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Biomedical subjects

M Ojha

Publications and source records attributed to M Ojha.

At least 37 records · Page 2Linked to original sources
PubMed1994

Influence of angle on wall shear stress distribution for an end-to-side anastomosis.

PURPOSE: The purpose of this article was to study the effects of anastomotic angle on the wall shear stress distribution for end-to-side anastomosis models under pulsatile flow conditions. METHOD: The photochromic tracer technique was used to visualize the flow field and to determine the instantaneous wall shear stress at multiple locations simultaneously. Models with angles of 20, 30, 45, and 60 degrees were examined. RESULTS: For all angles, low shear stress was present at the heel and on the bed opposite the heel of the anastomosis apparently as a result of the complete occlusion of the proximal end of the host vessel. Near the toe, increased flow separation occurred with increasing angle. On the bed across from the toe, increasing the angle led to increased shear stress. In addition, in this region the anastomotic angle significantly altered other properties of the shear stress field such as the mean and peak-to-peak magnitudes and cycle-to-cycle fluctuations. CONCLUSIONS: This study provides quantitative data on the wall shear stress distribution within an end-to-side anastomosis and its relation to the anastomotic angle. The results are discussed in terms of possible roles of shear-induced intimal hyperplasia.

Anastomosis, Surgical↗
PubMed1994

Wall shear stress temporal gradient and anastomotic intimal hyperplasia.

Unusual wall shear stress patterns on the bed of end-to-side arterial anastomoses appear to be the primary factor in the development of intimal hyperplasia that often leads to arterial bypass graft failure. In this in vitro study using the photochromic tracer technique, the shear stress variation on the bed of a 30 degrees anastomosis was examined before and after the development of hyperplasia. With the disease-free model, a rapid downstream shift in the stagnation point was seen on the bed during the systolic phase of the flow cycle, which led to sharp temporal changes in the shear stress from positive to negative values, ie, rapid changes in the direction of the shearing force. The resulting negative temporal gradients were roughly eight times larger than those seen in a straight tube, and it is suggested that this may lead to endothelial deformation or injury and eventually to intimal thickening. With the diseased model, the simulated tissue overgrowth on the bed appeared to act as a flow divider that restricted the motion of the stagnation point, and this drastically reduced the rapid changes in the direction of the shearing forces. Thus, it seems that the development of bed anastomotic intimal hyperplasia may be a response designed to reduce shear-induced endothelial deformation or injury.

Anastomosis, Surgical↗
PubMed1993

Spatial and temporal variations of wall shear stress within an end-to-side arterial anastomosis model.

Wall shear stress has been strongly implicated in the initiation of fibrous intimal hyperplasia that leads to arterial bypass graft failure. In this study, the photochromic tracer technique was used to determine the instantaneous value of the wall shear stress in order to provide a detailed description of its spatial and temporal variations within a 45 degrees end-to-side anastomosis model. At the heel and on the bed across from the heel, the shear stress was close to zero throughout the sinusoidal flow cycle. Flow separation was produced just beyond the toe where the peak phase-averaged shear stress was 6 dyn cm-2, whilst on the bed across from the toe it was 27 dyn cm-2. The stagnation point was seen to fluctuate quite sharply on the bed over a distance of about one tube radius upstream from the site across from the toe. This led to large spatial gradients of the wall shear stress with a peak value of 580 dyn cm-3. In addition, the sudden motion of the stagnation point around peak flow produced sharp temporal gradients of the wall shear stress with a peak absolute value of 3400 dyn cm-2 s-1. When compared to the sites where intimal hyperplasia tends to occur, a strong correlation is seen with low wall shear stress at the heel and toe, and with the sharp temporal variations of the magnitude and spatial gradient of the wall shear stress on the bed across from the junction.

Anastomosis, Surgical↗
PubMed1993

A numerical simulation of flow in a two-dimensional end-to-side anastomosis model.

In order to understand the possible role that hemodynamic factors may play in the pathogenesis of distal anastomotic intimal hyperplasia, we carried out numerical simulations of the flow field within a two-dimensional 45 degree rigid-walled end-to-side model anastomosis. The numerical code was tested and compared with experimental (photochromic dye tracer) studies using steady and near-sinusoidal waveforms, and agreement was generally very good. Using a normal human superficial femoral artery waveform, numerical simulations indicated elevated instantaneous wall shear stress magnitudes at the toe and heel of the graft-host junction and along the host artery bed. These sites also experienced highly variable wall shear stress behavior over the cardiac cycle, as well as elevated spatial gradients of wall shear stress. These observations provide additional evidence that intimal hyperplasia may be correlated to wall shear stresses over the cardiac cycle, high wall shear stress gradients, or a combination of the three. The limitations of the present work (especially in regard to the two-dimensional nature of the flow simulations) are discussed, and results are compared to previous observations about distal anastomotic intimal hyperplasia.

Anastomosis, Surgical↗
PubMed1993

Evidence that turbulence is not the cause of poststenotic dilatation in rabbit carotid arteries.

The purpose of this study was to relate local blood flow conditions to the development of poststenotic dilatation (PSD) in the common carotid arteries of rabbits. We investigated the effects of the geometry of the stenoses on PSD formation to gain insight into the mechanisms of this phenomenon. With short stenoses, the maximum diameter of the PSD after 3 weeks increased from about 25% to 50% above the proximal diameter by increasing the severity of the stenoses from 50% to 60% diameter reduction. By contrast, increasing the length of the constricted region of 60% stenoses did not affect the PSD, and in all cases, the site of maximum dilatation occurred within 3 tube diameters from the stenoses. In vitro studies were conducted with the photochromic tracer technique. The most striking observation was that the transition to turbulence did not occur with a 55% short stenosis. By increasing the severity of this short stenosis to 70%, the transition to very localized turbulence was triggered approximately 6 to 8 tube diameters from the stenosis during the early deceleration phase of the flow cycle. The transition point moved farther downstream by increasing the length of this moderate stenosis. This study demonstrated that PSD can occur under turbulence-free conditions, and even when turbulence was generated, the site of the PSD was remote from that of the localized turbulence zone. The wall shear stress pattern was determined for the long 60% stenosis.(ABSTRACT TRUNCATED AT 250 WORDS)

Aneurysm↗
PubMed1993

Hemodynamics of a side-to-end proximal arterial anastomosis model.

PURPOSE: The purpose of this article was to analyze the fluid mechanical effects of a side-to-end proximal anastomosis and to compare the results with those from our earlier study on the end-to-side distal anastomosis. METHODS: The photochromic tracer technique was used to determine the instantaneous wall shear stress and to visualize the overall flow field under pulsatile flow conditions. The flow consisted of a sinusoid plus a steady component with mean and modulation Reynolds numbers of 355 and 565, respectively, and a Womersley number of 7.9. RESULTS: At the toe and heel of the junction, very high and positive wall shear stresses were seen together with substantial nonperiodic fluctuations. The peak wall shear stress was about four times higher at the toe and about seven times higher at the heel than the maximum values observed at about four tube diameters upstream from the junction. On the bed of the host vessel, nonperiodic fluctuations were also observed, but the shear stresses were mainly negative with magnitudes comparable to those seen upstream. With leakages of 11% and 28% of the mean flow through the blocked end of the host vessel, the shear stress pattern seemed to be significantly affected only at the toe for the higher leakage. Further, when the mean Reynolds number was reduced to 320, the magnitudes of the variations in the wall shear stress were reduced proportionately, except at the heel, where the reduction was much larger than expected. CONCLUSIONS: It appears that the preferential development of intimal hyperplasia at the distal end-to-side anastomosis may be promoted by low wall shear stress at the toe and heel, and probably by high shear stresses or shear stress gradients on the bed.

Anastomosis, Surgical↗
PubMed1990

Detailed visualization of pulsatile flow fields produced by modelled arterial stenoses.

A multiple trace photochromic method was used to visualize the pulsatile flow field created by modelled arterial stenoses of 38% and 65% area reductions. Using flow parameters similar to those of a medium sized artery in man, the flow patterns at seven axial locations in relation to the stenosis were simultaneously photographed at various times throughout the flow cycle. With the 65% stenosis, the wall shear stress in the vicinity of the reattachment point was found to fluctuate quite strongly during the turbulent phase of the flow cycle, giving rise to instantaneous shear stresses that were at least eight times larger than those measured upstream. For the 38% stenosis, much smaller shear stresses were observed. These and other results are described in detail.

Arterial Occlusive Diseases↗
PubMed1990

Steady and pulsatile flow fields in an end-to-side arterial anastomosis model.

We investigated the flow field within a rigid-walled in vitro model of an end-to-side 45 degree anastomosis in an attempt to identify possible hemodynamic factors that may contribute to the pathogenesis of distal anastomotic intimal hyperplasia. A high-resolution photochromic tracer technique was used to visualize the flow in orthogonal planes and to determine the axial wall shear stress profiles for both steady and pulsatile flows over a range of physiologically relevant conditions. The flow field showed qualitative similarities to those seen in curved vessel: rapidly moving fluid from the graft section affects the bed of the host vessel, that is, the wall opposite the anastomosis, eventually advancing down the host vessel in a spiraling motion. A small mobile separation zone was noted at the toe of the anastomosis. Comparison of wall shear stress profiles with previously reported preferential sites for the development of intimal hyperplasia supported a low wall shear stress and/or flow separation pathogenesis hypothesis. One notable exception was the bed of the host artery that appeared to be subjected to a complex hemodynamic environment.

Arteriovenous Shunt, Surgical↗
PubMed1990

Evidence of a possible link between poststenotic dilation and wall shear stress.

The effects of an axisymmetric 65% area reduction stenosis on a pulsatile flow were investigated by use of an in vitro model that permits simultaneous visualization of the flow velocity profiles at seven sites. By use of seven lenses to focus the ultraviolet light from a nitrogen laser, seven thin blue lines were produced in the photochromic solution flowing through the tube. The displacement profiles of the dye traces were photographed, resulting in the acquisition of the velocity profiles. From these traces, the flow pattern was determined, and the wall shear stresses were measured. Turbulence was generated 3.3 to 6.5 tube diameters downstream from the edge of the stenosis, depending on the time in the pulsatile flow cycle. Maximum wall shear stress fluctuations between positive and negative values appeared to lie within 1.6 to 3.3 tube diameters downstream of the stenosis. In several illustrative clinical cases of thoracic outlet arterial compression, the poststenotic dilation was maximum at 2.0 +/- 0.3 vessel diameters downstream. Based on these observations, it is postulated that wall shear stress fluctuations may be important in the development of poststenotic dilation.

Arteries↗
PubMed1989

Potential limitations of center-line pulsed Doppler recordings: an in vitro flow visualization study.

In this study an in vitro model that permits visualization of the flow velocity profile has been used to determine if duplex pulsed Doppler recordings made with a small sample volume in the center line of the vessel can determine the severity of a stenosis in the 38% to 75% range of cross-sectional area reduction. Because most Doppler instruments measure the maximum peak frequency and the extent of spectral broadening, observations in the flow model included changes in the center-line maximum velocity and the location and intensity of flow disturbances. The results showed that center-line measurements of maximum velocity (equivalent to peak Doppler frequency) were directly related to the severity of the stenosis as long as the recordings were made from within the throat to about 1.5 to 3 tube diameters downstream, depending on the shape of the stenosis. However, flow disturbances (equivalent to spectral broadening) did not always occur in the center line of the vessel. Stenoses greater than 50% area reduction produced turbulence across the entire vessel in the region 4.5 to 7.5 diameters downstream. The turbulent period started just before peak systole and extended to just less than half the pulse cycle. In the more proximal zone a forward flow jet was present in the central part of the vessel, and reverse flow was present in the outer region. The interfacial layer between these two regions is subjected to high shear rates that resulted in the formation of waves and vortices.(ABSTRACT TRUNCATED AT 250 WORDS)

Arterial Occlusive Diseases↗
PubMed1989

Role of models in understanding and interpreting clinical Doppler ultrasound.

Mathematical and physical models are essential tools in both fundamental and clinically applied Doppler ultrasound research. In this paper we illustrate a variety of models and show how they can be used to understand and interpret clinical Doppler ultrasound signals, particularly from stenosed arteries. The physical models discussed include both steady and pulsatile flow systems, and also a flow visualization technique that can be used to interpret the Doppler signals at a fundamental hemodynamic level. The mathematical models deal with three different aspects of the Doppler signal: models that describe the mechanism of ultrasound scattering by blood, a model to stimulate the returned Doppler signal and a model that may be used to aid in the analysis of clinical recordings. Each of these models provides a more complete understanding of blood flow through normal and stenosed vessels and contributes to the interpretation of clinical Doppler signals.

Computer Simulation↗
PubMed1988

Novel Ca2+-activated neutral protease from an aquatic fungus, Allomyces arbuscula.

A Ca2+-activated neutral protease was purified to homogeneity from an aquatic Phycomycete fungus, Allomyces arbuscula. It requires millimolar concentrations of Ca2+ for activation (1.8 to 2 mM for 50% activation). Sr2+ can replace Ca2+ but at higher concentrations (4 mM for 50% activation). The enzyme is a dimer of 40-kilodalton subunits and contains six cysteine residues, three of which are revealed only after the addition of micromolar concentrations of Ca2+; the other three are free. Enzyme activity is strongly inhibited by SH-group inhibitors and some trypsin inhibitors (leupeptin and alpha-N-tosyl-L-lysine chloromethyl ketone). The enzyme lacks general trypsinlike specificity, since substrates containing tryptic cleavage sites are not cleaved nor is enzyme activity inhibited by other trypsin inhibitors. The enzyme has many functional similarities to the extensively characterized mammalian and avian Ca2+-activated neutral proteases but differs in its substrate specificity, inhibition by alpha-N-tosyl-L-phenylalanine chloromethyl ketone, and subunit structure. It is, nevertheless, presumed that this enzyme has a similar high order of specificity and is involved in the regulation of a specific growth function.

Calcium↗
PubMed1980

Ribosomal RNA genes in Kluyveromyces marxianus.

DNA from the yeast Kluyveromyces marxianus was studied for its heterogeneity and the multiplicity of rRNA cistrons. These cistrons banded at a slightly different density from the bulk DNA in preparative CsCl or Hg2+-Cs2SO4 equilibrium density gradients. The reassociation kinetics of the bulk DNA showed that the repetitive fraction represented a small amount of the total cellular DNA (10%) and that the single copy fraction had a complexity of 6.3 X 10(9) daltons. Approximately 2.2% of the DNA hybridized to 3H-labelled rRNA at saturation. On the basis of the above genome size, the multiplicity of the rRNA cistrons was calculated to be about 70 per haploid nucleus.

Base Sequence↗
PubMed1978

Loss of rRNA genes during a phenotypic, masculinizing mutation in Allomyces arbuscla.

Saturation hybridization of 3H rRNA from Allomyces arbuscula Bali wild-type to homologous DNA and to DNA preparations from Allomyces arbuscula Bali X-ray induced male mutant and an interspecific male hybrid (Allomyces arbuscula X Allomyces macrogynus Emerson and Wilson) has shown approximately 50--60% reduction in the cistrons coding for rRNA in the masculinized strains.

Chytridiomycota↗
PubMed1978

Presence of RNA in the nucleoprotein complex spontaneously released by human lymphocytes and frog auricles in culture.

Cell systems as different as normal human blood lymphocytes and frog auricles release spontaneously a nucleoprotein complex in their culture medium. This release seems to be an active mechanism that is unrelated to cell death. The presence of RNA in this complex is demonstrated. The amount of extracellular RNA is regulated by the same homeostatic mechanism that has previously been shown to govern DNA release in the same cell systems. This extracellular RNA is linked by hydrogen bonds to the extracellular DNA and cannot be extracted by a usual phenol procedure, due perhaps to the presence of a glycoprotein. Further purifications by chloroform, sodium perchlorate, and hydroxyapatite are necessary to obtain an RNA molecule that is acid precipitable, RNase and KOH sensitive, and orcinol positive. The extracellular RNA sediments between 2.5 and 4S and is not a transfer RNA. It is more highly methylated than the 28S, 18S, and 4 to 5S cellular RNA. It activates DNA synthesis in vitro.

Animals↗
PubMed1977

Ribosomal RNA cistrons in Allomyces arbuscula.

Bulk and nuclear DNA have been fractionated by preparative neutral CsCl equilibrium density gradient centrifugation and each fraction hybridized to labeled rRNA (25 + 18 S). The cistrons coding for rRNA appeared on the light side of the main peak. Hybridization of the nuclear DNA fractionated by preparative Ag+-Cs2SO4 gradients at different pHs showed that the banding profile did not change as compared to the CsCl pattern. In Hg2+-Cs2SO4 gradients, however, the peak of the fRNA-DNA hybrids shifted on the heavier side of the profile. This indicates that the ribosomal RNA cistrons in Allomyces are A-T-rich. Hybridization with homologous rRNA showed that, at saturation, 3.25% of the DNA is complementary to rRNA. With the genome size of 1.7-10(10) daltons, the multiplicity of rRNA cistrons has been found to be close to 270.

Base Sequence↗