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Biomedical subjects

A Simoni

Publications and source records attributed to A Simoni.

At least 37 records · Page 2Linked to original sources

Development of fear-related heart rate responses in neonatal rabbits.

Classical simple conditioning of heart rate (HR) was studied in rabbits between the 1st and 18th neonatal day. An auditory stimulus (1000 Hz, 5 s) served as the conditioned stimulus (CS), and a train of electric impulses (100 Hz, 500 ms, 1-1.5 mA) was used as the unconditioned stimulus (US). HR responses developed during orientation session (CS-alone) as well during acquisition (CS-US paired) were analyzed and compared to those developed by young adult rabbits (3-month-old). In all neonatal animals tested, baseline HR measured during an adaptation session preceding conditioning, was similar though significantly higher than that measured in adult rabbits (Newman-Keuls P < 0.05). Before the 10th neonatal day, the animals did not show either somatomotor or HR orienting responses to the CS-alone presentations. Consequently, since orienting reactions play a necessary role in the formation and manifestation of conditioned reflexes, 1 to 10-day-old infant rabbits were not submitted to the acquisition session. All the other neonatal groups, while showing orienting behaviours similar to those exhibited by adults (head and pinna movement), presented different patterns of HR orienting responses (no response, bradycardia, tachycardia, bradycardia/tachycardia etc.). As for the acquisition session, the first bradycardic response, similar to that developed by adult rabbits, was found in 18-day-old rabbits. However, also in this neonatal group the amplitude of the conditioned response was significantly smaller when compared to that exhibited by young adults (Newman-Keuls P < 0.01). In addition, in some of the 10-day-old neonates, HR appeared very unstable and dropped to very low values (as low as 146 beats/min) early during conditioning, apparently as a consequence of CS-US association. As for the unconditioned response, no differences were found between adult rabbits and the neonatal animals older than 12 days. In contrast, most of the 10-day-old rabbits showed either bradycardia or no response to the unconditioned stimulus. Considering the ability of mammalian infants to learn somatomotor conditioned responses at early stages of maturation, conditioning of HR responses occurs late during ontogeny. Since this incapacity to show HR conditioned responses before the 18th postnatal day cannot be ascribed to their inability to show phasic HR changes nor to a failure in detecting the auditory stimulus, these results suggest the possibility that HR conditioned responses may be mediated by neural structures developing later during maturation.

Acoustic Stimulation↗

Evidence for a storage pool defect in platelets from cirrhotic patients with defective aggregation.

The mechanisms underlying the defective platelet function in cirrhotic patients were investigated. Eleven cirrhotic patients with mild disease (group 1), 20 patients with severe cirrhosis (group 2), and 31 controls were studied. Platelet aggregation was significantly reduced in cirrhotics compared with controls. Compared with controls, cirrhotic patients in group 2 showed a significant reduction in the total content of adenosine triphosphate (57.8 +/- 7.8 vs. 26.1 +/- 6.3 mumol/10(11) platelets; P less than 0.05), 5-hydroxytryptamine (285 +/- 26 vs. 104 +/- 38 nmol/10(11) platelets; P less than 0.05), beta-thromboglobulin (2129 +/- 120 vs. 1223 +/- 161 ng/10(8) platelets; P less than 0.01), and platelet factor 4 (1389 +/- 108 vs. 805 +/- 176 ng/10(8) platelets; P less than 0.05). In patients with severe disease, an increase in plasma beta-thromboglobulin-platelet factor 4 ratio, an index of in vivo platelet activation, was observed (controls, 3.50 +/- 0.50; group 1, 4.02 +/- 0.80; and group 2, 6.59 +/- 1.15). Our data indicate the existence of a platelet storage pool defect, which may favor the bleeding tendency of cirrhotic patients.

Adenosine Triphosphate↗

Use of conditioned distributions in the analysis of ion channel recordings.

A method to test the Markov nature of ion channel gating is proposed. It makes use of singly and doubly conditional distributions. The application of this method to recordings from single BK channels provides evidence that at least two states of the underlying kinetic scheme are left at a constant rate. Moreover, the probabilities, when leaving a state, of reaching another given state are shown to be constant for all the states of the system.

Animals↗

Clinical utility and prognostic value of ambulatory blood pressure monitoring.

Ambulatory blood pressure monitoring is a useful procedure in the diagnosis and management of hypertension, in the assessment of anti-hypertensive drugs and as a means of predicting outcome in hypertension. With ambulatory blood pressure monitoring is possible to detect usual variability of blood pressure, circadian rhythms and the response to environmental influences in both normotensive and hypertensive subjects. A number of clinical conditions are better evaluated with this procedure than with conventional measurements, eg white-coat hypertension (the rise of blood pressure in the physician's office), borderline hypertension, episodic hypertension and secondary hypertension. Multiple readings improve the precision of the estimate of blood pressure profile of the patient and allow a precise evaluation of blood pressure load to which a patient is exposed throughout 24 h. Ambulatory blood pressure monitoring is closely related to the incidence of cardio- and cerebrovascular events and to the prevalence and the degree of target-organ damage. Casual and ambulatory blood pressure readings are not alternative but complementary tools for clinical management of hypertension and for assessment of the prognostic risk of hypertension.

Blood Pressure Monitors↗

Strong medicine: rethinking the PFS (patient financial services) director's role.

Burdened by accounts receivable problems and the growing complexity of patient accounting, hospitals soon may require an enhanced resume for individuals responsible for patient financial services (PFS) departments. Advanced skills in management, productivity, budgeting, analysis, and other areas increasingly must be put to work. Outdated perceptions also must change, giving PFS directors the influence needed to make change happen. A hospital's options include supporting course work toward an advanced degree, organizing rotation training in other hospital departments, or filling a PFS director position by searching for parallel skills in other service industries.

California↗

Stretch-activated cation channels with large unitary conductance in leech central neurons.

Stretch-activated cation channels were identified in the soma membrane of leech central neurons. These channels were almost silent under normal experimental conditions and were distinctly activated by application of negative pressure to the patch pipette. The channels exhibited a preferential selectivity for K+ and a slope conductance of about 200 pS, in symmetrical K+ solution. In cell-attached patches these cation channels were activated by cell swelling.

Animals↗

Axotomy affects density but not properties of potassium leak channels, in the leech AP neurons.

Leech AP neurons react to axotomy by increasing excitability and resting potential of the cell body membrane. In a previous report we described single potassium channels contributing to the leak conductance in the soma membrane of AP cells. Here we compare both properties and density of single potassium leak channels in cell-free patches from normal and axotomized AP neurons. We show that properties such as single channel conductance, outward rectification, time constants of open and shut interval distributions and absence of inactivation do not significantly differ between normal and axotomized cells. On the other hand, we find that the number of channels per patch progressively increases with time after axotomy. We conclude that changes in density rather than alterations in properties of single channels can account for the increase in the resting potential, observed after axotomy.

Animals↗

Two types of K+ channels in excised patches of somatic membrane of the leech AP neuron.

The patch-clamp technique has been applied to the somatic membrane of the leech AP neurons. Ionic currents from single potassium channels were recorded in inside-out configuration. Two types of channels, sharing close values of conductance in symmetrical K+, were identified as distinct, according to their properties of rectification, Ca2+ sensitivity and voltage dependence. The channels designated as VCI exhibited an outward rectification and their gating was quite independent on changes of patch potential and of [Ca2+]i. The channels designated as VCD showed a linear I-V relationship and their activity was dependent on both the membrane potential and the intracellular [Ca2+].

Animals↗

Cross-correlation analysis of intracellularly recorded synaptic activities: an evaluation of the method through computer simulation.

Cross-correlation of 'spontaneous' synaptic activities intracellularly recorded from pairs of neurons may be used to detect shared synaptic input, which could remain hidden in the raw data by the non-synchronized postsynaptic potentials (PSPs); besides, if a normalized cross-correlation function is adopted, the fraction of synchronized activity may be quantitatively estimated. To evaluate power and limits of this method, computer-simulated synaptic activities of pairs of neurons, in which a given percentage of PSPs were simultaneous, were subjected to this type of analysis. It was shown that percentages of shared activities as low as 4% and in some cases 2% could be revealed, with a conspicuity which was influenced by the types of associated PSPs.

Action Potentials↗

[The value of continued dynamic electrocardiography in the sick sinus syndrome].

An assessment was made of the usefulness of continuous dynamic ECG (CDE) in diagnosis of the sick sinus syndrome (SSS). It was found that CDE has the following advantages: ready repeatability; control of patients during such physiological activities as sleep; recording of the possibly fleeting and intermittent pathological episodes that characterise SSS. The conclusion is drawn that CDE is the soundest technique for the investigation of SSS, whereas electrophysiological examination, albeit complementary, could be limited to cases whose interpretation proves more difficult.

Aged↗

Learning and interhemispheric transfer of visual pattern discriminations following unilateral suprasylvian lesions in split-chiasm cats.

A suprasylvian lesion removing cortical areas 7 and 21 and portions of area 19 and of the lateral suprasylvian area was placed in one hemisphere of split-chiasm cats. By comparison with the normal side and with cortically intact split-chiasm and split-brain cats, form discrimination learning with the eye on the injured side was severely retarded. This deficit could not be attributed to an unintentional undercutting of areas 17 and 18, since in three cases the laminae of the lateral geniculate nucleus showed little retrograde atrophy; marked degeneration was found in the medial interlaminar nucleus and the pulvinar complex. In addition, interocular transfer of form discriminations to the eye on the injured side was absent or poor, while transfer in the opposite direction was normal. A cat with a suprasylvian lesion undercutting areas 17 and 18 was unable to learn pattern discriminations with the eye on the injured side, in spite of prolonged training with that eye and normal learning with the other eye. Another cat with a suprasylvian lesion selectively removing the anteromedial and posteromedial portions of the lateral suprasylvian area showed no learning deficit on the injured side, but poor transfer to that side. A learning deficit on the side of the lesion emerged in this cat after forebrain commissurotomy. The results support the hypothesis of a major involvement of cortical areas outside of 17 and 18 in the processes of abstraction and generalization of visual information necessary for learning and interhemispheric transfer of form discrimination in the cat.

Animals↗

Effects of experience on interocular transfer of pattern discriminations in split-chiasm and split-brain cats.

Interocular transfer of monocularly learned pattern discriminations was found to be imperfect in split-chiasm cats but to improve as a result of specific practice with interocular transfer tasks. Section of the forebrain commissures subsequently performed in these animals abolished immediate interocular transfer of pattern discriminations. However, there were some savings in reattaining the learning criterion with the second eye. Other cats that learned the same discriminations monocularly but had sustained a combined section of optic chiasm and forebrain commissures before learning showed no indication of interocular transfer. These data suggest that the commissural systems involved in interocular and interhemispheric transfer of pattern discriminations may be modified by practice and learning. Further, it is possible that the intervening transfer experience between the section of the optic chiasm and that of the forebrain commissures results in the persistence of some capacity for interocular transfer of pattern discriminations after commissurotomy. However, this residual capacity may be negligible when compared with the capacity for interocular transfer of split-chiasm cats with intact forebrain commissures.

Animals↗