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Biomedical subjects

K Kessler

Publications and source records attributed to K Kessler.

32 records · Page 2Linked to original sources

Performance of deaf children with cochlear implants and vibrotactile aids.

A longitudinal study is under way to examine the speech perception and production skills of deaf children who use a single- or multi-channel cochlear implant, or a two-channel tactile aid. The speech perception data showed that the majority of subjects who achieved the highest scores on a range of measures used the multi-channel cochlear implant. The production data showed that all three types of sensory aids were effective in promoting production skills, with the cochlear implant users showing the greatest gains in this area.

Child↗

Comparison of sensory aids in deaf children.

A speech perception hierarchy has been developed and applied to assess the influence of cochlear implants and tactile aids on the acquisition of auditory, speech, and language skills in deaf children. Encouraging improvements were noted with both types of sensory aids at the detection level. The House 3M and Nucleus cochlear implant designs appear to offer advantages over the Tactaid II in providing ancillary speech perception cues to deaf children. Preliminary observations suggest that the multichannel cochlear implant design may be superior to the single-channel coding scheme.

Auditory Threshold↗

The role of cochlear implants in deaf children.

Advances in technology regarding cochlear implantation and electroacoustic stimulation of the inner ears of deaf children has created cautious enthusiasm. The safety of cochlear implantation is now reasonably well established and language performance measures made over time are encouraging. When coupled with an effective (re)habilitation program, the cochlear implant promises to favorably influence the potential of deafened children.

Adolescent↗

Further characterization of the avian benzodiazepine receptor subunits including phylo- and ontogenetic aspects.

The two avian benzodiazepine binding proteins offer an opportunity for further studies concerning their regional variation and their phylo- and ontogenetic development. Accordingly, regional variation of the benzodiazepine binding proteins is investigated further in two reptiles and chicken using photoaffinity labeling with [3H]flunitrazepam followed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and fluorography. Whereas regional heterogeneity is pronounced in chicken, it is not readily apparent in the two reptiles. The ontogeny of the benzodiazepine binding proteins in chicken forebrain and cerebellum is remarkably similar to that previously reported in rodents. The results are discussed in light of the possible existence of the gamma-aminobutyric acid/benzodiazepine receptor as an isoreceptor complex.

Animals↗

Absence of trisomy 15 in chemically induced murine T-cell lymphomas.

Trisomy 15 is a frequent chromosomal abnormality found in murine thymic tumors that develop spontaneously or by induction with irradiation, chemical carcinogens, or leukemogenic retroviruses. The results of our studies demonstrate that T-cell lymphomas induced in RF mice with the chemical carcinogen 3-methylcholanthrene predominantly exhibit a normal diploid complement of chromosomes with no evidence of chromosome 15 trisomy after in vivo and in vitro passage. We conclude that accumulation of aneuploidy is not necessary for maintenance of the tumor phenotype and that chemically induced lymphomas can develop in a defined subpopulation of T cells in the absence of trisomy 15.

Animals↗

Duration versus degree of hypotension as critical conditions of brain infarction in the albino rat.

In 41 anesthetized, spontaneously breathing male adult albino rats, cerebral hypotension of precisely defined duration and magnitude was induced by means of controlled arterial hemorrhage. One common carotid artery was occluded throughout the hypotensive period, and the target pressure was monitored in the ipsilateral internal carotid artery. Regional brain infarcts developed in all 16 animals with a target pressure of 14 mm Hg maintained for 90 minutes and in all five animals with a target pressure of 12 mm Hg maintained for 70 minutes. However, the brains of all 10 rats with a target pressure of 17 mm Hg maintained for 80 minutes remained intact. In two further groups of five animals each with target pressures of 15 mm Hg for 80 minutes and 16 mm Hg for 90 minutes the incidence of infarct was about 30%. There were no marked differences between the five groups of rats in body weight, body temperature, heart rate, respiratory rate, PaO2, PaCO2, arterial pH, or hematocrit. The data suggest that, in the rat, the clear-cut threshold for the induction of brain infarcts is a function of the severity and duration of arterial hypotension. Evidence is presented indicating that this function is distinctly species-dependent, due to species differences in the dilatory capacity of the arteries supplying the brain rather than species differences in brain vulnerability.

Animals↗

[Follow-up of 425 operated ganglion patients].

The etiology and pathogenesis of ganglion cysts have not yet been completely illucidated. After surgical intervention there are recurrence rates of more than 30% described in the literature. Out of 425 operated patients a total of 348 patients could be reexamined. Recurrence rates as well as pre- and postoperative complaints are discussed.

Adolescent↗

Thyroid hormone and the TRH stimulation test in refractory depression.

Seven of 21 refractory depressed patients responded within 7 days to combined thyroid hormone-antidepressant treatment. Five of the 7 responders revealed evidence of subclinical hypothyroidism, suggesting that this subpopulation of depressed patients may benefit most from adjunctive thyroid hormone.

Adult↗

Procainamide elimination kinetics in pediatric patients.

Procainamide kinetics were studied in six children after a single intravenous dose. Two-compartment kinetic analysis of serum concentration-time curves of five children, who received a dose of 5.5 +/- 0.9 mg/kg (mean +/- SD), revealed the following values for kinetic parameters: distribution half-life, 10.3 +/- 3.4 min; elimination half-life, 1.7 +/- 0.1 hr; elimination constant, 1.2 +/- 0.3 hr-1; plasma clearance 19.4 +/- 2.0 ml/min/kg, and steady-state volume of distribution, 2.2 +/- 0.3 l/kg. A sixth patient, who received an accidental overdose of 28 mg/kg, had altered elimination kinetics due to drug-induced hypotension. N-acetylprocainamide (NAPA) was detected in serum samples obtained soon after procainamide dosing and peak concentrations were attained at 1 to 2 hr. NAPA levels were lower than corresponding procainamide concentrations at most sampling periods. The findings of short elimination half-life and rapid plasma clearance of procainamide in children suggest that continuous intravenous infusion may be necessary to maintain therapeutically effective plasma concentrations in these patients.

Arrhythmias, Cardiac↗