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J L Feldman

Publications and source records attributed to J L Feldman.

At least 91 records · Page 5Linked to original sources
PubMed1988

Monosynaptic transmission of respiratory drive to phrenic motoneurons from brainstem bulbospinal neurons in rats.

The termination patterns in the rat phrenic nucleus of neurons within two respiratory cell groups of the ventrolateral medulla (Bötzinger Complex and the rostral ventral respiratory group) were determined. The plant lectin, Phaseolus vulgaris leuco-agglutinin, was used as an anterograde tracer to label presynaptic processes of bulbospinal neurons, and horseradish peroxidase was used simultaneously to label phrenic motoneurons. Labeled bulbospinal axons ended with dense terminal arborizations within the phrenic cell column and on radial phrenic motoneuron dendrite bundles, which represented the exclusive site of termination of Bötzinger Complex and rostral ventral respiratory group neurons in the lower cervical spinal cord. Terminals of these descending axons formed presumptive synaptic contacts within longitudinal and radial dendrite bundles, and on the cell somata of phrenic motoneurons.

Afferent Pathways↗
PubMed1988

Rehabilitation of the breast cancer patient.

No treatment program for breast cancer is complete without arrangements for rehabilitation. This includes consideration of the emotional and psychosocial factors, as well as the physical problems that arise as the result of the treatments. The most important person in planning rehabilitation is the treating physician, but a multidisciplinary team provides optimal results. In recent years, the most dramatic improvements in rehabilitation have been seen in the psychosocial area, but improvements have also been made in restoring the patient to normal physical activity.

Breast↗
PubMed1988

Neural mechanisms generating locomotion studied in mammalian brain stem-spinal cord in vitro.

The neural control system for generation of locomotion is an important system for analysis of neural mechanisms underlying complex motor acts. In these studies, a novel experimental model using neonatal rat brain stem and spinal cord in vitro was developed for investigation of the locomotor system in mammals. The in vitro brain stem and spinal cord system was shown to retain functional circuitry for locomotor command generation, motor pattern generation, and sensorimotor integration. This system was exploited to investigate neurochemical mechanisms involved in neurogenesis of locomotion. Evidence was obtained for peptidergic and gamma-amino-butyric acid-mediated mechanisms in brain-stem circuits generating locomotor commands. Cholinergic, dopaminergic, and excitatory amino acid-mediated mechanisms were shown to activate spinal cord circuits for locomotor pattern generation. Endogenous N-methyl-D-aspartic acid receptors in spinal networks were found to play a central role in the generation of locomotion. The chemically induced patterns of motor activity and rhythmic membrane potential oscillations of spinal motoneurons were characteristic of those during locomotion in other mammals in vivo. The in vitro brain stem and spinal cord model provides a versatile and powerful experimental system with potentially broad application for investigation of diverse aspects of the neurobiology of mammalian motor control systems.

Animals↗
PubMed1988

Cardiovascular function is altered by picomole injections of glutamate into rat medulla.

Local neural circuitry in the nucleus tractus solitarius (NTS) involved in cardiovascular control was studied by injecting nanoliter volumes of excitatory amino acids into the structure. Experiments were performed on urethane-anesthetized, artificially ventilated rats. Multibarrel micropipettes were used for pressure ejection of drugs or a dye for marking ejection sites. Ejected volumes, ranging from 200 pl to 25 nl, were directly monitored for every injection. Injections of as little as 200 fmol of L-glutamate in 200 pl into the medial and lateral NTS region rostral to the obex elicited marked, site-specific decreases in arterial pressure and heart rate. The majority of these responses were eliminated by blockade of parasympathetic and sympathetic neural outflow. At sites caudal to obex, in the commissural region of the NTS, L-glutamate injections produced marked elevations in heart rate and arterial pressure which were sympathetically mediated. Responses to L-glutamate were attenuated by concurrent injection of glutamic acid diethyl ester and DL-2-amino-4-phosphonobutyrate, or lidocaine. These results indicate a heterogeneity in the spatial organization of brain-stem circuitry underlying cardiovascular control that has not been previously described.

Animals↗
PubMed1987

Role of the ventrolateral region of the nucleus of the tractus solitarius in processing respiratory afferent input from vagus and superior laryngeal nerves.

The role of respiratory neurons located within and adjacent to the region of the ventrolateral nucleus of the tractus solitarius (vlNTS) in processing respiratory related afferent input from the vagus and superior laryngeal nerves was examined. Responses in phrenic neural discharge to electrical stimulation of the cervical vagus or superior laryngeal nerve afferents were determined before and after lesioning the vlNTS region. Studies were conducted on anesthetized, vagotomized, paralyzed and artificially ventilated cats. Arrays of 2 to 4 tungsten microelectrodes were used to record neuronal activity and for lesioning. Constant current lesions were made in the vlNTS region where respiratory neuronal discharges were recorded. The region of the vlNTS was probed with the microelectrodes and lesions made until no further respiratory related neuronal discharge could be recorded. The size and placement of lesions was determined in subsequent microscopic examination of 50 micron thick sections. Prior to making lesions, electrical stimulation of the superior laryngeal nerve (4-100 microA, 10 Hz, 0.1 ms pulse duration) elicited a short latency increase in discharge of phrenic motoneurons, primarily contralateral to the stimulated nerve. This was followed by a bilateral decrease in phrenic nerve discharge and, at higher currents, a longer latency increase in discharge. Stimulation of the vagus nerve at intensities chosen to selectively activate pulmonary stretch receptor afferent fibers produced a stimulus (current) dependent shortening of inspiratory duration. Responses were compared between measurements made immediately before and immediately after each lesion so that changes in response efficacy due to lesions per se could be distinguished from other factors, such as slight changes in the level of anesthesia over the several hours necessary in some cases to complete the lesions. Neither uni- nor bi-lateral lesions altered the efficacy with which stimulation of the vagus nerve shortened inspiratory duration. The short latency excitation of the phrenic motoneurons due to stimulation of the superior laryngeal nerve was severely attenuated by unilateral lesions of the vlNTS region ipsilateral to the stimulated nerve. Neither the bilateral inhibition nor the longer latency excitation due to superior laryngeal nerve stimulation was reduced by uni- or bi-lateral lesions of the vlNTS region.(ABSTRACT TRUNCATED AT 400 WORDS)

Afferent Pathways↗
PubMed1987

In vitro brainstem-spinal cord preparations for study of motor systems for mammalian respiration and locomotion.

Recently developed in vitro preparations of the brainstem-spinal cord from neonatal rat suitable for investigation of motor control systems for mammalian locomotion and respiration are described. The preparations remain viable for extended periods under standard in vitro conditions and generate rhythmic motor patterns for locomotion and respiration. The methodology of the preparations and characteristics of the motor output patterns are described. The preparations retain functional circuitry for major components of the motor control systems, including brainstem respiratory and spinal locomotor pattern generating networks, brainstem locomotor command regions, descending bulbospinal and ascending spinal pathways, and mechanosensory afferent input systems. They therefore offer potential for investigation of diverse aspects of the mammalian respiratory and locomotor control systems.

Action Potentials↗
PubMed1986

Respiratory motoneuronal activity is altered by injections of picomoles of glutamate into cat brain stem.

The local neural circuitry underlying the control of breathing was studied by injecting nanoliter volumes of excitatory amino acids into discrete regions of cat brain stem. Experiments were performed on chloralose-urethane anesthetized, vagotomized, paralyzed, and artificially ventilated cats. Phrenic, intercostal, and recurrent laryngeal nerve discharges were recorded. Multibarrel pipettes were used for recording and pressure ejection of drugs or a dye for marking recording and ejection sites. Ejected volumes were directly monitored for every injection. Injections, proximal to neurons discharging with a respiratory periodicity, of as little of 200 fmol of L-glutamate in 200 pl of saline elicited marked, site-specific increases or decreases in respiratory motoneuronal discharge. N-Methyl-D-aspartic acid and homocysteic acid elicited similar site-specific alterations in respiratory motor output, although some details of the response could differ qualitatively. Responses to all the excitatory agents used were attenuated by concurrent injection of kynurenic acid, DL-2-amino-4-phosphonobutyric acid, or glutamic acid diethyl ester. There was no change in spontaneous phrenic nerve discharge in response to injections of equivalent or larger volumes of saline or lidocaine. These results indicate a heterogeneity in the spatial organization of the brain-stem neural circuitry underlying respiratory control, which has not been described previously. This injection technique may provide a mechanism for probing the neural circuitry underlying other behaviors.

Animals↗
PubMed1985

Caudal medullary expiratory neurone and internal intercostal nerve discharges in the cat: effects of lung inflation.

In midcollicular decerebrate, thoracotomized, paralysed cats that were ventilated by a cycle-triggered pump and had an expiratory load, recordings were taken from expiratory neurones in the nucleus retroambigualis of the caudal medulla and from the internal intercostal nerves at T8-T9 levels. Expiratory neurone and internal intercostal activities had augmenting patterns of two types: (a) step-ramp (one-third of the neurones): a large initial increase of activity synchronous with inspiratory termination, followed by a ramp increase throughout the expiratory phase; (b) ramp (two-thirds of the neurones): a steady rise of activity without a sharp initial increase, discharge usually starting after a delay (as much as several hundred milliseconds) from the onset of expiration. Both types of unit pattern could occur together with each type of internal intercostal pattern. At the end of expiration, unit activity shut off abruptly just prior (0-120 ms) to the onset of phrenic discharge. The effects of pulmonary afferent discharge on unit and internal intercostal activities were evaluated by use of inflation tests: withholding inflation during the preceding inspiratory phase; maintaining inflation at the end-inspiratory level during expiration. Both tests produced lengthening of expiratory phase duration (TE), but their effects on activity differed. Following no-inflation during inspiration, the discharge onset delay was lengthened for most ramp neurones, but for only a minority of step-ramp neurones; the slope of activity augmentation did not change on the average; and the peak (end-expiratory) discharge frequency was only slightly increased. The predominant effect of maintained expiratory inflation was reduction of activity slope for ramp neurones and for a minority of step-ramp neurones, as well as increase of peak frequency; there was a moderate increase of discharge onset delay for ramp neurones, but not for step-ramp neurones. The lengthening of TE produced by no-inflation in the preceding inspiration was associated with lengthening of the durations of both the discharge onset delay and the discharge burst, but there was no correlation between changes of these two variables. We observed a 'reversal phenomenon': moderate inflation facilitated activity, whereas higher inflation levels depressed activity, as demonstrated by: comparison of effects of maintained expiratory deflation (removal of the expiratory load) and of maintained expiratory inflation, both of which reduced activity; comparison of effects of phasic expiratory inflations having different magnitudes.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗
PubMed1985

Teaching psychiatry in the health maintenance organization.

Psychiatric residents training in a health maintenance organization (HMO) rapidly encounter the conflict between high demand for services and limited supply of time. In one HMO setting, the Harvard Community Health Plan, supervisors assist trainees in managing their practices to recognize their avoidances and conflicts and to respond therapeutically in keeping with the setting.

Adaptation, Psychological↗
PubMed1985

Projections from the ventral respiratory group to phrenic and intercostal motoneurons in cat: an autoradiographic study.

Anterograde transport of tritiated amino acids (leucine, lysine, and proline) was used to examine the spinal projections of respiratory premotor neurons in the ventral respiratory group (VRG) of cats. This population of neurons corresponds anatomically with the nucleus ambiguus-retroambigualis. Small volumes (20 to 50 nl) of tritiated amino acids were pressure ejected into the middle of the VRG through a micropipette which permitted simultaneous recording of respiratory modulated activity. In two cats injections were made caudal to the obex in regions which contained expiratory modulated neurons. In five cats injections were made rostral to the obex in regions containing inspiratory neurons. After a 2-week survival period, cats were anesthetized and perfused. The entire neuraxis was removed and processed using standard autoradiographic techniques. Transport of tritiated amino acids revealed a marked bilateral projection to lamina IX of the spinal cord at the C4 to C6 level and a primarily contralateral projection to laminae VIII and IX in the thoracic spinal cord. Distinct descending pathways to the phrenic motor neurons were observed in the lateral funiculus and in the ventral funiculus; descending fibers to the intercostal motoneurons in the thoracic cord appeared to be restricted to the ventral funiculus. Labeling of axon terminals in both the cervical and thoracic cords was confined to ventral horn regions which contain motoneurons. These results suggest that monosynaptic projections from brainstem bulbo-spinal neurons to spinal motoneurons are important in controlling respiratory movements of the diaphragm and intercostal muscles.

Animals↗
PubMed1985

Dorsal and ventral myotome motoneurons and their input during fictive locomotion in lamprey.

Motoneurons supplying the dorsal and ventral parts of the myotome in the lamprey are shown to have different morphological characteristics; furthermore, their pattern of activation during fictive locomotion may differ considerably. Intracellular recordings from motoneurons were performed in an in vitro spinal cord-myotome preparation from segments rostral to the fins. The location of the contracting muscle fibers in the myotome could be observed directly in the dissection microscope during intracellular stimulation of the motoneuron. The motoneurons were injected with Lucifer Yellow, an intracellular dye, and were subsequently reconstructed, sometimes in both a horizontal and a transverse plane. Motoneurons supplying the ventral third of the myotome had a dense, fan-like, dendritic tree and ramifications near the midline. In contrast, motoneurons supplying the dorsal third of the myotome had a more widespread and less dense dendritic tree, with few ramifications near the midline. Some motoneurons supplying the most ventral or dorsal part of the myotome had contralateral dendrites crossing in the ventral commissure and ramifying near contralateral large, reticulospinal Müller fibers. The differences in morphology may indicate that these motoneurons receive different descending inputs. This may be related to the need for an effective control in the dorsoventral plane during righting and steering responses. During fictive locomotion elicited in the isolated spinal cord by bath-applied N-methyl-aspartate, pairs of motoneurons were recorded which subsequently were identified and characterized by intracellular injections of Lucifer Yellow.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1984

Effect of synchronous activation of medullary inspiratory bulbo-spinal neurones on phrenic nerve discharge in cat.

The effects on phrenic nerve discharge elicited by intraspinal stimulation which produced synchronous activation of bulbo-spinal inspiratory neurones were investigated in chloralose-urethane anaesthetized, paralysed, vagotomized and artificially ventilated cats. Descending respiratory axons were activated in the ventrolateral spinal cord at the second cervical level using either monopolar or bipolar stimulation (25-200 microA, 100 microseconds, 1-300 Hz). Activation of bulbo-spinal axons was confirmed by recording both orthodromic phrenic nerve excitation and antidromic spike invasion of single, inspiratory modulated units in either the dorsal respiratory group (d.r.g.) or ventral respiratory group (v.r.g.). Antidromic activation of inspiratory bulbo-spinal neurones was confirmed by the criteria of high frequency following and collision tests. Spinal cord stimulation at intensities of 100 microA antidromically activated approximately half of the inspiratory bulbo-spinal neurones in the d.r.g. and v.r.g. Stimulation pulses delivered to the spinal cord elicited an orthodromic excitation of the ipsilateral phrenic nerve lasting 2-12 ms during inspiration. The onset latency of excitation was 2-4 ms, decreasing as inspiration progressed. Following the initial excitation there was a 4-30 ms period of reduced phrenic nerve discharge. Continuous trains of stimuli (less than 100 microA, 100 microseconds, 1-300 Hz) or phrenic gated trains delivered during every fourth inspiratory or expiratory cycle had little or no effect on the duration of inspiration or expiration. Brief trains (400 ms, 50 Hz, 100 microA) of bilateral spinal cord stimulation delivered at various delays from the onset of inspiration had only a transient effect on the pattern of phrenic nerve discharge, with no noticeable effect 60 ms after termination of stimulation. Based on the assumption that synchronous activation of a portion of the central pattern generator for respiration would phase shift or reset the rhythm, we conclude that the bulbo-spinal inspiratory neurones are not responsible for generation of respiratory timing signals and play, at most, a limited role in the generation of the augmenting central inspiratory activity.

Action Potentials↗
PubMed1984

Discharge properties of dorsal medullary inspiratory neurons: relation to pulmonary afferent and phrenic efferent discharge.

In decerebrate paralyzed cats ventilated with a cycle-triggered pump system that delivered inflation during the central inspiratory (I) phase (indicated by efferent phrenic discharge), activity of 90 neurons with inspiratory-modulated discharge was recorded in the region of the ventrolateral nucleus of tractus solitarius (vlNTS) in the medulla. Of these, 82 had centrally originating I patterns (69 augmenting, 13 decrementing), and 8 were "pump" neurons. The neurons were classified into functional types by the application of inflation tests, the main test being withholding of the inflation usually delivered during the central I phase. This maneuver eliminated phasic pulmonary afferent input and produced lengthening of the I phase. The neurons' responses were heterogeneous, and were classified as: excitation by inflation (inflation(+], no significant effect of inflation (inflation(0], and depression by inflation (inflation(-]. Application of inflation during the expiratory (E) phase only rarely produced excitation of central I neurons. The I neurons excited by inflation correspond to the "I-beta" neurons of earlier studies. On the basis of the multimodal distribution of their discharge onset times relative to phrenic onset, they were classified as early onset or late onset. In contrast, the inflation(0) and inflation(-) neurons, which correspond to the "I-alpha" neurons, almost exclusively had early onsets. The pump neurons could be distinguished from the inflation(+) I neurons by the effects of inflations delivered during E: the former were equally excited by inflations during E and during I, while the latter were not excited or were minimally excited by inflation during E. Thus, the pump neurons had lung afferent inputs but no inputs from the central I pattern generator, while the inflation(+) I neurons had both kinds of input. The neurons having decrementing discharge during I (early inspiratory and expiratory-inspiratory) were depressed by inflation. Cross-correlation histograms (CCH) of unit firing versus whole phrenic (contralateral and ipsilateral) activity on a short time scale (milliseconds) were computed; the majority of these had high-frequency oscillations, with mean period of 14.6 +/- 3.6 (SD) ms. The CCHs for the different groups of neurons were analyzed with respect to a) strength of correlation as a function of laterality and b) lag of the main correlation peak. Both the inflation(0) and inflation(+) neuronal groups had correlation properties suggesting that these neurons monosynaptically excite phrenic motoneurons.(ABSTRACT TRUNCATED AT 400 WORDS)

Afferent Pathways↗
PubMed1982

A stereotaxic system for independent coordinated positioning of two or three microelectrodes.

This paper describes a straightforward, easily built and relatively inexpensive stereotaxic system that permits independent coordinated positioning of 2 or 3 microelectrodes. This system is ideally suited for situations where the ability to routinely place one electrode at a precise position relative to another is important. Resolution of relative position and interelectrode distance is +/- 50 micrometers. This system should prove useful for the study of local interactions in such neural aggregates as nuclei, motoneuron pools and within and between cortical columns.

Animals↗
PubMed1982

The effects of microstimulation and microlesions in the ventral and dorsal respiratory groups in medulla of cat.

The responses in respiratory outflow resulting from microstimulation and successive microlesions of the dorsal (DRG) and ventral (VRG) respiratory groups of neurons in the brainstem were studied in anesthetized, paralyzed, artificially ventilated cats. Microstimulation (2 to 120 Hz; 5 to 50 microA; 100 musec pulse duration) at almost every point within the DRG or VRG produced a bilateral short latency inhibition of phrenic nerve activity which had an onset latency of 4 to 9 msec and a duration of 4 to 24 msec. This global stereotyped phrenic inhibition was elicited by single pulses and often was accompanied by a postinhibitory excitation. In 48% (92/193) of the stimulation trials, trains of stimulus pulses during inspiration decreased the duration of inspiration. In 25% of the expiratory microstimulation trials, expiratory duration was increased and in 11%, expiration was shortened markedly by trains of pulses. Single shocks delivered to the right VRG or DRG produced a short latency excitation in the ipsilateral recurrent laryngeal nerve (RRL). This RRL excitation had an onset latency of 2 to 5 msec and a duration of 3 to 15 msec. Evidence suggests that the RRL excitation is due to a paucisynaptic activation of expiratory motoneurons in the caudal VRG. This activation is synchronous with the inhibition of inspiratory neurons in DRG and VRG. Despite the powerful short latency effects of microstimulation in VRG and DRG, extensive bilateral destruction of these neuronal populations had only modest effects on respiratory rhythm, while it decreased (or abolished) respiratory outflow in phrenic and recurrent laryngeal nerves. The combined results of the microstimulation and microlesion portions of this study suggest that a region (or regions) outside of the DRG and VRG might be important in the control of the respiratory pattern and that the DRG and VRG are important in determining the depth of inspiration; their role in generating respiratory rhythm needs to be critically re-examined.

Animals↗