, creatinine, and electrolytes were found to be significantly increased (<0.001 at 28–30 weeks as compared to controls, but serum calcium and phosphorous levels were found to be insignificantly decreased, whereas serum ALP activities were found to be insignificantly increased at 28–30 weeks as compared to 30–32 weeks of gestational age in preterm babies. It can be concluded that high serum ALP activity and low serum calcium and phosphorus levels are associated with preterm babies. A significant difference in the mean values of these renal function parameters was also obtained, except for serum sodium and potassium.

  19. Uncertainty analysis of strain modal parameters by Bayesian method using frequency response function

    Institute of Scientific and Technical Information of China (English)

    Xu Li; Yi Weijian; Zhihua Yi

    2007-01-01

    Structural strain modes are able to detect changes in local structural performance, but errors are inevitably intermixed in the measured data. In this paper, strain modal parameters are considered as random variables, and their uncertainty is analyzed by a Bayesian method based on the structural frequency response function (FRF). The estimates of strain modal parameters with maximal posterior probability are determined. Several independent measurements of the FRF of a four-story reinforced concrete frame structural model were performed in the laboratory. The ability to identify the stiffness change in a concrete column using the strain mode was verified. It is shown that the uncertainty of the natural frequency is very small. Compared with the displacement mode shape, the variations of strain mode shapes at each point are quite different. The damping ratios are more affected by the types of test systems. Except for the case where a high order strain mode does not identify local damage, the first order strain mode can provide an exact indication of the damage location.

  20. Fatiguing exercise intensity influences the relationship between parameters reflecting neuromuscular function and postural control variables.

    Directory of Open Access Journals (Sweden)

    Sébastien Boyas

    Full Text Available The purpose of this study was to investigate the influence of fatiguing exercise intensity on the nature and extent of fatigue-induced changes in neuromuscular function and postural stability in quiet standing. We also explored the contribution of selected neuromuscular mechanisms involved in force production to postural stability impairment observed following fatigue using an approach based on multivariate regressions. Eighteen young subjects performed 30-s postural trials on one leg with their eyes closed. Postural trials were performed before and after fatiguing exercises of different intensities: 25, 50 and 75% of maximal isometric plantarflexor torque. Fatiguing exercises consisted of sustaining a plantarflexor isometric contraction at the target intensity until task failure. Maximal isometric plantarflexor torque, electromyographic activity of plantarflexor and dorsiflexor muscles, activation level (twitch interpolation technique and twitch contractile properties of plantarflexors were used to characterize neuromuscular function. The 25% exercise was associated with greater central fatigue whereas the 50 and 75% exercises involved mostly peripheral fatigue. However, all fatiguing exercises induced similar alterations in postural stability, which was unexpected considering previous literature. Stepwise multiple regression analyses showed that fatigue-related changes in selected parameters related to neuromuscular function could explain more than half (0.51≤R(2≤0.82 of the changes in postural variables for the 25% exercise. On the other hand, regression models were less predictive (0.17≤R(2≤0.73 for the 50 and 75% exercises. This study suggests that fatiguing exercise intensity does not influence the extent of postural stability impairment, but does influence the type of fatigue induced and the neuromuscular function predictors explaining changes in postural variables.

  1. Hantavirus cardiopulmonary syndrome successfully treated with high-volume hemofiltration

    Science.gov (United States)

    Bugedo, Guillermo; Florez, Jorge; Ferres, Marcela; Roessler, Eric; Bruhn, Alejandro

    2016-01-01

    Hantavirus cardiopulmonary syndrome has a high mortality rate, and early connection to extracorporeal membrane oxygenation has been suggested to improve outcomes. We report the case of a patient with demonstrated Hantavirus cardiopulmonary syndrome and refractory shock who fulfilled the criteria for extracorporeal membrane oxygenation and responded successfully to high volume continuous hemofiltration. The implementation of high volume continuous hemofiltration along with protective ventilation reversed the shock within a few hours and may have prompted recovery. In patients with Hantavirus cardiopulmonary syndrome, a short course of high volume continuous hemofiltration may help differentiate patients who can be treated with conventional intensive care unit management from those who will require more complex therapies, such as extracorporeal membrane oxygenation. PMID:27410413

  2. The effects of physical training on cardiovascular parameters, lipid disorders and endothelial function

    Directory of Open Access Journals (Sweden)

    Ranković Goran

    2012-01-01

    Full Text Available Bacground/Aim. Regular physical activity is widely accepted as factor that reduces all-cause mortality and improves a number of health outcomes. The aim of this study was to investigate the effects of aerobic exercise training on cardiovascular parameters, lipid profile and endothelial function in patients with stable coronary artery disease (CAD. Methods. The study included seventy patients with stable CAD. All the patients were divided into two groups: the group I - 33 patients with CAD and with regular aerobic physical training during cardiovascular rehabilitation program phase II for 3 weeks in our rehabilitation center and 3 weeks after that in their home setting, and the group II (control - 37 patients with CAD and sedentary lifestyle. Exercise training consisted of continual aerobic exercise for 45 minutes on a treadmill, room bicycle or walking, three times a week. We determined lipid and cardiovascular parameters and nitric oxide (NO concentration at the beginning and after a six-week of training. Results. There were no significant differences in body weight, waist circumference and waist/hip ratio at the start and at the end of physical training program. Physical training significantly reduced body mass index after six weeks compared to the initial and control values. Physical training significantly reduced systolic and diastolic blood pressure and heart rate after a six-week training period (p < 0.05. Heart rate was significantly lower after a training period as compared to the control (p < 0.05. A significant reduction of triglyceride and increased high density lipoprotein cholesterol (HDL-C concentration after cardiovascular rehabilitation were registered (p < 0.05. The concentration of triglycerides was significantly lower while NO and HDL-C were higher after six weeks in the exercise training group (p < 0.05. Conclusion. Dynamic training can improve blood pressure in patients with moderate to severe hypertension and reduce the

  3. Source parameters of intermediate-depth Vrancea (Romania) earthquakes from empirical Green's functions modeling

    Science.gov (United States)

    Oth, Adrien; Wenzel, Friedemann; Radulian, Mircea

    2007-06-01

    Several source parameters (source dimensions, slip, particle velocity, static and dynamic stress drop) are determined for the moderate-size October 27th, 2004 ( MW = 5.8), and the large August 30th, 1986 ( MW = 7.1) and March 4th, 1977 ( MW = 7.4) Vrancea (Romania) intermediate-depth earthquakes. For this purpose, the empirical Green's functions method of Irikura [e.g. Irikura, K. (1983). Semi-Empirical Estimation of Strong Ground Motions during Large Earthquakes. Bull. Dis. Prev. Res. Inst., Kyoto Univ., 33, Part 2, No. 298, 63-104., Irikura, K. (1986). Prediction of strong acceleration motions using empirical Green's function, in Proceedings of the 7th Japan earthquake engineering symposium, 151-156., Irikura, K. (1999). Techniques for the simulation of strong ground motion and deterministic seismic hazard analysis, in Proceedings of the advanced study course seismotectonic and microzonation techniques in earthquake engineering: integrated training in earthquake risk reduction practices, Kefallinia, 453-554.] is used to generate synthetic time series from recordings of smaller events (with 4 ≤ MW ≤ 5) in order to estimate several parameters characterizing the so-called strong motion generation area, which is defined as an extended area with homogeneous slip and rise time and, for crustal earthquakes, corresponds to an asperity of about 100 bar stress release [Miyake, H., T. Iwata and K. Irikura (2003). Source characterization for broadband ground-motion simulation: Kinematic heterogeneous source model and strong motion generation area. Bull. Seism. Soc. Am., 93, 2531-2545.] The parameters are obtained by acceleration envelope and displacement waveform inversion for the 2004 and 1986 events and MSK intensity pattern inversion for the 1977 event using a genetic algorithm. The strong motion recordings of the analyzed Vrancea earthquakes as well as the MSK intensity pattern of the 1977 earthquake can be well reproduced using relatively small strong motion

  4. 21 CFR 870.4410 - Cardiopulmonary bypass in-line blood gas sensor.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass in-line blood gas sensor... Cardiopulmonary bypass in-line blood gas sensor. (a) Identification. A cardiopulmonary bypass in-line blood gas sensor is a transducer that measures the level of gases in the blood. (b) Classification. Class...

  5. Determination of the third critical field of superconductors using constrained effective wave function containing two variational parameters

    Energy Technology Data Exchange (ETDEWEB)

    Xu Longdao; Gao Yuliang

    1985-09-01

    Two variational parameters are included in the most probable constrained effective wave function with the accurate Hamiltonian remained. The third critical field which coincides with the result in paper (1) has been easily obtained through the variational principle.

  6. Vitamin D is associated with cardiopulmonary exercise capacity: results of two independent cohorts of healthy adults.

    Science.gov (United States)

    Kaul, A; Gläser, S; Hannemann, A; Schäper, C; Nauck, M; Felix, S B; Bollmann, T; Ewert, R; Friedrich, N

    2016-02-14

    Vitamin D has an important role in calcium homeostasis and is known to have various health-promoting effects. Moreover, potential interactions between vitamin D and physical activity have been suggested. This study aims to investigate the relationship between 25-hydroxyvitamin D (25(OH)D) and exercise capacity quantified by cardiopulmonary exercise testing (CPET). For this, 1377 participants from the Study of Health in Pomerania (SHIP-1) and 750 participants from the independent SHIP-TREND cohort were investigated. Standardised incremental exercise tests on a cycle ergometer were performed to assess exercise capacity by VO2 at anaerobic threshold, peakVO2, O2 pulse and peak power output. Serum 25(OH)D levels were measured by an automated chemiluminescence immunoassay. In SHIP-1, 25(OH)D levels were positively associated with all considered parameters of cardiopulmonary exercise capacity. Subjects with high 25(OH)D levels (4th quartile) showed an up to 25% higher exercise capacity compared with subjects with low 25(OH)D levels (1st quartile). All associations were replicated in the independent SHIP-TREND cohort and were independent of age, sex, season and other interfering factors. In conclusion, significant positive associations between 25(OH)D and parameters of CPET were detected in two large cohorts of healthy adults.

  7. Relative importance of energy dependent diffuseness parameter and barrier position in the analysis of fusion excitation function data

    Directory of Open Access Journals (Sweden)

    Kharab Rajesh

    2014-03-01

    Full Text Available We have investigated the relative importance of the energy dependence of diffuseness parameter and barrier position in the description of the fusion excitation function data of some heavy ion systems in near barrier energy region. The effects of the energy dependent diffuseness parameter are found to be much more prominent in comparison to those of barrier position.

  8. [Chronic atrophic polychondritis and renal and cardiopulmonary amylosis: a case report and literature review (author's transl)].

    Science.gov (United States)

    Lambrozo, J; Baubion, D; Brodaty, Y; Leclerc, J P

    1981-01-01

    Glomerular lesions with a nephrotic syndrome and impaired renal function developed secondary to a chronic atrophic polychondritis confirmed by auricular biopsy. In the absence of renal histology data, the possibility of an iatrogenic complication or a renal lesion specific to the affection itself were successively eliminated. Pos-mortem histological examination demonstrated renal and cardiopulmonary amylosis, the latter being clinically asymptomatic. The probable autoimmune origin of the chronic atrophic polychondritis has to be discussed in parallel with the dysimmunity mechanism responsible for the amyloid lesions, but no relationship between them was demonstrated.

  9. Model dielectric function analysis of the critical point features of silicon nanocrystal films in a broad parameter range

    Energy Technology Data Exchange (ETDEWEB)

    Agocs, Emil, E-mail: agocsemil@gmail.com [Doctoral School of Molecular and Nanotechnologies, Faculty of Information Technology, University of Pannonia, Egyetem u.10, Veszprém, H-8200 (Hungary); Research Institute for Technical Physics and Material Science (MFA), Research Centre for Natural Sciences, H-1525 Budapest, POB 49 (Hungary); Nassiopoulou, Androula G. [IMEL/NCSR Demokritos, Aghia Paraskevi, 153 10 Athens (Greece); Milita, Silvia [CNR-IMM Sezione Bologna, Via Gobetti, 40129 Bologna (Italy); Petrik, Peter [Doctoral School of Molecular and Nanotechnologies, Faculty of Information Technology, University of Pannonia, Egyetem u.10, Veszprém, H-8200 (Hungary); Research Institute for Technical Physics and Material Science (MFA), Research Centre for Natural Sciences, H-1525 Budapest, POB 49 (Hungary)

    2013-08-31

    Due to quantum-confinement the band structure of silicon nanocrystals (NCs) is different from that of bulk silicon and strongly depends on the NC size. The samples we investigated have been prepared using chemical vapor deposition and annealing allowing a good control of the parameters in terms of both thickness and NC size, being suitable as model systems. The problem of the analysis is that the critical point features of the dielectric function can only be described with acceptable accuracy when using numerous parameters. The majority of the fit parameters are describing the oscillators of different line-shapes. In this work we show how the number of fit parameters can be reduced by a systematic analysis to find non-sensitive and correlating parameters to fix and couple as much parameters as possible. - Highlights: ► Silicon nanocrystal films were measured by spectroscopic ellipsometry. ► The dielectric functions were modeled with Adachi's model dielectric function. ► We developed a parameter analysis and fitting algorithm. ► The non-sensitive parameters were coupled and neglected. ► The behaviors of key material parameters were determined.

  10. Estimation of CN Parameter for Small Agricultural Watersheds Using Asymptotic Functions

    Directory of Open Access Journals (Sweden)

    Tomasz Kowalik

    2015-03-01

    Full Text Available This paper investigates a possibility of using asymptotic functions to determine the value of curve number (CN parameter as a function of rainfall in small agricultural watersheds. It also compares the actually calculated CN with its values provided in the Soil Conservation Service (SCS National Engineering Handbook Section 4: Hydrology (NEH-4 and Technical Release 20 (TR-20. The analysis showed that empirical CN values presented in the National Engineering Handbook tables differed from the actually observed values. Calculations revealed a strong correlation between the observed CN and precipitation (P. In three of the analyzed watersheds, a typical pattern of the observed CN stabilization during abundant precipitation was perceived. It was found that Model 2, based on a kinetics equation, most effectively described the P-CN relationship. In most cases, the observed CN in the investigated watersheds was similar to the empirical CN, corresponding to average moisture conditions set out by NEH-4. Model 2 also provided the greatest stability of CN at 90% sampled event rainfall.

  11. Correlation of tomographic findings with pulmonary function parameters in nonsmoking patients with idiopathic pulmonary fibrosis

    Energy Technology Data Exchange (ETDEWEB)

    Lopes, Agnaldo Jose; Capone, Domenico; Mogami, Roberto; Jansen, Jose Manoel [Universidade do Estado do Rio de Janeiro (UERJ), RJ (Brazil). School of Medical Sciences].E mail: phel.lop@uol.com.br; Cunha, Daniel Leme da [Universidade do Estado do Rio de Janeiro (UERJ), RJ (Brazil). Pedro Ernesto University Hospital. Dept. of Radiology and Diagnostic Imaging; Melo, Pedro Lopes de [Universidade do Estado do Rio de Janeiro (UERJ), RJ (Brazil). Inst. of Biology

    2007-11-15

    Objective: To correlate tomographic findings with pulmonary function parameters in patients with idiopathic pulmonary fibrosis (IPF). Methods: A cross-sectional study was carried out, in which 30 nonsmoking patients with IPF were evaluated. Using a semiquantitative scoring system, the following high-resolution computerized tomography findings were quantified: total interstitial disease (TID), reticular abnormality/honeycombing, and ground-glass opacity (GGO). The functional variables were measured by spirometry, forced oscillation technique (FOT), helium dilution method, as well as the single-breath method of measuring diffusion capacity of the lung for carbon monoxide (DLCO). Results: Of the 30 patients studied, 18 were female, and 12 were male, with a mean age of 70.9 years. We found that TID and reticular abnormality and honeycombing correlated significantly (negative correlations) with the measurements of forced vital capacity (FVC), total lung capacity (TLC), DLCO, and dynamic respiratory compliance were found, as well as that GGO correlated significantly (and positively) with residual volume/TLC. The ratio of forced expiratory flow between 25 and 75% of FVC to FVC (FEF25-75%/FVC) correlated positively with TID, reticular abnormality/honeycombing, and GGO. Conclusion: In IPF patients, the measurements of volume, diffusion, and dynamic compliance are the physiological variables which best reflect the extent of the interstitial disease on HRCT scans. (author)

  12. Effects of diet-induced obesity on metabolic parameters and reproductive function in female Ossabaw minipigs.

    Science.gov (United States)

    Newell-Fugate, Annie E; Taibl, Jessica N; Clark, Sherrie G; Alloosh, Mouhamad; Sturek, Michael; Krisher, Rebecca L

    2014-02-01

    This study characterizes the effect of an excess-calorie, high-fat, high-cholesterol, high-fructose diet on metabolic parameters and reproductive function in female Ossabaw minipigs. Cycling sows were fed a hypercaloric, high-fat, high-cholesterol, and high-fructose diet (obese, n = 4) or a control diet (control, n = 5) for 13 mo. During the final 4 mo, ovarian ultrasonography was done, blood was collected, and weights and measures were taken. Pigs then underwent ovarian stimulation. Cycle length and androstenedione, total testosterone, progesterone, estradiol, follicle-stimulating hormone, luteinizing hormone, insulin, fructosamine, lipid, and glucose levels were measured. In addition, adipose tissue aromatase gene expression was assessed. As compared with control pigs, obese pigs were hyperglycemic and hyperinsulinemic; had elevated total cholesterol, triglyceride, and leptin levels, and demonstrated abdominal adiposity. Visceral adipose tissue of obese pigs, as compared with control pigs, showed increased aromatase gene expression. Obese pigs had longer estrous cycles, higher serum androstenedione, and higher luteal phase serum luteinizing hormone, compared with control pigs. During the luteal phase, obese pigs had more medium, ovulatory, and cystic ovarian follicles, whereas control pigs had more small ovarian follicles. When fed an excess-calorie, high-fat, high-cholesterol, high-fructose diet, female Ossabaw minipigs develop obesity, metabolic syndrome, and abnormal reproductive function. This animal model may be applicable to studies of the effects of obesity on fertility in women.

  13. [The functional sport shoe parameter "torsion" within running shoe research--a literature review].

    Science.gov (United States)

    Michel, F I; Kälin, X; Metzger, A; Westphal, K; Schweizer, F; Campe, S; Segesser, B

    2009-12-01

    Within the sport shoe area torsion is described as the twisting and decoupling of the rear-, mid- and forefoot along the longitudinal axis of the foot. Studies have shown that running shoes restrict the torsion of the foot and thus they increase the pronation of the foot. Based on the findings, it is recommended to design running shoes, which allow the natural freedom of movement of the foot. The market introduction of the first torsion concept through adidas(R) took place in 1989. Independently of the first market introduction, only one epidemiological study was conducted in the running shoe area. The study should investigate the occurrence of Achilles tendon problems of the athletes running in the new "adidas Torsion(R) shoes". However, further studies quantifying the optimal region of torsionability concerning the reduction of injury incidence are still missing. Newer studies reveal that the criterion torsion only plays a secondary roll regarding the buying decision. Moreover, athletes are not able to perceive torsionability as a discrete functional parameter. It is to register, that several workgroups are dealing intensively with the detailed analysis of the foot movement based on kinematic multi-segment-models. However, scientific as well as popular scientific contributions display that the original idea of the torsion concept is still not completely understood. Hence, the "inverse" characteristic is postulated. The present literature review leads to the deduction that the functional characteristics of the torsion concept are not fully implemented within the running shoe area. This implies the necessity of scientific studies, which investigate the relevance of a functional torsion concept regarding injury prevention based on basic and applied research. Besides, biomechanical studies should analyse systematically the mechanism and the effects of torsion relevant technologies and systems.

  14. Cardiopulmonary Resuscitation in Microgravity: Efficacy in the Swine During Parabolic Flight

    Science.gov (United States)

    Johnston, Smith L.; Campbell, Mark R.; Billica, Roger D.; Gilmore, Stevan M.

    2004-01-01

    INTRODUCTION: The International Space Station will need to be as capable as possible in providing Advanced Cardiac Life Support (ACLS) and cardiopulmonary resuscitation (CPR). Previous studies with manikins in parabolic microgravity (0 G) have shown that delivering CPR in microgravity is difficult. End tidal carbon dioxide (PetCO2) has been previously shown to be an effective non-invasive tool for estimating cardiac output during cardiopulmonary resuscitation. Animal models have shown that this diagnostic adjunct can be used as a predictor of survival when PetCO2 values are maintained above 25% of pre-arrest values. METHODS: Eleven anesthetized Yorkshire swine were flown in microgravity during parabolic flight. Physiologic parameters, including PetCO2, were monitored. Standard ACLS protocols were used to resuscitate these models after chemical induction of cardiac arrest. Chest compressions were administered using conventional body positioning with waist restraint and unconventional vertical-inverted body positioning. RESULTS: PetCO2 values were maintained above 25% of both 1-G and O-G pre-arrest values in the microgravity environment (33% +/- 3 and 41 +/- 3). No significant difference between 1-G CPR and O-G CPR was found in these animal models. Effective CPR was delivered in both body positions although conventional body positioning was found to be quickly fatiguing as compared with the vertical-inverted. CONCLUSIONS: Cardiopulmonary resuscitation can be effectively administered in microgravity (0 G). Validation of this model has demonstrated that PetCO2 levels were maintained above a level previously reported to be predictive of survival. The unconventional vertical-inverted position provided effective CPR and was less fatiguing as compared with the conventional body position with waist restraints.

  15. Reproducibility of cardiac power output and other cardiopulmonary exercise indices in patients with chronic heart failure.

    Science.gov (United States)

    Jakovljevic, Djordje G; Seferovic, Petar M; Nunan, David; Donovan, Gay; Trenell, Michael I; Grocott-Mason, Richard; Brodie, David A

    2012-02-01

    Cardiac power output is a direct measure of overall cardiac function that integrates both flow- and pressure-generating capacities of the heart. The present study assessed the reproducibility of cardiac power output and other more commonly reported cardiopulmonary exercise variables in patients with chronic heart failure. Metabolic, ventilatory and non-invasive (inert gas re-breathing) central haemodynamic measurements were undertaken at rest and near-maximal exercise of the modified Bruce protocol in 19 patients with stable chronic heart failure. The same procedure was repeated 7 days later to assess reproducibility. Cardiac power output was calculated as the product of cardiac output and mean arterial pressure. Resting central haemodynamic variables demonstrate low CV (coefficient of variation) (ranging from 3.4% for cardiac output and 5.6% for heart rate). The CV for resting metabolic and ventilatory measurements ranged from 8.2% for respiratory exchange ratio and 14.2% for absolute values of oxygen consumption. The CV of anaerobic threshold, peak oxygen consumption, carbon dioxide production and respiratory exchange ratio ranged from 3.8% (for anaerobic threshold) to 6.4% (for relative peak oxygen consumption), with minute ventilation having a CV of 11.1%. Near-maximal exercise cardiac power output and cardiac output had CVs of 4.1 and 2.2%, respectively. Cardiac power output demonstrates good reproducibility suggesting that there is no need for performing more than one cardiopulmonary exercise test. As a direct measure of cardiac function (dysfunction) and an excellent prognostic marker, it is strongly advised in the assessment of patients with chronic heart failure undergoing cardiopulmonary exercise testing.

  16. Effects of extraction parameters on physicochemical and functional characteristics of chitosan from Penaeus monodon shell

    Directory of Open Access Journals (Sweden)

    Jubril Olayinka Akolade

    2016-11-01

    Full Text Available Objective: To investigate the effect of extraction parameters with particular interest during the microwave deacetylation process on the characteristics of chitosan produced from Penaeus monodon (P. monodon sourced within the coastal region of Lagos, Nigeria for applications of controlled release systems for pharmaceutical industries. Methods: Chitosan was extracted from shrimp (P. monodon shell and evaluated as a controlled release system for curcumin. Effects of relevant processing parameters on physicochemical and functional characteristics of the extracted chitosan were assessed. The crude chitosan was purified and used to prepare controlled release formulations for curcumin via ionic gelation with tripolyphosphate. Results: Data from the study showed that increasing time and temperature during deproteinization significantly improved the removal of protein bound to the shell matrix. Also, the ratio of the weight of the deproteinized sample to the volume of HCl used for demineralization influenced the process. During microwave-assisted production of chitosan from chitin, increase in the concentration of the deacetylating medium significantly increased solubility, viscosity and degree of deacetylation, whereas increasing temperature and time during deacetylation of chitin degraded the biopolymer to give low molecular weight chitosan. Optimized extraction and purification process yielded absolutely soluble medium to low molecular weight chitosan. The encapsulation efficiency, loading capacity, percentage yield, release efficiencies in simulated gastric and intestinal fluids of curcumin loaded in the formulations of chitosan from P. monodon were compared favorably to encapsulation and release characteristics of the encapsulated curcumin in commercially available chitosan used as the reference. Conclusions: Valorization of shrimp waste into pharmaceutically graded medium molecular weight chitosan was achieved. The chitosan obtained can be used as

  17. Benchmarking parameter-free AMaLGaM on functions with and without noise.

    Science.gov (United States)

    Bosman, Peter A N; Grahl, Jörn; Thierens, Dirk

    2013-01-01

    We describe a parameter-free estimation-of-distribution algorithm (EDA) called the adapted maximum-likelihood Gaussian model iterated density-estimation evolutionary algorithm (AMaLGaM-ID[Formula: see text]A, or AMaLGaM for short) for numerical optimization. AMaLGaM is benchmarked within the 2009 black box optimization benchmarking (BBOB) framework and compared to a variant with incremental model building (iAMaLGaM). We study the implications of factorizing the covariance matrix in the Gaussian distribution, to use only a few or no covariances. Further, AMaLGaM and iAMaLGaM are also evaluated on the noisy BBOB problems and we assess how well multiple evaluations per solution can average out noise. Experimental evidence suggests that parameter-free AMaLGaM can solve a wide range of problems efficiently with perceived polynomial scalability, including multimodal problems, obtaining the best or near-best results among all algorithms tested in 2009 on functions such as the step-ellipsoid and Katsuuras, but failing to locate the optimum within the time limit on skew Rastrigin-Bueche separable and Lunacek bi-Rastrigin in higher dimensions. AMaLGaM is found to be more robust to noise than iAMaLGaM due to the larger required population size. Using few or no covariances hinders the EDA from dealing with rotations of the search space. Finally, the use of noise averaging is found to be less efficient than the direct application of the EDA unless the noise is uniformly distributed. AMaLGaM was among the best performing algorithms submitted to the BBOB workshop in 2009.

  18. Pedotransfer functions to estimate water retention parameters of soils in northeastern Brazil

    Directory of Open Access Journals (Sweden)

    Alexandre Hugo Cezar Barros

    2013-04-01

    Full Text Available Pedotransfer functions (PTF were developed to estimate the parameters (α, n, θr and θs of the van Genuchten model (1980 to describe soil water retention curves. The data came from various sources, mainly from studies conducted by universities in Northeast Brazil, by the Brazilian Agricultural Research Corporation (Embrapa and by a corporation for the development of the São Francisco and Parnaíba river basins (Codevasf, totaling 786 retention curves, which were divided into two data sets: 85 % for the development of PTFs, and 15 % for testing and validation, considered independent data. Aside from the development of general PTFs for all soils together, specific PTFs were developed for the soil classes Ultisols, Oxisols, Entisols, and Alfisols by multiple regression techniques, using a stepwise procedure (forward and backward to select the best predictors. Two types of PTFs were developed: the first included all predictors (soil density, proportions of sand, silt, clay, and organic matter, and the second only the proportions of sand, silt and clay. The evaluation of adequacy of the PTFs was based on the correlation coefficient (R and Willmott index (d. To evaluate the PTF for the moisture content at specific pressure heads, we used the root mean square error (RMSE. The PTF-predicted retention curve is relatively poor, except for the residual water content. The inclusion of organic matter as a PTF predictor improved the prediction of parameter a of van Genuchten. The performance of soil-class-specific PTFs was not better than of the general PTF. Except for the water content of saturated soil estimated by particle size distribution, the tested models for water content prediction at specific pressure heads proved satisfactory. Predictions of water content at pressure heads more negative than -0.6 m, using a PTF considering particle size distribution, are only slightly lower than those obtained by PTFs including bulk density and organic matter

  19. How much are radiological parameters related to clinical symptoms and function in osteoarthritis of the shoulder?

    Science.gov (United States)

    Kircher, Jörn; Morhard, Markus; Magosch, Petra; Ebinger, Nina; Lichtenberg, Sven; Habermeyer, Peter

    2010-06-01

    Loss of joint space, formation of osteophytes and deformation are common features of osteoarthritis. Little information exists about the radiological features of arthrosis in relation to clinical findings and the radiological appearance in degenerative shoulder joint disease especially with regard to decision making about the timing of joint replacement. We retrospectively examined 120 standardised X-rays of patients with advanced osteoarthritis of the shoulder. Exclusion criteria included rotator cuff tear, severe glenoid erosion or protrusion. Measurements of joint space width at three levels in each plane (anteroposterior and axillary view), humeral head diameter and size of humeral osteophytes were made by two independent examiners. Osteoarthritis was graded according to Samilson and Prieto. Seventy-five of these patients had a complete record from the clinical investigation (pain record on VAS scale, active and passive range of motion) and the constant score (CS). Mean joint space width in the central anteroposterior level was 1.46 mm +/- 1.08 and in the central axillary 0.98 mm +/- 1.02. Increasing age was positively correlated with joint space narrowing at all measured levels. The joint space width was not correlated with the Samilson grade or the size of osteophytes. The joint space width was neither correlated with pain nor active or passive ROM. Pain was correlated with active and passive flexion and abduction but not for internal or external rotation. The size of the osteophytes was negatively correlated (active and passive) with flexion, abduction and external and internal rotation. The study illustrates that joint space narrowing and development of osteophytes are reliable but independent parameters of primary shoulder arthrosis and should be recorded separately. The size of the caudal humeral osteophyte is a predictive factor for function and should be taken into account for clinical decision making. The primary clinical feature, pain, as the main

  20. Effects of extraction parameters on physicochemical and functional characteristics of chitosan from Penaeus monodon shell

    Institute of Scientific and Technical Information of China (English)

    Jubril Olayinka Akolade; Hussein Oyelola Bukoye Oloyede; Paul Chidozie Onyenekwe

    2016-01-01

    ABSTRACT Objective: To investigate the effect of extraction parameters with particular interest during the microwave deacetylation process on the characteristics of chitosan produced fromPenaeus monodon (P. monodon) sourced within the coastal region of Lagos, Nigeria for applications of controlled release systems for pharmaceutical industries. Methods: Chitosan was extracted from shrimp (P. monodon) shell and evaluated as a controlled release system for curcumin. Effects of relevant processing parameters on physicochemical and functional characteristics of the extracted chitosan were assessed. The crude chitosan was purified and used to prepare controlled release formulations for curcumin via ionic gelation with tripolyphosphate. Results:Data from the study showed that increasing time and temperature during deproteinization significantly improved the removal of protein bound to the shell matrix. Also, the ratio of the weight of the deproteinized sample to the volume ofHCl used for demineralization influenced the process. During microwave-assisted production of chitosan from chitin, increase in the concentration of the deacetylating medium significantly increased solubility, viscosity and degree of deacetylation, whereas increasing temperature and time during deacetylation of chitin degraded the biopolymer to give low molecular weight chitosan. Optimized extraction and purification process yielded absolutely soluble medium to low molecular weight chitosan. The encapsulation efficiency, loading capacity, percentage yield, release efficiencies in simulated gastric and intestinal fluids of curcumin loaded in the formulations of chitosan fromP. monodon were compared favorably to encapsulation and release characteristics of the encapsulated curcumin in commercially available chitosan used as the reference. Conclusions:Valorization of shrimp waste into pharmaceutically graded medium molecular weight chitosan was achieved. The chitosan obtained can be used as a controlled

  1. Generalized function of the parameters in the storage-discharge relation for low flows

    Science.gov (United States)

    Fujimura, Kazumasa; Iseri, Yoshihiko; Kanae, Shinjiro; Murakami, Masahiro

    2015-04-01

    The accurate estimation of low flows can contribute to better water resource management and more reliable evaluation of the impact of climate change on water resources. For the case of low flows, the nonlinearity of the discharge Q associated with the storage S was originally proposed by Horton (1936) as the power function Q=KSN, where K is a constant and N is the exponent. Although the Q(S) relations for groundwater runoff from unconfined aquifers have been treated as second-order polynomial functions on the basis of the hydraulic investigation by Ding (1966), the general power function Q = KNSN was introduced into the unit hydrograph model for overland flow and the parameters K and N were calibrated by Ding (2011). According to recent studies, the value of the exponent N is varied between 1 and 3 or higher by calibration (e.g., Wittenberg, 1994 and Ding, 2011); however, it is currently unclear whether the optimum value of N has the rule. Fujimura et al. (2014) applied the general power function Q = KNSN for low flows in mountainous basins over a period spanning more than 10 years using hourly data, and carried out sensitivity analysis using a hydrological model for 19 900 sets of the two parameters K and N, in which the exponent N was varied between 1 and 100 in steps of 0.5. The results showed that the optimum relation between N and K could be characterized by the exponential function K=1/(α Nβ), where α and β are constants. Moreover, the lowest error in the sensitivity analysis was obtained by using an exponent N of 100. The aim of this study is to extend the previous study of Fujimura et al. to clarify the properties of the K(N) relations. A sensitivity analysis is performed efficiently using a hydrological model, in which the exponent N is varied between 1 and 100 000 along the neighborhood of the exponential function K=1/(α Nβ). The hourly hydrological model used in this study comprises the Diskin-Nazimov infiltration model, groundwater recharge and

  2. Relative sensitivities of DCE-MRI pharmacokinetic parameters to arterial input function (AIF) scaling.

    Science.gov (United States)

    Li, Xin; Cai, Yu; Moloney, Brendan; Chen, Yiyi; Huang, Wei; Woods, Mark; Coakley, Fergus V; Rooney, William D; Garzotto, Mark G; Springer, Charles S

    2016-08-01

    Dynamic-Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI) has been used widely for clinical applications. Pharmacokinetic modeling of DCE-MRI data that extracts quantitative contrast reagent/tissue-specific model parameters is the most investigated method. One of the primary challenges in pharmacokinetic analysis of DCE-MRI data is accurate and reliable measurement of the arterial input function (AIF), which is the driving force behind all pharmacokinetics. Because of effects such as inflow and partial volume averaging, AIF measured from individual arteries sometimes require amplitude scaling for better representation of the blood contrast reagent (CR) concentration time-courses. Empirical approaches like blinded AIF estimation or reference tissue AIF derivation can be useful and practical, especially when there is no clearly visible blood vessel within the imaging field-of-view (FOV). Similarly, these approaches generally also require magnitude scaling of the derived AIF time-courses. Since the AIF varies among individuals even with the same CR injection protocol and the perfect scaling factor for reconstructing the ground truth AIF often remains unknown, variations in estimated pharmacokinetic parameters due to varying AIF scaling factors are of special interest. In this work, using simulated and real prostate cancer DCE-MRI data, we examined parameter variations associated with AIF scaling. Our results show that, for both the fast-exchange-limit (FXL) Tofts model and the water exchange sensitized fast-exchange-regime (FXR) model, the commonly fitted CR transfer constant (K(trans)) and the extravascular, extracellular volume fraction (ve) scale nearly proportionally with the AIF, whereas the FXR-specific unidirectional cellular water efflux rate constant, kio, and the CR intravasation rate constant, kep, are both AIF scaling insensitive. This indicates that, for DCE-MRI of prostate cancer and possibly other cancers, kio and kep may be more suitable imaging

  3. Relative sensitivities of DCE-MRI pharmacokinetic parameters to arterial input function (AIF) scaling

    Science.gov (United States)

    Li, Xin; Cai, Yu; Moloney, Brendan; Chen, Yiyi; Huang, Wei; Woods, Mark; Coakley, Fergus V.; Rooney, William D.; Garzotto, Mark G.; Springer, Charles S.

    2016-08-01

    Dynamic-Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI) has been used widely for clinical applications. Pharmacokinetic modeling of DCE-MRI data that extracts quantitative contrast reagent/tissue-specific model parameters is the most investigated method. One of the primary challenges in pharmacokinetic analysis of DCE-MRI data is accurate and reliable measurement of the arterial input function (AIF), which is the driving force behind all pharmacokinetics. Because of effects such as inflow and partial volume averaging, AIF measured from individual arteries sometimes require amplitude scaling for better representation of the blood contrast reagent (CR) concentration time-courses. Empirical approaches like blinded AIF estimation or reference tissue AIF derivation can be useful and practical, especially when there is no clearly visible blood vessel within the imaging field-of-view (FOV). Similarly, these approaches generally also require magnitude scaling of the derived AIF time-courses. Since the AIF varies among individuals even with the same CR injection protocol and the perfect scaling factor for reconstructing the ground truth AIF often remains unknown, variations in estimated pharmacokinetic parameters due to varying AIF scaling factors are of special interest. In this work, using simulated and real prostate cancer DCE-MRI data, we examined parameter variations associated with AIF scaling. Our results show that, for both the fast-exchange-limit (FXL) Tofts model and the water exchange sensitized fast-exchange-regime (FXR) model, the commonly fitted CR transfer constant (Ktrans) and the extravascular, extracellular volume fraction (ve) scale nearly proportionally with the AIF, whereas the FXR-specific unidirectional cellular water efflux rate constant, kio, and the CR intravasation rate constant, kep, are both AIF scaling insensitive. This indicates that, for DCE-MRI of prostate cancer and possibly other cancers, kio and kep may be more suitable imaging

  4. Comparative evaluation of several parameters of glycemic homeostasis in patients with functional pituitary adenomas

    Directory of Open Access Journals (Sweden)

    Miroslava Rostislavovna Mikityuk

    2014-03-01

    Full Text Available Aim. To investigate glycemic homeostasis in patients with acromegaly and hyperprolactinaemia due to functional pituitary adenoma.Materials and Methods. We enrolled 48 patients with somatotropinoma (Group 1, 19 patients with somatomammotropinoma (Group 2 and 24 patients with prolactinoma (Group 3 with no history of glycemic disorders. Median age was 48.63±9.98 years; median disease duration was 13.1±6.9 years. The comparison group was composed of overweight or obese patients (n=75. We conducted a comparative analysis of glycemic parameters (Glc0, immunoreactive insulin, HOMA2_S%, HOMA2_B% и HOMA2_IR, Ssum and S under isolated segments of the glycemic curve. We also tested their correlation with plasma levels of growth hormone, prolactin and IGF-1.Results. We detected hyperinsulinemia (>20 μU/mL in 35.1% of participants from Group 1, 33.3% and 25% from groups 2 and 3, respectively. There was no statistically significant difference between glycemic parameters of the study groups, though patients were mildly insulin resistant (HOMA2_IR 1.88 to 2.38 units independantly from tumour secretory activity. Groups 1 and 2 were characterized by significantly higher fasting blood glucose levels vs. comparison group (though still within the reference values, and glucose homeostasis was maintained with lower activity of pancreatic β-cells. Average Ssumanalysis showed lower glucose tolerance in groups 1 and 2 vs. Group 3. Median S values under isolated glycemic curve segments were significantly higher than in comparison group. Plasma levels of growth hormone did not correlate with Ssum and S parameters in groups 1 and 2. There was a linear correlation between Ssum and plasma IGF-1 levels in patients from Group 1 (r=0.45; p=0.006. We also noted that Ssum had a non-linear correlation with plasma prolactin levels in patients from Group 3 (r=0.41; p<0.05.Conclusion. Postprandial area under the glycemic curve has positive linear association with

  5. Hypothermia During Cardiopulmonary Bypass Increases Need for Inotropic Support but Does Not Impact Inflammation in Children Undergoing Surgical Ventricular Septal Defect Closure.

    Science.gov (United States)

    Schmitt, Katharina Rose Luise; Fedarava, Katsiaryna; Justus, Georgia; Redlin, Mathias; Böttcher, Wolfgang; Delmo Walter, Eva Maria; Hetzer, Roland; Berger, Felix; Miera, Oliver

    2016-05-01

    Minimizing the systemic inflammatory response caused by cardiopulmonary bypass is a major concern. It has been suggested that the perfusion temperature affects the inflammatory response. The aim of this prospective study was to compare the effects of moderate hypothermia (32°C) and normothermia (36°C) during cardiopulmonary bypass on markers of the inflammatory response and clinical outcomes (time on ventilator) after surgical closure of ventricular septal defects. During surgical closure of ventricular septal defects under cardiopulmonary bypass, 20 children (median age 4.9 months, range 2.3-38 months; median weight 7.2 kg, range 5.2-11.7 kg) were randomized to a perfusion temperature of either 32°C (Group 1, n = 10) or 36°C (Group 2, n = 10). The clinical data and blood samples were collected before cardiopulmonary bypass, directly after aortic cross-clamp release, and 4 and 24 h after weaning from cardiopulmonary bypass. Time on ventilation as primary outcome did not differ between the two groups. Other clinical outcome parameters like fluid balance or length of stay in the intensive care were also similar in the two groups. Compared with Group 2, Group 1 needed significantly higher and longer inotropic support (P bypass temperature does not influence time on ventilation or inflammatory marker release. However, in the present study, with a small patient cohort, patients operated under hypothermic bypass needed higher and longer inotropic support. The use of hypothermic cardiopulmonary bypass in infants and children should be approached with care.

  6. The use of VEPs for CNS monitoring during continuous cardiopulmonary bypass and circulatory arrest.

    Science.gov (United States)

    Keenan, N K; Taylor, M J; Coles, J G; Prieur, B J; Burrows, F A

    1987-07-01

    Cerebral function was monitored with the use of visual evoked potentials (VEPs) in 16 infants (mean age 9.9 +/- 4.3 months) during surgery for congenital cardiac anomalies. While hypothermia was employed in all patients, half (8) remained on continuous cardiopulmonary bypass (CCB) while the rest were cooled to lower temperatures before the induction of circulatory stasis and venous exsanguination (CA), i.e., profound hypothermic circulatory arrest (PHCA). VEPs were recorded before, during and after surgical intervention. Latency changes occurred in both the N100 and P145 components of the VEP as a function of systemic temperature during cooling in both groups. Differences in the VEPs were found between the two groups post-operatively, with the most interesting result being a greater increase in P145 latency in the CA group after rewarming. To the extent that VEPs reflect neurological status, our findings suggested that CCB was associated with less perturbation in acute neurological status than PHCA, and shorter arrest times and lower temperatures during CA were associated with the most favourable post-operative VEPs. Hence, intraoperative monitoring of VEPs appeared to be useful as an objective measure of the short-term effects of various cardiopulmonary procedures on neurophysiological function.

  7. A Comparative Analysis on the Cardiopulmonary Function of Basketball,Handball and Football players%篮球、手球、足球运动员心肺机能的比较分析

    Institute of Scientific and Technical Information of China (English)

    戴园园; 柏友萍; 张晶; 许晓东

    2012-01-01

    This paper uses the AZN-E30 cardiac function detector,MINATO and AS-505 pulmonary function detector to determine the basketball,handball,football athletes' cardiac dynamics and pulmonary ventilation directly,compares and analyzes the data.These statistics indicate that the heart rate,blood pressure,spray blood impedance,energy,vital capacity and every minute ventilation in group basketball,handball,football were compared and have the significantly differences(P0.01);Results levels of the heart beat index in group basketball were significantly higher than that in group football(P0.05),levels of the forced vital capacity in group basketball and handball have the differences(P0.05).Compared with the handball group and football group in the resting heart rate,in the systolic blood pressure of the group basketball players was significantly decreased,but in the diastolic blood pressure,the group basketball was lower than the group handball and higher than the group football;In heart beat index,the basketball group holds certain advantages for the handball group and football group;The vital capacity of handball group was higher than the basketball group and football group,the vital capacity of basketball group was minimum.%采用AZN-E30型心功能检测仪和MINATO,AS-505型肺功能仪对篮球、手球、足球运动员心脏动力学和肺通气量参数进行测定,并对测定数据进行比较分析。结果表明:篮球组、手球组、足球组心率、血压、喷血阻抗、利能率、肺活量和每分钟通气量指标相比较存在明显差异(P〈0.01);篮球组与足球组的心搏指数存在差异(P〈0.05);篮球组与手球组的用力肺活量存在差异性(P〈0.05)。篮球组静息心率、收缩压低于手球组和足球组,但篮球组舒张压低于手球组而高于足球组;在心搏指数方面,篮球组相对手球组合足球组而已占有一定优势;手球组肺活量高于篮球组和足球组,篮球组肺活量最低。

  8. Carbon dioxide reactivity of computed tomography functional parameters in rabbit VX2 soft tissue tumour

    Energy Technology Data Exchange (ETDEWEB)

    Purdie, Thomas G [Department of Medical Biophysics, University of Western Ontario, London, ON (Canada); Lee, Ting-Yim [Department of Medical Biophysics, University of Western Ontario, London, ON (Canada)

    2003-04-07

    Tumour blood flow is one of the important factors limiting the efficacy of radiation therapy (hypoxic radioresistance), chemotherapy (drug delivery) and thermal therapy (heat dissipation) in treating cancer. The modification of tumour blood flow has been an area of intense investigation. In the current study, the arterial carbon dioxide tension (P{sub a}CO{sub 2}) was changed in order to investigate the tumour vascular response to carbon dioxide. Functional maps of blood flow, blood volume and mean transit time were generated at four P{sub a}CO{sub 2} levels in VX2 tumour in the rabbit thigh and normal soft tissue. The P{sub a}CO{sub 2} levels investigated were normocapnia (P{sub a}CO{sub 2} = 40.9 {+-} 1.2 mmHg), hypocapnia (27.2 {+-} 2.3 and 33.5 {+-} 2.3 mmHg) and hypercapnia (54.9 {+-} 4.4 mmHg). The carbon dioxide reactivity of the global tumour blood flow and mean transit time showed significant differences between normocapnia and the two levels of hypocapnia, but not between normocapnia and hypercapnia. The average fractional change of blood flow from normocapnia for the two levels of hypocapnia was -0.41 {+-} 0.06 and -0.29 {+-} 0.08, respectively (P < 0.05). In the case of mean transit time the fractional change was +0.39 {+-} 0.30 and +0.23 {+-} 0.24, respectively (P < 0.05). The fractional change of blood volume from normocapnia, however, was not significantly different at any capnic level, as was the case with respect to each of the functional parameters in normal tissue. The ability to reduce blood flow and increase mean transit time through hypocapnia has significant implications in thermal therapy, since heat dissipation is a major factor in limiting the effectiveness of treatment.

  9. [THE EFFECT OF ACID RAIN ON ULTRASTRUCTURE AND FUNCTIONAL PARAMETERS OF PHOTOSYNTHETIC APPARATUS OF PEA LEAVES].

    Science.gov (United States)

    Polishchuk, A V; Vodka, M V; Belyavskaya, N A; Khomochkin, A P; Zolotareva, E K

    2016-01-01

    The effects of simulated acid rain (SAR) on the ultrastructure and functional parameters of the photosynthetic apparatus were studied using 14-day-old pea leaves as test system. Pea plants were sprayed with an aqueous solution containing NaNO₃(0.2 mM) and Na₂SO₄(0.2 mM) (pH 5.6, a control variant), or with the same solution, which was acidified to pH 2.5 (acid variant). Functional characteristics were determined by chlorophyll fluorescence analysis. Acid rain application caused reduction in the efficiency of the photosynthetic electron transport by 25%, which was accompanied by an increase by 85% in the quantum yield of thermal dissipation of excess light quanta. Ultrastructural changes in chloroplast were registered by transmission electron microscopy (TEM) after two days of the SAR-treatment of pea leaves. In this case, the changes in the structure of grana, heterogeneity of thylakoids packaging in granum, namely, the increase of intra-thylakoid gaps and thickness of granal thylakoids compared to the control were found. The migration of protein complexes in thylakoid membranes of chloroplasts isolated from leaves treated with SAR was suppressed. It was shown also that carbonic anhydrase activity was inhibited in chloroplast preparations isolated from SAR-treated pea leaves. We proposed a hypothesis on the possible inactivation of thylakoid carbonic anhydrase under SAR and its involvement in the inhibition of photochemical activity of chloroplasts. The data obtained allows to suggest that acid rains negatively affect the photosynthetic apparatus disrupting the membrane system of chloroplast.

  10. Heart and Lungs Protection Technique for Cardiac Surgery with Cardiopulmonary Bypass

    Directory of Open Access Journals (Sweden)

    Vladimir Pichugin

    2014-12-01

    Full Text Available Introduction: Cardioplegic cardiac arrest with subsequent ischemic-reperfusion injuries can lead to the development of inflammation of the myocardium, leucocyte activation, and release of cardiac enzymes. Flow reduction to the bronchial arteries, causing low-flow lung ischemia, leads to the development of a pulmonary regional inflammatory response. Hypoventilation during cardiopulmonary bypass (CPB is responsible for development of microatelectasis, hydrostatic pulmonary edema, poor compliance, and a higher incidence of infection. Based on these facts, prevention methods of these complications were developed. The aim of this study was to evaluate constant coronary perfusion (CCP and the “beating heart” in combination with pulmonary artery perfusion (PAP and “ventilated lungs” technique for heart and lung protection in cardiac surgery with CPB.Methods. After ethical approval and written informed consent, 80 patients undergoing cardiac surgery with normothermic CPB were randomized in three groups. In the first group (22 patients, the crystalloid cardioplegia without lung ventilation/perfusion techniques were used. In the second group (30 patients, the CCP and “beating heart” without lung ventilation/perfusion techniques were used. In the third group (28 patients, the CCP with PAP and lung ventilation techniques were used. Clinical, functional parameters, myocardial damage markers (CK MB level, oxygenation index, and lung compliance were investigated.Results. There were higher rates of spontaneous cardiac recovery and lower doses of inotrops in the second and third groups. Myocardial contractility function was better preserved in the second and third groups. The post-operative levels of CK-MB were lower than in control group.  Three hours after surgery CK-MB levels in the second and third  groups were lower by 38.1% and 33.3%, respectively. Eight hours after surgery, CK-MB levels were lower in the second and third groups by 45.9% and

  11. The mass movement routing tool r.randomwalk and its functionalities for parameter sensitivity analysis and optimization

    Science.gov (United States)

    Krenn, Julia; Mergili, Martin

    2016-04-01

    r.randomwalk is a GIS-based, multi-functional conceptual tool for mass movement routing. Starting from one to many release points or release areas, mass points are routed down through the digital elevation model until a defined break criterion is reached. Break criteria are defined by the user and may consist in an angle of reach or a related parameter (empirical-statistical relationships), in the drop of the flow velocity to zero (two-parameter friction model), or in the exceedance of a maximum runup height. Multiple break criteria may be combined. A constrained random walk approach is applied for the routing procedure, where the slope and the perpetuation of the flow direction determine the probability of the flow to move in a certain direction. r.randomwalk is implemented as a raster module of the GRASS GIS software and, as such, is open source. It can be obtained from http://www.mergili.at/randomwalk.html. Besides other innovative functionalities, r.randomwalk serves with built-in functionalities for the derivation of an impact indicator index (III) map with values in the range 0-1. III is derived from multiple model runs with different combinations of input parameters varied in a random or controlled way. It represents the fraction of model runs predicting an impact at a given pixel and is evaluated against the observed impact area through an ROC Plot. The related tool r.ranger facilitates the automated generation and evaluation of many III maps from a variety of sets of parameter combinations. We employ r.randomwalk and r.ranger for parameter optimization and sensitivity analysis. Thereby we do not focus on parameter values, but - accounting for the uncertainty inherent in all parameters - on parameter ranges. In this sense, we demonstrate two strategies for parameter sensitivity analysis and optimization. We avoid to (i) use one-at-a-time parameter testing which would fail to account for interdependencies of the parameters, and (ii) to explore all possible

  12. Mexico City ozone concentrations as a function of readily-available meteorological parameters

    Energy Technology Data Exchange (ETDEWEB)

    Brown, M.J.

    1994-03-01

    Daily maximum ozone concentrations measured at four sites within the Mexico City basin during the winter months are plotted as functions of different meteorological parameters that are routinely measured at surface stations. We found that ozone concentrations are most strongly correlated to the increase in daytime temperature and the maximum daytime wind speed. We also discovered that high ozone values at the sites in the southern end of the basin occur when winds come out of the northeast. In contrast, wind direction was found to be uncorrelated with high ozone values at the northern sites. From straightforward combinations of the meteorological variables, we derived some simple rules for estimating lower and upper bounds on the ozone concentration. Scatter in the data was too long to give significance to best-fit equations and statistics. Additionally, a small rawinsonde data set was used to investigate ozone`s dependence on boundary-layer height and near-surface temperature gradient. Results were inconclusive, however, due to the small size of the data set.

  13. Estimation of genetic parameters for morphological and functional traits in a Menorca horse population

    Directory of Open Access Journals (Sweden)

    Marina Solé

    2014-01-01

    Full Text Available Functional conformation and performance in Classic and Menorca Dressage are the main selection criteria in the Menorca Horse breeding program. Menorca Dressage is an alternative Classical Dressage discipline which is exclusive of the Menorca Island, but including a series of movements that the animals perform in the traditional festivities called “Jaleo Menorquín”. One of these movements involves the horse raising its forelimbs and standing or walking on its hindlimbs, which is called “el bot”. To make the Menorca horse breed more competitive in the equestrian market, it is necessary to understand the genetic background that characterizes the aptitude for Menorca Dressage and its relationship with conformation traits. The analysed data consisted of 15 conformation traits from 347 Menorca horses (200 males and 147 females, with 1,550 performance records in Menorca Dressage competitions. Genetic parameters were estimated using linear and threshold animal models. The heritabilities for heights and lengths were high (0.45-0.76, those for angulations and binary conformation traits were low to moderate (0.10-0.36 as were the scores for dressage performance (0.13-0.21. The results suggest that the analyzed traits could be used as an efficient tool for selecting breeding horses.

  14. Estimation of genetic parameters for morphological and functional traits in a Menorca horse population

    Energy Technology Data Exchange (ETDEWEB)

    Sole, M.; Cervantes, I.; Gutierrez, J. P.; Gomez, M. D.; Valera, M.

    2014-06-01

    Functional conformation and performance in Classic and Menorca Dressage are the main selection criteria in the Menorca Horse breeding program. Menorca Dressage is an alternative Classical Dressage discipline which is exclusive of the Menorca Island, but including a series of movements that the animals perform in the traditional festivities called Jaleo Menorquin. One of these movements involves the horse raising its forelimbs and standing or walking on its hindlimbs, which is called el bot. To make the Menorca horse breed more competitive in the equestrian market, it is necessary to understand the genetic background that characterizes the aptitude for Menorca Dressage and its relationship with conformation traits. The analysed data consisted of 15 conformation traits from 347 Menorca horses (200 males and 147 females), with 1,550 performance records in Menorca Dressage competitions. Genetic parameters were estimated using linear and threshold animal models. The heritabilities for heights and lengths were high (0.45-0.76), those for angulations and binary conformation traits were low to moderate (0.10-0.36) as were the scores for dressage performance (0.13-0.21). The results suggest that the analyzed traits could be used as an efficient tool for selecting breeding horses. (Author)

  15. 21 CFR 870.4350 - Cardiopulmonary bypass oxygenator.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cardiopulmonary bypass oxygenator. 870.4350 Section 870.4350 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... gases between blood and a gaseous environment to satisfy the gas exchange needs of a patient during...

  16. Voice advisory manikin versus instructor facilitated training in cardiopulmonary resuscitation

    DEFF Research Database (Denmark)

    Isbye, Dan L; Høiby, Pernilla; Rasmussen, Maria B;

    2008-01-01

    BACKGROUND: Training of healthcare staff in cardiopulmonary resuscitation (CPR) is time-consuming and costly. It has been suggested to replace instructor facilitated (IF) training with an automated voice advisory manikin (VAM), which increases skill level by continuous verbal feedback during indi...

  17. Cardiopulmonary Fitness and Endurance in Children with Developmental Coordination Disorder

    Science.gov (United States)

    Wu, Sheng K.; Lin, Hsiao-Hui; Li, Yao-Chuen; Tsai, Chia-Liang; Cairney, John

    2010-01-01

    The purpose of this study was to compare cardiopulmonary fitness and endurance in 9-11-year-old children with DCD against a group of typically developing children in Taiwan. The Movement ABC test was used to evaluate the motor abilities of children. Forty-one participants (20 children with DCD and 21 children without DCD) were recruited for this…

  18. Necessity of immediate cardiopulmonary resuscitation in trauma emergency

    Directory of Open Access Journals (Sweden)

    Luciano Baitello

    2010-08-01

    Full Text Available Abstract The ability to respond quickly and effectively to a cardiac arrest situation rests on nurses being competent in the emergency life-saving procedure of cardiopulmonary resuscitation. The objective of the current study was to evaluate the types of trauma and survival of patients that require immediate cardiopulmonary resuscitation in trauma emergencies. A total of 13301 patients treated as accident victims between July 2004 and December 2006 were evaluated in a prospective study. Patients requiring immediate cardiopulmonary resuscitation at admission were identified. The type of injury and the survival of these patients were evaluated. Of the 65 patients included in the study, 30% had suffered from gunshot wounds, 19% had been run over, 18% had been involved in car crashes, 13% in motor cycle accidents, 9% stabbings, 1% by cycle accidents and 10% other types of accidents including burns, hangings and falls. In only 12 of these patients, immediate resuscitation was successful and procedure such as chest drainage, exploratory laparotomy and interventions in the surgical center were performed. However all patients evolved to death; eight within 24 hours, two between 24 and 48 hours and the other 2 after 48 hours. Immediate cardiopulmonary resuscitation after accidents is a sign of high mortality requiring further studies to review indication and the ethical aspects involved.

  19. The influence of biomaterials on inflammatory responses to cardiopulmonary bypass.

    Science.gov (United States)

    Courtney, J M; Matata, B M; Yin, H Q; Esposito, A; Mahiout, A; Taggart, D P; Lowe, G D

    1996-05-01

    The nature of cardiopulmonary bypass and the complexity of the inflammatory response make the detection and interpretation of a biomaterial influence difficult. However, if mediation of the inflammatory response is considered to be an appropriate clinical goal, alteration to the biomaterial influence merits further investigation.

  20. Gastrointestinal motility during cardiopulmonary bypass : A sonomicrometric study

    NARCIS (Netherlands)

    Gu, YJ; de Kroon, TL; Elstrodt, JM; Rakhorst, G

    2006-01-01

    Cardiopulmonary bypass (CPB) is known to impair the integrity of the gastrointestinal tract. However, little is known about the movement behavior of the gastrointestinal tract during CPB. This study was aimed to assess the gastrointestinal motility with sonomicrometry, a distance measurement using u

  1. Clinical benefit of steroid use in patients undergoing cardiopulmonary bypass

    DEFF Research Database (Denmark)

    Whitlock, Richard P; Chan, Simon; Devereaux, P J;

    2008-01-01

    We sought to establish the efficacy and safety of prophylactic steroids in adult patients undergoing cardiopulmonary bypass (CPB). We performed a meta-analysis of randomized trials reporting the effects of prophylactic steroids on clinical outcomes after CPB. Outcomes examined were mortality...

  2. THEORETICAL STUDY OF AN OSCILLATING WAVEFORM FUNCTION AND PARAMETERS FOR CONTROLLING THE NON-SINUSOIDAL OSCILLATION OF A MOLD

    Institute of Scientific and Technical Information of China (English)

    Ren Tingzhi; Liu Cai

    2004-01-01

    A new non-sinusoidal oscillation waveform is constructed for controlling the mold oscillation during continuous casting. Casting velocity and oscillation parameters are then established for a computer model of the continuous casting process. The waveform distortion coefficient ε of waveform function is close to the waveform distortion rate α, so ε is taken for ε when the basic parameters are selected initially. The waveform function can be created for the servo hydraulic system or the mechanical driving system. Industrial scale experiments show the waveform function is effective.

  3. Towards all-order Laurent expansion of generalized hypergeometric functions around rational values of parameters

    Energy Technology Data Exchange (ETDEWEB)

    Kalmykov, M.Yu.; Kniehl, B.A. [Hamburg Univ. (Germany). 2. Inst. fuer Theoretische Physik

    2008-07-15

    We prove the following theorems: 1) The Laurent expansions in {epsilon} of the Gauss hypergeometric functions {sub 2}F{sub 1}(I{sub 1}+a{epsilon},I{sub 2}+b{epsilon};I{sub 3}+(p)/(q)+c{epsilon};z), {sub 2}F{sub 1}(I{sub 1}+(p)/(q)+a{epsilon},I{sub 2}+(p/q)+b{epsilon};I{sub 3}+(p)/(q)+c{epsilon};z) and {sub 2}F{sub 1}(I{sub 1}+(p)/(q)+ a{epsilon},I{sub 2}+b{epsilon};I{sub 3}+(p)/(q)+c{epsilon};z), where I{sub 1},I{sub 2},I{sub 3},p,q are arbitrary integers, a,b,c are arbitrary numbers and {epsilon} is an infinitesimal parameter, are expressible in terms of multiple polylogarithms of q-roots of unity with coefficients that are ratios of polynomials; 2) The Laurent expansion of the Gauss hypergeometric function {sub 2}F{sub 1}(I{sub 1}+(p)/(q)+a{epsilon},I{sub 2}+b{epsilon};I{sub 3}+c{epsilon};z) is expressible in terms of multiple polylogarithms of q-roots of unity times powers of logarithm with coefficients that are ratios of polynomials; 3) The multiple inverse rational sums {sigma}{sup {infinity}}{sub j=1}({gamma}(j))/({gamma}(1+j-(p)/(q))) (z{sup j})/(j{sup c}) S{sub a{sub 1}}(j-1).. S{sub a{sub p}}(j-1) and the multiple rational sums {sigma}{sup {infinity}}{sub j=1} ({gamma}(j+(p)/(q)))/({gamma}(1+j)) (z{sup j})/(j{sup c}) S{sub a{sub 1}}(j-1).. S{sub a{sub p}}(j-1), where S{sub a}(j)={sigma}{sup j}{sub k=1}(1)/(k{sup a}) is a harmonic series and c is an arbitrary integer, are expressible in terms of multiple polylogarithms; 4) The generalized hypergeometric functions {sub p}F{sub p.1}((vector)A+(vector)a{epsilon};(vector)B+(vector)b{epsilon},(p)/(q)+B{sub p-1};z) and {sub p}F{sub p-1}((vector)A+(vector)a{epsilon},(p)/(q)+A{sub p};(vector)B+(vector)b{epsilon};z) are expressible in terms of multiple polylogarithms with coefficients that are ratios of polynomials. (orig.)

  4. Influence of emphysema distribution on pulmonary function parameters in COPD patients

    Directory of Open Access Journals (Sweden)

    Helder Novais e Bastos

    2015-12-01

    Full Text Available ABSTRACT OBJECTIVE: To evaluate the impact that the distribution of emphysema has on clinical and functional severity in patients with COPD. METHODS: The distribution of the emphysema was analyzed in COPD patients, who were classified according to a 5-point visual classification system of lung CT findings. We assessed the influence of emphysema distribution type on the clinical and functional presentation of COPD. We also evaluated hypoxemia after the six-minute walk test (6MWT and determined the six-minute walk distance (6MWD. RESULTS: Eighty-six patients were included. The mean age was 65.2 ± 12.2 years, 91.9% were male, and all but one were smokers (mean smoking history, 62.7 ± 38.4 pack-years. The emphysema distribution was categorized as obviously upper lung-predominant (type 1, in 36.0% of the patients; slightly upper lung-predominant (type 2, in 25.6%; homogeneous between the upper and lower lung (type 3, in 16.3%; and slightly lower lung-predominant (type 4, in 22.1%. Type 2 emphysema distribution was associated with lower FEV1, FVC, FEV1/FVC ratio, and DLCO. In comparison with the type 1 patients, the type 4 patients were more likely to have an FEV1 < 65% of the predicted value (OR = 6.91, 95% CI: 1.43-33.45; p = 0.016, a 6MWD < 350 m (OR = 6.36, 95% CI: 1.26-32.18; p = 0.025, and post-6MWT hypoxemia (OR = 32.66, 95% CI: 3.26-326.84; p = 0.003. The type 3 patients had a higher RV/TLC ratio, although the difference was not significant. CONCLUSIONS: The severity of COPD appears to be greater in type 4 patients, and type 3 patients tend to have greater hyperinflation. The distribution of emphysema could have a major impact on functional parameters and should be considered in the evaluation of COPD patients.

  5. Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of nurses

    Directory of Open Access Journals (Sweden)

    Clairton Marcos Citolino Filho

    2015-12-01

    Full Text Available Abstract OBJECTIVE To identify, in the perception of nurses, the factors that affect the quality of cardiopulmonary resuscitation (CPR in adult inpatient units, and investigate the influence of both work shifts and professional experience length of time in the perception of these factors. METHOD A descriptive, exploratory study conducted at a hospital specialized in cardiology and pneumology with the application of a questionnaire to 49 nurses working in inpatient units. RESULTS The majority of nurses reported that the high number of professionals in the scenario (75.5%, the lack of harmony (77.6% or stress of any member of staff (67.3%, lack of material and/or equipment failure (57.1%, lack of familiarity with the emergency trolleys (98.0% and presence of family members at the beginning of the cardiopulmonary arrest assistance (57.1% are factors that adversely affect the quality of care provided during CPR. Professional experience length of time and the shift of nurses did not influence the perception of these factors. CONCLUSION The identification of factors that affect the quality of CPR in the perception of nurses serves as parameter to implement improvements and training of the staff working in inpatient units.

  6. Effect of Prior Cardiopulmonary Resuscitation Knowledge on Compression Performance by Hospital Providers

    Directory of Open Access Journals (Sweden)

    Joshua N. Burkhardt

    2014-07-01

    Full Text Available Introduction: The purpose of this study was to determine cardiopulmonary resuscitation (CPR knowledge of hospital providers and whether knowledge affects performance of effective compressions during a simulated cardiac arrest. Methods: This cross-sectional study evaluated the CPR knowledge and performance of medical students and ED personnel with current CPR certification. We collected data regarding compression rate, hand placement, depth, and recoil via a questionnaire to determine knowledge, and then we assessed performance using 60 seconds of compressions on a simulation mannequin. Results: Data from 200 enrollments were analyzed by evaluators blinded to subject knowledge. Regarding knowledge, 94% of participants correctly identified parameters for rate, 58% for hand placement, 74% for depth, and 94% for recoil. Participants identifying an effective rate of ≥100 performed compressions at a significantly higher rate than participants identifying <100 (µ=117 vs. 94, p<0.001. Participants identifying correct hand placement performed significantly more compressions adherent to guidelines than those identifying incorrect placement (µ=86% vs. 72%, p<0.01. No significant differences were found in depth or recoil performance based on knowledge of guidelines. Conclusion: Knowledge of guidelines was variable; however, CPR knowledge significantly impacted certain aspects of performance, namely rate and hand placement, whereas depth and recoil were not affected. Depth of compressions was poor regardless of prior knowledge, and knowledge did not correlate with recoil performance. Overall performance was suboptimal and additional training may be needed to ensure consistent, effective performance and therefore better outcomes after cardiopulmonary arrest.

  7. Cardiopulmonary Profile in Streptozotocin-Induced Type 1 Diabetic Rats during Systemic Endotoxemia

    Directory of Open Access Journals (Sweden)

    Ching-Hsia Hung

    2013-01-01

    Full Text Available This study was designed to determine the severity of cardiopulmonary dysfunction during systemic endotoxemia in type 1 diabetes. Thirty-two adult male Wistar rats were randomly assigned to a control group or to a group treated with streptozotocin (STZ to create an animal model of type 1 diabetes. Survival time and cardiovascular parameters were continually monitored in urethane anaesthetized animals receiving intravenous infusion of endotoxin (lipopolysaccharide (LPS or saline. We also determined arterial blood gases, lung injury, and tumor necrosis factor-alpha (TNF-α levels in serum and bronchoalveolar lavage fluid. Before LPS administration, the mean arterial pressure in STZ rats was significantly higher than that in normal rats. After LPS injection, the heart rate drop significantly in STZ rats than that in the control group. Also, the increased levels of TNF-α in serum and lavage fluid after LPS treatment were significantly higher in STZ rats than those in normal rats. Survival time in STZ rats was shorter than that in normal rats after LPS application. Albumin content, wet/dry weight ratio of lung, and lung injury were indistinguishable between STZ and normal rats. These results indicate that the cardiopulmonary change which occurs during LPS-induced endotoxemia is minor in STZ-induced diabetic rats.

  8. 血内脂素、尿酸水平与慢性肺源性心脏病及心肺功能相关性研究%The relationships among blood visfatin,blood uric acid levels and cardiopulmonary function in patients with chronic pulmonary heart disease

    Institute of Scientific and Technical Information of China (English)

    陈嘉馨; 邓建能; 李永强; 张志海; 许健辉; 李映梅; 李青艳; 李丽荣

    2016-01-01

    目的:探讨血内脂素及尿酸对慢性肺源性心脏病患者心、肺功能的影响及相关性。方法选取我院呼吸内科收治的慢性肺源性心脏病患者90例为观察组(肺心病组),其中 NYHA 心功能分级Ⅱ级、Ⅲ级、Ⅳ级各30例。选择同期来我院健康体检者40例为对照组。检测两组受试者血内脂素及尿酸水平,并检测肺心病患者血氧分压、肺功能,对检测结果进行统计学分析。结果肺心病组血内脂素水平明显高于对照组,差异具有统计学意义(P 均<0.001)。随着心功能级别的升高,血内脂素水平逐渐升高,心功能Ⅱ级与Ⅲ级、Ⅳ级比较,其内脂素水平差异有统计学意义(P 均<0.05),心肺功能下降与血内脂素水平呈正相关(r =0.827,P <0.05),表明血内脂素水平与慢性肺源性心脏病密切相关。此外,肺心病组血尿酸水平明显高于对照组,差异具有统计学意义(P 均<0.05);心功能Ⅱ级与Ⅲ级、Ⅳ级的血尿酸水平差异有统计学意义(P <0.05),且心肺功能下降与血尿酸水平呈正相关(r =0.806,P <0.05)。结论血内脂素水平及尿酸含量的监测对慢性肺源性心脏病患者的诊治有重要参考意义。%Objective To assess the effects of blood visfatin and uric acid on cardiopulmonary function in patients with chronic pulmonary heart disease and their correlations. Methods Ninety patients with pulmo-nary heart disease who were cared at Respiratory Medicine Department of our hospital were selected as an ob-servation group,30 of them got NYHA class Ⅱ,30 of them got NYHA class Ⅲ,30 of them got NYHA classⅣ.At the same time,45 healthy controls were selected from Health Examination Center.The blood visfatin and uric acid levels were detected in the two groups,and artery blood oxygen partial pressure and cardiopulmo-nary function level were detected in observation and control groups,all date were analyzed statistically. Re-sults Comparing the observation group

  9. Exercise and NO production: relevance and implications in the cardio-pulmonary system

    Directory of Open Access Journals (Sweden)

    Alexei V Nosarev

    2015-01-01

    Full Text Available This article reviews the existing knowledge about the effects of physical exercise on nitric oxide (NO production in the cardiopulmonary system. The authors review the sources of NO in the cardiopulmonary system; involvement of three forms of NO synthases (eNOS, nNOS, and iNOS in exercise physiology; exercise-induced modulation of NO and/or NOS in physiological and pathophysiological conditions in human subjects and animal models in the absence and presence of pharmacological modulators; and significance of exercise-induced NO production in health and disease. The authors suggest that physical activity significantly improves functioning of the cardiovascular system through an increase in NO bioavailability, potentiation of antioxidant defense, and decrease in the expression of reactive oxygen species-forming enzymes. Regular physical exercises are considered a useful approach to treat cardiovascular diseases. Future studies should focus on detailed identification of (i the exercise-mediated mechanisms of NO exchange; (ii optimal exercise approaches to improve cardiovascular function in health and disease; and (iii physical effort thresholds.

  10. Earlier application of percutaneous cardiopulmonary support rescues patients from severe cardiopulmonary failure using the APACHE III scoring system.

    Science.gov (United States)

    Song, Suk-Won; Yang, Hong-Suk; Lee, Sak; Youn, Young-Nam; Yoo, Kyung-Jong

    2009-12-01

    Percutaneous cardiopulmonary support (PCPS) is a widely accepted treatment for severe cardiopulmonary failure. This system, which uses a percutaneous approach and autopriming devices, can be rapidly applied in emergency situations. We sought to identify the risk factors that could help predict in-hospital mortality, and to assess its outcomes in survivors. During a 2-yr period, 50 patients underwent PCPS for the treatment of severe cardiopulmonary failure, and of those, 22 (44%) were classified as survivors and 28 (56%) as non-survivors. We compared the 2 groups for risk factors of in-hospital mortality and to establish proper PCPS timing. Twenty patients underwent PCPS for acute myocardial infarction, 20 for severe cardiopulmonary failure after cardiac surgery, 7 for acute respiratory distress syndrome, and 3 for acute myocarditis. Multivariate analysis showed that an acute physiology, age, and chronic health evaluation (APACHE) III score >or=50 prior to PCPS was the only significant predictor of in-hospital mortality (P=0.001). Overall 18-month survival was 42.2%. Cox analysis showed patients with APACHE III scores >or=50 had a poor prognosis (P=0.001). Earlier application of PCPS, and other preemptive strategies designed to optimize high-risk patients, may improve patient outcomes. Identifying patients with high APACHE scores at the beginning of PCPS may predict in-hospital mortality. Survivors, particularly those with higher APACHE scores, may require more frequent follow-up to improve overall survival.

  11. Estimation of vegetation biophysical parameters by remote sensing using radial basis function neural network

    Institute of Scientific and Technical Information of China (English)

    YANG Xiao-hua; HUANG Jing-feng; WANG Jian-wen; WANG Xiu-zhen; LIU Zhan-yu

    2007-01-01

    Hyperspectral reflectance (350-2500 nm) data were recorded at two different sites of rice in two experiment fields including two cultivars, and three levels of nitrogen (N) application. Twenty-five Vegetation Indices (VIs) were used to predict the rice agronomic parameters including Leaf Area Index (LAI, m2 green leaf/m2 soil) and Green Leaf Chlorophyll Density (GLCD,mg chlorophyll/m2 soil) by the traditional regression models and Radial Basis Function Neural Network (RBF). RBF emerged as a variant of Artificial Neural Networks (ANNs) in the late 1980's. A large variety of training algorithms has been tested for training RBF networks. In this study, Original RBF (ORBF), Gradient Descent RBF (GDRBF), and Generalized Regression Neural Network (GRNN) were employed. Results showed that green waveband Normalized Difference Vegetation Index (NDVIgreen) and TCARI/OSAVI have the best prediction power for LAI by exponent model and ORBF respectively, and that TCARI/OSAVI has the best prediction power for GLCD by exponent model and GDRBF. The best performances of RBF are compared with the traditional models, showing that the relationship between VIs and agronomic variables are further improved when RBF is used.Compared with the best traditional models, ORBF using TCARI/OSAVI improves the prediction power for LAI by lowering the Root Mean Square Error (RMSE) for 0.1119, and GDRBF using TCARI/OSAVI improves the prediction power for GLCD by lowering the RMSE for 26.7853. It is concluded that RBF provides a useful exploratory and predictive tool when applied to the sensitive VIs.

  12. 频发室性早搏患儿心脏储备功能的变化及心肺运动试验的应用研究%Effect of frequent premature ventricular contraction on cardiac reserve function in children and clinical application of cardiopulmonary exercise test

    Institute of Scientific and Technical Information of China (English)

    郑彤; 汪芸; 刘艳; 任军; 赵地; 石琳

    2012-01-01

    目的 观察频发室性早搏(premature ventricular contraction,PVC)患儿磷酸肌酸治疗前、后的心肺运动试验(cardiopulmonary exercise test,CPET)各项参数变化,比较与正常儿童的差异,了解频发PVC对患儿心脏储备功能的影响.方法 采用心肺运动测试系统和活动平板对109例频发PVC患儿于治疗前、后分别进行CPET及98例健康儿童进行CPET,记录3组CPET指标,包括最大公斤体重摄氧量(maximal oxygen consumption/kg,VO2max/kg)、最大每搏摄氧量(maximal oxygen consumption/heart rate,VO2max/HR)、不同时段HR、无氧阈(anaerobic threshold,AT)、无氧阈占预计最大摄氧量的百分比( AT/VO2max pred).结果 频发PVC患儿组磷酸肌酸治疗前VO2max/kg、VO2max/HR及AT分别为(22.9 ±7.4)ml/(kg·min)、(9.3±1.5)ml、(15.5±2.7)ml/(kg·min),治疗后分别为(26.4±6.0) ml/(kg·min)、(11.4±3.3) ml、(17.4±3.8)ml/(kg·min),频发PVC患儿治疗后VO2max/kg、VO2max/HR、AT明显高于治疗前,差异均有统计学意义:VO2max/kg(t =2.11,P<0.001)、VO2max/HR(t=4.02,P<0.001)、AT(t=10.2,P<0.001).健康对照组进行的运动试验结果判定皆为阴性.结论 频发PVC患儿心脏储备功能降低,经临床治疗后,运动耐力得到改善,心脏储备功能增强,CPET可较好地反映患儿心脏储备功能的变化.%Objective To observe the changes in cardiopulmonary exercise test (CPET) variables of children with frequent premature ventricular contraction (PVC)before and after creatine phosphate treatment,to examine the difference of CPET results between PVC patients and healthy children,and to evaluate the effect of frequent PVC on the cardiac reserve function in children.Methods One hundred and nine frequent PVC children and 98 healthy children underwent treadmill exercise test and CPET respectively,the changes of CPET variables were observed among patients before and after treatment as well as among the healthy children.CPET variables include maximal oxygen

  13. Application of a generalized likelihood function for parameter inference of a carbon balance model using multiple, joint constraints

    Science.gov (United States)

    Hammerle, Albin; Wohlfahrt, Georg; Schoups, Gerrit

    2014-05-01

    Advances in automated data collection systems enabled ecologists to collect enormous amounts of varied data. Data assimilation (or data model synthesis) is one way to make sense of this mass of data. Given a process model designed to learn about ecological processes these data can be integrated within a statistical framework for data interpretation and extrapolation. Results of such a data assimilation framework clearly depend on the information content of the observed data, on the associated uncertainties (data uncertainties, model structural uncertainties and parameter uncertainties) and underlying assumptions. Parameter estimation is usually done by minimizing a simple least squares objective function with respect to the model parameters - presuming Gaussian, independent and homoscedastic errors (formal approach). Recent contributions to the (ecological) literature, however, have questioned the validity of this approach when confronted with significant errors and uncertainty in the model forcing (inputs) and model structure. Very often residual errors are non-Gaussian, correlated and heteroscedastic. Thus these error sources have to be considered and residual-errors have to be described in a statistically correct fashion order to draw statistically sound conclusions about parameter- and model predictive-uncertainties. We examined the effects of a generalized likelihood (GL) function on the parameter estimation of a carbon balance model. Compared with the formal approach, the GL function allows for correlation, non-stationarity and non-normality of model residuals. Carbon model parameters have been constrained using three different datasets, each of them modelled by its own GL function. As shown in literature the use of different datasets for parameter estimation reduces the uncertainty in model parameters and model predictions and does allow for a better quantification and for more insights into model processes.

  14. Effect of loading condition, specimen geometry, size-effect and softening function on double- fracture parameters of concrete

    Indian Academy of Sciences (India)

    Shailendra Kumar; S V Barai

    2012-02-01

    This paper presents numerical investigation of the influence of the specimen geometry, loading condition, size-effect and softening function of concrete on double- fracture parameters. The input data needed for computation of the double- fracture parameters are obtained from the well-known version of Fictitious Crack Model (FCM). FCM is developed for three standard specimens: three-point bend test, compact tension specimen and four-point bend test of size range 100–600 mm at relative size of initial crack length 0.3. The analysis of numerical results shows some interesting behaviour of double- fracture parameters.

  15. Estudo da função pulmonar em pacientes submetidos a revascularização do miocárdio sem circulação extracorpórea com derivação intraluminal Pulmonary function study in patients who underwent myocardial revascularization without cardiopulmonary bypass with an intraluminal shunt

    Directory of Open Access Journals (Sweden)

    Ana Maria Rocha Pinto

    1998-12-01

    Full Text Available As alterações da função pulmonar nos pacientes submetidos a cirurgias com auxílio da Circulação Extracorpórea (CEC têm sido relatadas na literatura. O objetivo do presente estudo foi analisar a função pulmonar de um grupo de pacientes submetidos a cirurgia de revascularização do miocárdio sem o uso da CEC. Foram estudados de maneira prospectiva 23 pacientes portadores de insuficiência coronariana e submetidos a cirurgia de revascularização do miocárdio sem CEC. A idade variou de 36 a 69 anos, sendo 16 pacientes do sexo masculino e sete do sexo feminino. A avaliação da função pulmonar foi feita através de espirometria e prova alvéolo-respiratória, realizadas no período pré-operatório, no quarto dia (PO4 e no décimo dia (PO10> pós-operatório. A análise dos dados revelou redução da Capacidade Vital (CV em 37,84% (pPulmonary complications are a major cause of postoperative morbidity and mortality in those patients undergoing operations utilizing cardiopulmonary bypass. The purpose of this study was to evaluate the pulmonary function after myocardial revascularization without cardiopulmonary bypass using a intraluminal shunt. Twenty-three patients with coronary disease were submitted to surgery by this technique and pulmonary function testing was conducted consecutively. The surgeries were performed via a median sternotomy with a reversed saphenous vein and/or an internal mammary artery graft. The age ranged from 36 to 69 years (mean 56,3 years. The group was comprised by 16 men and seven women. The pulmonary function tests consisted of spirometric investigations and blood gases measurements with evaluation of intrapulmonary shunt degree, both analyzed during the preoperative period, at the 4th (PO4 and at the 10th (PO10 postoperative day. In spirometry were determinated the vital capacity (VC, forced vital capacity (FVC, forced expiratory volume at one second (FEV, forced expiratory flow over middle half of FVC (FEF

  16. Effects of Kinesio Tape application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke.

    Science.gov (United States)

    Ekiz, Timur; Aslan, Meryem Doğan; Özgirgin, Neşe

    2015-01-01

    The aim of this study was to evaluate the effects of Kinesio Tape (KT) application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke. Twenty-four patients were allocated into KT and control groups. All patients participated in the same conventional rehabilitation program 5 times/wk for 4 wk. In addition, KT was applied to quadriceps muscles bilaterally to the patients in the KT group. Compared with baseline, peak torque levels increased significantly in both groups (all p 0.05). KT application to quadriceps muscles in addition to conventional exercises for 4 wk is effective on isokinetic but not functional parameters.

  17. Effect of window function for measurement of ultrasonic nonlinear parameter using fast fourier transform of tone-burst signal

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kyoung Jun; Kim, Jong Beom; Song, Dong Gil; Jhang, Kyung Young [Dept. of Mechanical Engineering, Hanyang University, Seoul (Korea, Republic of)

    2015-08-15

    In ultrasonic nonlinear parameter measurement using the fast Fourier transform(FFT) of tone-burst signals, the side lobe and leakage on spectrum because of finite time and non-periodicity of signals makes it difficult to measure the harmonic magnitudes accurately. The window function made it possible to resolve this problem. In this study, the effect of the Hanning and Turkey window functions on the experimental measurement of nonlinear parameters was analyzed. In addition, the effect of changes in tone burst signal number with changes in the window function on the experimental measurement was analyzed. The result for both window functions were similar and showed that they enabled reliable nonlinear parameter measurement. However, in order to restore original signal amplitude, the amplitude compensation coefficient should be considered for each window function. On a separate note, the larger number of tone bursts was advantageous for stable nonlinear parameter measurement, but this effect was more advantageous in the case of the Hanning window than the Tukey window.

  18. Towards quantitative root hydraulic phenotyping: novel mathematical functions to calculate plant-scale hydraulic parameters from root system functional and structural traits.

    Science.gov (United States)

    Meunier, F; Couvreur, V; Draye, X; Vanderborght, J; Javaux, M

    2017-03-02

    Predicting root water uptake and plant transpiration is crucial for managing plant irrigation and developing drought-tolerant root system ideotypes (i.e. ideal root systems). Today, three-dimensional structural functional models exist, which allows solving the water flow equation in the soil and in the root systems under transient conditions and in heterogeneous soils. Yet, these models rely on the full representation of the three-dimensional distribution of the root hydraulic properties, which is not always easy to access. Recently, new models able to represent this complex system without the full knowledge of the plant 3D hydraulic architecture and with a limited number of parameters have been developed. However, the estimation of the macroscopic parameters a priori still requires a numerical model and the knowledge of the full three-dimensional hydraulic architecture. The objective of this study is to provide analytical mathematical models to estimate the values of these parameters as a function of local plant general features, like the distance between laterals, the number of primaries or the ratio of radial to axial root conductances. Such functions would allow one to characterize the behaviour of a root system (as characterized by its macroscopic parameters) directly from averaged plant root traits, thereby opening new possibilities for developing quantitative ideotypes, by linking plant scale parameters to mean functional or structural properties. With its simple form, the proposed model offers the chance to perform sensitivity and optimization analyses as presented in this study.

  19. Hitos sobre el test cardiopulmonar de ejercicio Cardiopulmonary exercise test

    Directory of Open Access Journals (Sweden)

    RODRIGO SOTO F

    2008-01-01

    Full Text Available El test cardiopulmonar de ejercicio TCPE (CPET en la literatura anglosajona evalúa aspectos dinámicos de la la fisiología cardiorespiratoria, en contraste, las pruebas funcionales estáticas no reproducen la condición activa de un individuo. No obstante su complejo montaje e interpretación, en el último decenio ha habido un creciente interés en aplicarlo en la detección de mecanismos de disnea. Al respecto, la curva flujo/volumen dinámica permite demostrar limitación de flujos e hiperinflación dinámica, también esta prueba permite profundizar en el análisis del intercambio gaseoso en ejercicio. La utilidad de estas pruebas en la evaluación funcional pre-operatoria compleja es destacada. Dada su alta reproducibilidad, el TCPE continúa siendo un alto referente en pruebas cardíacas de esfuerzo. Publicaciones cardiológicas enfatizan su valor pronóstico como indicador de sobrevida, seguimiento de terapias y enlistado para trasplante en insuficiencia cardíaca congestiva, utilizando parámetros máximos y submáximos. Entre los primeros el consumo cumbre o punta de oxígeno, y en los submáximos el equivalente ventilatorio de anhídrido carbónico y el consumo de oxígeno en el umbral lácticoCardiopulmonary exercise test (CPET evaluates cardiorespiratory function in dynamic conditions, in contrast to static pulmonary function tests which can not reproduce the dynamic situation of an individual. Despite its complex implementation there has been growing interest in CPET in evaluating the mechanisms of dyspnoea With this respect dynamic flow/volume curve is useful in identifying expiratory airflow limitation and dynamic hyperinflation. Besides gas exchange analysis during exercise deepens the quality of information in that subject. Its utility for decision making in complex perioperative evaluation can not be overemphasized. Considering its high reproducibility, this method is a highly valuable tool in cardiac stress testing. Several

  20. 不同恢复手段对超大强度训练后运动员心肺功能的影响%Effects of different recovery means on the cardiopulmonary functions of athletes after super high intensity training

    Institute of Scientific and Technical Information of China (English)

    王晨宇

    2016-01-01

    In order to probe into the effects of different recovery means (active recovery and passive recovery) on the car-diopulmonary functions of male basketball players after super high intensity training, the author divided 20 male basketball players randomly into a passive recovery group (PR) and an active recovery group (AR), let them have super high intensity training and respectively carry out active recovery (pedaling on a cycle ergometer with 50%VO2max) and passive recovery (resting on a cycle ergometer) for 5min after training, measured their heart rate (HR), stroke volume (SV), cardiac output (CO), thoracic electrical impedance (TEI) (negatively correlative with central blood volume), pre-ejection period/left ven-tricular ejection time (PEP/LVET) ratio (negatively correlative with myocardial contractility) and stroke volume/diastolic time (SV/DT) (positively correlative with ventricular filling rate) by using a thoracic electrical bioimpedance noninvasive hemodynamic monitor, measured their systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean blood pressure (MBP) by using an ambulatory blood pressure sphygmomanometer, measured their oxygen uptake (VO2) by us-ing a gas analyzer, in a calm condition before training, immediately after training, and every 1min after training respec-tively, calculated systemic vascular resistance (SVR=MBP/CO×80) and arterio-venous oxygen difference (a-vDO2=VO2/CO), and revealed the following findings: as compared with those measured in a calm condition before training, measured immediately after training, the CO, SV, HR, PEP/LVET ratio, SV/DT, VO2 and a-vDO2 of the players in groups AR and PR, increased (P0.05); comparison between groups: in the 5th minute during recovery, the CO, SV, HR, PEP/LVET ratio, SV/DT, VO2 and a-vDO2 of the players in group RP were significantly lower than those of the players in group AR (P0.05); during the experiment, all the testees had no adverse reaction such as low blood pressure

  1. Significant improvement in dynamic visual acuity after cataract surgery: a promising potential parameter for functional vision.

    Directory of Open Access Journals (Sweden)

    Mingxin Ao

    Full Text Available PURPOSE: Dynamic visual acuity (DVA is a relatively independent parameter for evaluating the ability to distinguish details of a moving target. The present study has been designed to discuss the extent to which age-related cataract impacts DVA in elderly individuals and to determine whether it could be restored after bilateral phacoemulsification combined with intraocular lens implantation surgery. METHODS: Twenty-six elderly cataract patients scheduled for binocular cataract surgery and 30 elderly volunteers without cataract were enrolled in the study. DVA at 15, 30, 60 and 90 degree per second (dps was assessed, and velocity-dependent visual acuity decreases between consecutive speed levels were calculated. RESULTS: Compared with the control group, the patient group exhibited significantly worse DVA performance at all speed levels (p<0.001, and the decreases in velocity-dependent visual acuity were more serious in the patient group at the intervals of 0-15 dps (p<0.001, 15-30 dps (p = 0.007 and 30-60 dps (p = 0.008. Postoperatively, DVA performance at every speed level in the patient group clearly improved (p<0.001 and recovered to levels compatible to the control group. The decrease in visual acuity with increasing speed was less pronounced than during the preoperative phase (p0-15 dps = 0.001, p15-30 dps<0.001 and p30-60 dps = 0.001 and became similar to that of the control group. The postoperative visual benefit regarding DVA was more pronounced than the improvement in static visual acuity (p15 dps = 0.001 and p<0.001 at 30 dps, 60 dps and 90 dps. CONCLUSIONS: The impact of age-related cataract on DVA was more severe than its effects on static visual acuity. After cataract surgery, not only static vision of the patients was restored markedly, but also the dynamic vision. DVA could be an important adjunct to the current evaluation system of functional vision, thereby meriting additional attention in clinical assessment.

  2. Correspondence of the Gardner and van Genuchten/Mualem relativepermeability function parameters

    Energy Technology Data Exchange (ETDEWEB)

    Ghezzehei, Teamrat A.; Kneafsey, Timothy J.; Su, Grace W.

    2007-01-03

    The Gardner and van Genuchten models of relativepermeability are widely used in analytical and numerical solutions toflow problems. However, the applicab ility of the Gardner model to realproblems is usually limited, because empirical relative permeability datato calibrate the model are not routinely available. In contrast, vanGenuchten parameters can be estimated using more routinely availablematric potential and saturation data. However, the van Genuchten model isnot amenable to analytical solutions. In this paper, we introducegeneralized conversion formulae that reconcile these two models. Ingeneral, we find that the Gardner parameter alpha G is related to the vanGenuchten parameters alpha vG and n by alpha G=alpha vG ~; 1:3 n. Thisconversion rule will allow direct recasting of Gardner-based analyticalsolutions in the van Genuchten parameter space. The validity of theproposed formulae was tested by comparing the predicted relativepermeability of various porous media with measured values.

  3. Confidence intervals for functions of coefficients of variation with bounded parameter spaces in two gamma distributions

    Directory of Open Access Journals (Sweden)

    Patarawan Sangnawakij

    2017-02-01

    Full Text Available The problem of estimating parameters in a gamma distribution has been widely studied with respect to both theories and applications. In special cases, when the parameter space is bounded, the construction of the confidence interval based on the classical Neyman procedure is unsatisfactory because the information regarding the restriction of the parameter is disregarded. In order to develop the estimator for this issue, the confidence intervals for the coefficient of variation for the case of a gamma distribution were proposed. Extending to two populations, the confidence intervals for the difference and the ratio of coefficients of variation with restricted parameters were presented. Monte Carlo simulations were used to investigate the performance of the proposed estimators. The results showed that the proposed confidence intervals performed better than the compared estimators in terms of expected length, especially when the coefficients of variation were close to the boundary. Additionally, two examples using real data were analyzed to illustrate the findings of the paper.

  4. Coordination of heart and lung co-development by a multipotent cardiopulmonary progenitor.

    Science.gov (United States)

    Peng, Tien; Tian, Ying; Boogerd, Cornelis J; Lu, Min Min; Kadzik, Rachel S; Stewart, Kathleen M; Evans, Sylvia M; Morrisey, Edward E

    2013-08-29

    Co-development of the cardiovascular and pulmonary systems is a recent evolutionary adaption to terrestrial life that couples cardiac output with the gas exchange function of the lung. Here we show that the murine pulmonary vasculature develops even in the absence of lung development. We have identified a population of multipotent cardiopulmonary mesoderm progenitors (CPPs) within the posterior pole of the heart that are marked by the expression of Wnt2, Gli1 and Isl1. We show that CPPs arise from cardiac progenitors before lung development. Lineage tracing and clonal analysis demonstrates that CPPs generate the mesoderm lineages within the cardiac inflow tract and lung including cardiomyocytes, pulmonary vascular and airway smooth muscle, proximal vascular endothelium, and pericyte-like cells. CPPs are regulated by hedgehog expression from the foregut endoderm, which is required for connection of the pulmonary vasculature to the heart. Together, these studies identify a novel population of multipotent cardiopulmonary progenitors that coordinates heart and lung co-development that is required for adaptation to terrestrial existence.

  5. Protective Effect of Heparin-coated Circuits on the Platelets during Cardiopulmonary Bypass

    Institute of Scientific and Technical Information of China (English)

    张凯伦; 胡志伟; 杨运海; 黄如清; 范慧敏; 孙宗全

    2003-01-01

    To observe the protective effect of heparin-coated circuits (HCC) on the platelet function during cardiopulmonary bypass (CPB). 23 patients with heart valve replacement were studied. The system heparin dose was 3 mg/kg in the control group (n= 15) and heparin-coated circuits in the HCC group (n = 8). Platelet count, α-granule membrane protein-140 (GMP-140) concentrations were determined before CPB, at 60 min of CPB, 30 and 60 min after protamine administration, first 12 h after CPB, respectively. At end of CPB the arterial filters in the circuits were observed by electron microscopy. The amount of first 12-h postoperative blood loss was measured. There was significant reduction in platelet loss during and after CPB in the HCC group in contrast to the control group during CPB (P<0.05). During the first 12 h, postoperative blood loss was reduced in the HCC group as compared with that in the control group (218±61 ml, vs. 332±118 ml, P<0.05). Electron microscopy showed that in the HCC group the filter meshes and their fringes were clear and fragments of floccules were occasionally seen, without adherent cells or only few adherent cells on their surfaces, whereas several cellular and fibrous components were found to adhere to the surfaces of the filter meshes in the control group. This study indicates that heparin-coated circuits might reduce the platelet loss and activation during CPB and improve hemocompatibility of cardiopulmonary bypass equipment.

  6. Characterization of Residual Stress as a Function of Friction Stir Welding Parameters in ODS Steel MA956

    Science.gov (United States)

    2013-06-01

    OF RESIDUAL STRESS AS A FUNCTION OF FRICTION STIR WELDING PARAMETERS IN ODS STEEL MA956 by Martin S. Bennett June 2013 Thesis Advisor...characterizes the residual stresses generated by friction stir welding of ODS steel MA956 as a function of heat index. The heat index of a weld is used to...determine relative heat input among different friction stir welding conditions. It depends on a combination of the rotational speed and traverse, or

  7. Effect of nitrendipine on renal function and on hormonal parameters after intravascular iopromide

    DEFF Research Database (Denmark)

    Madsen, J K; Jensen, J W; Sandermann, J

    1998-01-01

    . Renal tubular function was estimated from the clearance of lithium. Hormones were measured by radioimmunoassays. RESULTS: Arteriography with iopromide did not change renal function. No differences between the nitrendipine and placebo groups were found in renal hemodynamics, tubular sodium handling...

  8. Thyroid function parameters in normal pregnancies in an iodine sufficient population

    Directory of Open Access Journals (Sweden)

    Roy Moncayo

    2015-06-01

    General significance: The question of cognition and IQ development of children has been proposed to be associated with thyroid function. The addition of data regarding normal thyroid function during pregnancy will contribute to this research.

  9. Neuroprotective Strategies during Cardiac Surgery with Cardiopulmonary Bypass

    Science.gov (United States)

    Salameh, Aida; Dhein, Stefan; Dähnert, Ingo; Klein, Norbert

    2016-01-01

    Aortocoronary bypass or valve surgery usually require cardiac arrest using cardioplegic solutions. Although, in principle, in a number of cases beating heart surgery (so-called off-pump technique) is possible, aortic or valve surgery or correction of congenital heart diseases mostly require cardiopulmonary arrest. During this condition, the heart-lung machine also named cardiopulmonary bypass (CPB) has to take over the circulation. It is noteworthy that the invention of a machine bypassing the heart and lungs enabled complex cardiac operations, but possible negative effects of the CPB on other organs, especially the brain, cannot be neglected. Thus, neuroprotection during CPB is still a matter of great interest. In this review, we will describe the impact of CPB on the brain and focus on pharmacological and non-pharmacological strategies to protect the brain. PMID:27879647

  10. Dobutamine for inotropic support during emergence from cardiopulmonary bypass.

    Science.gov (United States)

    Tinker, J H; Tarhan, S; White, R D; Pluth, J R; Barnhorst, D A

    1976-04-01

    Dobutamine, a recently introduced derivative of dopamine, is reported to retain inotropic properties with less pronounced chronotropic and arrhythmogenic effects than isoproterenol. The drug was evaluated in two doses, 5 mug/kg/min and 10 mug/kg/min, in two groups of ten patients each, during emergence from cardiopulmonary bypass. A third group of five patients was studied similarly with isoproterenol, 0.02 mug/kg/min. Cardiac index increased 16 and 28 per cent eith the two doses of dobutamine, respectively, and 9 per cent with isoproterenol. Heart rate, in contrast, increased 6 and 15 per cent with dobutamine (not significant) and 44 per cent with isoproterenol (significant). Dobutamine seemed to associated with fewer arrhythmias than isoproterenol. It is concluded that dobutamine, 5-10 mug/kg/min, is suitable for use during emergence from cardiopulmonary bypass and may possess advantages over isoproterenol.

  11. Role of cardiopulmonary mechanoreceptors in the postural regulation of renin

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, R.A.; Marco, E.J.; Oliveri, C.; Otero, F.J.; Degrossi, O.; Moledo, L.I.; Julius, S.

    1987-04-01

    To change the stretch on cardiopulmonary mechanoreceptors, large shifts of blood in the capacity space were elicited by tilting and by exerting positive lower body pressure in the tilted position. Twelve volunteers underwent invasive hemodynamic studies and in 10 other subjects cardiac size was determined by radionuclide cardiography. In all 22 subjects tilting caused the expected increase of renin, which was abolished by lower body compression. Decompression caused renin to increase again. Right atrial pressure in invasive studies and end-systolic and end-diastolic counts in noninvasive studies showed a significant and strong negative correlation with renin and norepinephrine levels. Thus, the degree of stretch of the cardiopulmonary mechanoreceptors is a major determinant of reflex regulation of renin release in humans.

  12. [Virtual educational proposal in cardiopulmonary resuscitation for the neonate care].

    Science.gov (United States)

    Gonçalves, Gilciane Ribeiro; Peres, Heloisa Helena Ciqueto; Rodrigues, Rita de Cássia; Tronchin, Daisy Maria Rizatto; Pereira, Irene Mari

    2010-06-01

    The purpose of this study was to develop an educational proposal using virtual multimedia resources, to innovate, stimulate and diversify areas of communication and interaction, facilitating nurses' autonomous and reflexive process of teaching and learning. This is an applied research, following the cyclical and interactive phases of designing, planning, developing and implementing. The educational proposal was developed on the TelEduc platform, using specific tools for content organization and communication between students and administrator. The teaching modules were on the following themes: Module 1--Fundamentals of the heart anatomy and physiology in newborns; Module 2--Risk factors for the occurrence of cardiorespiratory arrest in newborns; Module 3--Planning nursing care; Module 4--Medications used in cardiopulmonary arrests in newborns; and Module 5--Cardiorespiratory arrest care in newborns. This study may contribute to innovating teaching in nursing from a virtual educational proposal on the important issue of newborn cardiopulmonary resuscitation care.

  13. The relationship between inspiratory lung function parameters and airway hyper-responsiveness in subjects with mild to moderate COPD

    NARCIS (Netherlands)

    S.K. Ramlal (Sunil); F.J. Visser (Frank); W.C.J. Hop (Wim); B. Staffhorst (Bas); P.N.R. Dekhuijzen (Richard); Y.F. Heijdra (Yvonne)

    2012-01-01

    textabstractBackground: The aim of this study was to evaluate the effects of increasing doses of inhaled histamine on the forced expiratory volume in one second (FEV 1), inspiratory lung function parameters (ILPs) and dyspnea in subjects with mild to moderate chronic obstructive pulmonary disease (C

  14. Dehydroepiandrosterone substitution in female adrenal failure: no impact on endothelial function and cardiovascular parameters despite normalization of androgen status

    DEFF Research Database (Denmark)

    Christiansen, Jens Juel; Andersen, Niels Holmark; Sørensen, Keld E;

    2007-01-01

    BACKGROUND: Female adrenal insufficiency implicates reduced production of the adrenal androgen precursor dehydroepiandrosterone (DHEA) and low androgen levels. Oral DHEA restores androgen deficit but the clinical implications and safety of substitution therapy is uncertain. A putative DHEA receptor...... androgen levels using 6 months of DHEA replacement in this pilot study did not affect cardiovascular parameters and endothelial function in female adrenal insufficiency...

  15. Cole-Cole parameters for the dielectric properties of porcine tissues as a function of age at microwave frequencies.

    Science.gov (United States)

    Peyman, A; Gabriel, C

    2010-08-01

    We have applied the Cole-Cole expression to the dielectric properties of tissues in the frequency range 0.4-10 GHz. The data underpinning the model relate to pig tissue as a function of age. Altogether, we provide the Cole-Cole parameters for 14 tissue types at three developmental stages.

  16. Cole-Cole parameters for the dielectric properties of porcine tissues as a function of age at microwave frequencies

    Energy Technology Data Exchange (ETDEWEB)

    Peyman, A; Gabriel, C, E-mail: Azadeh.peyman@hpa.org.u [MCL-P, 17B Woodford Road, London E18 2EL (United Kingdom)

    2010-08-07

    We have applied the Cole-Cole expression to the dielectric properties of tissues in the frequency range 0.4-10 GHz. The data underpinning the model relate to pig tissue as a function of age. Altogether, we provide the Cole-Cole parameters for 14 tissue types at three developmental stages. (note)

  17. Estimation of cerebral blood flow during cardiopulmonary resuscitation in humans

    DEFF Research Database (Denmark)

    Christensen, S F; Stadeager, Carsten Preben; Siemkowicz, E

    1990-01-01

    /kg/min). The cortical CBF was found between 14 and 211 ml 100 g-1.min-1 with mean 42 ml 100 g-1.min-1 and mean white matter CBF equal to 27 ml 100 g-1.min-1. It is suggested that the external cardiac massage in humans may be of poor efficacy in terms of brain revival. Cortical CBF after long-lasting cardiopulmonary...

  18. Family presence during cardiopulmonary resuscitation and invasive procedures in children

    OpenAIRE

    Ferreira, Cristiana Araujo G.; Flavia Simphronio Balbino; Balieiro,Maria Magda F. G.; Myriam Aparecida Mandetta

    2014-01-01

    Objective:To identify literature evidences related to actions to promote family's presence during cardiopulmonary resuscitation and invasive procedures in children hospitalized in pediatric and neonatal critical care units.Data sources : Integrative literature review in PubMed, SciELO and Lilacs databases, from 2002 to 2012, with the following inclusion criteria: research article in Medicine, or Nursing, published in Portuguese, English or Spanish, using the keywords family, invasive procedur...

  19. One-parameter families of supersymmetric isospectral potentials from Riccati solutions in function composition form

    Science.gov (United States)

    Rosu, Haret C.; Mancas, Stefan C.; Chen, Pisin

    2014-04-01

    In the context of supersymmetric quantum mechanics, we define a potential through a particular Riccati solution of the composition form (F∘f)(x)=F(f(x) and obtain a generalized Mielnik construction of one-parameter isospectral potentials when we use the general Riccati solution. Some examples for special cases of F and f are given to illustrate the method. An interesting result is obtained in the case of a parametric double well potential generated by this method, for which it is shown that the parameter of the potential controls the heights of the localization probability in the two wells, and for certain values of the parameter the height of the localization probability can be higher in the smaller well.

  20. Impact of Intraoperative Events on Cerebral Tissue Oximetry in Patients Undergoing Cardiopulmonary Bypass.

    Science.gov (United States)

    Ševerdija, Ervin E; Vranken, Nousjka P A; Teerenstra, Steven; Ganushchak, Yuri M; Weerwind, Patrick W

    2015-03-01

    Previous studies showed that decreased cerebral saturation during cardiac surgery is related to adverse postoperative outcome. Therefore, we investigated the influence of intraoperative events on cerebral tissue saturation in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). A total of 52 adult patients who underwent cardiac surgery using pulsatile CPB were included in this prospective explorative study. Cerebral tissue oxygen saturation (SctO2) was measured in both the left and right cerebral hemisphere. Intraoperative events, involving interventions performed by anesthesiologist, surgeon, and clinical perfusionist, were documented. Simultaneously, in-line hemodynamic parameters (partial oxygen pressure, partial carbon dioxide pressure, hematocrit, arterial blood pressure, and CPB flow rates) were recorded. Cerebral tissue saturation was affected by anesthetic induction (p retractor (p cardiac surgery. Future studies are needed to identify methods of mitigating periods of reduced cerebral saturation.

  1. Cardiopulmonary resuscitation and contrast media reactions in a radiology department

    Energy Technology Data Exchange (ETDEWEB)

    O' Neill, John M.; McBride, Kieran D

    2001-04-01

    AIM: To assess current knowledge and training in the management of contrast media reactions and cardiopulmonary resuscitation within a radiology department. MATERIALS AND METHODS: The standard of knowledge about the management of contrast media reactions and cardiopulmonary resuscitation among radiologists, radiographers and nurses were audited using a two-section questionnaire. Our results were compared against nationally accepted standards. Repeat audits were undertaken over a 28-month period. Three full audit cycles were completed. RESULTS: The initial audit confirmed that although a voluntary training programme was in place, knowledge of cardiopulmonary resuscitation techniques were below acceptable levels (set at 70%) for all staff members. The mean score for radiologists was 50%. Immediate changes instituted included retraining courses, the distribution of standard guidelines and the composition and distribution of two separate information handouts. Initial improvements were complemented by new wallcharts, which were distributed throughout the department, a series of lectures on management of contrast reactions and regular reviews with feedback to staff. In the third and final audit all staff groups had surpassed the required standard. CONCLUSION: Knowledge of contrast media reactions and resuscitation needs constant updating. Revision of skills requires a prescriptive programme; visual display of advice is a constant reminder. It is our contention all radiology departmental staff should consider it a personal duty to maintain their resuscitation skills at appropriate standards. O'Neill, J.M., McBride, K.D.(2001). Clinical Radiology 00, 000-000.

  2. Hormonal and metabolic responses of fetal lamb during cardiopulmonary bypass

    Institute of Scientific and Technical Information of China (English)

    苏肇伉; 周成斌; 张海波; 祝忠群

    2003-01-01

    Objective To study the hormonal and metabolic responses of fetal lamb during cardiopulmonary bypass.Methods Six pregnant ewes underwent fetal cardiopulmonary bypasses with artificial oxygenators and roller pumps for 30 minutes, which maintained the blood gas value at the fetal physiological level. The fetal blood pressure, heart rate, pH value and blood lactate levels were monitored. The levels of catecholamine, cortisol and insulin were measured pre-bypass and then again 30 minutes later. The blood glucose and free fatty acid levels were monitored continuously during the bypass. Fetal hepatic PAS staining was also carried out.Results There were no changes before and during the bypass in fetal blood pressure, heart rate and blood gas. However, pH values decreased and blood lactate levels increased (P<0.05). The fetal catecholamine and cortisol levels increased significantly (P<0.01), while the levels of insulin did not change. The blood glucose and free fatty acid levels increased at the beginning of the bypass (P<0.01), and then gradually slowed down during the bypass. The fetal hepatic PAS staining showed that hepatic glycogen was consumed in large amounts. After 30 minutes of bypass, the fetal lamb would not survive more than 1 hour.Conclusion The fetal lamb has a strong negative reaction to cardiopulmonary bypass.

  3. Cardiopulmonary Exercise Capacity and Preoperative Markers of Inflammation

    Directory of Open Access Journals (Sweden)

    Pervez Sultan

    2014-01-01

    Full Text Available Explanatory mechanisms for the association between poor exercise capacity and infections following surgery are underexplored. We hypothesized that aerobic fitness—assessed by cardiopulmonary exercise testing (CPET—would be associated with circulating inflammatory markers, as quantified by the neutrophil-lymphocyte ratio (NLR and monocyte subsets. The association between cardiopulmonary reserve and inflammation was tested by multivariable regression analysis with covariates including anaerobic threshold (AT and malignancy. In a first cohort of 240 colorectal patients, AT was identified as the sole factor associated with higher NLR (P=0.03 and absolute and relative lymphopenia (P=0.01. Preoperative leukocyte subsets and monocyte CD14+ expression (downregulated by endotoxin and indicative of chronic inflammation were also assessed in two further cohorts of age-matched elective gastrointestinal and orthopaedic surgical patients. Monocyte CD14+ expression was lower in gastrointestinal patients (n=43 compared to age-matched orthopaedic patients (n=31. The circulating CD14+CD16− monocyte subset was reduced in patients with low cardiopulmonary reserve. Poor exercise capacity in patients without a diagnosis of heart failure is independently associated with markers of inflammation. These observations suggest that preoperative inflammation associated with impaired cardiorespiratory performance may contribute to the pathophysiology of postoperative outcome.

  4. Quantum homogeneous spaces and special functions with a dimensional deformation parameter

    Science.gov (United States)

    Bonechi, F.; Giachetti, R.; del Olmo, M. A.; Sorace, E.; Tarlini, M.

    1996-12-01

    We study the most elementary aspects of harmonic analysis on a homogeneous space of a deformation of the two-dimensional Euclidean group, admitting generalizations to dimensions three and four, whose quantum parameter has the physical dimensions of length. The homogeneous space is recognized as a new quantum plane and the action of the Euclidean quantum group is used to determine an eigenvalue problem for the Casimir operator, which constitutes the analogue of the Schrödinger equation in the presence of such a deformation. The solutions are given in the plane-wave and angular-momentum bases and are expressed in terms of hypergeometric series with non-commuting parameters.

  5. Characteristics of the functional parameters of children of different somatotype during the period between 8 and 10 years

    Directory of Open Access Journals (Sweden)

    Sljusarchuk Viktor Vasil'evich

    2011-10-01

    Full Text Available Studied the expression and change in functional parameters of the same girls and boys of different somatotypes between 8 and 10 years. In ascertaining experiment was attended by 80 girls and boys who at baseline was 8 years old. Found that girls and boys the same age but different somatotypes. They are similar trends: a high level of features to ensure aerobic metabolic reactions, higher aerobic and anaerobic capacity lower, below the required functionality to most of the studied systems. The features associated primarily with the age in which the possibility of a deteriorating system. The above must be considered when choosing the optimal parameters of physical activity and develop programs to improve the functionality of primary school children during physical education.

  6. Management of Anesthesia under Extracorporeal Cardiopulmonary Support in an Infant with Severe Subglottic Stenosis.

    Science.gov (United States)

    Soeda, Rie; Taniguchi, Fumika; Sawada, Maiko; Hamaoka, Saeko; Shibasaki, Masayuki; Nakajima, Yasufumi; Hashimoto, Satoru; Sawa, Teiji; Nakayama, Yoshinobu

    2016-01-01

    A 4-month-old female infant who weighed 3.57 kg with severe subglottic stenosis underwent tracheostomy under extracorporeal cardiopulmonary support. First, we set up extracorporeal cardiopulmonary support to the infant and then successfully intubated an endotracheal tube with a 2.5 mm inner diameter before tracheostomy by otolaryngologists. Extracorporeal cardiopulmonary support is an alternative for maintenance of oxygenation in difficult airway management in infants.

  7. Management of Anesthesia under Extracorporeal Cardiopulmonary Support in an Infant with Severe Subglottic Stenosis

    Directory of Open Access Journals (Sweden)

    Rie Soeda

    2016-01-01

    Full Text Available A 4-month-old female infant who weighed 3.57 kg with severe subglottic stenosis underwent tracheostomy under extracorporeal cardiopulmonary support. First, we set up extracorporeal cardiopulmonary support to the infant and then successfully intubated an endotracheal tube with a 2.5 mm inner diameter before tracheostomy by otolaryngologists. Extracorporeal cardiopulmonary support is an alternative for maintenance of oxygenation in difficult airway management in infants.

  8. Novel blood sampling method of an artificial endocrine pancreas via the cardiopulmonary bypass circuit.

    Science.gov (United States)

    Kawahito, Shinji; Higuchi, Seiichi; Mita, Naoji; Kitagawa, Tetsuya; Kitahata, Hiroshi

    2013-12-01

    We tried to perform continuous blood glucose monitoring during cardiovascular surgery involving cardiopulmonary bypass using an artificial endocrine pancreas (STG-22 or -55; Nikkiso, Tokyo, Japan); however, we often encountered problems during these procedures because insufficient blood was obtained for monitoring. Thus, we started performing the blood sampling via the venous side of the cardiopulmonary bypass circuit. As a result, continuous blood glucose monitoring using an artificial endocrine pancreas was proven to be stable and reliable during cardiovascular surgery involving cardiopulmonary bypass.

  9. Cardiopulmonary complications in chronic liver disease

    DEFF Research Database (Denmark)

    Møller, Søren; Henriksen, Jens H

    2006-01-01

    Patients with cirrhosis and portal hypertension exhibit characteristic cardiovascular and pulmonary hemodynamic changes. A vasodilatatory state and a hyperdynamic circulation affecting the cardiac and pulmonary functions dominate the circulation. The recently defined cirrhotic cardiomyopathy may ...

  10. Cardiopulmonary complications to chronic liver disease

    DEFF Research Database (Denmark)

    Møller, Søren; Henriksen, Jens Henrik

    2006-01-01

    Patients with cirrhosis and portal hypertension exhibit characteristic cardiovascular and pulmonary hemodynamic changes. A vasodilatatory state and a hyperdynamic circulation affecting the cardiac and pulmonary functions dominate the circulation. The recently defined cirrhotic cardiomyopathy may ...

  11. THEORETICAL ASPECTS AND METHODS OF PARAMETERS IDENTIFICATION OF ELECTRIC TRACTION SYSTEM DEVICES. METHOD OF WEIGHT FUNCTION

    Directory of Open Access Journals (Sweden)

    T. N. Mishchenko

    2014-10-01

    Full Text Available Purpose. Development and substantiation of a new method of structural identification of electrical devices of electric traction systems for both DC and AC current. Methodology. To solve this problem the following methods are used: the methods and techniques of the linear electrical engineering, in particular, the Laplace operator method; the numerical method for solving the integral equation, which is based on the representation of the Wiener-Hopf linear equations system (this allows forming the solutions of the problem in a mathematical form of the correlation and weight functions; the factorization method, which provides certain partition of the correlation functions of the stochastic processes. Findings. It was developed the method of weight function of the electrical devices identification, which can be fully used in the systems of electric traction. As the use example of the developed method it was considered a feeder section of DC electric traction with the single power supply. On this section move two electric locomotives of the type DE 1, they have been identified by the weighting functions. The required currents and voltages of electric locomotives are also formulated in the electric traction network in probabilistic and statistical form, that is, the functions of mathematical expectation and the correlation functions are determined. At this, it is taken into account that the correlation function of the sum of random functions is equal to the sum of the correlation functions of additives, and the correlation function of the integral of a random function is defined as the double integral of the correlation function of the output of a random function. Originality. Firstly, originality consists of the adaption of the developed method of structural identification for the devices of electric traction system. Secondly, it lies in the proper development of the new method of weight function. And finally, it lies in the solution of the Wiener

  12. Effects of inspiratory muscle training on postoperative cardiopulmonary function and quality of life after oesophagectomy%吸气肌训练对食管癌根治术后患者心肺功能及生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    魏利娟; 马亚飞; 伍军; 李利霞; 张三虎; 陈小莉

    2015-01-01

    Objective To investigate the effect of preoperative and postoperative inspiratory muscle training(IMT) on cardiopulmonary function and quality of life for patients undergoing esophagectomy.Methods Sixty patients who had received esophagectomy for esophageal cancer were randomly divided into an observation group (n =30) and a control group (n =30).All of the subjects were given conventional treatment (including preoperative health education,abdominal respiration training,pursed lip respiration training and expectoration training).On this basis,the patients in the treatment group were advised to do deep respiratory training using a breathing training device,four times a day,lasting 20 minutes each time,for 10 days (including five days before and five days after the operation).Respiratory muscle strength,blood gases,six minute walk test (6MWT) distances and Borg dyspnea scores were measured on admission,on the day prior to the operation and on the 1st,3rd and 5th day after the operation.And also on admission and on the 5th day after the operation their pulmonary function was tested,and their psychological status and quality of life were evaluated using the hospital anxiety and depression scale (HADS) and the Nottingham health profile (NHP) respectively.Results There was no significant difference in any index between the two groups on admission(P > 0.05).Everyone's respiratory function and exercise capacity were sharply decreased,and Borg dyspnea score increased on the first postoperative day,and then gradually and significantly improved in both groups compared to that on admission(P < 0.05).On the fifth postoperative day,the maximal inspiratory pressure of 67.41 ± 14.53 mmH2O,maximal ventilatory volume of 79.83 ± 5.37 L,6MWT of 427.19 ± 46.52 m,Borg score of 1.45 ± 0.48 points,postoperative anxiety score of 8.14 ±2.80 points,NHP total (128.91 ± 25.12 points),NHP pain score (24.66 ± 10.12 points),NHP sleeping score (25.18 ± 9.75 points),and NHP physical

  13. Estimation of probability density functions of damage parameter for valve leakage detection in reciprocating pump used in nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jong Kyeom; Kim, Tae Yun; Kim, Hyun Su; Chai, Jang Bom; Lee, Jin Woo [Div. of Mechanical Engineering, Ajou University, Suwon (Korea, Republic of)

    2016-10-15

    This paper presents an advanced estimation method for obtaining the probability density functions of a damage parameter for valve leakage detection in a reciprocating pump. The estimation method is based on a comparison of model data which are simulated by using a mathematical model, and experimental data which are measured on the inside and outside of the reciprocating pump in operation. The mathematical model, which is simplified and extended on the basis of previous models, describes not only the normal state of the pump, but also its abnormal state caused by valve leakage. The pressure in the cylinder is expressed as a function of the crankshaft angle, and an additional volume flow rate due to the valve leakage is quantified by a damage parameter in the mathematical model. The change in the cylinder pressure profiles due to the suction valve leakage is noticeable in the compression and expansion modes of the pump. The damage parameter value over 300 cycles is calculated in two ways, considering advance or delay in the opening and closing angles of the discharge valves. The probability density functions of the damage parameter are compared for diagnosis and prognosis on the basis of the probabilistic features of valve leakage.

  14. Uniform asymptotics for the incomplete gamma functions starting from negative values of the parameters

    NARCIS (Netherlands)

    Temme, N.M.

    1996-01-01

    We consider the asymptotic behavior of the incomplete gamma functions $gamma (-a,-z)$ and $Gamma (-a,-z)$ as $atoinfty$. Uniform expansions are needed to describe the transition area $z sim a$, in which case error functions are used as main approximants. We use integral representations of the incomp

  15. Estimating qualitative parameters for assessment of body balance and arm function in a simulated ambulatory setting

    NARCIS (Netherlands)

    Meulen, van Fokke B.; Reenalda, Jasper; Veltink, Peter H.

    2013-01-01

    Continuous daily-life monitoring of balance control and arm function of stroke survivors in an ambulatory setting, is essential for optimal guidance of rehabilitation. In a simulated ambulatory setting, balance and arm function of seven stroke subjects is evaluated using on-body measurement systems

  16. Tissue scattering parameter estimation through scattering phase function measurements by goniometer

    Institute of Scientific and Technical Information of China (English)

    Ying Zhu; Zhihua Ding; Martial Geiser

    2007-01-01

    @@ An automated optical system is built up to perform goniometric measurement of scattering phase function.Measurements of typical samples including monodisperse polystyrene micro-spheres solution, and mutlidisperse polystyrene micro-spheres solution are carried out in a dark room. The possibility of estimating the average particle size of phantom through analyzing its scattering phase function is demonstrated.

  17. EXISTENCE OF PERIODIC SOLUTIONS TO A p-LAPLACIAN NEUTRAL FUNCTIONAL DIFFERENTIAL EQUATION WITH VARIABLE PARAMETER

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    By the generalized Borsuk theorem in coincidence degree theory, a p-Laplacian neutral functional differential equation is studied. A new result on the existence of periodic solution is obtained. The interest is that some coeffcient in it is not a constant function and its sign can be changeable, which is different from that in the known literatures.

  18. Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes

    Directory of Open Access Journals (Sweden)

    Bartholomay Eduardo

    2003-01-01

    Full Text Available OBJECTIVE: To assess survival of patients undergoing cerebral cardiopulmonary resuscitation maneuvers and to identify prognostic factors for short-term survival. METHODS: Prospective study with patients undergoing cardiopulmonary resuscitation maneuvers. RESULTS: The study included 150 patients. Spontaneous circulation was re-established in 88 (58% patients, and 42 (28% were discharged from the hospital. The necessary number of patients treated to save 1 life in 12 months was 3.4. The presence of ventricular fibrillation or tachycardia (VF/VT as the initial rhythm, shorter times of cardiopulmonary resuscitation maneuvers and cardiopulmonary arrest, and greater values of mean blood pressure (BP prior to cardiopulmonary arrest were independent variables for re-establishment of spontaneous circulation and hospital discharge. The odds ratios for hospital discharge were as follows: 6.1 (95% confidence interval [CI] = 2.7-13.6, when the initial rhythm was VF/VT; 9.4 (95% CI = 4.1-21.3, when the time of cerebral cardiopulmonary resuscitation was 70 mmHg. CONCLUSION: The presence of VF/VT as the initial rhythm, shorter times of cerebral cardiopulmonary resuscitation and of cardiopulmonary arrest, and a greater value of BP prior to cardiopulmonary arrest were independent variables of better prognosis.

  19. A new ensemble algorithm of differential evolution and backtracking search optimization algorithm with adaptive control parameter for function optimization

    Directory of Open Access Journals (Sweden)

    Sukanta Nama

    2016-04-01

    Full Text Available Differential evolution (DE is an effective and powerful approach and it has been widely used in different environments. However, the performance of DE is sensitive to the choice of control parameters. Thus, to obtain optimal performance, time-consuming parameter tuning is necessary. Backtracking Search Optimization Algorithm (BSA is a new evolutionary algorithm (EA for solving real-valued numerical optimization problems. An ensemble algorithm called E-BSADE is proposed which incorporates concepts from DE and BSA. The performance of E-BSADE is evaluated on several benchmark functions and is compared with basic DE, BSA and conventional DE mutation strategy.

  20. A study of deterioration of pulmonary function parameters among smokers and recovery among ex-smokers in bus depot workers.

    Science.gov (United States)

    Sreenivas, B Sudha; Sunitha, M S; Nataraj, S M; Dhar, Murali

    2012-01-01

    Smoking has deleterious effects on Pulmonary Function Test (PFT) parameters; however, evidences about recovery in ex-smokers are ambiguous. Therefore present study was conducted to quantify relative deterioration of PFT parameters and to assess reversibility of the same. A cross-sectional study was conducted on 84 bus-depot workers consisting of equal number of smokers, ex-smokers and non-smokers. PFT observations were obtained using Medspiror following standard methods and precautions. Comparisons among three groups were performed employing one-way ANOVA and post-hoc tests. There were substantial effects of smoking on PFT parameters (deterioration was up-to half). Partial recovery was found in all the parameters of ex-smokers. Frequency and duration of smoking were negatively correlated with some of the parameters. In conclusion, present study has demonstrated considerable deterioration of PFT parameters in smokers and indications of recovery in ex-smokers. Further detailed study with larger sample size and stricter definition of ex-smokers is recommended.

  1. Coronary flow and reactivity, but not arrhythmia vulnerability, are affected by cardioplegia during cardiopulmonary bypass in piglets

    DEFF Research Database (Denmark)

    Liuba, Petru; Johansson, Sune; Pesonen, Erkki;

    2013-01-01

    Background: Surgery under cardiopulmonary bypass (CPB) is still associated with significant cardiovascular morbidity in both pediatric and adult patients but the mechanisms are not fully understood. Abnormalities in coronary flow and function have been suggested to play an important role. Prior...... velocity (cPFV) rose significantly after surgery especially in the cardioplegia group (p0.4). There was no difference in systolic myocardial function between groups at any time point.Conclusion: In piglets, CPB with cardioplegia was associated with profound abnormalities in coronary vasomotor tone...

  2. Cardiopulmonary complications in chronic liver disease

    Institute of Scientific and Technical Information of China (English)

    Sφren Mφller; Jens H Henriksen

    2006-01-01

    Patients with cirrhosis and portal hypertension exhibit characteristic cardiovascular and pulmonary hemodynamic changes. A vasodilatatory state and a hyperdynamic circulation affecting the cardiac and pulmonary functions dominate the circulation.The recently defined cirrhotic cardiomyopathy may affect systolic and diastolic functions, and imply electromechanical abnormalities. In addition, the baroreceptor function and regulation of the circulatory homoeostasis is impaired. Pulmonary dysfunction involves diffusing abnormalities with the development of the hepatopulmonary syndrome and portopulmonary hypertension in some patients. Recent research has focused on the assertion that the hemodynamic and neurohumoral dysregulation are of major importance for the development of the cardiovascular and pulmonary complications in cirrhosis. This aspect is important to take into account in the management of these patients.

  3. Development of an auditory emotion recognition function using psychoacoustic parameters based on the International Affective Digitized Sounds.

    Science.gov (United States)

    Choi, Youngimm; Lee, Sungjun; Jung, SungSoo; Choi, In-Mook; Park, Yon-Kyu; Kim, Chobok

    2015-12-01

    The purpose of this study was to develop an auditory emotion recognition function that could determine the emotion caused by sounds coming from the environment in our daily life. For this purpose, sound stimuli from the International Affective Digitized Sounds (IADS-2), a standardized database of sounds intended to evoke emotion, were selected, and four psychoacoustic parameters (i.e., loudness, sharpness, roughness, and fluctuation strength) were extracted from the sounds. Also, by using an emotion adjective scale, 140 college students were tested to measure three basic emotions (happiness, sadness, and negativity). From this discriminant analysis to predict basic emotions from the psychoacoustic parameters of sound, a discriminant function with overall discriminant accuracy of 88.9% was produced from training data. In order to validate the discriminant function, the same four psychoacoustic parameters were extracted from 46 sound stimuli collected from another database and substituted into the discriminant function. The results showed that an overall discriminant accuracy of 63.04% was confirmed. Our findings provide the possibility that daily-life sounds, beyond voice and music, can be used in a human-machine interface.

  4. Application of the fractal method to determine the membership function parameter for geoelectrical data (case study: Hamyj copper deposit, Iran)

    Science.gov (United States)

    Shahi Ferdows, Mohammad; Ramazi, Hamidreza

    2015-12-01

    The selection of a suitable membership function and its parameters plays a critical role in the integration of layer information by the fuzzy method. In this paper, parameters of membership function for induced polarization (IP) and resistivity (RS) data (in the Hamyj copper deposit) have been determined by the threshold parameter of IP and resistivity data, already determined by expert opinion or drilling data. The Hamyj deposit is located about 80 km west of Birjand city, South Khorasan province, Iran. In this area, resistivity and induced polarization data have been surveyed by dipole-dipole array. In this paper, outlier-induced polarization data have been corrected by the Doerffel method and then IP and resistivity data have been inversed by the Newton and Gauss-Newton methods. The threshold of the IP data is recognized by statistical (gap statistic) and fractal (concentration-area) methods. The determined threshold by the fractal method is higher than the gap statistic. These two thresholds have been used to determine the S-shape function for the IP data. The thresholds of the RS data are recognized by the fractal method. These two thresholds have been used to determine the Z-shape function for the RS data. The integration of geoelectrical layer information has been carried out by the Gama method. Finally, the best drilling points were proposed based on fuzzy modelling for the area. The results show that the optimum exploration borehole is located at a depth of 25 m.

  5. 10-Day survival of Hyalella azteca as a function of water quality parameters.

    Science.gov (United States)

    Javidmehr, Alireza; Kass, Philip H; Deanovic, Linda A; Connon, Richard E; Werner, Inge

    2015-05-01

    Estuarine systems are among the most impacted ecosystems due to anthropogenic contaminants; however, they present unique challenges to toxicity testing with regard to varying water quality parameters. The euryhaline amphipod species, Hyalella azteca, is widely used in toxicity testing and well suited for testing estuarine water samples. Nevertheless, the influence of relevant water quality parameters on test endpoints must be quantified in order to efficiently use this species for routine monitoring. Here, we studied the influence of five water quality parameters: electrical conductivity, pH, un-ionized ammonia, dissolved oxygen and temperature, on H. azteca survival in a water column toxicity test. A model was developed to quantify and predict the independent and interacting effects of water quality variables on 10-day survival. The model allows simultaneous assessment of multiple potential predictors recorded during the tests. Data used for modeling came from 1089 tests performed on ambient water samples over a period of three years (2006-2008). The final model reflects significant effects of predictors and their two-way interactions. The effect of each level of all predictors on survival probability of H. azteca was examined by comparing levels of each predictor at a time, while holding all others at their lowest (reference) level. This study showed that predictors of survival in water column tests should not be evaluated in isolation in the interpretation of H. azteca water column tests. Our model provides a useful tool to predict expected control survival based on relevant water quality parameters, and thus enables the use of H. azteca tests for toxicity monitoring in estuaries with a wide range of water quality conditions.

  6. Experimental determination of solubility parameters of oils as a function of pressure

    DEFF Research Database (Denmark)

    Verdier, Sylvain Charles Roland; Duong, Diep; Andersen, Simon Ivar

    2005-01-01

    In this work, the solubility parameter of dead and live crude oils was measured at 303.15 K and up to 300 bar, using the internal pressure approach. An indirect technique was chosen, using thermal expansivities (determined from microcalorimetric measurements) and isothermal compressibilities...... (calculated from density measurements). This method was tested on seven pure compounds, and the deviation with literature data is oils, and a deviation of

  7. Parameter estimation of soil hydraulic and thermal property functions for unsaturated porous media using the HYDRUS-2D code

    Directory of Open Access Journals (Sweden)

    Nakhaei Mohammad

    2014-03-01

    Full Text Available Knowledge of soil hydraulic and thermal properties is essential for studies involving the combined effects of soil temperature and water input on water flow and redistribution processes under field conditions. The objective of this study was to estimate the parameters characterizing these properties from a transient water flow and heat transport field experiment. Real-time sensors built by the authors were used to monitor soil temperatures at depths of 40, 80, 120, and 160 cm during a 10-hour long ring infiltration experiment. Water temperatures and cumulative infiltration from a single infiltration ring were monitored simultaneously. The soil hydraulic parameters (the saturated water content θ s, empirical shape parameters α and n, and the saturated hydraulic conductivity Ks and soil thermal conductivity parameters (coefficients b1, b2, and b3 in the thermal conductivity function were estimated from cumulative infiltration and temperature measurements by inversely solving a two-dimensional water flow and heat transport using HYDRUS-2D. Three scenarios with a different, sequentially decreasing number of optimized parameters were considered. In scenario 1, seven parameters (θ s, Ks, α, n, b1, b2, and b3 were included in the inverse problem. The results indicated that this scenario does not provide a unique solution. In scenario 2, six parameters (Ks, α, n, b1, b2, and b3 were included in the inverse problem. The results showed that this scenario also results in a non-unique solution. Only scenario 3, in which five parameters (α, n, b1, b2, and b3 were included in the inverse problem, provided a unique solution. The simulated soil temperatures and cumulative infiltration during the ring infiltration experiment compared reasonably well with their corresponding observed values.

  8. Distributed-parameter problem solved on a hybrid computer by a modified function storage technique

    DEFF Research Database (Denmark)

    Poulsen, N.J.

    1969-01-01

    Describes a method which is based on a function storage technique improved by a number of modifications; it fulfils the two main demands: the solution is based directly on the physical equations, and is accurate within 1%......Describes a method which is based on a function storage technique improved by a number of modifications; it fulfils the two main demands: the solution is based directly on the physical equations, and is accurate within 1%...

  9. Next-generation biomarkers based on 100-parameter functional super-resolution microscopy TIS.

    Science.gov (United States)

    Schubert, Walter; Gieseler, Anne; Krusche, Andreas; Serocka, Peter; Hillert, Reyk

    2012-06-15

    Functional super-resolution (fSR) microscopy is based on the automated toponome imaging system (TIS). fSR-TIS provides insight into the myriad of different cellular functionalities by direct imaging of large subcellular protein networks in morphologically intact cells and tissues, referred to as the toponome. By cyclical fluorescence imaging of at least 100 molecular cell components, fSR-TIS overcomes the spectral limitations of fluorescence microscopy, which is the essential condition for the detection of protein network structures in situ/in vivo. The resulting data sets precisely discriminate between cell types, subcellular structures, cell states and diseases (fSR). With up to 16 bits per protein, the power of combinatorial molecular discrimination (PCMD) is at least 2(100) per subcellular data point. It provides the dimensionality necessary to uncover thousands of distinct protein clusters including their subcellular hierarchies controlling protein network topology and function in the one cell or tissue section. Here we review the technology and findings showing that functional protein networks of the cell surface in different cancers encompass the same hierarchical and spatial coding principle, but express cancer-specific toponome codes within that scheme (referred to as TIS codes). Findings suggest that TIS codes, extracted from large-scale toponome data, have the potential to be next-generation biomarkers because of their cell type and disease specificity. This is functionally substantiated by the observation that blocking toponome-specific lead proteins results in disassembly of molecular networks and loss of function.

  10. Muscle strength and executive function as complementary parameters for the assessment of impairment in Parkinson's disease

    Directory of Open Access Journals (Sweden)

    Dannyel Barbirato

    2013-12-01

    Full Text Available Objective To evaluate the relationship between the quantitative results of functional and cognitive performance of patients with Parkinson's disease (PD and disease severity; and to study the relationship between patients' functional and cognitive capacity and motor impairment (Unified Parkinson's Disease Rating Scale - UPDRS III. Method Twenty-nine subjects clinically diagnosed with PD were classified into three groups according to disease severity using the modified Hoehn and Yahr Scale (H&Y. They were submitted to functional (Senior Fitness Test and neuropsychological tests. Stepwise regression analysis showed a significant association between H&Y and upper limb strength (r 2 =0.30; p=0.005 and executive function (r 2 =0.37; p=0.004. In relation to UPDRS III, there was a significant association between lower limb strength (r 2 =0.27; p=0.010 and global cognitive status (r 2 =0.24; p=0.024. Conclusion The implementation of simple tests of functional capacity associated with neuropsychological testing can help to assess disease severity and motor impairment, and can be used to monitor the response to treatment in PD.

  11. Cardiopulmonary complications to chronic liver disease

    DEFF Research Database (Denmark)

    Møller, Søren; Henriksen, Jens Henrik

    2006-01-01

    Patients with cirrhosis and portal hypertension exhibit characteristic cardiovascular and pulmonary hemodynamic changes. A vasodilatatory state and a hyperdynamic circulation affecting the cardiac and pulmonary functions dominate the circulation. The recently defined cirrhotic cardiomyopathy may...... and portopulmonary hypertension in some patients. Recent research has focused on the assertion that the hemodynamic and neurohumoral dysregulation are of major importance for the development of the cardiovascular and pulmonary complications in cirrhosis. This aspect is important to take into account...... in the management of these patients....

  12. A search for parameters of universal sub-barrier fusion excitation function

    Science.gov (United States)

    Qu, W. W.; Zhang, G. L.; Wolski, R.

    2016-11-01

    Many fusion experimental data have been analyzed in terms of a simple universal function which could be used for predictions of fusion cross section below the barrier for arbitrary systems. Sub-barrier fusions based on the concept of Q -fusion value dependence were studied. It is attempted to parameterize the energy-reduced fusion excitation functions around the Coulomb barriers by an analytical phenomenological function. It was found that the speed of driving nuclei towards fusion is faster with the increase of mass asymmetry of colliding systems and those systems with a large difference of the ratio of neutrons to protons. However, a general trend with respect to total mass has not been observed. An exposition of more qualitative conclusions is hindered by apparent inconsistencies of measured fusion cross sections.

  13. Modulating functions-based method for parameters and source estimation in one-dimensional partial differential equations

    KAUST Repository

    Asiri, Sharefa M.

    2016-10-20

    In this paper, modulating functions-based method is proposed for estimating space–time-dependent unknowns in one-dimensional partial differential equations. The proposed method simplifies the problem into a system of algebraic equations linear in unknown parameters. The well-posedness of the modulating functions-based solution is proved. The wave and the fifth-order KdV equations are used as examples to show the effectiveness of the proposed method in both noise-free and noisy cases.

  14. A parameter-dependent refinement of the discrete Jensen's inequality for convex and mid-convex functions

    Directory of Open Access Journals (Sweden)

    Horváth László

    2011-01-01

    Full Text Available Abstract In this paper, a new parameter-dependent refinement of the discrete Jensen's inequality is given for convex and mid-convex functions. The convergence of the introduced sequences is also studied. One of the proofs requires an interesting convergence theorem with probability theoretical background. We apply the results to define some new quasi-arithmetic and mixed symmetric means and study their monotonicity and convergence.

  15. Benefits of exercise training and the correlation between aerobic capacity and functional outcomes and quality of life in elderly patients with coronary artery disease.

    Science.gov (United States)

    Chen, Chia-Hsin; Chen, Yi-Jen; Tu, Hung-Pin; Huang, Mao-Hsiung; Jhong, Jing-Hui; Lin, Ko-Long

    2014-10-01

    Cardiopulmonary exercise training is beneficial to people with coronary artery disease (CAD). Nevertheless, the correlation between aerobic capacity, and functional mobility and quality of life in elderly CAD patients is less addressed. The purpose of the current study is to investigate the beneficial effects of exercise training in elderly people with CAD, integrating exercise stress testing, functional mobility, handgrip strength, and health-related quality of life. Elderly people with CAD were enrolled from the outpatient clinic of a cardiac rehabilitation unit in a medical center. Participants were assigned to the exercise training group (N = 21) or the usual care group (N = 15). A total of 36 sessions of exercise training, completed in 12 weeks, was prescribed. Echocardiography, exercise stress testing, the 6-minute walking test, Timed Up and Go test, and handgrip strength testing were performed, and the Short-Form 36 questionnaire (SF-36) was administered at baseline and at 12-week follow-up. Peak oxygen consumption improved significantly after training. The heart rate recovery improved from 13.90/minute to 16.62/minute after exercise training. Functional mobility and handgrip strength also improved after training. Significant improvements were found in SF-36 physical function, social function, role limitation due to emotional problems, and mental health domains. A significant correlation between dynamic cardiopulmonary exercise testing parameters, the 6-minute walking test, Timed Up and Go test, handgrip strength, and SF-36 physical function and general health domains was also detected. Twelve-week, 36-session exercise training, including moderate-intensity cardiopulmonary exercise training, strengthening exercise, and balance training, is beneficial to elderly patients with CAD, and cardiopulmonary exercise testing parameters correlate well with balance and quality of life.

  16. Age-associated changes in pulmonary function: a comparison of pulmonary function parameters in healthy young adults and the elderly living in Shanghai

    Institute of Scientific and Technical Information of China (English)

    REN Wei-ying; LI Li; ZHAO Rong-ya; ZHU Lei

    2012-01-01

    Background The respiratory system changes with age and a better understanding of the changes contribute to detect and prevent respiratory dysfunctions in old population.The purpose of this study was to observe age-associated changes of pulmonary function parameters in healthy young adults and the elderly.Methods A cross-sectional study was conducted among 600 male and female subjects aged 19 to 92 years.The subjects were divided into three groups by age:young adult (19-39 years),middle-aged adult (40-59 years),and the elderly (≥60 years).The pulmonary function was measured with routine examination methods and 13 parameters including vital capacity (VC),residual volume (RV),functional residual capacity (FRC),total lung capacity (TLC),RV/TLC,forced vital capacity (FVC),forced expiratory volume in one second (FEV1),FEV1/FVC,peak expiratory flow (PEF),forced expiratory flow at 25% of FVC exhaled (FEF25),forced expiratory flow at 50% of FVC exhaled (FEF50),diffusion capacity of the lung for carbon monoxide (DLCO),and specific diffusion capacity of CO (KCO) were collected and analyzed.Changes in pulmonary function parameters among the pre-elderly and elderly subjects,especially the aging influence on FEV1/FVC and RV were studied further.Results Ten pulmonary function parameters including VC,FVC,FEV1,FEV1/FVC,PEF,FEF25,FEF50,TLC,DLCO and KCO decreased significantly with age in both male and female subjects (P <0.01).RV and RV/TLC were increased with age (P <0.01).FRC remained stable during aging.Except FRC,the linear relationship was significant between age and other pulmonary function parameters.In the pre-elderly and elderly subjects,RV had a non-significantly increasing tendency with age (P >0.05),and FEV1/FVC did not change significantly with age (P >0.05).Conclusion Total pulmonary function was declined with advancing age,but FRC was stable,and the increasing tendency of RV and decreasing tendency of FEV1/FVC obviously slowed down in the pre-elderly and

  17. Is the common envelope ejection efficiency a function of the binary parameters?

    CERN Document Server

    Davis, P J; Knigge, C

    2011-01-01

    We reconstruct the common envelope (CE) phase for the current sample of observed white dwarf-main sequence post-common envelope binaries (PCEBs). We apply multi-regression analysis in order to investigate whether correlations exist between the CE ejection efficiencies, alpha_CE, inferred from the sample, and the binary parameters: white dwarf mass, secondary mass, orbital period at the point the CE commences, or the orbital period immediately after the CE phase. We do this with and without consideration for the internal energy of the progenitor primary giants' envelope. Our fits should pave the first steps towards an observationally motivated recipe for calculating alpha_CE using the binary parameters at the start of the CE phase, which will be useful for population synthesis calculations or models of compact binary evolution. If we do consider the internal energy of the giants' envelope, we find a statistically significant correlation between alpha_CE and the white dwarf mass. If we do not, a correlation is ...

  18. Alterations of cardiovascular functional parameters after onset of heat stroke in rats.

    Science.gov (United States)

    Young, M S; Pan, H F; Kao, T Y; Lin, M T

    1993-01-01

    The effects of heat stroke formation on electrocardiogram (ECG) and blood pressure (BP) waveform parameters were assessed in rats under urethane anesthesia. Heat stroke was induced by exposing anesthetized rats to an environmental temperature of 42 degrees C. The movement in which arterial pressure began to decrease was taken as the onset of heat stroke. It was found that the duration of either P were, Q wave, R wave, S wave, T wave or QRS complex, as well as the amplitude of either P wave, Q wave, S wave or T wave were not affected after onset of heat stroke. However, the amplitude of R wave, the P-P interval, the R-R interval and the Q-T interval were significantly decreased after onset of heat stroke. In addition, the peak amplitude of systolic wave, dicrotic notch, diastolic wave, the duration of either systolic wave, a whole BP cycle, diastolic wave or dicrotic wave, the pulse pressure, as well as the mean arterial pressure were also decreased after onset of heat stroke. On the other hand, heat stroke formation increased the heart rate. The results demonstrated that alterations of these ECG and BP waveform parameters occurred after onset of heat stroke in rats.

  19. Surface-Layer Similarity Functions for Dissipation Rate and Structure Parameters of Temperature and Humidity Based on Eleven Field Experiments

    Science.gov (United States)

    Kooijmans, Linda M. J.; Hartogensis, Oscar K.

    2016-09-01

    In the literature, no consensus can be found on the exact form of the universal funtions of Monin-Obukhov similarity theory (MOST) for the structure parameters of temperature, {C_T}^2, and humidity, {C_q}^2, and the dissipation rate of turbulent kinetic energy, ɛ. By combining 11 datasets and applying data treatment with spectral data filtering and error-weighted curve-fitting we first derived robust MOST functions of {C_T}^2, {C_q}^2 and ɛ that cover a large stability range for both unstable and stable conditions. Second, as all data were gathered with the same instrumentation and were processed in the same way—in contrast to earlier studies—we were able to investigate the similarity of MOST functions across different datasets by defining MOST functions for all datasets individually. For {C_T}^2 and ɛ we found no substantial differences in MOST functions for datasets over different surface types or moisture regimes. MOST functions of {C_q}^2 differ from that of {C_T}^2, but we could not relate these differences to turbulence parameters often associated with non-local effects. Furthermore, we showed that limited stability ranges and a limited number of data points are plausible reasons for variations of MOST functions in the literature. Last, we investigated the sensitivity of fluxes to the uncertainty of MOST functions. We provide an overview of the uncertainty range for MOST functions of {C_T}^2, {C_q}^2 and ɛ, and suggest their use in determining the uncertainty in surface fluxes.

  20. Field measurements give biased estimates of functional response parameters, but help explain foraging distributions

    NARCIS (Netherlands)

    Duijns, S.; Knot, I.E.; Piersma, T.; van Gils, J.A.

    2015-01-01

    1.Mechanistic insights and predictive understanding of the spatial distributions of foragers are typically derived by fitting either field measurements on intake rates and food abundance, or observations from controlled experiments, to functional response models. It has remained unclear, however, wh

  1. An Eight-Parameter Function for Simulating Model Rocket Engine Thrust Curves

    Science.gov (United States)

    Dooling, Thomas A.

    2007-01-01

    The toy model rocket is used extensively as an example of a realistic physical system. Teachers from grade school to the university level use them. Many teachers and students write computer programs to investigate rocket physics since the problem involves nonlinear functions related to air resistance and mass loss. This paper describes a nonlinear…

  2. Comparison of five incubation systems for rat liver slices using functional and viability parameters

    NARCIS (Netherlands)

    Olinga, P; Groen, K; Hof, IH; DeKanter, R; Leeman, WR; Rutten, AAJJL; VanTwillert, K; Groothuis, GMM; Koster, H

    1997-01-01

    Precision-cut liver slices are presently used for various research objects, e.g. to study metabolism, transport, and toxicity of xenobiotics. Various incubation systems are presently employed, but a systematic comparison between these incubation systems with respect to preservation of slice function

  3. 语类分析:功能参数%Analyzing Genre: Functional Parameters

    Institute of Scientific and Technical Information of China (English)

    詹姆斯·R·马丁; 王振华

    2010-01-01

    @@ 1.Resources This paper considers in a little more detail some recent developments that bear critically on the analyses undertaken.Essentially, these analyses are informed by the model of language known as systemic functional linguistics (hereafter SFL), especially the variety of that model which has evolved in Australia since 1975.The most accessible introduction to this variety of SFL is Eggins (1994).

  4. Prognostic value of electroencephalography (EEG) for brain injury after cardiopulmonary resuscitation.

    Science.gov (United States)

    Feng, Guibo; Jiang, Guohui; Li, Zhiwei; Wang, Xuefeng

    2016-06-01

    Cardiac arrest (CA) patients can experience neurological sequelae or even death after successful cardiopulmonary resuscitation (CPR) due to cerebral hypoxia- and ischemia-reperfusion-mediated brain injury. Thus, it is important to perform early prognostic evaluations in CA patients. Electroencephalography (EEG) is an important tool for determining the prognosis of hypoxic-ischemic encephalopathy due to its real-time measurement of brain function. Based on EEG, burst suppression, a burst suppression ratio >0.239, periodic discharges, status epilepticus, stimulus-induced rhythmic, periodic or ictal discharges, non-reactive EEG, and the BIS value based on quantitative EEG may be associated with the prognosis of CA after successful CPR. As measures of neural network integrity, the values of small-world characteristics of the neural network derived from EEG patterns have potential applications.

  5. Stenting of critical tracheal stenosis with adjuvant cardio-pulmonary bypass

    Directory of Open Access Journals (Sweden)

    Himanshu Bhardwaj

    2017-01-01

    Full Text Available Severe and critical central airway obstruction causing impaired ventilation and/or oxygenation can impose tremendous challenges on the interventional pulmonologist. Near total airway obstruction can rapidly evolve into potentially fatal complete airway occlusion during bronchoscopic airway manipulation under moderate sedation; as well as during the induction of the general anesthesia. Although there are currently interventional pulmonary procedures available to tackle the critical airway obstruction in extreme situations, cardio-pulmonary bypass should be considered prior to the intervention to maintain the adequate gas exchange during the procedure. Orotracheal intubation with mechanical ventilation in this situation can be fatal itself if the obstructing airway lesion functions as a “one way valve” allowing air to follow distally during inspiration but impeding expiratory flow leading to gas trapping, high intrathoracic pressure, tension pneumothorax, and ultimately a cardiac arrest.

  6. The quantitative and qualitative responses of platelets in pediatric patients undergoing cardiopulmonary bypass surgery.

    Science.gov (United States)

    Ignjatovic, Vera; Than, Jenny; Summerhayes, Robyn; Newall, Fiona; Horton, Steve; Cochrane, Andrew; Monagle, Paul

    2012-01-01

    This prospective, single-center study aimed to evaluate the platelet response during cardiopulmonary bypass (CPB) surgery in a large cohort of children up to 6 years of age. Blood samples were drawn at four time points: after induction of anesthesia, after initiation of the CPB, before protamine, and immediately after chest closure. The study recruited 60 children requiring CPB for surgical repair of congenital heart defects. The platelet count decreased throughout CPB surgery, but during the same period, platelet activity increased. The more pronounced decrease in platelet count observed in children younger than 1 year compared with that of children 1 to 6 years of age was not associated with an age-specific change in platelet activity. The overall increase in platelet function observed in this study could provide a mechanism that compensates for the decrease in platelet count. This study provides a new foundation for future studies investigating requirements of platelet supplementation in the setting of pediatric CPB surgery.

  7. Assessment of clinical and laboratory parameters that reflect inflammatory response and organ function in sepsis

    Directory of Open Access Journals (Sweden)

    Herdiman T. Pohan

    2005-03-01

    Full Text Available Sepsis is a spectrum of clinical conditions caused by the host immune response to infection or other inflammatory stimuli characterized by systemic inflammation. Clinical response to sepsis could be varies according to compensate or decompensate state, inflammatory process and host condition. Aims of this study is to assess the role of some parameters (clinical and biochemical, hematology, arterial blood gas analysis and coagulation in supporting the diagnosis of sepsis. A cross-sectional study was performed in the Internal Medicine Inpatient Unit of Dr. Cipto Mangunkusumo National General Hospital, Jakarta, from February to July 2002. Forty-two patients who fulfilled the criteria of sepsis, severe sepsis, and septic shock were enrolled in this study. Clinical details and blood specimens for hematological, biochemical, arterial blood gas analysis and coagulation were collected. There were 42 subjects who participated in the study, aged from 19 to 78 years old. Eleven subjects fulfilled the criteria for early sepsis, 20 severe sepsis and 11 septic shock. Clinical examination showed that the Glasgow coma scale (GCS was significantly reduced in severe sepsis and septic shock. Heart rate, respiration rate and body temperature were increased in all groups. Hemoglobin levels mostly below 10 g/dl and hematocrite levels below 30 %. The leucocyte counts were increased in more than 80%, mostly above 15.000/mm3. The platelet count were low (below 50.000/mm3 especially in septic shock.  The serum creatinine were significantly increased (>2 mg/dl in severe sepsis and septic shock. Albumin was decreased,  lactate dehydrogenase/LDH and procalcitonin  were increased. The arterial blood gas analysis showed that: pH and HCO3 were decreased especially in  septic shock; the PO2 was lower in severe sepsis and septic shock; and PCO2 was below 32 mmHg in all groups. Coagulation examinations showed that fibrinogen was significantly decreased in septic shock; PT and

  8. Surface functionalization of nanofibrillated cellulose extracted from wheat straw: Effect of process parameters.

    Science.gov (United States)

    Singh, Mandeep; Kaushik, Anupama; Ahuja, Dheeraj

    2016-10-05

    Aggregates of microfibrillated cellulose isolated from wheat straw fibers were subjected to propionylation under different processing conditions of time, temperature and concentration. The treated fibers were then homogenized to obtain surface modified nanofibrillated cellulose. For varying parameters, progress of propionylation and its effects on various characteristics was investigated by FTIR, degree of substitution, elemental analysis, SEM, EDX, TEM, X-ray diffraction, static and dynamic contact angle measurements. Thermal stability of the nanofibrils was also investigated using thermogravimetric technique. FTIR analysis confirmed the propionylation of the hydroxyl groups of the cellulose fibers. The variations in reaction conditions such as time and temperature had shown considerable effect on degree of substitution (DS) and surface contact angle (CA). These characterization results represent the optimizing conditions under which cellulose nanofibrils with hydrophobic characteristics up to contact angle of 120° can be obtained.

  9. Blood viscosity monitoring during cardiopulmonary bypass based on pressure-flow characteristics of a Newtonian fluid.

    Science.gov (United States)

    Okahara, Shigeyuki; Zu Soh; Takahashi, Shinya; Sueda, Taijiro; Tsuji, Toshio

    2016-08-01

    We proposed a blood viscosity estimation method based on pressure-flow characteristics of oxygenators used during cardiopulmonary bypass (CPB) in a previous study that showed the estimated viscosity to correlate well with the measured viscosity. However, the determination of the parameters included in the method required the use of blood, thereby leading to high cost of calibration. Therefore, in this study we propose a new method to monitor blood viscosity, which approximates the pressure-flow characteristics of blood considered as a non-Newtonian fluid with characteristics of a Newtonian fluid by using the parameters derived from glycerin solution to enable ease of acquisition. Because parameters used in the estimation method are based on fluid types, bovine blood parameters were used to calculate estimated viscosity (ηe), and glycerin parameters were used to estimate deemed viscosity (ηdeem). Three samples of whole bovine blood with different hematocrit levels (21.8%, 31.0%, and 39.8%) were prepared and perfused into the oxygenator. As the temperature changed from 37 °C to 27 °C, the oxygenator mean inlet pressure and outlet pressure were recorded for flows of 2 L/min and 4 L/min, and the viscosity was estimated. The value of deemed viscosity calculated with the glycerin parameters was lower than estimated viscosity calculated with bovine blood parameters by 20-33% at 21.8% hematocrit, 12-27% at 31.0% hematocrit, and 10-15% at 39.8% hematocrit. Furthermore, deemed viscosity was lower than estimated viscosity by 10-30% at 2 L/min and 30-40% at 4 L/min. Nevertheless, estimated and deemed viscosities varied with a similar slope. Therefore, this shows that deemed viscosity achieved using glycerin parameters may be capable of successfully monitoring relative viscosity changes of blood in a perfusing oxygenator.

  10. Changes in cardiopulmonary variables and platelet count during anesthesia for total hip replacement in dogs.

    Science.gov (United States)

    Otto, K; Matis, U

    1994-01-01

    Changes in cardiopulmonary function and platelet count were determined in 22 dogs of various breeds that underwent total hip replacement with cemented femoral prostheses. In 11 dogs (group I) polymethylmethacrylate (PMMA) was inserted without venting the reamed and lavaged femoral canal. In a second group of 11 dogs (group II) a urethral catheter (ID: approximately 2.7 mm) was placed into the medullary cavity before the insertion of PMMA. The application of PMMA resulted in a decrease in end-tidal carbon dioxide tension (PETCO2) until 5 minutes after insertion of bone cement. Increases in arterial to end-tidal pCO2 gradient [P(a-ET)CO2] and physiological dead space (VD/VT) were recorded between 2 minutes before and 5 minutes after insertion of PMMA in 12 dogs. A significant decrease in platelet count occurred in both groups of dogs. Decreases in arterial pO2 (PaO2), arterial/alveolar oxygen tension ratio (PaO2/PAO2), and percent O2 saturation of hemoglobin in arterial blood (SaO2) were not statistically significant. No significant differences could be detected between data obtained from both groups of dogs. An increase in femoral intramedullary pressure caused by the insertion of PMMA and subsequent pulmonary microembolism by medullary contents has been considered the most likely cause for changes in pulmonary function. The lack of statistically significant differences in cardiopulmonary variables and platelet count between the two groups of dogs could have been related to inefficient pressure reduction by the method used.

  11. Effect of opening of neuronal mitochondrial permeability transition pore on respiratory function after cardiopulmonary resuscitation in rats%心肺复苏后大鼠脑线粒体通透性转换孔开放对线粒体呼吸功能的影响

    Institute of Scientific and Technical Information of China (English)

    马宇洁; 杨兴易; 林兆奋; 缪明永; 张雷; 宁波

    2008-01-01

    目的 研究大鼠心肺复苏(CPR)后神经细胞线粒体通透性转换孔(MPTP)开放对线粒体呼吸功能的影响,并探讨其可能机制.方法 建立窒息加冰KC1致大鼠心搏骤停(CA)/CPR动物模型,在自主循环恢复(ROSC)后3、6、12、24、48和72 h断头处死大鼠制备大脑皮质内线粒体匀浆.采用分光光度法测定线粒体MPTP的开放程度,用Clark氧电极法分析线粒体呼吸功能,并电镜下观察线粒体超微结构.结果 CA/CPR后大鼠神经细胞线粒体功能明显受损,线粒体呼吸Ⅲ态(R3)速率下降;ROSC后神经细胞MPTP持续处于开放状态,开放程度并不是瞬间增至最大,而是具有时间依赖性.具体表现为:ROSC后6h内神经细胞MPTP开放程度保持低水平,6 h以后开始迅速大量开放,12 h开放程度达到最大,24 h开放程度略有缩小,表明线粒体开始收缩.至48 h开放程度再次加大.72 h又明显缩小,但未达到正常水平(P均<0.05).虽然线粒体R3速率下降.但线粒体呼吸Ⅳ态(R4)速率升高,呼吸控制率(RCR)和磷/氧(P/O)比值明显下降;随着ROSC时间延长,RCR和P/O比值持续在低水平状态(P<0.05或P<0.01).透射电镜下观察细胞有明显损伤.相关分析表明,MPTP开放与RCR呈明显正相关(r=0.025,P<0.05).结论 CPR后MPTP开放是加重神经细胞能量代谢障碍的主要原因,在ROSC后早期即12 h以内如能及时应用抑制MPTP开放的策略,可能会使神经细胞的线粒体功能朝着良性方向发展.为神经功能的恢复赢得机会.%Objective To investigate the effect of opening of neuronal mitochondrial permeability transition pore (MPTP) on respiratory function after cardiopulmonary resuscitation (CPR) in rats and its possible mechanism.Methods Cardiac arrest (CA)/CPR rat model was reproduced by asphyxiation and ice-cold KCI followed resuscitation and restoration of spontaneous circulation (ROSC). The rats were sacrificed by decapitation at 3,6,12,24,48 and 72 hours

  12. Compact and accurate linear and nonlinear autoregressive moving average model parameter estimation using laguerre functions

    DEFF Research Database (Denmark)

    Chon, K H; Cohen, R J; Holstein-Rathlou, N H

    1997-01-01

    A linear and nonlinear autoregressive moving average (ARMA) identification algorithm is developed for modeling time series data. The algorithm uses Laguerre expansion of kernals (LEK) to estimate Volterra-Wiener kernals. However, instead of estimating linear and nonlinear system dynamics via moving...... average models, as is the case for the Volterra-Wiener analysis, we propose an ARMA model-based approach. The proposed algorithm is essentially the same as LEK, but this algorithm is extended to include past values of the output as well. Thus, all of the advantages associated with using the Laguerre...... function remain with our algorithm; but, by extending the algorithm to the linear and nonlinear ARMA model, a significant reduction in the number of Laguerre functions can be made, compared with the Volterra-Wiener approach. This translates into a more compact system representation and makes...

  13. Effect of geometrical parameters on the performance of longitudinal functionally graded femoral prostheses.

    Science.gov (United States)

    Oshkour, Azim Ataollahi; Talebi, Hossein; Seyed Shirazi, Seyed Farid; Yau, Yat Huang; Tarlochan, Faris; Abu Osman, Noor Azuan

    2015-02-01

    This study aimed to assess the performance of different longitudinal functionally graded femoral prostheses. This study was also designed to develop an appropriate prosthetic geometric design for longitudinal functionally graded materials. Three-dimensional models of the femur and prostheses were developed and analyzed. The elastic modulus of these prostheses in the sagittal plane was adjusted along a gradient direction from the distal end to the proximal end. Furthermore, these prostheses were composed of titanium alloy and hydroxyapatite. Results revealed that strain energy, interface stress, and developed stress in the femoral prosthesis and the bone were influenced by prosthetic geometry and gradient index. In all of the prostheses with different geometries, strain energy increased as gradient index increased. Interface stress and developed stress decreased. The minimum principal stress and the maximum principal stress of the bone slightly increased as gradient index increased. Hence, the combination of the femoral prosthetic geometry and functionally graded materials can be employed to decrease stress shielding. Such a combination can also be utilized to achieve equilibrium in terms of the stress applied on the implanted femur constituents; thus, the lifespan of total hip replacement can be prolonged.

  14. [Serum immune complexes and cardiopulmonary bypass. A review of thirty-four cases (author's transl)].

    Science.gov (United States)

    Herreman, G; Poisson-Lespassailles, C; Puech, H; Vanetti, A; Delaunay, L; Yvart, J; Fermé, I

    1982-05-20

    The immunologic status of patients undergoing cardiopulmonary bypass as investigated. Rheumatoid factor, cryoglobulinemia and serum immune complexes were looked for. Studies were performed before the operation and eight or fifteen days later. From the results, it is concluded that the immunologic changes that occur in the immediate postoperative period cannot be interpreted because of the profound modifications resulting from cardiopulmonary bypass.

  15. Development of functional lab-on-a-chip on polymer for point-of-care testing of metabolic parameters.

    Science.gov (United States)

    Do, Jaephil; Lee, Sehwan; Han, Jungyup; Kai, Junhai; Hong, Chien-Chong; Gao, Chuan; Nevin, Joseph H; Beaucage, Gregory; Ahn, Chong H

    2008-12-01

    This paper presents the development of an easy-to-handle and disposable clinical diagnostic lab-on-a-chip using fully integrated plastic microfluidic components, which has the sampling/identifying capability to make fast and reliable measurements of metabolic parameters from human whole blood. A smart and functional lab-on-a-chip cartridge, which incorporates a full on-chip auto-calibration function for in the field applications, has been developed, and then fully characterized using a portable analyzer (3 (1/4)''x 5''x 1'') with multi-analyte detection capability. In addition, several new approaches in realizing smart and functional lab-on-a-chips on polymer have been adopted, which include the pinch valve for automatic fluidic sealing, a by-pass channel as the sampling indicator, and a robust connector design for long analyzer lifetimes. Metabolic parameters such as glucose, lactate, and partial oxygen from human whole blood have been successfully measured using the functional polymer lab-on-a-chips and the portable analyzer developed in this work.

  16. Vascular Endothelial Growth Factor Is Associated with the Morphologic and Functional Parameters in Patients with Hypertrophic Cardiomyopathy

    Directory of Open Access Journals (Sweden)

    Radek Pudil

    2015-01-01

    Full Text Available Background. Hypertrophic cardiomyopathy (HCM is mostly autosomal dominant disease of the myocardium, which is characterized by myocardial hypertrophy. Vascular endothelial growth factor (VEGF is involved in myocyte function, growth, and survival. The aim of study was to analyze the clinical significance of VEGF in structural and functional changes in patient with HCM. Methods. In a group of 21 patients with nonobstructive HCM, we assessed serum VEGF and analyzed its association with morphological and functional parameters. Compared to healthy controls, serum VEGF was increased: 199 (IQR: 120.4–260.8 ng/L versus 20 (IQR: 14.8–37.7 ng/L, P<0.001. VEGF levels were associated with left atrium diameter (r=0.51, P=0.01, left ventricle ejection fraction (r=-0.56, P=0.01, fractional shortening (r=-0.54, P=0.02, left ventricular mass (r=0.61, P=0.03, LV mass index (r=0.46, P=0.04, vena cava inferior diameter (r=0.65, P=0.01, and peak gradient of tricuspid regurgitation (r=0.46, P=0.03. Conclusions. Increased VEGF level is associated with structural and functional parameters in patients with HCM and serves as a potential tool for diagnostic process of these patients.

  17. Popular Hybrid Congenital Heart Procedures without Cardiopulmonary Bypass

    Science.gov (United States)

    Gupta, Aamisha; Amin, Zahid

    2017-01-01

    As surgical and catheter interventions advance, patients with congenital heart disease are now offered alternative treatment options that cater to their individual needs. Furthermore, collaboration between interventional cardiologists and cardiac surgeons have led to the development of hybrid procedures, using the best techniques of each respective field to treat these complex cardiac entities from initial treatment in the pediatric patient to repeat intervention in the adult. We present a review of the increased popularity and trend in hybrid procedures in congenital heart disease without the use of cardiopulmonary bypass.

  18. [CPR--guidelines 2000. New international guidelines for cardiopulmonary resuscitation].

    Science.gov (United States)

    Gervais, H W

    2001-03-01

    The "Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. An International Consensus an Science" are the first true international CPR guidelines in the history of resuscitation medicine. Experts from major international resuscitation organizations (International Liaison Committee on Resuscitation, ILCOR) achieved a consensus of recommendations which had to pass a rigorous review procedure applying the tools of evidence-based medicine: all proposed guidelines or guideline changes had to be based on critically appraised pieces of evidence which had to be integrated into a final class of recommendations. The most important changes compared to previous recommendations from either the European Resuscitation Council or the American Heart Association are presented and commented upon.

  19. A method of automatic control procedures cardiopulmonary resuscitation

    Science.gov (United States)

    Bureev, A. Sh.; Zhdanov, D. S.; Kiseleva, E. Yu.; Kutsov, M. S.; Trifonov, A. Yu.

    2015-11-01

    The study is to present the results of works on creation of methods of automatic control procedures of cardiopulmonary resuscitation (CPR). A method of automatic control procedure of CPR by evaluating the acoustic data of the dynamics of blood flow in the bifurcation of carotid arteries and the dynamics of air flow in a trachea according to the current guidelines for CPR is presented. Evaluation of the patient is carried out by analyzing the respiratory noise and blood flow in the interspaces between the chest compressions and artificial pulmonary ventilation. The device operation algorithm of automatic control procedures of CPR and its block diagram has been developed.

  20. Extracorporeal membrane oxygenation support in post-traumatic cardiopulmonary failure

    Science.gov (United States)

    Lin, Chun-Yu; Tsai, Feng-Chun; Lee, Hsiu-An; Tseng, Yuan-His

    2017-01-01

    Abstract Patients with multiple traumas associated with cardiopulmonary failure have a high mortality rate; however, such patients can be temporarily stabilized using extracorporeal membrane oxygenation (ECMO), providing a bridge to rescue therapy. Using a retrospective study design, we aimed to clarify the prognostic factors of post-traumatic ECMO support. From March 2006 to July 2016, 43 adult patients (mean age, 37.3 ± 15.2 years; 7 females [16.3%]) underwent ECMO because of post-traumatic cardiopulmonary failure. Pre-ECMO demographics, peri-ECMO events, and post-ECMO recoveries were compared between survivors and nonsurvivors. The most common traumatic insult was traffic collision (n = 30, 69.8%), and involved injury areas included the chest (n = 33, 76.7%), head (n = 14, 32.6%), abdomen (n = 21, 48.8%), and fractures (n = 21, 48.8%). Fifteen patients (34.9%) underwent cardiopulmonary resuscitation and 22 (51.2%) received rescue interventions before ECMO deployment. The mean time interval between trauma and ECMO was 90.6 ± 130.1 hours, and the mode of support was venovenous in 26 patients (60.5%). A total of 26 patients (60.5%) were weaned off of ECMO and 22 (51.6%) survived to discharge, with an overall mean support time of 162.9 ± 182.7 hours. A multivariate regression analysis identified 2 significant predictors for in-hospital mortality: an injury severity score (ISS) >30 (odds ratio [OR], 9.48; 95% confidence interval [CI], 1.04–18.47; P = 0.042), and the requirement of renal replacement therapy (RRT) during ECMO (OR, 8.64; 95% CI, 1.73–26.09; P = 0.020). These two factors were also significant for the 1-year survival (ISS >30: 12.5%; ISS ≤30, 48.1%, P = 0.001) (RRT required, 15.0%; RRT not required, 52.2%, P = 0.006). Using ECMO in selected traumatized patients with cardiopulmonary failure can be a salvage therapy. Prompt intervention before shock-impaired systemic organ perfusion and acute

  1. Estudo da função simpático-adrenal em crianças submetidas a cirurgia cardíaca com hipotermia de superfície, perfusão limitada e parada circulatória Simpathoadrenal function during cardiac surgery in infants using the technique of surface cooling, limited cardiopulmonary bypass and circulatory arrest

    Directory of Open Access Journals (Sweden)

    Richard K Firmin

    1988-04-01

    Full Text Available Os níveis de catecolamina plasmática foram medidos em 20 crianças (idade média de 6,00 ± 5,86 meses; peso médio 5,3 ± 1,82 kg, durante a correção de defeitos cardíacos congênitos, usando-se a hipotermia de superfície (26ºC, perfusão cardiopulmonar limitada e parada circulatória (15ºC. Adrenalina e noradrenalina plasmática foram dosadas em amostras sangüíneas arteriais seriadas, usando-se a cromatografia. A hipotermia de superfície produziu um significante aumento de ambas as catecolaminas. Durante o resfriamento central, os níveis caíram devido à hemodiluição. Após o período de parada circulatória (23/64 minutos, média de 41,3, ocorreu um aumento das catecolaminas plasmáticas, que persistiu durante o reaquecimento. Após o reaquecimento, as catecolaminas plasmáticas permaneceram elevadas até o final do ato cirúrgico. Nossos resultados mostram que a técnica de hipotermia de superfície, perfusão cardiopulmonar limitada e parada circulatória, sob as nossas condições de anestesia, produziu significante aumento da concentração de adrenalina e noradrenalina plasmática, porém o significado biológico é, ainda, inseguro.Plasma catecholamine levels were measured in 20 infants (mean age 6.0 ± 5.86 months; mean weigh 5.3 ± 1.82 Kg, undergoing correction of congenital heart defects using surface cooling (26ºC, limited cardiopulmonary bypass and circulatory arrest (15ºC. Plasma adrenaline and noradrenaline were assayed in serial arterial blood samples using cromatography and electrochemical techniques. Surface cooling produced a significant rise in adrenaline and noradrenaline: the levels of both catecholamines fell, however, during core-cooling on cardiopulmonary bypass. Following the period of circulatory arrest (23/64 min, mean 41.3 min, there was a further increase in plasma catecholamines, which persisted during rewarming. Following rewarming, plasma catecholamines remained elevated untill the end of the

  2. Density functional theoretical (DFT) study for the prediction of spectroscopic parameters of ClCCCN

    CERN Document Server

    Varadwaj, P R

    2005-01-01

    DFT and RHF level calculations in conjunction with three different of basis sets have been used to investigate the variations in the bond lengths, dipole moment and rotational constants, IR frequencies, IR intensities and rotational invariants of ClCCCN. The nuclear quadrupole constants of chlorine and nitrogen of ClCCCN have been calculated on the experimental r$_{s}$ structure as well as on the B3PW91/6-311++g(d,p) optimized geometry and are found to be within the scale length of the experimental uncertainty. Linear regression analysis between the B3LYP/6-311++g(d,p) level calculated and experimental B$_{o}$ values have been achieved for ClCCCN and BrCCCN. The slopes and intercepts obtained from the regression analysis were used to calculate the reasonable values of rotational constants of all the rare isotopic species of ClCCCN and BrCCCN as well having standard deviations $\\pm$0.048 MHz and $\\pm$0.015 MHz respectively. All the spectroscopic parameters obtained from DFT calculation shows satisfactory agree...

  3. The studies of mechanical properties and structure of ADI as function of austempering parameters

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    A. Krzyńska

    2010-10-01

    Full Text Available The results of study of ductile iron austempered using different parameters of austempering are presented. The aim of the investigations was to look closer into mechanical properties of this very attractive cast material. The experiment was carried out with commercial EN-GJS-500-7 grade ductile iron. The specimens were first solution heat treated 1 hour in 910oC and then isothermally quenched for different time in molten tin of different temperature. The mechanical properties heat treated specimens were tested using tensile test machine to evaluate Rp,0.2, Rm and A10. Moreover Brinell hardness tests were carried out for structure investigation conventional light microscopy only was used. It was discovered, that low yield strength ADI obtained for short time quenching at 275oC exhibited high strengthening effect while tensile strained. So it was concluded that this had to by cause by large amount of untransformed austenite, which FCC lattice providing large number of glide systems.

  4. Dynamic Cerebral Autoregulation after Cardiopulmonary Bypass

    DEFF Research Database (Denmark)

    Christiansen, Claus Behrend; Berg, Ronan M G; Plovsing, Ronni

    2016-01-01

    volunteers (gain: 1.24 [0.94-1.49] vs. 1.22 [1.06-1.34] cm mm Hg(-1) s(-1), p = 0.97; phase: 0.33 [0.15-0.56] vs. 0.69 [0.50-0.77] rad, p = 0.09). Neurocognitive testing showed a perioperative decline in the Letter Digit Coding Score (p = 0.04), while weaker dCA was associated with a lower Stroop Color Word...... in eight patients 6 hours after the cessation of CPB; 10 healthy volunteers served as controls. Neurocognitive function was assessed by four specific tests 1 day prior to and 3 days after CPB. Results Even though patients exhibited systemic inflammation and anemic hypoxemia, dCA was similar to healthy...... Test (rho =  - 0.90; p = 0.01). Discussion and Conclusion We found no changes in dCA 6 hours after CPB. However, based on the data at hand, it cannot be ruled out that changes in dCA predispose to POCD, which calls for larger studies that assess the potential impact of dCA in the early postoperative...

  5. Parasitaemia and Its Relation to Hematological Parameters and Liver Function among Patients Malaria in Abs, Hajjah, Northwest Yemen

    Directory of Open Access Journals (Sweden)

    Mohamed Al-Salahy

    2016-01-01

    Full Text Available Plasmodium falciparum malaria is the most common infection in Yemen. The present study aims to investigate changes in hematological and hepatic function indices of P. falciparum infected individuals. This study included 67 suspected falciparum malarial patients attended in clinics and rural Abs Hospital (Tehama, Hajjah, Yemen, from October 2013 to April 2014. The diagnosis of malaria was confirmed by thick and thin film with Giemsa staining of malaria parasite. Hematological parameters and serum levels of aspartate transaminase (AST, alanine transaminase (ALT, alkaline phosphatase (ALP, and bilirubin (total and direct as test indicators of liver function were studied. Patients with parasitaemia tended to have significantly lower hemoglobin, hematocrit, white blood cell count, lymphocytes, and platelets, compared with healthy normal subjects. Neutrophils levels were significantly higher in cases of falciparum malaria in comparison to healthy normal subjects. Serums AST, ALT, ALP, and bilirubin (total and direct in falciparum malaria patients were significantly higher (p<0.0001 than those of falciparum malaria of free individuals. Hematological and liver dysfunctions measured parameters were seen associated with moderate and severe parasitaemia infection. This study concludes that hematological and hepatic dysfunction parameters could be indicator of malaria in endemic regions.

  6. Parasitaemia and Its Relation to Hematological Parameters and Liver Function among Patients Malaria in Abs, Hajjah, Northwest Yemen.

    Science.gov (United States)

    Al-Salahy, Mohamed; Shnawa, Bushra; Abed, Gamal; Mandour, Ahmed; Al-Ezzi, Ali

    2016-01-01

    Plasmodium falciparum malaria is the most common infection in Yemen. The present study aims to investigate changes in hematological and hepatic function indices of P. falciparum infected individuals. This study included 67 suspected falciparum malarial patients attended in clinics and rural Abs Hospital (Tehama, Hajjah), Yemen, from October 2013 to April 2014. The diagnosis of malaria was confirmed by thick and thin film with Giemsa staining of malaria parasite. Hematological parameters and serum levels of aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), and bilirubin (total and direct) as test indicators of liver function were studied. Patients with parasitaemia tended to have significantly lower hemoglobin, hematocrit, white blood cell count, lymphocytes, and platelets, compared with healthy normal subjects. Neutrophils levels were significantly higher in cases of falciparum malaria in comparison to healthy normal subjects. Serums AST, ALT, ALP, and bilirubin (total and direct) in falciparum malaria patients were significantly higher (p < 0.0001) than those of falciparum malaria of free individuals. Hematological and liver dysfunctions measured parameters were seen associated with moderate and severe parasitaemia infection. This study concludes that hematological and hepatic dysfunction parameters could be indicator of malaria in endemic regions.

  7. Effect of imatinib on the biochemical parameters of the reproductive function in male Swiss albino mice

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    A M Prasad

    2011-01-01

    Full Text Available Background: Treatment of cancers with cytotoxic agents such as tyrosine kinase inhibiting drugs often, but not always, result in transient to permanent testicular dysfunction. Germ cells are important targets of many chemicals. Most of the drugs are genotoxins and induce irreversible effect on genetic makeup. These mutagenic changes are proportionally related to carcinogenesis. This is alarmingly dangerous in youth and children, since these effects last longer, affecting fertility or forming basis for carcinogenesis. There is paucity of reports on planned studies of imatinib on the testicular function. Hence, the study was planned to assess the effects of imatinib on biochemical markers of testicular functions in male Swiss albino mice. Materials and Methods: Male Swiss albino mice were treated with imatinib and sacrificed at the end of first, second, fourth, fifth, seventh, and tenth week after the last exposure to imatinib. The testis were removed, weighed, and processed for biochemical analysis. Results: The intratesticular testosterone level was significantly (P<0.001 reduced in treated groups and severe effect was observed on week 4 and 5. The intratesticular lactate dehydrogenase (LDH level was significantly increased by imatinib in all treated groups up to week 5. Conclusion: Imatinib does affect testosterone and LDH level significantly, but this effect is reversible once the drug is withdrawn. This finding may help the clinicians to plan and address the fertility-related issues in young patients of reproductive age who are being treated with imatinib for gastrointestinal tumors and chronic myeloid leukemia.

  8. Microbial functional diversity enhances predictive models linking environmental parameters to ecosystem properties.

    Science.gov (United States)

    Powell, Jeff R; Welsh, Allana; Hallin, Sara

    2015-07-01

    Microorganisms drive biogeochemical processes, but linking these processes to real changes in microbial communities under field conditions is not trivial. Here, we present a model-based approach to estimate independent contributions of microbial community shifts to ecosystem properties. The approach was tested empirically, using denitrification potential as our model process, in a spatial survey of arable land encompassing a range of edaphic conditions and two agricultural production systems. Soil nitrate was the most important single predictor of denitrification potential (the change in Akaike's information criterion, corrected for sample size, ΔAIC(c) = 20.29); however, the inclusion of biotic variables (particularly the evenness and size of denitrifier communities [ΔAIC(c) = 12.02], and the abundance of one denitrifier genotype [ΔAIC(c) = 18.04]) had a substantial effect on model precision, comparable to the inclusion of abiotic variables (biotic R2 = 0.28, abiotic R2 = 0.50, biotic + abiotic R2 = 0.76). This approach provides a valuable tool for explicitly linking microbial communities to ecosystem functioning. By making this link, we have demonstrated that including aspects of microbial community structure and diversity in biogeochemical models can improve predictions of nutrient cycling in ecosystems and enhance our understanding of ecosystem functionality.

  9. Influence of thyroid hormones on biochemical parameters of liver function: a case-control study in North Indian population

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    Jayashree Bhattacharjee

    2013-01-01

    Full Text Available Normal level of thyroid hormones is important for normal hepatic function and thyroid dysfunction may modulate metabolic function of liver. The purpose of this study is to determine whether liver function is associated with subclinical and overt hypothyroidism. Thyroid and liver function tests were evaluated in 47 patients with overt (TSH ≥10.0 mIU/L and 77 patients with subclinical hypothyroidism (TSH 6.0-9.9mIU/L and compared with 120 age-matched euthyroid controls. Subjects with overt hypothyroidism had significantly raised serum ALT, AST, ALP and total protein levels as compared to controls whereas subclinical hypothyroid patients had significantly increased levels of serum ALT, ALP and total protein. Further, TSH showed significant positive correlation with AST and ALP values whereas fT3 and fT4 had a negative correlation with AST in overt hypothyroidism. Thus, overt hypothyroid state is associated with significant derangement in biochemical parameters of liver function. Hence, liver function should be regularly monitored in hypothyroid patients.

  10. Protective role of sevoflurane in the function of myocardium and lung in patients undergoing coronary artery bypass grafting under cardiopulmonary bypass%七氟醚对心肺转流冠状动脉旁路移植术的心肺保护作用

    Institute of Scientific and Technical Information of China (English)

    苏建林; 刘兵; 阳子华; 黄保堂; 冯正义; 龙村

    2011-01-01

    Objective To compare the protective role of sevoflurane and propofol in the function of myocardium and lung in patients undergoing coronary artery bypass grafting (CABG) under cardiopulmonary bypass (CPB). Methods Fifty-two patients with ASA Ⅱ or Ⅲ and cardiac function scale of Ⅱ or Ⅲ scheduled for CABG under CPB were randomized into sevoflurane group (group S) and propofol group (group P) with 26 cases each. After clamping the aorta, patients in the group S received sevoflurane 0. 5%-3% through membrane oxygenator, but in the group P, propofol 2-3 g/kg was given with target-controlled infusion. Arterial blood gas was analyzed at the following time points: immediately before the operation, 2, 4 and 8 h after CPB, and the values of alveolararterial oxygen pressure difference (D(A-a)O2), respiratory index (RI) and oxygenation index (OI) were calculated. Creatine phosphokinase-MB (CK-MB) and cardiac troponin I (cTnI) were detected at the immediate time before operation, 6, 12, 24 and 48 h of after operation. The rates of atrial fibrillation, myocardial ischemia and automatic recovery heart, ejection fraction (EF) and duration of mechanical ventilation were recorded. Results Compared with the group P, patients in the group S had lower D(A-a)O2 and RI (P<0. 05), and OI decreased since 4 h after operation in both groups,but the influence of sevoflurane on OI was smaller than propofol (P<0. 05). CK-MB and cTnl in the group S were significantly lower than those of group P (P<0. 01). The rates of atrial fibrillation and myocardial ischemia in group S were less, and the duration of ventilation was shorter (P<0. 05), and the volume of EF and rate of automatic recovery heart were significantly higher than group P (P< 0. 05). Conclusion Sevoflurane. exerts protective role in the function of myocardium and lung in patients undergoing CAGB under CPB.%目的 比较七氟醚与丙泊酚对心肺转流(CPB)冠状动脉旁路移植术(CAEG)患者心肌与

  11. Linearity analysis and comparison study on the epoc(®) point-of-care blood analysis system in cardiopulmonary bypass patients.

    Science.gov (United States)

    Chen, Jianing; Gorman, Monique; O'Reilly, Bill; Chen, Yu

    2016-03-01

    The epoc(®) blood analysis system (Epocal Inc., Ottawa, Ontario, Canada) is a newly developed in vitro diagnostic hand-held analyzer for testing whole blood samples at point-of-care, which provides blood gas, electrolytes, ionized calcium, glucose, lactate, and hematocrit/calculated hemoglobin rapidly. The analytical performance of the epoc(®) system was evaluated in a tertiary hospital, see related research article "Analytical evaluation of the epoc(®) point-of-care blood analysis system in cardiopulmonary bypass patients" [1]. Data presented are the linearity analysis for 9 parameters and the comparison study in 40 cardiopulmonary bypass patients on 3 epoc(®) meters, Instrumentation Laboratory GEM4000, Abbott iSTAT, Nova CCX, and Roche Accu-Chek Inform II and Performa glucose meters.

  12. Linearity analysis and comparison study on the epoc® point-of-care blood analysis system in cardiopulmonary bypass patients

    Directory of Open Access Journals (Sweden)

    Jianing Chen

    2016-03-01

    Full Text Available The epoc® blood analysis system (Epocal Inc., Ottawa, Ontario, Canada is a newly developed in vitro diagnostic hand-held analyzer for testing whole blood samples at point-of-care, which provides blood gas, electrolytes, ionized calcium, glucose, lactate, and hematocrit/calculated hemoglobin rapidly. The analytical performance of the epoc® system was evaluated in a tertiary hospital, see related research article “Analytical evaluation of the epoc® point-of-care blood analysis system in cardiopulmonary bypass patients” [1]. Data presented are the linearity analysis for 9 parameters and the comparison study in 40 cardiopulmonary bypass patients on 3 epoc® meters, Instrumentation Laboratory GEM4000, Abbott iSTAT, Nova CCX, and Roche Accu-Chek Inform II and Performa glucose meters.

  13. Linearity analysis and comparison study on the epoc® point-of-care blood analysis system in cardiopulmonary bypass patients

    Science.gov (United States)

    Chen, Jianing; Gorman, Monique; O’Reilly, Bill; Chen, Yu

    2016-01-01

    The epoc® blood analysis system (Epocal Inc., Ottawa, Ontario, Canada) is a newly developed in vitro diagnostic hand-held analyzer for testing whole blood samples at point-of-care, which provides blood gas, electrolytes, ionized calcium, glucose, lactate, and hematocrit/calculated hemoglobin rapidly. The analytical performance of the epoc® system was evaluated in a tertiary hospital, see related research article “Analytical evaluation of the epoc® point-of-care blood analysis system in cardiopulmonary bypass patients” [1]. Data presented are the linearity analysis for 9 parameters and the comparison study in 40 cardiopulmonary bypass patients on 3 epoc® meters, Instrumentation Laboratory GEM4000, Abbott iSTAT, Nova CCX, and Roche Accu-Chek Inform II and Performa glucose meters. PMID:26937460

  14. Differences in Neural Activation as a Function of Risk-taking Task Parameters

    Directory of Open Access Journals (Sweden)

    Eliza eCongdon

    2013-09-01

    Full Text Available Despite evidence supporting a relationship between impulsivity and naturalistic risk-taking, the relationship of impulsivity with laboratory-based measures of risky decision-making remains unclear. One factor contributing to this gap in our understanding is the degree to which different risky decision-making tasks vary in their details. We conducted an fMRI investigation of the Angling Risk Task (ART, which is an improved behavioral measure of risky decision-making. In order to examine whether the observed pattern of neural activation was specific to the ART or generalizable, we also examined correlates of the Balloon Analogue Risk Taking (BART task in the same sample of 23 healthy adults. Exploratory analyses were conducted to examine the relationship between neural activation, performance, impulsivity and self-reported risk-taking. While activation in a valuation network was associated with reward tracking during the ART but not the BART, increased fronto-cingulate activation was seen during risky choice trials in the BART as compared to the ART. Thus, neural activation during risky decision-making trials differed between the two tasks, and this observation was likely driven by differences in task parameters, namely the absence vs. presence of ambiguity and/or stationary vs. increasing probability of loss on the ART and BART, respectively. Exploratory association analyses suggest that sensitivity of neural response to the magnitude of potential reward during the ART was associated with a suboptimal performance strategy, higher scores on a scale of dysfunctional impulsivity and a greater likelihood of engaging in risky behaviors, while this pattern was not seen for the BART. Our results suggest that the ART is decomposable and associated with distinct patterns of neural activation; this represents a preliminary step towards characterizing a behavioral measure of risky decision-making that may support a better understanding of naturalistic risk-taking.

  15. A diet based on multiple functional concepts improves cardiometabolic risk parameters in healthy subjects

    Directory of Open Access Journals (Sweden)

    Tovar Juscelino

    2012-04-01

    Full Text Available Abstract Background Different foods can modulate cardiometabolic risk factors in persons already affected by metabolic alterations. The objective of this study was to assess, in healthy overweight individuals, the impact of a diet combining multiple functional concepts on risk markers associated with cardiometabolic diseases (CMD. Methods Fourty-four healthy women and men (50-73 y.o, BMI 25-33, fasting glycemia ≤ 6.1 mmol/L participated in a randomized crossover intervention comparing a multifunctional (active diet (AD with a control diet (CD devoid of the "active" components. Each diet was consumed during 4 wk with a 4 wk washout period. AD included the following functional concepts: low glycemic impact meals, antioxidant-rich foods, oily fish as source of long-chain omega-3 fatty acids, viscous dietary fibers, soybean and whole barley kernel products, almonds, stanols and a probiotic strain (Lactobacillus plantarum Heal19/DSM15313. Results Although the aim was to improve metabolic markers without promoting body weight loss, minor weight reductions were observed with both diets (0.9-1.8 ± 0.2%; P P P P = 0.0056, LDL/HDL (-27 ± 2%; P P 1c (-2 ± 0.4%; P = 0.0013, hs-CRP (-29 ± 9%; P = 0.0497 and systolic blood pressure (-8 ± 1%¸ P = 0.0123. The differences remained significant after adjustment for weight change. After AD, the Framingham cardiovascular risk estimate was 30 ± 4% (P P Conclusion The improved biomarker levels recorded in healthy individuals following the multifunctional regime suggest preventive potential of this dietary approach against CMD.

  16. The Effect of Repeat Cardiopulmonary bypass on Epicardial Microflow and Graft Flow during Intra-operative Heart Failure

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Objective The relationship between graft blood flow, epicardial microflow,mean arterial pressure and hemorheologic changes was studied during intraoperative heart failure.Methods These parameters were done to evaluate the use of repeated cardiopulmonary bypass supportfor the intraoperative heart failure following aorto-coronary bypass surgery. Included in this study were10 patients with a mean age of 7 0 and unstable angina undergoing coronary bypass grafting and suffer-ing from intraoperative heart failure. The epicardiai microflow, graft flow, mean arterial pressureand blood cell filterability were measured. Resluts During heart failure, the mean arterial pressurefell by 41 % ( P < 0. 01 ), graft flow by 67 % ( P < 0. 01 ) and epicardialmicro flow by 64 % ( P <0. 01 ). After 1 5 to 56 min of assisted cardiopulmonary bypass support, the epicardial mioroflow andgraft flow were partially restored, while red cell and white cell filterability was reduced by 31% and644 % respectively ( P < 0. 01 ). There were significant correlations between graft flow, epicardial mi-croflow, blooxd cell filterability and cardiopulmonary bypass time. All patients recovered and were dis-charged from the hospital. Conclusion It is concluded that the use of temporary assisted CPB sup-port to treat intrapoperative heart failure allows the recovery of the myocardium and thereby restores themean arterial pressure. The recovery of graft flow and epicardial flow occurred to a lesser extent. TheCPB support seemed to be suitable for about 60 rain probably because of increasing disturbance to theblood cell filterability, graft flow and the epicardial microcirculation.

  17. Sliding mode control of uncertain systems with distributed time-delay: parameter-dependent Lyapunov functional approach

    Institute of Scientific and Technical Information of China (English)

    Ligang WU; Changhong WANG; Huijun GAO; Qingshuang ZENG

    2006-01-01

    The robust stability and robust sliding mode control problems are studied for a class of linear distributed time-delay systems with polytopic-type uncertainties by applying the parameter-dependent Lyapunov functional approach combining with a new method of introducing some relaxation matrices and tuning parameters, which can be chosen properly to lead to a less conservative result. First, a sufficient condition is proposed for robust stability of the autonomic system;next, the sufficient conditions of the robust stabilization controller and the existence condition of sliding mode are developed. The results are given in terms of linear matrix inequalities (LMIs), which can be solved via efficient interior-point algorithms. A numerical example is presented to illustrate the feasibility and advantages of the proposed design scheme.

  18. Total heart volume as a function of clinical and anthropometric parameters in a population of external beam radiation therapy patients

    Science.gov (United States)

    Nadège Ilembe Badouna, Audrey; Veres, Cristina; Haddy, Nadia; Bidault, François; Lefkopoulos, Dimitri; Chavaudra, Jean; Bridier, André; de Vathaire, Florent; Diallo, Ibrahima

    2012-01-01

    The aim of this paper was to determine anthropometric parameters leading to the least uncertain estimate of heart size when connecting a computational phantom to an external beam radiation therapy (EBRT) patient. From computed tomography images, we segmented the heart and calculated its total volume (THV) in a population of 270 EBRT patients of both sexes, aged 0.7-83 years. Our data were fitted using logistic growth functions. The patient age, height, weight, body mass index and body surface area (BSA) were used as explanatory variables. For both genders, good fits were obtained with both weight (R2 = 0.89 for males and 0.83 for females) and BSA (R2 = 0.90 for males and 0.84 for females). These results demonstrate that, among anthropometric parameters, weight plays an important role in predicting THV. These findings should be taken into account when assigning a computational phantom to a patient.

  19. Cardiopulmonary Exercise Testing in Fontan Patients With and Without Isomerism (Heterotaxy) as Compared to Patients With Primary Ciliary Dyskinesia and Subjects With Structurally Normal Hearts

    DEFF Research Database (Denmark)

    Loomba, Rohit S; Danduran, Michael; Nielsen, Kim G;

    2016-01-01

    Isomerism, also known as heterotaxy, is a clinical entity that impacts multiple organ systems both anatomically and functionally. The airways and lungs are involved in a great number of these patients, leading to increased sinopulmonary symptoms, increased need for oxygenation, and increased post...... isomerism. The results are likely limited by selection bias and highlight the need for multicentric efforts to characterize cardiopulmonary exercise testing in those patients with pulmonary isomerism.......Isomerism, also known as heterotaxy, is a clinical entity that impacts multiple organ systems both anatomically and functionally. The airways and lungs are involved in a great number of these patients, leading to increased sinopulmonary symptoms, increased need for oxygenation, and increased...... postoperative ventilatory support. Additionally, these patients often have congenital heart disease requiring Fontan palliation. What has not been previously described, and is the focus of this study, is the results of cardiopulmonary exercise testing in those who have undergone Fontan palliation...

  20. Cardiac MRI assessment of right ventricular function: impact of right bundle branch block on the evaluation of cardiac performance parameters

    Energy Technology Data Exchange (ETDEWEB)

    Marterer, Robert; Tschauner, Sebastian; Sorantin, Erich [Medical University of Graz, Division of Pediatric Radiology, Department of Radiology, Graz (Austria); Zeng, Hongchun [First Affiliated Hospital of Xinjiang Medical University, Department of Ultrasonography, Urumqi (China); Koestenberger, Martin [Medical University of Graz, Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Graz (Austria)

    2015-12-15

    Right ventricular (RV) function represents a prognostic marker in patients with corrected congenital heart disease. In up to 80 % of these patients, right branch bundle block (RBBB) exists and leads to asynchronous ventricular contraction. The aim of this retrospective study was to evaluate the change of RV performance parameters considering delayed RV end-systolic contraction. RV volumes of 33 patients were assessed twice: 1) not taking account of RBBB (group I), and 2) considering RBBB (group II). According to the RV ejection fraction (EF) for both groups, RV function was classified in different categories (>50 % = normal, 40-50 % = mildly-, 30-40 % = moderately-, <30 % = severely-reduced). The mean time difference between maximal systolic contraction of the septum and RV free wall was 90.7 ms ± 42.6. Consequently, RV end-systolic volume was significantly decreased in group II (p < 0.001). Accordingly, RV stroke volume and RV EF were significantly higher in group II (p < 0.001). There was also a significant change in the assessment of RV function (p < 0.02). RBBB induced delayed RV contraction can be detected at CMR. Ignoring the RV physiology in RBBB patients leads to a statistically significant underscoring of RV performance parameters. (orig.)

  1. Cardiopulmonary Benefits of Reducing Indoor Particles of Outdoor Origin: a Randomized Double-Blind Crossover Trial of Air Purifiers

    Science.gov (United States)

    Chen, Renjie; Zhao, Ang; Chen, Honglei; Zhao, Zhuohui; Cai, Jing; Wang, Cuicui; Yang, Changyuan; Li, Huichu; Xu, Xiaohui; Ha, Sandie; Li, Tiantian; Kan, Haidong

    2017-01-01

    Background Indoor exposure to fine particulate matter (PM2.5) from outdoor sources is a major health concern, especially in highly polluted developing countries, such as China. Few studies have evaluated the effectiveness of indoor air purification on the improvement of cardiopulmonary health in these areas. Objectives To evaluate whether a short-term indoor air purifier intervention improves cardiopulmonary health. Methods We conducted a randomized double-blind crossover trial among 35 healthy college students in Shanghai, China in 2014. These students lived in dormitories that were randomized into 2 groups and alternated the use of true or sham air purifiers for 48 h with a 2-week washout interval. We measured 14 circulating biomarkers of inflammation, coagulation and vasoconstriction, lung function, blood pressure (BP), and fractional exhaled nitric oxide (FeNO). We applied linear mixed-effect models to evaluate the effect of the intervention on health outcome variables. Results On average, air purification resulted in a 57% reduction in PM2.5 concentration from 96.2 to 41.3 μg/m3 within hours of operation. Air purification was significantly associated with decreases in geometric means of several circulating inflammatory and thrombogenic biomarkers, including 17.5% in monocyte chemoattractant protein-1, 68.1% in interleukin-1β, 32.8% in myeloperoxidase and 64.9% in soluble CD40 ligand. Further, systolic BP, diastolic BP, and FeNO were significantly decreased by 2.7%, 4.8%, and 17.0% in geometric mean, respectively. The impacts on lung function and vasoconstriction biomarkers were beneficial, but not statistically significant. Conclusion This intervention study demonstrated clear cardiopulmonary benefits of indoor air purification among young, healthy adults in a Chinese city with severe ambient particulate air pollution. (Intervention Study on the Health Impact of Air Filters in Chinese Adults; NCT02239744) PMID:26022815

  2. Estimation of arterial and cardiopulmonary total peripheral resistance baroreflex gain values: validation by chronic arterial baroreceptor denervation.

    Science.gov (United States)

    Mukkamala, Ramakrishna; Kim, Jong-Kyung; Li, Ying; Sala-Mercado, Javier; Hammond, Robert L; Scislo, Tadeusz J; O'Leary, Donal S

    2006-05-01

    Feedback control of total peripheral resistance (TPR) by the arterial and cardiopulmonary baroreflex systems is an important mechanism for short-term blood pressure regulation. Existing methods for measuring this TPR baroreflex mechanism typically aim to quantify only the gain value of one baroreflex system as it operates in open-loop conditions. As a result, the normal, integrated functioning of the arterial and cardiopulmonary baroreflex control of TPR remains to be fully elucidated. To this end, the laboratory of Mukkamala et al. (Mukkamala R, Toska K, and Cohen RJ. Am J Physiol Heart Circ Physiol 284: H947-H959, 2003) previously proposed a potentially noninvasive technique for estimating the closed-loop (dimensionless) gain values of the arterial TPR baroreflex (GA) and the cardiopulmonary TPR baroreflex (GC) by mathematical analysis of the subtle, beat-to-beat fluctuations in arterial blood pressure, cardiac output, and stroke volume. Here, we review the technique with additional details and describe its experimental evaluation with respect to spontaneous hemodynamic variability measured from seven conscious dogs, before and after chronic arterial baroreceptor denervation. The technique was able to correctly predict the group-average changes in GA and GC that have previously been shown to occur following chronic arterial baroreceptor denervation. That is, reflex control by the arterial TPR baroreflex was virtually abolished (GA = -2.1 +/- 0.6 to 0.3 +/- 0.2; P TPR baroreflex more than doubled (GC = -0.7 +/- 0.4 to -1.8 +/- 0.2; P TPR baroreflex functioning in both humans and animals in health and disease.

  3. Echocardiography integrated ACLS protocol versus con-ventional cardiopulmonary resuscitation in patients with

    Directory of Open Access Journals (Sweden)

    Chardoli Mojtaba

    2012-11-01

    Full Text Available 【Abstract】Objective: To examine the utility of bedside echocardiography in detecting the reversible causes of pulseless electrical activity (PEA cardiac arrest and pre-dicting the resuscitation outcomes. Methods: In this prospective interventional study, pa-tients presenting with PEA cardiac arrest were randomized into two groups. In Group A, ultrasound trained emergency physicians performed echocardiography evaluating cardiac activity, right ventricle dilation, left ventricle function, peri-cardial effusion/tamponade and IVC size along with the ad-vanced cardiac life support (ACLS protocol. Patients in Group B solely underwent ACLS protocol without applying echocardiography. The presence or absence of mechanical ventricular activity (MVA and evidences of PEA reversible causes were recorded. The return of spontaneous circulation (ROSC and death were evaluated in both groups. Results: One hundred patients with the mean age of (58±6.1 years were enrolled in this study. Fifty patients (Group A had echocardiography detected in parallel with cardiopulmonary resuscitation (CPR. Among them, 7 pa-tients (14% had pericardial effusion, 11 (22% had hypovolemia, and 39 (78% were revealed the presence of MVA. In the pseudo PEA subgroup (presence of MVA, 43% had ROSC (positive predictive value and in the true PEA subgroup with cardiac standstill (absence of MVA, there was no recorded ROSC (negative predictive value. Among patients in Group B, no reversible etiology was detected. There was no significant difference in resuscitation results between Groups A and B observed (P=0.52. Conclusion: Bedside echocardiography can identify some reversible causes of PEA. However, there are no sig-nificant changes in survival outcome between the echo group and those with traditional CPR. Key words: Heart arrest; Echocardiography; Car-diopulmonary resuscitation

  4. Pulmonary artery perfusion with HTK solution prevents lung injury in infants after cardiopulmonary bypass

    Institute of Scientific and Technical Information of China (English)

    LI Jian-an; LIU Ying-long; LIU Jin-ping; LI Xiao-feng

    2010-01-01

    Background Pulmonary artery perfusion during cardiopulmonary bypass (CPB) is a novel adjunctive method, which can minimize the lung ischemic-reperfusion injury and inflammatory response. This study evaluated the protective effect of pulmonary perfusion with hypothermic HTK solution in corrections of congenital heart defects with pulmonary hypertension.Methods Between June 2009 and December 2009, 24 consecutive infants with congenital heart defects and pulmonary hypertension were randomly divided into perfused group (n=12) and control group (n=12). Oxygen index, alveolar-arterial O2gradient, serum levels of malondialchehyche (MDA), interleukin (IL)-6, -8, -10, soluble intercellular adhesion molecule-1(slCAM-1), and P-selectin were measured before commencement and serially for 48 hours after termination of bypass.Results Oxygenation values were better preserved in the perfused group than in the control group. The serum levels of IL-6 increased immediately after CPB in both groups and returned to baseline at 48 hours after CPB, but it was restored faster and earlier in the perfused group. The serum levels of IL-8, slCAM-1, and MDA remained at baseline at each point after CPB in the perfused group and elevated significantly immediately after CPB in the control group, except for sICAM-1.The serum level of IL-10 increased immediately after CPB and decreased to baseline at 48 hours after CPB in both groups, but the IL-10 level in the perfused group was significantly higher than in the control group at 12 hours after CPB.The serum P-selectin levels in the control group immediately after CPB were significantly higher than prebypass levels.Moreover, there were no significant differences in postoperative clinical characters, except for the intubated time.Conclusion In infants with congenital heart defects, pulmonary perfusion with hypothermic HTK solution during cardiopulmonary bypass could ameliorate lung function and reduce the inflammatory response.

  5. Better estimation of protein-DNA interaction parameters improve prediction of functional sites

    Directory of Open Access Journals (Sweden)

    O'Flanagan Ruadhan A

    2008-12-01

    Full Text Available Abstract Background Characterizing transcription factor binding motifs is a common bioinformatics task. For transcription factors with variable binding sites, we need to get many suboptimal binding sites in our training dataset to get accurate estimates of free energy penalties for deviating from the consensus DNA sequence. One procedure to do that involves a modified SELEX (Systematic Evolution of Ligands by Exponential Enrichment method designed to produce many such sequences. Results We analyzed low stringency SELEX data for E. coli Catabolic Activator Protein (CAP, and we show here that appropriate quantitative analysis improves our ability to predict in vitro affinity. To obtain large number of sequences required for this analysis we used a SELEX SAGE protocol developed by Roulet et al. The sequences obtained from here were subjected to bioinformatic analysis. The resulting bioinformatic model characterizes the sequence specificity of the protein more accurately than those sequence specificities predicted from previous analysis just by using a few known binding sites available in the literature. The consequences of this increase in accuracy for prediction of in vivo binding sites (and especially functional ones in the E. coli genome are also discussed. We measured the dissociation constants of several putative CAP binding sites by EMSA (Electrophoretic Mobility Shift Assay and compared the affinities to the bioinformatics scores provided by methods like the weight matrix method and QPMEME (Quadratic Programming Method of Energy Matrix Estimation trained on known binding sites as well as on the new sites from SELEX SAGE data. We also checked predicted genome sites for conservation in the related species S. typhimurium. We found that bioinformatics scores based on SELEX SAGE data does better in terms of prediction of physical binding energies as well as in detecting functional sites. Conclusion We think that training binding site detection

  6. Survival without sequelae after prolonged cardiopulmonary resuscitation after electric shock.

    Science.gov (United States)

    Motawea, Mohamad; Al-Kenany, Al-Sayed; Hosny, Mostafa; Aglan, Omar; Samy, Mohamad; Al-Abd, Mohamed

    2016-03-01

    "Electrical shock is the physiological reaction or injury caused by electric current passing through the human body. It occurs upon contact of a human body part with any source of electricity that causes a sufficient current through the skin, muscles, or hair causing undesirable effects ranging from simple burns to death." Ventricular fibrillation is believed to be the most common cause of death after electrical shock. "The ideal duration of cardiac resuscitation is unknown. Typically prolonged cardiopulmonary resuscitation is associated with poor neurologic outcomes and reduced long term survival. No consensus statement has been made and traditionally efforts are usually terminated after 15-30 minutes." The case under discussion seems worthy of the somewhat detailed description given. It is for a young man who survived after 65 minutes after electrical shock (ES) after prolonged high-quality cardiopulmonary resuscitation (CPR), multiple defibrillations, and artificial ventilation without any sequelae. Early start of adequate chest compressions and close adherence to advanced cardiac life support protocols played a vital role in successful CPR.

  7. Gravity and the evolution of cardiopulmonary morphology in snakes.

    Science.gov (United States)

    Lillywhite, Harvey B; Albert, James S; Sheehy, Coleman M; Seymour, Roger S

    2012-02-01

    Physiological investigations of snakes have established the importance of heart position and pulmonary structure in contexts of gravity effects on blood circulation. Here we investigate morphological correlates of cardiopulmonary physiology in contexts related to ecology, behavior and evolution. We analyze data for heart position and length of vascular lung in 154 species of snakes that exhibit a broad range of characteristic behaviors and habitat associations. We construct a composite phylogeny for these species, and we codify gravitational stress according to species habitat and behavior. We use conventional regression and phylogenetically independent contrasts to evaluate whether trait diversity is correlated with gravitational habitat related to evolutionary transitions within the composite tree topology. We demonstrate that snake species living in arboreal habitats, or which express strongly climbing behaviors, possess relatively short blood columns between the heart and the head, as well as relatively short vascular lungs, compared to terrestrial species. Aquatic species, which experience little or no gravity stress in water, show the reverse - significantly longer heart-head distance and longer vascular lungs. These phylogenetic differences complement the results of physiological studies and are reflected in multiple habitat transitions during the evolutionary histories of these snake lineages, providing strong evidence that heart-to-head distance and length of vascular lung are co-adaptive cardiopulmonary features of snakes.

  8. Hypothermia and normothermia effects on mortality rate of cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Ali Rahdari

    2015-12-01

    Full Text Available Introduction: Cardiopulmonary bypass is associated with higher risk of mortality and morbidity, thus it should be investigated regarding the major risk factors. Temperature management have a significant role in postoperative cerebral and neurological complications; however the optimum temperature during cardiopulmonary surgery is not certainly detected. This systematic review has investigated the differences between hypothermia and normothermia regarding postoperative mortality. Method: PubMed was searched for the relevant articles. Only English language articles were included with no time limitation. Data regarding in-hospital patient deaths provided in each article mostly within 30 days after the surgery, were extracted and compared based on relative risk reduction (RRR, absolute risk reduction (ARR, and number needed to treat (NNT.Result: Totally, 28 articles were retrieved and extracted. The mortality rate was zero in hypothermic and normotehrmic groups of 8/28 included studies, thus the RRR, ARR, and NNT could not be calculated. There were no significant differences between investigated groups of each included studies regarding the patients’ age, gender, and preoperative conditions.Conclusions: No significant difference was obtained between two studied groups. Similar prevalence of death observed between hypothermic and normothermic groups might be due to the sample size of studies, or the subsequent cares performed in intensive care units that assist to reduce the postoperative mortality rate. According to the obtained results, both of these procedures might be similarly safe regarding mortality rate.

  9. Postgraduate Education for Physical Therapists at Cardiopulmonary Area in Colombia

    Directory of Open Access Journals (Sweden)

    Diana Durán Palomino

    2007-09-01

    Full Text Available This paper presents the supply of postdegreeprograms in the cardiopulmonary area in Colombiain orden to show its state and sufficiency.Plans of formation, objectives, curricular approach,methodology and profile of performanceare analyzed in terms of costs, duration,supply, location and research capabilities.Our results show problems in regard to supplyas well as unanimous criteria and strategic alliances.There are no Gremial associations thatfavor both discussion and analysis about epidemiologistaspects of respiratory and cardiovasculardiseases in Colombia there is necessityof professionals in this area with experience.Knowledge and appropiated skills in management,administration, laws, agreements andpublic policies that cover the affected population.Also, it is exposed that the Universities whitthis programs require support and pursuit forprofessionals positioning both in national andinternational context.MethodologyA descriptive study was carried out with a datacollection made in a period between April-Decemberof 2006. Cards were done and they allowedto review different aspects such as costs,occupational profile, duration, modality, methodology,practical component and evaluation inthe offering universities of programs of postdegreein the cardiopulmonary area for physiotherapists.Later an analysis was made oncurriculum, profiles, objectives, contents, professionalcompetitions the areas of research.

  10. The pulsed microwave damage trend of a bipolar transistor as a function of pulse parameters

    Institute of Scientific and Technical Information of China (English)

    Ma Zhen-Yang; Chai Chang-Chun; Ren Xing-Rong; Yang Yin-Tang; Zhao Ying-Bo; Qiao Li-Ping

    2013-01-01

    In the present paper we conduct a theoretical study of the thermal accumulation effect of a typical bipolar transistor caused by high power pulsed microwaves (HPMs),and investigate the thermal accumulation effect as a function of pulse repetition frequency (PRF) and duty cycle.A study of the damage mechanism of the device is carried out from the variation analysis of the distribution of the electric field and the current density.The result shows that the accumulation temperature increases with PRF increasing and the threshold for the transistor is about 2 kHz.The response of the peak temperature induced by the injected single pulses indicates that the falling time is much longer than the rising time.Adopting the fitting method,the relationship between the peak temperature and the time during the rising edge and that between the peak temperature and the time during the falling edge are obtained.Moreover,the accumulation temperature decreases with duty cycle increasing for a certain mean power.

  11. Integrative modeling of small artery structure and function uncovers critical parameters for diameter regulation.

    Directory of Open Access Journals (Sweden)

    Ed VanBavel

    Full Text Available Organ perfusion is regulated by vasoactivity and structural adaptation of small arteries and arterioles. These resistance vessels are sensitive to pressure, flow and a range of vasoactive stimuli. Several strongly interacting control loops exist. As an example, the myogenic response to a change of pressure influences the endothelial shear stress, thereby altering the contribution of shear-dependent dilation to the vascular tone. In addition, acute responses change the stimulus for structural adaptation and vice versa. Such control loops are able to maintain resistance vessels in a functional and stable state, characterized by regulated wall stress, shear stress, matched active and passive biomechanics and presence of vascular reserve. In this modeling study, four adaptation processes are identified that together with biomechanical properties effectuate such integrated regulation: control of tone, smooth muscle cell length adaptation, eutrophic matrix rearrangement and trophic responses. Their combined action maintains arteries in their optimal state, ready to cope with new challenges, allowing continuous long-term vasoregulation. The exclusion of any of these processes results in a poorly regulated state and in some cases instability of vascular structure.

  12. Successful Management of a Patient with Refractory Ventricular Fibrillation (VF) due to Acute Myocardial Infarction (AMI) and Lung Injury by Transition from Percutaneous Cardiopulmonary Support (PCPS) to Veno-Venous Extracorporeal Membrane Oxygenation (ECMO).

    Science.gov (United States)

    Sato, Atsushi; Isoda, Kikuo; Gatate, Yodo; Akita, Koji; Daida, Hiroyuki

    2016-01-01

    A 69-year-old man was admitted to our hospital with cardiopulmonary arrest. Percutaneous cardio-pulmonary support (PCPS) using the right femoral artery and vein was initiated, because ventricular fibrillation continued. Although we succeeded in defibrillation after percutaneous coronary intervention (PCI), a chest radiograph indicated a pneumothorax in the right lung and a pulmonic contusion in the left lung caused by cardiopulmonary resuscitation. Two days after PCI, partial pressure of arterial oxygen (PaO2) from the right radial artery suddenly decreased, and his cardiac function showed improvement on an echocardiogram. To avoid additional brain damage, we converted the treatment to veno-venous extracorporeal membrane oxygenation by changing the blood returning site of PCPS from the right femoral artery to the right jugular vein. Thereafter, the patient's PaO2 level gradually improved.

  13. Robust Adaptive Sliding Mode Control for Generalized Function Projective Synchronization of Different Chaotic Systems with Unknown Parameters

    Directory of Open Access Journals (Sweden)

    Xiuchun Li

    2013-01-01

    Full Text Available When the parameters of both drive and response systems are all unknown, an adaptive sliding mode controller, strongly robust to exotic perturbations, is designed for realizing generalized function projective synchronization. Sliding mode surface is given and the controlled system is asymptotically stable on this surface with the passage of time. Based on the adaptation laws and Lyapunov stability theory, an adaptive sliding controller is designed to ensure the occurrence of the sliding motion. Finally, numerical simulations are presented to verify the effectiveness and robustness of the proposed method even when both drive and response systems are perturbed with external disturbances.

  14. Impact of pericardial adhesions on diastolic function as assessed by vortex formation time, a parameter of transmitral flow efficiency

    Directory of Open Access Journals (Sweden)

    Heys Jeffrey J

    2010-09-01

    Full Text Available Abstract Background Pericardial adhesions are a pathophysiological marker of constrictive pericarditis (CP, which impairs cardiac filling by limiting the total cardiac volume compliance and diastolic filling function. We studied diastolic transmitral flow efficiency as a new parameter of filling function in a pericardial adhesion animal model. We hypothesized that vortex formation time (VFT, an index of optimal efficient diastolic transmitral flow, is altered by patchy pericardial-epicardial adhesions. Methods In 8 open-chest pigs, the heart was exposed while preserving the pericardium. We experimentally simulated early pericardial constriction and patchy adhesions by instilling instant glue into the pericardial space and using pericardial-epicardial stitches. We studied left ventricular (LV function and characterized intraventricular blood flow with conventional and Doppler echocardiography at baseline and following the experimental intervention. Results Significant decreases in end-diastolic volume, ejection fraction, stroke volume, and late diastolic filling velocity reflected the effects of the pericardial adhesions. The mean VFT value decreased from 3.61 ± 0.47 to 2.26 ± 0.45 (P = 0.0002. Hemodynamic variables indicated the inhibiting effect of pericardial adhesion on both contraction (decrease in systolic blood pressure and +dP/dt decreased and relaxation (decrease in the magnitude of -dP/dt and prolongation of Tau function. Conclusion Patchy pericardial adhesions not only negatively impact LV mechanical functioning but the decrease of VFT from normal to suboptimal value suggests impairment of transmitral flow efficiency.

  15. Thyroid Function in Obese Children and Adolescents and Its Association with Anthropometric and Metabolic Parameters.

    Science.gov (United States)

    Rumińska, Małgorzata; Witkowska-Sędek, Ewelina; Majcher, Anna; Pyrżak, Beata

    2016-01-01

    Fat accumulation leads to dysfunction of hypothalamic-pituitary-thyroid axis and to changes in thyroid function. A higher serum level of thyroid stimulating hormone (TSH), with normal levels of thyroid hormones, suggesting subclinical hypothyroidism, is often found in obese individuals. The influence on lipid and glucose metabolism of thyroid dysfunction in obese patients remains unclear. This retrospective study encompassed 110 obese children and 38 healthy non-obese children aged 5-18. Anthropometric measurements, including bioelectrical impedance, were taken in all children. Fasting TSH, fT4, glucose, lipid profile, and a glucose tolerance test in case of the obese individuals, were evaluated. The obese children demonstrated a significantly higher mean concentration of TSH compared with their peers with proper body weight: 2.1 ± 1.0 μIU/ml vs. 1.5 ± 0.6 μIU/ml, p = 0.001. The fT4 was not different between the two groups. In the obese children, TSH correlated with body mass index (BMI) and waist circumference after controlling for age and gender. A multivariate regression analysis showed a relationship of TSH with total cholesterol, LDL cholesterol, triglycerides, and non-HDL after adjusting for BMI. None of these relationships were revealed for fT4. The level of TSH correlated with the degree of abdominal obesity. We conclude that the serum TSH concentration, even remaining within the norm, could adversely affect the lipid profile, irrespective of obesity.

  16. [Dynamics of functional parameters in different schemes for bronchial asthma therapy: results of the STRELA-ACT multicentre study].

    Science.gov (United States)

    Ogorodova, L M; Kulikov, E S; Deev, I A; Cherniak, B A; Fassakhov, R S

    2011-01-01

    Different strategies for disease control in real clinical practice are compared in terms of dynamics of functional parameters in patients with persistent bronchial asthma. This prospective multicentre surveillance study was carried out in 19 Russian clinics using the common protocol. The patients were divided in 3 groups in accordance with the changes of basal antiinflammatory therapy during the study period. Group A--stepwise increase in the extent of combined salmoterol/fluticason therapy, group B--long-term stable-dose salmoterol/fluticason therapy, group C--salmoterol/fluticason therapy with gradual decrease of the dose and/or transition to an alternative variant. Statistical analysis using Statistica 6.0 program included data from 543 patients. The results suggest that the two first modalities increased the level of control (ACT test) and improved characteristics of external respiration throughout the study period. Strategy 3 was associated with a decrease in the external respiration function and the level of control.

  17. The effect of choral music on emotions, immune parameters and lung function during physiotherapy treatment of pneumonia and bronchitis

    Directory of Open Access Journals (Sweden)

    F. H. Le Roux

    2007-02-01

    Full Text Available Introduction: Music, processed by the brain, has a strong impacton the emotions and health.  The Magnificat in D major of JS Bach communicates not only a positive emotion of happiness but also motivational behaviour. Infectious lung conditions are often associated with negative emotions which develop due to physiological changes. The hormonal action of the hypothalamuspituitary-adrenal axes (HPA could be negatively affected by emotions of anger and depression.  This will result in a disturbance of the mind-body inter-action.  Music therefore can exert a powerful influence on therapeutic benefits by changing the psychological status and the immune endocrine functions. The purpose of this study was to determine the effect of music, during respiratory physiotherapy treatment on a theemotional status, b neuroendocrine responses, c immune functions and d lung functions of subjects with infected lung conditions.Method and Materials: Forty subjects attending physiotherapy treatment was selected according to set criteria and randomly assigned to an experimental and control group. The parameters (Profile Of Mood State [POMS]; CD4:CD8 cell ratios; Cortisol; the Cortisol: DHEA ratio; PF; FEV1; FVC and FEV1/FVC % were measured on day 1before the treatment and on day 3 after the treatment.  Data were analysed with Statistica (Statsoft using the RepeatedANOVA tests. Results: Results indicated that the intervention of music had a positive effect on the immunological parameter (CD4+:CD8+ cell ratios and on the cortisol and cortisol:DHEA ratio levels.  At the same time the psychological  status as measured by Profile of Mood States (POMS scale improved with a significant improvement in the lung functions.Conclusion: The research provided sufficient scientific evidence that music affects both the biomedical and psycho-somatic aspects of infectious lung conditions.

  18. Combined Computational Approach Based on Density Functional Theory and Artificial Neural Networks for Predicting The Solubility Parameters of Fullerenes.

    Science.gov (United States)

    Perea, J Darío; Langner, Stefan; Salvador, Michael; Kontos, Janos; Jarvas, Gabor; Winkler, Florian; Machui, Florian; Görling, Andreas; Dallos, Andras; Ameri, Tayebeh; Brabec, Christoph J

    2016-05-19

    The solubility of organic semiconductors in environmentally benign solvents is an important prerequisite for the widespread adoption of organic electronic appliances. Solubility can be determined by considering the cohesive forces in a liquid via Hansen solubility parameters (HSP). We report a numerical approach to determine the HSP of fullerenes using a mathematical tool based on artificial neural networks (ANN). ANN transforms the molecular surface charge density distribution (σ-profile) as determined by density functional theory (DFT) calculations within the framework of a continuum solvation model into solubility parameters. We validate our model with experimentally determined HSP of the fullerenes C60, PC61BM, bisPC61BM, ICMA, ICBA, and PC71BM and through comparison with previously reported molecular dynamics calculations. Most excitingly, the ANN is able to correctly predict the dispersive contributions to the solubility parameters of the fullerenes although no explicit information on the van der Waals forces is present in the σ-profile. The presented theoretical DFT calculation in combination with the ANN mathematical tool can be easily extended to other π-conjugated, electronic material classes and offers a fast and reliable toolbox for future pathways that may include the design of green ink formulations for solution-processed optoelectronic devices.

  19. The Impact of Endurance Training on Functional Parameters During the Preparation Phase among Cross-Country Skiers

    Directory of Open Access Journals (Sweden)

    Žiška Peter

    2016-05-01

    Full Text Available In the study, we have tried to demonstrate the effect of endurance training on changes in functional parameters during the preparation phase (12-week mesocycle among cross-country skiers. The group consisted of 10 male cross-country skiers (age: 21.4 ±5 year who completed control (1st 6 week mesocycle and experimental period (2nd 6 week mesocycle.We focused on the following time-varying parameters: changes in maximal oxygen uptake (VO2max, the level of aerobic (AeT and anaerobic thresholds (AT, maximum heart rate (HRmax and performance on the running treadmill. The intra-individual monitoring of each athlete revealed statistical significance of VO2max (mid_VO2max = 69.48 ± 5.72 l.kg-1.min-1, post_ VO2max = 70.96 ± 5.67 ml.kg-1.min-1; p≤0.05 and the level of AT (mid_AT = 86.2 ± 5.43 %, post_AT = 87.8 ± 5.59 %; p≤0.01 the performance on the running treadmill (mid_t = 14:54 ± 1:43 min., post_t = 15:30 ± 1:50 min.; p≤0.05.The significant changes were recorded in the AeT(pre_AeT = 70.3 ± 7.56 %, mid_AeT = 72.5 ± 7.59 %; p≤0.05 in theHRmax(pre_HRmax = 190 ± 8.04 bpm, mid_HRmax = 189 bpm, post_HRmax = 188 ± 7.34 bpm; p = n.s. during control period. We assume that the significant differences occurred as a result of adaptation changes due to training stimuli, which were induced by changes in functional parameters. Increased training volume in zone lower level of oxygen regime (A1, upper level of oxygen regime (A2 and upper level of lactate tolerance(T2 during experimental period elicited changes which reflected the increase functional parameters and performance on the running treadmill compared to that of control period.

  20. Is the center of mass (COM) a reliable parameter for the localization of brain function in fMRI?

    Science.gov (United States)

    Fesl, G; Braun, B; Rau, S; Wiesmann, M; Ruge, M; Bruhns, P; Linn, J; Stephan, T; Ilmberger, J; Tonn, J-C; Brückmann, H

    2008-05-01

    The center of mass (COM) in functional MRI studies is defined as the center of a cerebral activation cluster. Although the COM is a well-accepted parameter for exactly localizing brain function, the reliability of COMs has not received much attention until now. Our goal was to investigate COM reliability as a function of the thresholding technique, the threshold level, and the type of COM calculation. Therefore 15 subjects were examined repeatedly using simple hand and tongue movement paradigms. Postprocessing was performed with uncorrected, corrected, and proportional thresholding as well as different threshold levels. Geometric and T-weighted COMs of left-hemispheric primary hand and tongue motor clusters were calculated. The COM variation was evaluated within and between repeated sessions depending on the different postprocessing setups. Mean COM variations over three repeated sessions varied between 1.6 mm and 9.8 mm for the hand paradigm and between 7.0 mm and 14.4 mm for the tongue task. Stringent thresholding techniques and high threshold levels were required to assess reliable results, whereas the kind of COM calculation was of lesser relevance. Thus, COM reliability cannot be presupposed; it depends strongly on the individual postprocessing techniques. This should be considered when using COMs for localizing brain function.

  1. Establishment of an animal model of non-transthoracic cardiopulmonary bypass in rats

    Institute of Scientific and Technical Information of China (English)

    SHANG Hong-wei; XIAO Ying-bin; LIU Mei; CHEN Lin

    2005-01-01

    Objective: To establish an animal model of non-transthoracic cardiopulmonary bypass (CPB) in rats. Methods: Ten adult male Sprague-Dawlay rats, weighing 350-500 g, were used in this study. CPB was established in these animals through cannulating the left carotid and right jugular vein for arterial perfusion and venous return. The components of perfusion circuit, especially the miniature oxygenator and cannula, were specially designed and improved. The mean arterial pressure was measured with a blood pressure meter through cannulating the left femoral artery. The hemodynamic and blood gas parameters were also monitored. Results: The rat model of non-transthoracic CPB was established successfully. The hemodynamical parameters were changed within an acceptable region during CPB. The miniature oxygenator was sufficient to meet the standard of satisfactory CPB.Conclusions: The rat model of non-transthoracic CPB established through the carotid and jugular cannulation is feasible, easily operated, safe, reliable, and economic. It is an ideal model for the pathophysiological research of CPB.

  2. Cardiopulmonary malformations in the inv/inv mouse.

    Science.gov (United States)

    McQuinn, T C; Miga, D E; Mjaatvedt, C H; Phelps, A L; Wessels, A

    2001-05-01

    The inv/inv mouse carries an insertional mutation in the inversin gene, (inv, for inversion of embryonic turning). Previously it had been reported that almost 100% of the homozygous offspring (inv/inv) were characterized by situs inversus totalis. In this report we identify the spectrum of cardiopulmonary anatomical abnormalities in inv/inv mice surviving to birth to determine whether the abnormalities seen are of the categories classically associated with human situs abnormalities. Stillborn mice, offspring that died unexpectedly (within 48 hr after birth), and neonates with phenotypic characteristics of situs inversus (right-sided stomachs, growth failure or jaundice) were processed for standard histological examination. Of 173 offspring, 34 (20%) neonates (11 stillborn, 9 unexpected deaths, and 14 mice with situs inversus phenotype) were examined, 27 of which were genotyped to be inv/inv. Interestingly, three inv/inv mice (11%) were found to have situs solitus. Twenty-four had situs inversus with normal, mirror-image cardiac anatomy (dextrocardia with atrioventricular concordance, ventriculoarterial concordance and a right aortic arch). The overall incidence of cardiovascular anomalies observed was 10 out of 27 (37%). The most frequent severe malformation, identified in 3 out of 27 animals, was a complex consisting of pulmonary infundibular stenosis/atresia with absence of pulmonary valve tissue and a ventricular septal defect. The pulmonary phenotype in inv/inv mice was situs inversus with occasional minor lobar abnormalities. We conclude that 1) cardiopulmonary malformations in inv/inv mice are not rare (37%), 2) the cardiopulmonary malformations observed in inv/inv specimens are not of the spectrum typically associated with human heterotaxia. In particular, inv/inv mice have a propensity for defects in the development of the right ventricular outflow tract and the interventricular septum, and 3) approximately one out of ten inv/inv mice is born with situs

  3. Pre- and postconditioning effect of Sevoflurane on myocardial dysfunction after cardiopulmonary resuscitation in rats.

    Science.gov (United States)

    Knapp, Jürgen; Bergmann, Greta; Bruckner, Thomas; Russ, Nicolai; Böttiger, Bernd W; Popp, Erik

    2013-10-01

    Post-resuscitation myocardial dysfunction is an important cause of death in the intensive care unit after initially successful cardiopulmonary resuscitation (CPR) of pre-hospital cardiac arrest (CA) patients. Volatile anaesthetics reduce ischaemic-reperfusion injury in regional ischaemia in beating hearts. This effect, called anaesthetic-induced pre- or postconditioning, can be shown when the volatile anaesthetic is given either before regional ischaemia or in the reperfusion phase. However, up to now, little data exist for volatile anaesthetics after global ischaemia due to CA. Therefore, the goal of this study was to clarify whether Sevoflurane improves post-resuscitation myocardial dysfunction after CA in rats. Following institutional approval by the Governmental Animal Care Committee, 144 male Wistar rats (341±19g) were randomized either to a control group or to one of the 9 interventional groups receiving 0.25 MAC, 0.5 MAC or 1 MAC of Sevoflurane for 5min either before resuscitation (SBR), during resuscitation (SDR) or after resuscitation (SAR). After 6min of electrically induced ventricular fibrillation CPR was performed. Before CA (baseline) as well as 1h and 24h after restoration of spontaneous circulation (ROSC), continuous measurement of ejection fraction (EF), and preload adjusted maximum power (PAMP) as primary outcome parameters and end systolic pressure (ESP), end diastolic volume (EDV) and maximal slope of systolic pressure increment (dP/dtmax) as secondary outcome parameters was performed using a conductance catheter. EF was improved in all Sevoflurane treated groups 1h after ROSC in comparison to control, except for the 0.25 MAC SDR and 0.25 MAC SAR group (0.25 MAC SBR: 38±8, p=0.02; 0.5 MAC SBR: 39±7, p=0.04; 1 MAC SBR: 40±6, p=0.007; 0.5 MAC SDR: 38±7, p=0.02; 1 MAC SDR: 40±6, p=0.006; 0.5 MAC SAR: 39±6, p=0.01; 1 MAC SAR: 39±6, p=0.002, vs. 30±7%). Twenty-four hours after ROSC, EF was higher than control in all interventional groups

  4. Cardioprotection of Electroacupuncture for Enhanced Recovery after Surgery on Patients Undergoing Heart Valve Replacement with Cardiopulmonary Bypass: A Randomized Control Clinical Trial

    Directory of Open Access Journals (Sweden)

    Fangxiang Zhang

    2017-01-01

    Full Text Available We attempted to investigate cardioprotection of electroacupuncture (EA for enhanced recovery after surgery on patients undergoing heart valve replacement with cardiopulmonary bypass. Forty-four patients with acquired heart valve replacement were randomly allocated to the EA group or the control group. Patients in the EA group received EA stimulus at bilateral Neiguan (PC6, Ximen (PC4, Shenting (GV24, and Baihui (GV20 acupoints twenty minutes before anesthesia induction to the end of surgery. The primary end point was cardioprotection effect of electroacupuncture postoperatively and the secondary endpoints were quality of recovery and cognitive functioning postoperatively. The present study demonstrated that electroacupuncture reduced the occurrence of complications and played a role of cardioprotective effect on patients after heart valve replacement surgery with cardiopulmonary bypass, and it benefits patients more comfortable and contributes to recovery after surgery. This trial is registered with ChiCTR-IOC-16009123.

  5. Association of cardiopulmonary health effects with source-appointed ambient fine particulate in Beijing, China: a combined analysis from the Healthy Volunteer Natural Relocation (HVNR) study.

    Science.gov (United States)

    Wu, Shaowei; Deng, Furong; Wei, Hongying; Huang, Jing; Wang, Xin; Hao, Yu; Zheng, Chanjuan; Qin, Yu; Lv, Haibo; Shima, Masayuki; Guo, Xinbiao

    2014-03-18

    Previous studies have associated ambient particulate chemical constituents with adverse cardiopulmonary health effects. However, specific pollution sources behind the cardiopulmonary health effects of ambient particles are uncertain. We examined the cardiopulmonary health effects of fine particles (PM2.5) from different pollution sources in Beijing, China, among a panel of 40 healthy university students. Study subjects were repeatedly examined for a series of cardiopulmonary health indicators during three 2-month-long study periods (suburban period, urban period 1, and urban period 2) in 2010-2011 before and after relocating from a suburban campus to an urban campus with changing air pollution levels and contents. Daily ambient PM2.5 mass samples were collected over the study and measured for 29 chemical constituents in the laboratory. Source appointment for ambient PM2.5 was performed using Positive Matrix Factorization, and mixed-effects models were used to estimate the cardiopulmonary effects associated with source-specific PM2.5 concentrations. Seven PM2.5 sources were identified as traffic emissions (12.0%), coal combustion (22.0%), secondary sulfate/nitrate (30.2%), metallurgical emission (0.4%), dust/soil (12.4%), industry (6.9%), and secondary organic aerosol (9.9%). Ambient PM2.5 in the suburban campus had larger contributions from secondary sulfate/nitrate (41.8% vs. 22.9%-26.0%) and metallurgical emission (0.7% vs. 0.3%) as compared to that in the urban campus), whereas PM2.5 in the urban campus had larger contributions from traffic emissions (13.0%-16.3% vs. 5.1%), coal combustion (21.0%-30.7% vs. 10.7%), and secondary organic aerosol (9.7%-12.0% vs. 8.7%) as compared to that in the suburban campus. Potential key sources were identified for PM2.5 effects on inflammatory biomarkers (secondary sulfate/nitrate and dust/soil), blood pressure (coal combustion and metallurgical emission), and pulmonary function (dust/soil and industry). Analyses using another

  6. Cardiopulmonary resuscitation in the elderly: a clinical and ethical perspective

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The daily practice of cardiopulmonary resuscitation (CPR) in elderly patients has brought up the attention of outcome research and resource allocation. Determinants to predict survival have been well identified. There has been empirical evidence that CPR is of doubtful utility in the geriatric population, more studies have showed controversial data. Sometimes situations in which CPR needs to be given in the elderly, causes stress to healthcare providers, due to lack of communication of the patient's wishes and the belief that it will not be successful. It is of importance to state that we have the duty to identify on time the patients that will most likely benefit from CPR, and find out the preferences of the same. Whenever it is possible to institute these guidelines, we will avoid patient suffering.

  7. The advance of platelet preservation during cardiopulmonary bypass%围体外循环期血小板保护的研究进展

    Institute of Scientific and Technical Information of China (English)

    魏海燕; 史宏伟; 张媛

    2011-01-01

    Platelets can release α -granules when activated by various kinds of factors and then proceed to adhension, aggregation, contraction and releasing. Therefore, the quantities and qualities of platelets are decreased after cardiac operation. The function of platelets can be protected by some drugs used during cardiopulmonary bypass. Plateletphoresis can preserve the quantities and function of platelets by making some platelets avoid cardiopulmonary bypass. This review addresses the advance of platelet preservation during cardiopulmonary bypass.%在体外循环过程中,血小板可经各种途径被激活,导致α-颗粒释放,发生粘附、聚集、收缩、释放等反应,导致术后血小板数量和质量的下降.通过在围体外循环期使用某些药物可对血小板进行功能性保护,而血小板分离技术可使血小板避免体外循环的打击,得到数量和功能的双重保护.本文将就体外循环期间血小板保护的研究进展作一综速.

  8. Clinical evaluation of the Spiral Pump® after improvements to the original project in patients submitted to cardiac surgeries with cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Jarbas Jakson Dinkhuysen

    2014-09-01

    Full Text Available Objective: The objective of this paper is to present the results from Spiral Pump clinical trial after design modifications performed at its previous project. This pump applies axial end centrifugal hydraulic effects for blood pumping during cardiopulmonary bypass for patients under cardiac surgery. Methods: This study was performed in 52 patients (51% males, between 20 to 80 (67±14.4 years old weighing 53 to 102 (71.7±12.6 kg, mostly under myocardial revascularization surgery (34.6% and valvular surgery (32.8%. Besides the routine evaluation of the data observed in these cases, we monitored pump rotational speed, blood flow, cardiopulmonary bypass duration, urine free hemoglobin for blood cell trauma analysis (+ to 4+, lactate desidrogenase (UI/L, fibrinogen level (mg/dL and platelet count (nº/mm3. Results: Besides maintaining appropriate blood pressure and metabolic parameters it was also observed that the Free Hemoglobin levels remained normal, with a slight increase after 90 minutes of cardiopulmonary bypass. The Lactate Dehydrogenase showed an increase, with medians varying between 550-770 IU/L, whereas the decrease in Fibrinogen showed medians of 130-100 mg/dl. The number of platelets showed a slight decrease with the medians ranging from 240,000 to 200,000/mm3. No difficulty was observed during perfusion terminations, nor were there any immediate deaths, and all patients except one, were discharged in good condition. CONCLUSION: The Spiral Pump, as blood propeller during cardiopulmonary bypass, demonstrated to be reliable and safe, comprising in a good option as original and national product for this kind of application.

  9. Forecasting Constraints on the Evolution of the Hubble Parameter and the Growth Function by Future Weak Lensing Surveys

    CERN Document Server

    Vollmer, Adrian

    2011-01-01

    The cosmological information encapsulated within a weak lensing signal can be accessed via the power spectrum of the so called convergence. We use the Fisher information matrix formalism with the convergence power spectrum as the observable to predict how future weak lensing surveys will constrain the expansion rate and the growth function as functions of redshift without using any specific model to parameterize these two quantities. To do this, we divide redshift space into bins and linearly interpolate the functions with the centers of the redshift bins as sampling points, using a fiducial set of parameters. At the same time, we use these redshift bins for power spectrum tomography, where we analyze not only the power spectrum in each bin but also their cross-correlation in order to maximize the extracted information. We find that a small number of bins with the given photometric redshift mea- surement precision is sufficient to access most of the information content and that the projected constraints are c...

  10. Lesion flow coefficient: a combined anatomical and functional parameter for detection of coronary artery disease--a clinical study.

    Science.gov (United States)

    Peelukhana, Srikara V; Effat, Mohamed; Kolli, Kranthi K; Arif, Imran; Helmy, Tarek; Leesar, Massoud; Kerr, Hanan; Back, Lloyd H; Banerjee, Rupak

    2015-01-01

    Invasive diagnosis of coronary artery disease utilizes either anatomical or functional measurements. In this study, we tested a futuristic parameter, lesion flow coefficient (LFC, defined as the ratio of percent coronary area stenosis (%AS) to the square root of the ratio of the pressure drop across the stenosis to the dynamic pressure in the throat region), that combines both the anatomical (%AS) and functional measurements (pressure and flow) for application in a clinical setting. In 51 vessels, simultaneous pressure and flow readings were obtained using a 0.014" Combowire (Volcano Corporation). Anatomical details were assessed using quantitative coronary angiography (QCA). Fractional flow reserve (FFR), coronary flow reserve (CFR), hyperemic stenosis resistance index (HSR), and hyperemic microvascular index (HMR) were obtained at baseline and adenosine-induced hyperemia. QCA data were corrected for the presence of guidewire and then the LFC values were calculated. LFC was correlated with FFR, CFR, HSR, and HMR, individually and in combination with %AS, under both baseline and hyperemic conditions. Further, in 5 vessels, LFC group mean values were compared between pre-PCI and post-PCI groups. Panatomically measured %AS were combined (r = 0.64; Panatomical and functional endpoints, has potential for application in a clinical setting for stenosis evaluation, under both hyperemic and baseline conditions.

  11. Electroencephalography during surgery with cardiopulmonary bypass and hypothermia.

    Science.gov (United States)

    Bashein, G; Nessly, M L; Bledsoe, S W; Townes, B D; Davis, K B; Coppel, D B; Hornbein, T F

    1992-06-01

    After more than 30 yr of use, electroencephalographic (EEG) monitoring during cardiopulmonary bypass has not gained wide clinical acceptance. To assess its utility to predict central nervous system injury, two-channel recordings were made from 78 patients undergoing cardiopulmonary bypass and anesthetized with fentanyl/diazepam/enflurane. The perfusion regimen included the use of high pump flow, a bubble oxygenator, and no arterial tubing filter. Target values were 28-32 degrees C for the minimum rectal temperature, 60-80 mmHg for mean arterial pressure, and 20-25% for hematocrit. Eight descriptors of the Fourier power spectra of the EEG were calculated off-line, and outcome comparisons were made with the results from neuropsychological tests. Among 58 patients yielding complete data of acceptable quality, a statistically significant reduction in total power was observed from prebypass to postbypass, accompanied by an increase in the fractional power in the theta and beta frequency bands and in the spectral edge frequency. The shifts in total and theta power were weakly associated with short-term but not with long-term changes in neuropsychological scores. Nearly 40% of the patients' EEGs were corrupted with electrical noise at some time during bypass. In 15 patients selected for having high-quality recordings and no neuropsychological deficit, an extensive statistical analysis failed to reveal any consistent variation in the EEG descriptors with hypothermia. Under the conditions studied, it appears that for other than gross signal dropout, the strong background variability in the EEG makes it have little value for detecting harbingers of brain injury.

  12. Antioxidative effect of propofol during cardiopulmonary bypass in adults

    Institute of Scientific and Technical Information of China (English)

    Shi-hai ZHANG; Shou-yong WANG; Shang-long YAO

    2004-01-01

    AIM: To investigate the antioxidative potential of propofol (an intravenous anesthetic with a chemical structure similar to phenol-based free radical scavengers such as vitamin E) during cardiopulmonary bypass (CPB). METHODS:Thirty adult patients referred for elective cardiac procedure with CPB were included and randomly allocated to a nously for anesthesia maintenance, whereas those allocated to the control group received fentanyl 10 μg/kg intravenously and inhaled enflurane (1%-1.5 %). Blood samples were collected at 7 time points: before the start of CPB,at 30 and 60 min of CPB, at the conclusion of CPB, 10 min after the administration of protamine, and 12 and 24 h after the cessation of CPB. Plasma levels of free F2-isoprostanes (sensitive markers of free radicals production)and complement C5a were determined by mass-spectrometric assay and enzyme immunoassay, respectively. Neutrophil adhesion to endothelial cells was observed at x200 magnification under a light microscope. RESULTS:Levels of F2-isoprostanes, complement C5a and neutrophil adhesion rate increased significantly during and after CPB in both groups. There were significantly higher levels of F2-isoprostanes, C5a, and more neutrophils adhering to endothelial cells in the control group than those in the propofol group, respectively. CONCLUSION: Cardiopulmonary bypass is associated with a great production of damaging free radicals. Propofol may be beneficial both as an anesthetic and as a potent free radical scavenger in patients presenting pathologies associated with free radical reactions during CPB.

  13. Coronary blood flow during cardiopulmonary resuscitation in swine

    Energy Technology Data Exchange (ETDEWEB)

    Bellamy, R.F.; DeGuzman, L.R.; Pedersen, D.C.

    1984-01-01

    Recent papers have raised doubt as to the magnitude of coronary blood flow during closed-chest cardiopulmonary resuscitation. We will describe experiments that concern the methods of coronary flow measurement during cardiopulmonary resuscitation. Nine anesthetized swine were instrumented to allow simultaneous measurements of coronary blood flow by both electromagnetic cuff flow probes and by the radiomicrosphere technique. Cardiac arrest was caused by electrical fibrillation and closed-chest massage was performed by a Thumper (Dixie Medical Inc., Houston). The chest was compressed transversely at a rate of 66 strokes/min. Compression occupied one-half of the massage cycle. Three different Thumper piston strokes were studied: 1.5, 2, and 2.5 inches. Mean aortic pressure and total systemic blood flow measured by the radiomicrosphere technique increased as Thumper piston stroke was lengthened (mean +/- SD): 1.5 inch stroke, 23 +/- 4 mm Hg, 525 +/- 195 ml/min; 2 inch stroke, 33 +/- 5 mm Hg, 692 +/- 202 ml/min; 2.5 inch stroke, 40 +/- 6 mm Hg, 817 +/- 321 ml/min. Both methods of coronary flow measurement (electromagnetic (EMF) and radiomicrosphere (RMS)) gave similar results in technically successful preparations (data expressed as percent prearrest flow mean +/- 1 SD): 1.5 inch stroke, EMF 12 +/- 5%, RMS 16 +/- 5%; 2 inch stroke, EMF 30 +/- 6%, RMS 26 +/- 11%; 2.5 inch stroke, EMF 50 +/- 12%, RMS 40 +/- 20%. The phasic coronary flow signal during closed-chest compression indicated that all perfusion occurred during the relaxation phase of the massage cycle. We concluded that coronary blood flow is demonstrable during closed-chest massage, but that the magnitude is unlikely to be more than a fraction of normal.

  14. Optimal stimulation parameters for Renzhong (DU 26) electro-acupuncture for improving motor function in a rat model of middle cerebral artery occlusion

    Institute of Scientific and Technical Information of China (English)

    Lin Han; Shu Wang; Jinquan Ma; Wenping Yao; Yan Shen; Xuemin Shi

    2011-01-01

    The selection of electro-acupuncture parameters remains poorly unified between clinical studies. The present study observed the effects of electro-acupuncturing Renzhong (DU 26) with different stimulation parameters on motor function recovery following middle artery occlusion injury in rats. Results showed an optimal stimulation parameter for Renzhong electro-acupuncture that was low frequency and mild current (2 Hz, 1 mA) significantly improved cortical excitability and conductive function, and promoted recovery in a rat model of motor function in middle artery occlusion. Frequency had a greater impact than current or interaction, and played a critical role in electro-acupuncture therapy.

  15. Clinical Study of Cardiopulmonary Exercise Testing in the Evaluation of the Changes of Holistic Function of Patients With Esophagus Cancer After Chemotherapy%心肺运动试验评价食管癌患者化疗后整体功能变化的临床研究

    Institute of Scientific and Technical Information of China (English)

    孙兴国; Curtis Hightower; 刘方; William W. Stringer; 葛万刚

    2016-01-01

    Background Chemotherapy has a serious damage on the holistic function of human body,while there is a lack of reliable methods for the objective and quantitative assessment of the changes of holistic function of patients after chemotherapy. Objective To investigate the role of cardiopulmonary exercise testing(CPET)in the evaluation of the changes of holistic function of patients with esophagus cancer after chemotherapy. Methods From 2006 to 2007,we enrolled 6 Caucasian male patients with esophagus cancer who underwent preoperative chemotherapy in MD Anderson Cancer Center of University of Texas and conducted CPET examinations on them before and after chemotherapy. According to standard continuously increasing power scheme of UCLA Medical Center,we completed symptom - limited extreme sports and calculated the core indexes by standardized data analysis. The circulation indexes and respiration indexes in a quiescent state,a warm - up state,an anaerobic threshold(AT)state and an extreme state were derived by system software. Results Of the 6 esophagus cancer patients,only one patient had increase in AT and the rest patients all saw decrease in peak VO2 ,AT,peak oxygen pulse,oxygen uptake efficiency plateau,peak load power and increasing power movement time after chemotherapy;only one patient had decrease in the slope of ventilatory equivalent for carbon dioxide and the rest patients all had increase in the slope of ventilatory equivalent for carbon dioxide and the minimum ventilatory equivalent for carbon dioxide. The AT(L/ min,ml·min - 1 ·kg - 1 ,% pred),slope of ventilatory equivalent for carbon dioxide(slope,% pred),and increasing power movement time(min)after chemotherapy of the patients were not significantly different from those before chemotherapy(P > 0. 05);the peak VO2 (L/ min,ml·min - 1 · kg - 1 ,% pred),peak oxygen pulse(ml/ time,% pred),oxygen uptake efficiency plateau(ratio,% pred),and peak load power (W)were lower than those before chemotherapy

  16. The change and significance of platelet parameters and blood coagulation function index in patients with hypertensive disorder complicating pregnancy

    Institute of Scientific and Technical Information of China (English)

    Yu-Xia Shi; Yi-Xin Yang; Qian Xu; Yanhua Zhu

    2015-01-01

    Objective:To explore the change and significance of platelet parameters and blood coagulation function index in patients with hypertensive disorder complicating pregnancy.Methods: Chose 89 patients with HDCP, they were set as HDCP group, chose another 60 cases health late pregnancy women and 42 cases non pregnant female, they were set as late pregnant group and non-pregnant control group, detected the platelet parameters: the average blood platelet count (PLT), platelet volume (MPV), platelet distribution width (PDW) and blood coagulation indexes, plasma prothrombin time (PT), thrombin time (TT), fibrinogen (FIB), D-dimer (D-D), activated partial blood coagulation time (APTT) live enzymes in three groups.Results: (1) Compared with the non-pregnant group and late pregnant group, PLT was significantly lower, while the MPV and PDW were significantly higher in HDCP group; PLT in late pregnant group was significantly lower than that in non-pregnant group, and there were no significantly difference of MPV and PDW in the two groups; (2) Compared with the non-pregnant group and late pregnant group, PT and APTT levels were significantly lower, while FIB and D-D were significantly higher in HDCP group; The level of PT and APTT in late pregnant group were significantly lower, and FIB and D-D levels were significantly higher than that in non-pregnant group, However, The level of TT were no statistical significance difference among the three groups.Conclusion: HDCP existence phenomenon of platelet activation and apparent high coagulation state, dynamic detection of HDCP patients platelet parameters and blood coagulation indexes to prevent related complications, improve obstetrics safety is of great significance.

  17. Twin screw extrusion of kodo millet-chickpea blend: process parameter optimization, physico-chemical and functional properties.

    Science.gov (United States)

    Geetha, R; Mishra, H N; Srivastav, P P

    2014-11-01

    Kodo millet-chickpea flour blend (70:30) was explored for development of directly expanded snack by twin-screw extrusion. Effect of process parameters like temperature (80-150 °C), screw speed (250-300 rpm) and feeder speed (15-30 rpm) on physical properties (expansion ratio, bulk density, hardness, crispiness) of extrudates were investigated and optimized using response surface methodology. Desirable crispy extrudates were obtained at higher screw speed 293 rpm, lower feeder speed 19 rpm, and medium to high temperature of 123 °C. Effect of extreme and intermediate process conditions on functional, proximate quality and colour of the extrudates were also evaluated.

  18. A density functional theory study on parameters fitting of ultra long armchair (n,n)single walled boron nitride nanotubes

    Institute of Scientific and Technical Information of China (English)

    Wang Yan-Li; Zhang Jun-Ping; Su Ke-He; Wang Xin; Liu Yan; Sun Xu

    2012-01-01

    Armchair (n,n) single walled boron nitride nanotubes with n=2-17 are studied by the density functional theory at the B3LYP/3-21G(d) level combined with the periodic boundary conditions for simulating the ultra long model.The results show that the structure parameters and the formation energies bear a strong relationship to n.The fitted analytical equations are developed with correlation coefficients larger than 0.999.The energy gaps of (2,2) and (3,3)tubes are indirect gaps,and the larger tubes (n=4-17) have direct energy gaps.Results show that the armchair boron nitride nanotubes (n=2-17) are insulators with wide energy gaps of between 5.93 eV and 6.23 eV.

  19. Measurement of physical parameters with a weight function method and its application to the Higgs boson mass reconstruction

    CERN Document Server

    Kawabata, S; Sumino, Y; Yokoya, H

    2013-01-01

    We propose a new method to measure various physical parameters, using characteristic weight functions. This method needs only lepton energy distribution and ideally does not depend on the velocity of the parent particle. We demonstrate an application of this method by simulating a reconstruction of the Higgs boson mass in the H-> WW -> lnu lnu decay mode at the LHC. We show that systematic errors are suppressed compared to statistical errors. In the vector boson fusion channel, the statistical accuracy of the mass determination is estimated to be +12% and -14% at an integrated luminosity of 100fb^{-1}, assuming the Higgs mass to be 125GeV and root{s}=14TeV.

  20. Complete switched modified function projective synchronization of a five-term chaotic system with uncertain parameters and disturbances

    Indian Academy of Sciences (India)

    Fei Yu; Chunhua Wang; Qiuzhen Wan; Yan Hu

    2013-02-01

    A five-term three-dimensional (3D) autonomous chaotic system with an exponential nonlinear term is reported in this paper. Basic dynamical behaviours of the chaotic system are further investigated. Then a new synchronization phenomenon, complete switched modified function projective synchronization (CSMFPS), for this novel five-term chaotic system with uncertain parameters and disturbances is investigated. This paper extends previous work, where CSMFPS of chaotic systems means that all the state variables of the drive system synchronize with different state variables of the response system. As the synchronization scheme has many combined forms, it is a promising type of synchronization and can provide greater security in secure communication. Based on Lyapunov stability theory, a robust adaptive controller is contrived to acquire CSMFPS, parameter identification and suppress disturbances simultaneously. Finally, the Lorenz system and the new five-term chaotic system are taken as examples and the corresponding numerical simulations are presented to verify the effectiveness and feasibility of the proposed control scheme.

  1. Comparison Between Radial Basis Function Neural Network and Regression Model for Estimation of Rice Biophysical Parameters Using Remote Sensing

    Institute of Scientific and Technical Information of China (English)

    YANG Xiao-Hua; WANG Fu-Min; HUANG Jing-Feng; WANG Jian-Wen; WANG Ren-Chao; SHEN Zhang-Quan; WANG Xiu-Zhen

    2009-01-01

    The radial basis function (RBF) emerged as a variant of artificial neural network.Generalized regression neural network (GRNN) is one type of RBF,and its principal advantages are that it can quickly learn and rapidly converge to the optimal regression surface with large number of data sets.Hyperspectral reflectance (350 to 2 500 nm) data were recorded at two different rice sites in two experiment fields with two cultivars,three nitrogen treatments and one plant density (45 plants m-2).Stepwise multivariable regression model (SMR) and RBF were used to compare their predictability for the leaf area index (LAI) and green leaf chlorophyll density (GLCD) of rice based on reflectance (R) and its three different transformations,the first derivative reflectance (D1),the second derivative reflectance (D2) and the log-transformed reflectance (LOG).GRNN based on D1 was the best model for the prediction of rice LAI and GLCD.The relationships between different transformations of reflectance and rice parameters could be further improved when RBF was employed.Owing to its strong capacity for nonlinear mapping and good robustness,GRNN could maximize the sensitivity to chlorophyll content using D1.It is concluded that RBF may provide a useful exploratory and predictive tool for the estimation of rice biophysical parameters.

  2. Prognosis of hospital survivors after salvage from cardiopulmonary bypass with centrifugal cardiac assist.

    Science.gov (United States)

    Curtis, J J; Walls, J T; Schmaltz, R A; Boley, T; Landreneau, R; Nawarawong, W

    1990-01-01

    Since October 1986, 6 hospital survivors who were salvaged from cardiopulmonary bypass (CPB) with the Sarns centrifugal pump were observed. Centrifugal assist was employed only after failure to wean with usual resuscitative measures, including multiple high dose inotropes and intraaortic balloon pumping. There were five men and one woman, 46-59 years of age (mean 61 years). All patients had undergone coronary artery bypass grafting, with two patients having had concomitant left ventricular aneurysmectomy and two aortic valve replacement. Five patients had left ventricular assist only and one had biventricular assist. Duration of assist ranged from 26 to 72 hr (mean 48 hr). Complications were ubiquitous, and the resultant prolonged hospitalization was resource intensive. All hospital survivors remain alive and are in New York Heart Association functional Class II, with an average follow-up of 24 months, (6-41 months). Compared with preoperative values, current left ventricular function is improved in 2 patients, has deteriorated in 3, and is unchanged in 1. Thus, the Sarns centrifugal pump will allow salvage of some patients who otherwise are not weanable from CPB. Survivors can expect a reasonable functional capacity as reflected by this experience.

  3. Assessment of cardiac autonomic functions by heart rate recovery, heart rate variability and QT dynamicity parameters in patients with acromegaly.

    Science.gov (United States)

    Dural, Muhammet; Kabakcı, Giray; Cınar, Neşe; Erbaş, Tomris; Canpolat, Uğur; Gürses, Kadri Murat; Tokgözoğlu, Lale; Oto, Ali; Kaya, Ergün Barış; Yorgun, Hikmet; Sahiner, Levent; Dağdelen, Selçuk; Aytemir, Kudret

    2014-04-01

    Cardiovascular complications are the most common causes of morbidity and mortality in acromegaly. However, there is little data regarding cardiac autonomic functions in these patients. Herein, we aimed to investigate several parameters of cardiac autonomic functions in patients with acromegaly compared to healthy subjects. We enrolled 20 newly diagnosed acromegalic patients (55% female, age:45.7 ± 12.6 years) and 32 age- and gender-matched healthy subjects. All participants underwent 24 h Holter recording. Heart rate recovery (HRR) indices were calculated by subtracting 1st, 2nd and 3rd minute heart rates from maximal heart rate. All patients underwent heart rate variability (HRV) and QT dynamicity analysis. Baseline characteristics were similar except diabetes mellitus and hypertension among groups. Mean HRR1 (29.2 ± 12.3 vs 42.6 ± 6.5, p = 0.001), HRR2 (43.5 ± 15.6 vs 61.1 ± 10.8, p = 0.001) and HRR3 (46.4 ± 16.2 vs 65.8 ± 9.8, p = 0.001) values were significantly higher in control group. HRV parameters as, SDNN [standard deviation of all NN intervals] (p = 0.001), SDANN [SD of the 5 min mean RR intervals] (p = 0.001), RMSSD [root square of successive differences in RR interval] (p = 0.001), PNN50 [proportion of differences in successive NN intervals >50 ms] (p = 0.001) and high-frequency [HF] (p = 0.001) were significantly decreased in patients with acromegaly; but low frequency [LF] (p = 0.046) and LF/HF (p = 0.001) were significantly higher in acromegaly patients. QTec (p = 0.009), QTac/RR slope (p = 0.017) and QTec/RR slope (p = 0.01) were significantly higher in patients with acromegaly. Additionally, there were significant negative correlation of disease duration with HRR2, HRR3, SDNN, PNN50, RMSSD, variability index. Our study results suggest that cardiac autonomic functions are impaired in patients with acromegaly. Further large scale studies are needed to exhibit the prognostic significance of impaired autonomic functions in patients with

  4. Influence of Natural Lung Surfactant Inhalations on Clinical Symptoms and Pulmonary Function Parameters in Patients with Bronchial Asthma. Communication 1

    Directory of Open Access Journals (Sweden)

    O.V. Stepanova

    2016-12-01

    Full Text Available Background: Damage to lung surfactant (LS enabling the lung local immunity may contribute to the development of bronchial inflammation in patients with bronchial asthma. Methods and Results: A 40-day course of 16 LS (Surfactant-BL inhalations at the dose of 25mg was added to inhaled corticosteroids (ICS and short/long-acting bronchodilators or combined inhalers in 14 patients with bronchial asthma. After 7 inhalations, patients demonstrated a significant decrease in shortness of breath and bronchospasm attacks, double reduction of ICS dose (p=0.01, and improvement of pulmonary function. Forced vital capacity (FVC increases during treatment in a linear fashion (y=62.9+5.60•x; p<0.05, reaching the normal level (80% after 9 inhalations (Day 15. Forced expiratory volume (FEV1 increases in a linear fashion (y=50.7+4.15•x; p<0.05 without reaching the normal level (80% after 16 inhalations (Day 41. The FEV1/FVC ratio does not change significantly in the time period between Day 1 to Day 15. By Day 41 the value decreases significantly to 67.4±4.66% (p<0.05. The peak expiratory flow (PEF parameter increases in a linear fashion (y=53.9+5.00•x; p<0.01 from 57.7±6.33% to 76.2±9.33% of the predicted value. Conclusion: LS inhalations improve the condition of patients with BA, allow ICS dose reduction by 2 times, and improve pulmonary function parameters.

  5. The micronutrient supplements, zinc sulphate and folic acid, did not ameliorate sperm functional parameters in oligoasthenoteratozoospermic men.

    Science.gov (United States)

    Raigani, M; Yaghmaei, B; Amirjannti, N; Lakpour, N; Akhondi, M M; Zeraati, H; Hajihosseinal, M; Sadeghi, M R

    2014-01-01

    We investigated the effects of folic acid and zinc sulphate supplementation on the improvement of sperm function in subfertile oligoasthenoteratozoospermic (OAT) men. Eighty-three OAT men participated in a 16-week intervention randomised, double-blind clinical trial with daily treatment of folic acid (5 mg day(-1) ) and zinc sulphate (220 mg day(-1) ), or placebo. Before and after treatment, semen and blood samples were obtained for determining sperm concentration, motility, and morphology, sperm viability, sperm mitochondrial function, sperm chromatin status using toluidine blue, aniline blue, acridine orange and chromomycin A3 staining; and semen and blood folate, zinc, B12 , total antioxidant capacity (TAC) and malondialdehyde (MDA) concentrations. Sperm concentration (×10(6)  ml(-1) ) increased in subfertile men receiving the combined treatment of folic acid and zinc sulphate and also in the group receiving only folic acid treatment; however, it was not statistically significant (P = 0.056 and P = 0.05, respectively). Sperm chromatin integrity (%) increased significantly in subfertile men receiving only zinc sulphate treatment (P = 0.048). However, this improvement in sperm quality was not significant after adjusting placebo effect. This study showed that zinc sulphate and folic acid supplementation did not ameliorate sperm quality in infertile men with severely compromised sperm parameters, OAT. Male infertility is a multifactorial disorder, and also nutritional factors play an important role in results of administration of supplementation on sperm parameters. However, these results should be confirmed by multiple studies in larger populations of OAT men.

  6. Utilising cardiopulmonary bypass for cancer surgery. Malignancy-induced protein C deficiency and thrombophilia.

    LENUS (Irish Health Repository)

    Marshall, C

    2012-02-03

    Cardiopulmonary bypass has evolved over the last 30 years. It is an important tool for the cardiac surgeon today and also has applications in non-cardiac operations such as surgery to extract tumours. Such patients undergoing surgery for cancer may be at an increased risk of a thromboembolic event post surgery, due to disturbances in the normal clotting pathway leading to hypercoagulability. One such disturbance is malignancy-induced Protein C deficiency. A deficiency of Protein C can cause hypercoagulabitity. Recent studies have examined cardiopulmonary bypass and inherited Protein C deficiency. However, surgery for cancer patients with a malignancy-induced Protein C deficiency involving cardiopulmonary bypass has not been reported. Surgery using CPB in these patients may result in increased morbidity and mortality. The objective of this article is to review the literature in order to discuss the occurrence, the aetiology and possible management of cancer patients with malignancy-induced Protein C deficiencies that require cardiopulmonary bypass for their surgery.

  7. Increased neutrophil priming and sensitization before commencing cardiopulmonary bypass in cardiac surgical patients

    NARCIS (Netherlands)

    Gu, YJ; Schoen, P; Tigchelaar, [No Value; Loef, BG; Ebels, T; Rankin, AJ; van Oeveren, W

    2002-01-01

    Background. Neutrophil activation is implicated in postoperative complications in patients having cardiac surgery with cardiopulmonary bypass (CPB). This study was designed to determine the temporal fluctuations in the primability of neutrophils in the preoperative, intraoperative, and postoperative

  8. Changing attitudes to cardiopulmonary resuscitation in older people: a 15-year follow-up study.

    LENUS (Irish Health Repository)

    Cotter, P E

    2009-03-01

    while it is well established that individual patient preferences regarding cardiopulmonary resuscitation (CPR) may change with time, the stability of population preferences, especially during periods of social and economic change, has received little attention.

  9. Wireless System for Continuous Cardiopulmonary Monitoring in a Space Environment Project

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose to develop the NJM Sense-It system based on small sensor tags, which include a cardiopulmonary MEMS sensor for measuring heartbeat and breath rates...

  10. Impact of Intraoperative Events on Cerebral Tissue Oximetry in Patients Undergoing Cardiopulmonary Bypass

    NARCIS (Netherlands)

    Severdija, E.E.; Vranken, N.P.; Teerenstra, S.; Ganushchak, Y.M.; Weerwind, P.W.

    2015-01-01

    Previous studies showed that decreased cerebral saturation during cardiac surgery is related to adverse postoperative outcome. Therefore, we investigated the influence of intraoperative events on cerebral tissue saturation in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). A t

  11. Is it necessary to stent renal artery stenosis patients before cardiopulmonary bypass procedures?

    Institute of Scientific and Technical Information of China (English)

    ZHENG Bin; YAN Hong-bing; LIU Rui-fang; CHENG Shu-juan; WANG Jian; ZHAO Han-jun; SONG Li

    2011-01-01

    Background Acute kidney injury (AKI) is associated with poor prognosis after cardiopulmonary bypass. The aim of this retrospective study was to investigate whether stent implantation before cardiopulmonary bypass has beneficial effect on development of AKI in renal artery stenosis (RAS) patients.Methods In this retrospective study, patients with abnormal baseline serum creatinine (SCr, >106 μmol/L) were not included. Included patients (n=69) were divided into two groups. Group 1 included 31 RAS patients receiving no stent implantation before cardiopulmonary bypass. Group 2 included 38 RAS patients having received stent implantation just before cardiopulmonary bypass. To assess AKI after cardiopulmonary bypass, serum urea nitrogen, SCr and creatinine clearance were recorded at baseline, at the end of operation, during the first and second postoperative 24 hours.Results Baseline characteristics were similar between groups. Serum urea nitrogen, SCr, creatinine clearance before and after cardiopulmonary bypass were also similar class groups. Incidence of AKI in group 1 was not significantly different from group 2. In group 1, AKI defined by RIFLE between occurred in 7 (22.6%) patients: 5 (16.1%) with RIFLE-R,2 (6.5%) with RIFLE-I, and no patients with RIFLE-F. In group 2, 10 patients (26.3%) had an episode of AKI during hospitalization: 6 (15.8%) had RIFLE-R, 4 (10.5%) had RIFLE-I, and no patients had RIFLE-F.Conclusions There are no data suggesting that it is necessary to stent RAS patients with normal SCr before cardiopulmonary bypass. However, it cannot be concluded that RAS is not associated with AKI after cardiopulmonary bypass.

  12. Temporary bilateral sensorineural hearing loss following cardiopulmonary bypass -A case report-

    OpenAIRE

    Son, Hyo Jung; Joh, Jung Hwa; Kim, Wook Jong; Chin, Ji Hyun; Choi, Dae Kee; Lee, Eun Ho; Sim, Ji Yeon; Choi, In-Cheol

    2011-01-01

    Sudden sensorineural hearing loss has been reported to occur following anesthesia and various non-otologic surgeries, mostly after procedures involving cardiopulmonary bypass. Unilateral sensorineural hearing loss resulting from microembolism is an infrequent complication of cardiopulmonary bypass surgery that has long been acknowledged. Moreover, there are few reports on the occurrence of bilateral sensorineural hearing loss without other neurologic deficits and its etiology has also not bee...

  13. Reversibility of cardiopulmonary impairment after laparoscopic repair of large hiatal hernia

    Directory of Open Access Journals (Sweden)

    Emanuele Asti

    2015-01-01

    Full Text Available Giant hiatus hernia with or without intrathoracic gastric volvulus often presents with symptoms suggestive of both cardiac and pulmonary compression. Cardiopulmonary impairment may be reversible in these patients by laparoscopic crural repair and fundoplication as shown in this case report. Cardiac magnetic resonance and the cardiopulmonary exercise test may help selecting patients for surgery. These preliminary findings led us to start a prospective study using this multimodality diagnostic approach.

  14. Transesophageal echocardiography-guided thrombectomy of intracardiac renal cell carcinoma without cardiopulmonary bypass

    Science.gov (United States)

    Souki, Fouad Ghazi; Demos, Michael; Fermin, Lilibeth; Ciancio, Gaetano

    2016-01-01

    Advanced renal cell carcinoma (RCC) resection has important anesthetic management implications, particularly when tumor extends, suprahepatic, into the right atrium. Use of transesophageal echocardiogram (TEE) is essential in identifying tumor extension and guiding resection. Latest surgical approach avoids venovenous and cardiopulmonary bypass yet requires special precautions and interventions on the anesthesiologist's part. We present a case of Level IV RCC resected without cardiopulmonary bypass and salvaged by TEE guidance and detection of residual intracardiac tumor. PMID:27716710

  15. Clinical Decision Support and Closed-Loop Control for Cardiopulmonary Management and Intensive Care Unit Sedation Using Expert Systems.

    Science.gov (United States)

    Gholami, Behnood; Bailey, James M; Haddad, Wassim M; Tannenbaum, Allen R

    2012-03-01

    Patients in the intensive care unit (ICU) who require mechanical ventilation due to acute respiratory failure also frequently require the administration of sedative agents. The need for sedation arises both from patient anxiety due to the loss of personal control and the unfamiliar and intrusive environment of the ICU, and also due to pain or other variants of noxious stimuli. While physicians select the agent(s) used for sedation and cardiovascular function, the actual administration of these agents is the responsibility of the nursing staff. If clinical decision support systems and closed-loop control systems could be developed for critical care monitoring and lifesaving interventions as well as the administration of sedation and cardiopulmonary management, the ICU nurse could be released from the intense monitoring of sedation, allowing her/him to focus on other critical tasks. One particularly attractive strategy is to utilize the knowledge and experience of skilled clinicians, capturing explicitly the rules expert clinicians use to decide on how to titrate drug doses depending on the level of sedation. In this paper, we extend the deterministic rule-based expert system for cardiopulmonary management and ICU sedation framework presented in [1] to a stochastic setting by using probability theory to quantify uncertainty and hence deal with more realistic clinical situations.

  16. Improvements in the X-ray luminosity function and constraints on the Cosmological parameters from X-ray luminous clusters

    CERN Document Server

    Del Popolo, A; Lanzafame, G

    2010-01-01

    We show how to improve constraints on \\Omega_m, \\sigma_8, and the dark-energy equation-of-state parameter, w, obtained by Mantz et al. (2008) from measurements of the X-ray luminosity function of galaxy clusters, namely MACS, the local BCS and the REFLEX galaxy cluster samples with luminosities L> 3 \\times 10^{44} erg/s in the 0.1--2.4 keV band. To this aim, we use Tinker et al. (2008) mass function instead of Jenkins et al. (2001) and the M-L relationship obtained from Del Popolo (2002) and Del Popolo et al. (2005). Using the same methods and priors of Mantz et al. (2008), we find, for a \\Lambda$CDM universe, \\Omega_m=0.28^{+0.05}_{-0.04} and \\sigma_8=0.78^{+0.04}_{-0.05}$ while the result of Mantz et al. (2008) gives less tight constraints $\\Omega_m=0.28^{+0.11}_{-0.07}$ and \\sigma_8=0.78^{+0.11}_{-0.13}. In the case of a wCDM model, we find \\Omega_m=0.27^{+0.07}_{-0.06}, $\\sigma_8=0.81^{+0.05}_{-0.06}$ and $w=-1.3^{+0.3}_{-0.4}$, while in Mantz et al. (2008) they are again less tight \\Omega_m=0.24^{+0.15}_...

  17. Application of Multi-Valued Weighting Logical Functions in the Analysis of a Degree of Importance of Construction Parameters on the Example of Hydraulic Valves

    Directory of Open Access Journals (Sweden)

    Deptuła A.

    2014-08-01

    Full Text Available In the optimization process, changes in the construction parameters value influence the behaviour of functions depending on time. Weighting logical coefficients for the stabilisation time are taken into consideration here, i.e., a shorter (better stabilisation time has a more important (bigger value of the weighting coefficient. An example of applying weighting logical functions in the analysis of a degree of importance of construction parameters of a hydraulic valve is presented in the paper

  18. Influence of orlistat therapy on serum insulin level and morphological and functional parameters of peripheral arterial circulation in obese patients

    Directory of Open Access Journals (Sweden)

    Hajduković Zoran

    2005-01-01

    Full Text Available Background/Aim. Insulin resistance is related to accelerated atherosclerosis, whereas weight loss is associated with the increasing insulin sensitivity, the improvement of functional and the morphological parameters of arterial circulation, and the reduction of cardiovascular morbidity and mortality. The aim of our study was to evaluate the influence of orlistat treatment on serum insulin level and functional and morphologic parameters of peripheral arterial circulation. Methods. We conducted a prospective, randomized, double − blind, placebo − controlled study. Thirty patients with body mass index over 30 kg/m2 normotensive, nonsmokers, without clinically manifested cardiovascular disease or diabetes were randomly assigned either orlistat (120 mg, 3 times daily; n = 20 or placebo (n = 10 in a double − blind manner. All of the patients were on individually calculated hypocaloric diet. The follow-up period was 24 weeks. Arterial pressure, fasting serum glucose and insulin level, triglycerides, total cholesterol and low density lipoprotein-cholesterol were determined at the beginning, following 3 and 6 months. Also, the intima − media thickness of right superficial femoral artery and the mean blood flow velocity were determined with ultrasonography. Results. Inside the period of 3 and 6 months, there were the greater reductions of body mass index, arterial pressure, fasting glucose and insulin level, total cholesterol, low density lipoproteins, as well as the greater reductions of mean velocity blood flow and peripheral pulse pressure in the orlistat group vs the placebo group (p < 0.01. Greater reductions in the waist circumference and intima − media thickness were registered following 6 months in the orlistat vs the placebo group (p < 0.01. Conclusion. In the group of obese patients orlistat therapy reduced risk factors, serum insulin level and improved early arterial functional changes as assessed with the reductions of the mean

  19. Effect of Akimbo Versus Raised Arm Positioning on Breast and Cardiopulmonary Dosimetry in Pediatric Hodgkin Lymphoma

    Directory of Open Access Journals (Sweden)

    Kyle Denniston

    2016-07-01

    Full Text Available PURPOSE: In pediatric Hodgkin lymphoma (HL, radiotherapy (RT-related late toxicities are a prime concern during treatment planning. This is the first study to examine whether arm positioning (raised versus akimbo result in differential cardiopulmonary and breast doses in patients undergoing mediastinal RT. METHODS: Two treatment plans were made for each patient (akimbo/arms-raised; treatment was per Children’s Oncology Group AHOD0031 protocol, including AP/PA fields. The anterior midline T6-T7 disc space was used as an anatomic reference of midline. Heart/lungs were contoured for each setup. For females, breasts were also contoured and nipple positions identified. Volumetric centers of contoured organs were defined and three-dimensional distances from midline were computed. Analyzed dosimetric parameters included V5 (volume receiving ≥5 Gy, V10, V15, V20, and mean dose. Statistics were performed using the Mann-Whitney test.RESULTS: Fifteen (6 female, 9 male pediatric HL patients treated with mediastinal RT were analyzed. The median lateral distance from the breast center/nipple to midline with arms akimbo was larger than that with arms raised (8.6 vs. 7.7cm left breast, p=0.04; 10.7 vs. 9.2cm left nipple, p=0.04; 8.7 vs. 7.0cm right breast, p=0.004; 9.9 vs. 7.9cm, p=0.007 right nipple. Raised arm position was associated with a median 2.8/3.0cm decrease in breast/nipple separation, respectively. There were no significant differences in craniocaudal breast/nipple position based on arm positioning (p>0.05. Increasing breast volume was correlated with larger arm position-related changes in breast/nipple separation (r=0.74, p=0.06 / r=0.85, p=0.02. Akimbo positioning lowered median breast V5, V10, V15, and mean dose (p0.05. Arm position had no significant effect on cardiopulmonary doses.CONCLUSIONS: Akimbo arm positioning may be advantageous to decrease breast doses in female pediatric HL patients undergoing mediastinal RT, especially in the

  20. A numerical performance assessment of a commercial cardiopulmonary by-pass blood heat exchanger.

    Science.gov (United States)

    Consolo, Filippo; Fiore, Gianfranco B; Pelosi, Alessandra; Reggiani, Stefano; Redaelli, Alberto

    2015-06-01

    We developed a numerical model, based on multi-physics computational fluid dynamics (CFD) simulations, to assist the design process of a plastic hollow-fiber bundle blood heat exchanger (BHE) integrated within the INSPIRE(TM), a blood oxygenator (OXY) for cardiopulmonary by-pass procedures, recently released by Sorin Group Italia. In a comparative study, we analyzed five different geometrical design solutions of the BHE module. Quantitative geometrical-dependent parameters providing a comprehensive evaluation of both the hemo- and thermo-dynamics performance of the device were extracted to identify the best-performing prototypical solution. A convenient design configuration was identified, characterized by (i) a uniform blood flow pattern within the fiber bundle, preventing blood flow shunting and the onset of stagnation/recirculation areas and/or high velocity pathways, (ii) an enhanced blood heating efficiency, and (iii) a reduced blood pressure drop. The selected design configuration was then prototyped and tested to experimentally characterize the device performance. Experimental results confirmed numerical predictions, proving the effectiveness of CFD modeling as a reliable tool for in silico identification of suitable working conditions of blood handling medical devices. Notably, the numerical approach limited the need for extensive prototyping, thus reducing the corresponding machinery costs and time-to-market.

  1. Mild Hypothermia Protects Pigs’ Gastric Mucosa After Cardiopulmonary Resuscitation via Inhibiting Interleukin 6 (IL-6) Production

    Science.gov (United States)

    Wang, Yan; Song, Jian; Liu, Yuhong; Li, Yaqiang; Liu, Zhengxin

    2016-01-01

    Background The purpose of this study was to determine the effect of mild hypothermia therapy on gastric mucosa after cardiopulmonary resuscitation (CPR) and the underlying mechanism. Material/Methods Ventricular fibrillation was induced in pigs. After CPR, the surviving pigs were divided into mild hypothermia-treated and control groups. The changes in vital signs and hemodynamic parameters were monitored before cardiac arrest and at intervals of 0.5, 1, 2, 4, 6, 12, and 24 h after restoration of spontaneous circulation. Serum IL-6 was determined at the same time, and gastroscopy was performed. The pathologic changes were noted, and the expression of IL-6 was determined by hematoxylin and eosin (HE) staining and immunohistochemistry under light. Results The heart rate, mean arterial blood pressure, and cardiac output in both groups did not differ significantly. The gastric mucosa ulcer index evaluated by gastroscopy 2 h and 24 h after restoration of spontaneous circulation (ROSC) in the mild hypothermic group was lower than that the control group (Pgastric mucosa in the mild hypothermic group 6–24 h after ROSC was lower than that in the control group (Pgastric mucosa IL-6 expression 0.5–4 h and 6, 12, and 24 h after ROSC was lower in the mild hypothermic group than in the control group (Pgastric mucosa after ROSC via inhibiting IL-6 production and relieving the inflammatory reaction. PMID:27694796

  2. Effect of water immersion on cardiopulmonary physiology at high gravity (+Gz)

    Science.gov (United States)

    Arieli, R.; Boutellier, U.; Farhi, L. E.

    1986-01-01

    The cardiopulmonary responses of eight male subject between 21-31 years exposed to 1, 2, and 3 Gz during immersion at 35 + or - 0.5 C to heart level and during control dry rides are studied. Ventilation, O2 consumption, the end-tidal pressure of CO2, heart frequency, cardiac output, functional residual capacity, and the arterial pressure of CO2 were measured. It is observed that as Gz increases ventilation, heart frequency, and O2 consumption increase, and the end-tidal and arterial pressures of CO2 decrease during dry rides, but are not altered during immersion. It is detected that the functional residual capacity is lower during immersion and decreases in both the dry and immersed state as Gz increases, and cardiac output decreases as Gz increases in dry rides. It is noted that changes produced by acceleration in a Gz direction are due to the effect on the systemic circulation rather than to the effect on the lungs.

  3. Cardiorespiratory fitness, pulmonary function and C-reactive protein levels in nonsmoking individuals with diabetes

    Energy Technology Data Exchange (ETDEWEB)

    Francisco, C.O.; Catai, A.M.; Moura-Tonello, S.C.G. [Universidade Federal de São Carlos, Departamento de Fisioterapia, São Carlos, SP, Brasil, Departamento de Fisioterapia, Universidade Federal de São Carlos, São Carlos, SP (Brazil); Lopes, S.L.B. [Universidade Federal de São Carlos, Departamento de Medicina, São Carlos, SP, Brasil, Departamento de Medicina, Universidade Federal de São Carlos, São Carlos, SP (Brazil); Benze, B.G. [Universidade Federal de São Carlos, Departamento de Estatística, São Carlos, SP, Brasil, Departamento de Estatística, Universidade Federal de São Carlos, São Carlos, SP (Brazil); Del Vale, A.M.; Leal, A.M.O. [Universidade Federal de São Carlos, Departamento de Medicina, São Carlos, SP, Brasil, Departamento de Medicina, Universidade Federal de São Carlos, São Carlos, SP (Brazil)

    2014-04-15

    The objective of this study was to evaluate cardiorespiratory fitness and pulmonary function and the relationship with metabolic variables and C-reactive protein (CRP) plasma levels in individuals with diabetes mellitus (DM). Nineteen men with diabetes and 19 age- and gender-matched control subjects were studied. All individuals were given incremental cardiopulmonary exercise and pulmonary function tests. In the exercise test, maximal workload (158.3±22.3 vs 135.1±25.2, P=0.005), peak heart rate (HR{sub peak}: 149±12 vs 139±10, P=0.009), peak oxygen uptake (VO{sub 2peak}: 24.2±3.2 vs 18.9±2.8, P<0.001), and anaerobic threshold (VO{sub 2VT}: 14.1±3.4 vs 12.2±2.2, P=0.04) were significantly lower in individuals with diabetes than in control subjects. Pulmonary function test parameters, blood pressure, lipid profile (triglycerides, HDL, LDL, and total cholesterol), and CRP plasma levels were not different in control subjects and individuals with DM. No correlations were observed between hemoglobin A1C (HbA1c), CRP and pulmonary function test and cardiopulmonary exercise test performance. In conclusion, the results demonstrate that nonsmoking individuals with DM have decreased cardiorespiratory fitness that is not correlated with resting pulmonary function parameters, HbA1c, and CRP plasma levels.

  4. 线粒体分裂抑制剂对心肺复苏后脑功能及神经元凋亡的影响%Effects of mitochondrial division inhibitor on neurological function and neuronal apoptosis in rats after cardiopulmonary resuscitation

    Institute of Scientific and Technical Information of China (English)

    李毅; 王鹏; 林嘉莉; 黄子通

    2015-01-01

    Objective To investigate the effects of mitochondrial division inhibitor 1 (mdivi-1) in rats after cardiopulmonary resuscitation (CPR) and its mechanism.Methods Fifty Sprague-Dawley (SD) rats were randomly (random number table) divided into sham group (n =8),cardiac arrest (CA) model group (n =14),dimethyl sulfoxide post-treatment control group (DMSO group,n =14),and mdivi-1 post-treatment group (mdivi-1 group,n =14).Asphyxial CA was reproduced in animals,and they were resuscitated by CPR.In the mdivi-1 group or DMSO group,the animals were given mdivi-1 (1.2 mg/kg) or DMSO (0.1%) intravenously after restoration of spontaneous circulation (ROSC).The neurological functions were assessed using neurological deficit score (NDS) determined at 24,48 and 72 hours after CPR.The brain tissues were harvested at 72 hours after CPR.The histopathologic changes were assessed by hematoxylin and eosin (HE) staining,and the normal neuron was counted.The neuronal apoptosis was assessed with terminal dexynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining,and the expressions of cytochrome C (Cyt-C) protein in mitochondria and cytoplasm from hippocampus were determined by Western Blot.Results NDS in all experiment groups was gradually increased after CPR,and they were significantly lower than thoseo.f the sham group at 24,48,and 72 hours (51.5±3.7 vs.80.0±0.0,59.3±3.6 vs.80.0±0.0,66.7±2.6 vs.80.0±0.0,all P < 0.05).The number of normal pyramidal neurons in the hippocampal CA1 region was markedly reduced (cells/HP:4.4± 1.1 vs.23.1 ± 4.0,P < 0,05),the apoptotic index was significantly increased [(86.9 ± 6.9)% vs.(3.4 ± 0.8)%,P < 0.05],the expressions of Cyt-C in mitochondria were significantly decreased (A value:0.46±0.18 vs.1.00±0.00,P < 0.05),and the expressions of Cyt-C in cytoplasm were significantly up-regulated (A value:6.65±0.21 vs.1.00±0.00,P < 0.05).Compared with the CA group,NDS at 24 hours and 48 hours in mdivi-1 group was

  5. Effect of carvedilol and nebivolol on oxidative stress-related parameters and endothelial function in patients with essential hypertension.

    Science.gov (United States)

    Zepeda, Ramiro J; Castillo, Rodrigo; Rodrigo, Ramón; Prieto, Juan C; Aramburu, Ivonne; Brugere, Solange; Galdames, Katia; Noriega, Viviana; Miranda, Hugo F

    2012-11-01

    Oxidative stress and endothelial dysfunction have been associated with essential hypertension (EH) mechanisms. The purpose of this study was to evaluate the effect of carvedilol and nebivolol on the oxidative stress-related parameters and endothelial function in patients with EH. The studied population included 57 patients, either sex, between 30 and 75 years of age, with mild-to-moderate EH complications. Participants were randomized to receive either carvedilol (12.5 mg) (n = 23) or nebivolol (5 mg) (n = 21) for 12 weeks. Measurements included; 24-hr ambulatory blood pressure (BP), flow-mediated dilatation, levels of nitric oxide estimated as nitrite - a nitric oxide metabolite ( NO₂) - in plasma, and oxidative stress-related parameters in plasma and erythrocyte. EH patients who were treated with nebivolol or carvedilol showed systolic BP reductions of 17.4 and 19.9 mmHg, respectively, compared with baseline values (p < 0.01). Diastolic BP was reduced by 13.7 and 12.8 mmHg after the treatment with ebivolol and carvedilol, respectively (p < 0.01) (fig. 2B). Nebivolol and carvedilol showed 7.3% and 8.1% higher endothelium-dependent dilatation in relation to baseline values (p < 0.05). Ferric-reducing ability of plasma (FRAP) and reduced glutathione/oxidized glutathione (GSSH) ratio showed 31.5% and 29.6% higher levels in the carvedilol group compared with basal values; however, nebivolol-treated patients did not show significant differences after treatment. On the other hand, the NO₂ plasma concentration was not modified by the administration of carvedilol. However, nebivolol enhanced these levels in 62.1% after the treatment. In conclusion, this study demonstrated the antihypertensive effect of both beta-blockers. However, carvedilol could mediate these effects by an increase in antioxidant capacity and nebivolol through the raise in NO₂ concentration. Further studies are needed to determine the molecular mechanism of these effects.

  6. The effects of iron deficiency anemia and its treatment on P wave durations and parameters of diastolic function

    Directory of Open Access Journals (Sweden)

    Yılmaz Güneş

    2010-12-01

    Full Text Available Objectives: We aimed to compare P wave variables and LV diastolic function between patient with iron deficiency anemia (IDA and healthy control group and to investigate the effects of anemia treatment on these parameters.Materials and methods: The study included 56 patients having IDA without cardiovascular dissease and 50 healthy subjects. The cases were evaluated with clinical examination, ECG and transthoracic echocardiography (TTE before and after treatment of IDA. Tissue Doppler imaging was assessed in addition to conventional TTE. The difference between maximum (Pmax and minimum P wave duration on the 12-leads ECG was defined as PWD.Results: Compared to control group left atrium (LA diameter (p=0.02, left ventricular enddiastolic diameter (LVED (p=0.001, frequency of LV diastolic dysfunction (LVDD (p=0.02, Pmax (p=0.002 and PWD (p=0.001 were significantly increased in patients with IDA. Correlations analysis revealed that PWD (r=0.367, p=0.001 and frequency of LVDD(r=0.231, p=0.02 were significantly correlated with severity of anemia. Compared to pre treatment period; LA diameter (p=0.001, LVED (p=0.001, frequency of LVDD (p=0.001, Pmax (p=0.001, Pmin (p=0.001 and PWD (p=0.001 were significantly decreased after treatment.Conclusion: IDA may be associated with increased PWD, left heart dimensions and frequency of LVDD in paralel with severity of anemia. These parameters may improve with treatment of anemia. J Clin Exp Invest 2010; 1(3: 187-194

  7. Relation between Fresnel transform of input light field and the two-parameter Radon transform of Wigner function of the field

    Institute of Scientific and Technical Information of China (English)

    Fan Hong-Yi; Hu Li-Yun

    2009-01-01

    This paper proves a new theorem on the relationship between optical field Wigner function's two-parameter Radon transform and optical Fresnel transform of the field, I.e., when an input field ψ(x') propagates through an optical [D (-B) (-C) A] system, the energy density of the output field is equal to the Radon transform of the Wigner function of the input field, where the Radon transform parameters are D, B. It prove this theorem in both spatial-domain and frequency-domain, in the latter case the Radon transform parameters are A, C 7.

  8. Multivariate benthic ecosystem functioning in the Arctic – benthic fluxes explained by environmental parameters in the southeastern Beaufort Sea

    Directory of Open Access Journals (Sweden)

    H. Link

    2013-09-01

    Full Text Available The effects of climate change on Arctic marine ecosystems and their biogeochemical cycles are difficult to predict given the complex physical, biological and chemical interactions among the ecosystem components. We studied benthic biogeochemical fluxes in the Arctic and the influence of short-term (seasonal to annual, long-term (annual to decadal and other environmental variability on their spatial distribution to provide a baseline for estimates of the impact of future changes. In summer 2009, we measured fluxes of dissolved oxygen, nitrate, nitrite, ammonia, soluble reactive phosphate and silicic acid at the sediment–water interface at eight sites in the southeastern Beaufort Sea at water depths from 45 to 580 m. The spatial pattern of the measured benthic boundary fluxes was heterogeneous. Multivariate analysis of flux data showed that no single or reduced combination of fluxes could explain the majority of spatial variation, indicating that oxygen flux is not representative of other nutrient sink–source dynamics. We tested the influence of eight environmental parameters on single benthic fluxes. Short-term environmental parameters (sinking flux of particulate organic carbon above the bottom, sediment surface Chl a were most important for explaining oxygen, ammonium and nitrate fluxes. Long-term parameters (porosity, surface manganese and iron concentration, bottom water oxygen concentrations together with δ13Corg signature explained most of the spatial variation in phosphate, nitrate and nitrite fluxes. Variation in pigments at the sediment surface was most important to explain variation in fluxes of silicic acid. In a model including all fluxes synchronously, the overall spatial distribution could be best explained (57% by the combination of sediment Chl a, phaeopigments, δ13Corg, surficial manganese and bottom water oxygen concentration. We conclude that it is necessary to consider long-term environmental variability along with

  9. The effects of open lung ventilation on respiratory mechanics and haemodynamics in atelectatic infants after cardiopulmonary bypass.

    Science.gov (United States)

    Cui, Q; Zhou, H; Zhao, R; Liu, J; Yang, X; Zhu, H; Zheng, Q; Gu, C; Yi, D

    2009-01-01

    Acute lung injury (ALI) frequently occurs in infants after cardiopulmonary bypass (CPB) surgery and it sometimes develops into acute respiratory distress syndrome in critically ill infants, which can be life threatening. This study investigated the effects of open lung ventilation on the haemodynamics and respiratory mechanics of 64 infants (34 males; 30 females) with a mean +/- SD age of 8.3 +/- 0.3 months who developed ALI following CPB surgery. Open lung ventilation significantly improved the respiratory mechanics and oxygenation parameters of the infants, including the partial pressure of oxygen in arterial blood (PaO(2)), the ratio of PaO(2)/FiO(2) (fraction of inspired oxygen), peak inspiratory pressure, static compliance and airway resistance. It is concluded that open lung ventilation can greatly improve oxygenation and respiratory mechanics in infants with ALI following CPB surgery.

  10. Effect of lornoxicam in lung inflammatory response syndrome after operations for cardiac surgery with cardiopulmonary bypass

    Science.gov (United States)

    Tsakiridis, Kosmas; Vretzkakis, Giorgos; Mikroulis, Dimitris; Mpakas, Andreas; Kesisis, Georgios; Arikas, Stamatis; Kolettas, Alexandros; Moschos, Giorgios; Katsikogiannis, Nikolaos; Machairiotis, Nikolaos; Tsiouda, Theodora; Siminelakis, Stavros; Beleveslis, Thomas; Zarogoulidis, Konstantinos

    2014-01-01

    Background The establishment of Extracorporeal Circulation (EC) significantly contributed to improvement of cardiac surgery, but this is accompanied by harmful side-effects. The most important of them is systemic inflammatory response syndrome. Many efforts have been undertaken to minimize this problem but unfortunately without satisfied solution to date. Materials and methods Lornoxicam is a non steroid anti-inflammatory drug which temporally inhibits the cycloxygenase. In this clinical trial we study the effect of lornoxicam in lung inflammatory response after operations for cardiac surgery with cardiopulmonary bypass. In our study we conclude 14 volunteers patients with ischemic coronary disease undergoing coronary artery bypass grafting with EC. In seven of them 16 mg lornoxicam was administered iv before the anesthesia induction and before the connection in heart-lung machine. In control group (7 patients) we administered the same amount of normal saline. Results Both groups are equal regarding pro-operative and intra-operative parameters. The inflammatory markers were calculated by Elisa method. We measured the levels of cytokines (IL-6, IL-8, TNF-a), adhesion molecules (ICAM-1, e-Selectin, p-Selectin) and matrix metaloproteinase-3 (MMP-3) just after anesthesia induction, before and after cardiopulmonary bypass, just after the patients administration in ICU and after 8 and 24 hrs. In all patients we estimated the lung’s inflammatory reaction with lung biopsy taken at the begging and at the end of the operation. We calculated hemodynamics parameters: Cardiac Index (CI), Systemic Vascular Resistance Index (SVRI), Pulmonary Vascular Resistance Index (PVRI), Left Ventricular Stroke Work Index (LVSWI), Right Ventricular Stroke Work Index (RVSWI), and the Pulmonary arterial pressure, and respiratory parameters too: alveolo-arterial oxygen difference D (A-a), intrapulmonary shunt (Qs/Qt) and pulmonary Compliance. IL-6 levels of lornoxicam group were statistical

  11. Genetic parameters for functional longevity, type traits, SCS, milk flow and production in the Italian Brown Swiss

    Directory of Open Access Journals (Sweden)

    Attilio Rossoni

    2010-04-01

    Full Text Available The aim of this study was to estimate genetic parameters for a set of new traits and to update values for production and morphological traits to be used in the selection index of Italian Brown Swiss dairy cattle. Longevity, milking speed and somatic cell scores (SCS were considered for inclusion in the selection index, and (covariances with all traits of the selection index were estimated. SCS was considered on a lactation basis while milk flow as the amount of milk (kg released per time unit (minute measured with a flowmeter. Cow functional longevity was the total herd life corrected for the production level. A total of 127,416 first lactation records of cows calving from 1985 to 2003 were considered. In order to maximize the number of records available for each combination of traits, 9 data sets were created. Estimates were obtained from multivariate linear sire models with equal design matrix in subsequent separated analysis. REML algorithms and canonical transformation were used to calculate (covariance estimates among all traits: functional longevity, milking speed, SCS, 5 production traits (milk, fat and protein yields, fat and protein percent, and 19 type traits. Heritabilities estimated were 0.14 ± 0.02 for SCS, 0.33 ± 0.07 for milk flow, and 0.04 ± 0.01 for