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[Monitoring and secondary effects of immunosuppressants in the transplant].

The success of organ transplants and their consideration as a clearly established treatment in some indications is due to the development of immunosuppressant drugs. While it was not the first of the drugs to be employed, the introduction of cyclosporin in the 1980s in immunosuppressant treatment made possible an increase in the number of transplants and the success of this practice. From then onwards, immunosuppression has been based on the use of a combination of drugs, initially cyclosporin, corticoids and azathioprine. In recent years new drugs have been introduced that have opened up the possibilities of treatment. But many pending questions remain, due to the toxicity associated with their use and the possibility of interaction with other drugs, which complicates their use and can compromise the prognoses of these patients. Calcineurin inhibitors and mTOR are the drugs involved with greater frequency in interactions with other drugs, which makes it necessary to anticipate this possibility when the concomitant medication is changed.

Biological Availability↗

Short-term isolation increases social interactions of male rats: a parametric analysis.

Frequencies of social interactions were higher in pairs of short-term individually housed male Wistar rats as compared to group-housed animals. This was most pronounced when an individually housed rat and a group-housed conspecific were tested together in the morning under red light conditions. Then, in particular the behavioral elements exploration partner, anogenital investigation, crawl over/mount and social grooming were enhanced. The increases in social interactions was dependent on the duration of the period of individual housing and appeared to be maximal after 4 to 7 days of individual housing. The effect extinguished after repeated testing. The observed behavioral changes were hardly affected by habituation to the test cage and were also present in young animals. The increase in social interactions is apparently not due to a general increase in locomotor or exploratory behavior, since no differences in ambulation between individually- and group-housed animals were observed when they were tested together in the social interaction test, and locomotor activities hardly differed in an open field test procedure.

Age Factors↗

Reentrant synchronization and pattern formation in pacemaker-entrained Kuramoto oscillators.

We study phase entrainment of Kuramoto oscillators under different conditions on the interaction range and the natural frequencies. In the first part the oscillators are entrained by a pacemaker acting like an impurity or a defect. We analytically derive the entrainment frequency for arbitrary interaction range and the entrainment threshold for all-to-all couplings. For intermediate couplings our numerical results show a reentrance of the synchronization transition as a function of the coupling range. The origin of this reentrance can be traced back to the normalization of the coupling strength. In the second part we consider a system of oscillators with an initial gradient in their natural frequencies, extended over a one-dimensional chain or a two-dimensional lattice. Here it is the oscillator with the highest natural frequency that becomes the pacemaker of the ensemble, sending out circular waves in oscillator-phase space. No asymmetric coupling between the oscillators is needed for this dynamical induction of the pacemaker property nor need it be distinguished by a gap in the natural frequency.

Journal Article↗

Patterns of sickle cell, thalassaemia and glucose-6-phosphate dehydrogenase deficiency genes in north-western Saudi Arabia.

This study was conducted on 429 blood samples collected from Saudi males and females from Al-Ula in the north-western province of Saudi Arabia in order to determine the frequency of the sickle cell gene, glucose-6-phosphate dehydrogenase (G6PD) deficiency gene, and alpha- and beta-thalassaemia genes, and to investigate the pattern of their interactions. The frequency of the sickle cell gene was 0.0785, while that of the beta-thalassaemia gene was 0.1195. Heterozygous alpha-thalassaemia 2 (- alpha/alpha alpha) was encountered at a frequency of 0.121, while homozygous alpha-thalassaemia 2 (- alpha/- alpha) occurred at a frequency of 0.0046. HbH disease and hydrops fetalis were not encountered. One case with triple alpha-gene arrangement, alpha alpha alpha anti-3.7, was identified. The G6PD deficiency gene frequency was 0.08 and 0.032 in males and females, respectively. Several cases with 2 abnormal genes were encountered. The haematological and biochemical data from the patients with sickle cell disease suggest that the disease in this population is more severe in comparison with cases reported from the eastern population.

Anemia, Sickle Cell↗

Top-down processing mediated by interareal synchronization.

Perception and cortical responses are not only driven "bottom-up" by the external stimulus but are altered by internal constraints such as expectancy or the current behavioral goal. To investigate neurophysiological mechanisms of such top-down effects, we analyzed the temporal interactions of neurons on different levels of the cortical hierarchy during perception of stimuli with varying behavioral significance. We found that interareal interactions in a middle-frequency range (theta and alpha; 4-12 Hz) strongly depend on the associated behavior, with a phase relationship and a layer specificity indicating a top-down-directed interaction. For novel unexpected stimuli, presumably processed in a feed-forward fashion, no such interactions occurred but high-frequency interactions (gamma; 20-100 Hz) were observed. Thus corticocortical synchronization reflects the internal state of the animal and may mediate top-down processes.

Animals↗

Amide I vibrational dynamics of N-methylacetamide in polar solvents: the role of electrostatic interactions.

The vibrational frequency of the amide I transition of peptides is known to be sensitive to the strength of its hydrogen bonding interactions. In an effort to account for interactions with hydrogen bonding solvents in terms of electrostatics, we study the vibrational dynamics of the amide I coordinate of N-methylacetamide in prototypical polar solvents: D2O, CDCl3, and DMSO-d6. These three solvents have varying hydrogen bonding strengths, and provide three distinct solvent environments for the amide group. The frequency-frequency correlation function, the orientational correlation function, and the vibrational relaxation rate of the amide I vibration in each solvent are retrieved by using three-pulse vibrational photon echoes, two-dimensional infrared spectroscopy, and pump-probe spectroscopy. Direct comparisons are made to molecular dynamics simulations. We find good quantitative agreement between the experimentally retrieved and simulated correlation functions over all time scales when the solute-solvent interactions are determined from the electrostatic potential between the solvent and the atomic sites of the amide group.

Amides↗

Frequency of RNA-RNA interaction in a model of the RNA World.

The RNA World model for prebiotic evolution posits the selection of catalytic/template RNAs from random populations. The mechanisms by which these random populations could be generated de novo are unclear. Non-enzymatic and RNA-catalyzed nucleic acid polymerizations are poorly processive, which means that the resulting short-chain RNA population could contain only limited diversity. Nonreciprocal recombination of smaller RNAs provides an alternative mechanism for the assembly of larger species with concomitantly greater structural diversity; however, the frequency of any specific recombination event in a random RNA population is limited by the low probability of an encounter between any two given molecules. This low probability could be overcome if the molecules capable of productive recombination were redundant, with many nonhomologous but functionally equivalent RNAs being present in a random population. Here we report fluctuation experiments to estimate the redundancy of the set of RNAs in a population of random sequences that are capable of non-Watson-Crick interaction with another RNA. Parallel SELEX experiments showed that at least one in 10(6) random 20-mers binds to the P5.1 stem-loop of Bacillus subtilis RNase P RNA with affinities equal to that of its naturally occurring partner. This high frequency predicts that a single RNA in an RNA World would encounter multiple interacting RNAs within its lifetime, supporting recombination as a plausible mechanism for prebiotic RNA evolution. The large number of equivalent species implies that the selection of any single interacting species in the RNA World would be a contingent event, i.e., one resulting from historical accident.

Bacillus subtilis↗

Platinum anticancer drug binding to DNA detected by thickness-shear-mode acoustic wave sensor.

Nucleic acid has been attached to the electrodes of thickness-shear-mode acoustic wave devices to produce a biosensor for platinum-based drugs. The decreases in series resonant frequency for interactions of DNA with both cis- and transplatin are indicative of two distinct kinetic processes. The results of a kinetic analysis are interpreted in terms of nucleic acid binding of the hydrolysis products of the two drugs. Concentration-dependent decreases of series resonant frequency show that the limit of detection for the drugs is approximately 10(-7) M. Motional resistance changes for nucleic acid-drug interactions also convey information regarding the chemistry of the macromolecules at the interface.

Animals↗

Detecting and preventing adverse drug interactions: the potential contribution of computers in pharmacies.

For patients taking two or more medications concurrently, interactions among the drugs can cause undesirable effects or negate desired responses. In modern pharmacy practice, an important role of the pharmacist is to detect potentially harmful interactions and take appropriate action to prevent their occurrence. Pharmacy computer systems offer potential for improving pharmacists' effectiveness in the detection and followup of drug interactions. Based on a survey of southern Michigan pharmacists, relationships between computer use and pharmacists' attitudes and activities in drug interaction monitoring were investigated. Respondents included users of two major computer systems as well as pharmacists who do not use computers. Results suggest that general statements cannot be made about the effect of computer use on drug interaction detection. Users of one of the two computer systems detected and followed up on interactions more frequently and were more likely to report improved knowledge of drug interactions than non-users. Frequencies of drug interaction detection and other related measures reported by users of the second computer system were similar to those for pharmacists not using computers. Computer system characteristics which might lead to these differences are discussed.

Computers↗

The P300 in pain evoked potentials.

Pain evoked potentials (EPs) have been used in the last two decades as means of obtaining objective measures of pain, in clinical and experimental setups. The possibility that the pain EP wave contains elements of the endogenous P300 potential rather than being a neurophysiological correlate of pain has been raised by a number of authors, but the issue has not been resolved. In this study, two experiments were performed to study the effect of nonmodality-specific factors on the laser EP: (1) a stimulus attend as opposed to a stimulus-ignore condition and (2) counterbalanced oddball and task P300 stimulus presentations. The latter was to permit full examination of the separate and combined influences of each condition on the EP. Stimuli were given to the radial hand of 10 healthy volunteers using a CO2 laser. The positive component of the laser EP was affected by both manipulations relating to (1) attention (P = 0.0146) and (2) the frequency condition (P = 0.003) in the P300 paradigm. The task condition in the second paradigm did not affect the positive wave on its own, although its effect was visible in interaction with frequency (P = 0.033). In conclusion, although the presence of a somatic component in the laser EP cannot be rules out, we suggest that the laser EP contains a definite non-modality-specific P300 component, and is not a pure neurophysiological correlate of pain intensity.

Acoustic Stimulation↗

Lateralization of high frequency, amplitude modulated sounds as a function of carrier frequency.

Twenty subjects made graphic ratings of the perceived laterality of amplitude modulated sounds that were presented through earphones. A 200 Hz modulation frequency was combined with carrier frequencies of 2200 Hz, 3200 Hz, 4200 Hz, and 5200 Hz. The modulator sinusoid was delayed to either ear by temporal intervals ranging from zero to 0.6 ms. A significant interaction of carrier frequency with the linear trend for interaural temporal disparity indicated that the slopes of laterality ratings on temporal disparity decreased with carrier frequency. A significant interaction of carrier frequency with the difference in ratings for the 0.6 ms delays to the two ears indicated that the range in laterality ratings decreased with carrier frequency. The results indicate that the amount of laterality is a decreasing function of carrier frequency for high frequency sounds, which may be a consequence of greater weight being given to zero intensity difference as frequency increases.

Auditory Perception↗

The role of derivational morphology in vocabulary acquisition: get by with a little help from my morpheme friends.

This study explores the role of morphology in vocabulary knowledge of 3rd and 6th grade Finnish elementary school children. In a word definition task, children from both grades performed overall better on derived words than on monomorphemic words. However, the results were modified by the factors Frequency and Productivity. Most strikingly, performance on monomorphemic words was disproportionately weaker than on derived words at the low frequency range. At the high-frequency range, derived words with low-productive suffixes yielded poorest performance. We partly make an appeal to the lexical-statistical properties of the Finnish language to explain the interaction of Frequency and Word Structure. At any rate, the results suggest that Finnish elementary school children benefit significantly from utilizing morphology in determining word meanings.

Analysis of Variance↗

Spatial frequency and visual persistence: cortical reset.

Psychophysical studies show that the duration of visual persistence increases with spatial frequency of gratings. Previous theories ascribe this finding to differences between the spatial and temporal properties of sustained and transient pathways. This paper proposes an alternative account that explains persistence as a side-effect of excitatory feedback in neural circuits for contour extraction. Mechanisms to break excitatory feedback include inhibitory reset signals at stimulus offset. Simulations demonstrate how gratings with lower spatial frequency generate stronger inhibitory reset signals, thereby resulting in shorter persistence for lower spatial frequencies. Additional simulations account for interactions of spatial frequency with stimulus duration, effects of adaptation, and properties of residual traces, as opposed to visual persistence.

Adaptation, Ocular↗

Frequency of simvastatin prescriptions with potentially interacting medications in a Veterans Affairs health care system.

OBJECTIVE: The primary objective of this review is to quantify the proportion of patients on simvastatin, an HMG-CoA reductase inhibitor (commonly known as statin), who received concurrent prescriptions for potentially interacting chronicuse medications. The secondary objective is to determine the frequency with which simvastatin was prescribed above its recommended dose when administered concomitantly with known interacting medications. METHODS: A retrospective review of computerized outpatient pharmacy records from a Veterans Affairs Medical Center and its associated ambulatory clinics was performed in September 2002. RESULTS: A total of 12,240 patients had an active prescription for a statin. The majority of patients (95%, N = 11,677) were on simvastatin therapy, and 1,231 (10.5%) of the patients on simvastatin were prescribed at least 1 potentially interacting medication. More than one half (57.8%) of simvastatin doses were above the maximum recommended daily dose when prescribed with potentially interacting medications. CONCLUSION: This analysis supports the need for vigilance in reviewing the dose of simvastatin in patients receiving interacting medications. Health care systems should consider strategies to educate health care professionals on prevention of drug interactions and adverse patient outcomes.

Aged↗

The vibration behavior of railway track at high frequencies under multiple preloads and wheel interactions

The track foundation is preloaded by multiple wheel loads due to the train weight and, as the pad and ballast are nonlinear, their stiffness depends upon the preload in them. Due to the influence of these resilient components of the track, the track vibration is affected by the wheel loads. It is also affected by the wheel/rail interactions. In this article the preloads in the pad and ballast are calculated by considering the nonlinear properties of the track foundation, and thus the preloaded pad and ballast stiffnesses are determined. The vibration properties are explored for the track under multiple wheel loads and multiple wheel/rail interactions by comparing the results from different track models with and without these effects. It is found that the point receptance of the track is reduced and the vibration decay rate is enhanced at low frequencies due to the wheel loads. The effects of the wheel/rail interactions are most significant for frequencies 400-2000 Hz. Because of the wheel/rail interactions, the point receptance fluctuates and the vibration decay is enhanced in the regions around the wheels.

Journal Article↗

Similar attentional, frequency, and associative effects for pseudohomophones and words.

Between the presentation and recall of 1 or 5 digits, Ss performed a secondary task of naming a visually presented letter string--a pseudohomophone (e.g., FOLE, HOAP) or its real-word counterpart (FOAL, HOPE). Memory load interacted with frequency (HOPE vs. FOAL, HOAP vs. FOLE) but not with lexicality (HOPE vs. HOAP, FOAL vs. FOLE). This outcome counters models in which nonwords are named by a slow (resource-expensive) process that assembles phonology and words are named by a fast (resource-inexpensive) process that accesses lexical phonology. When the associative priming-of-naming task was secondary to the memory task, pseudohomophone associative priming (HOAP-DESPAIR, FOLE-HORSE) equaled associative priming (HOPE-DESPAIR, FOAL-HORSE) and was affected in the same way by memory load. Assembled phonology seems to underlie the naming of both words and nonwords.

Adult↗

Study of protein dynamics by X-ray diffraction.

Properly carried out, high-resolution X-ray diffraction data collection followed by careful least-squares refinement can give the spatial distribution of the high-frequency mean-square displacements in a protein. These displacements reflect both individual atomic fluctuations in hard variables (bond lengths and bond angles) and collective motions involving soft variables (torsion angles, nonbonded interactions). Lower frequency, large amplitude motions and rapid but improbable motions are not quantifiable, but they may lead to such complete disorder that their existence can at least be inferred from the absence of interpretable electron density for some sections of the structure. Interior residues are more rigid than groups on the surface, and structural constraints are reflected in restricted motion even for surface residues. Amplitudes of motion of 0.5 A or greater are not uncommon. The temperature dependence of these fast motions varies considerably over the structure. In general, large [chi 2] values have large temperature dependence, while small displacements are less affected by temperature; however, exceptions are common. Significant reduction in [chi 2] on cooling establishes that proteins are mobile even in the crystalline state, and that static disorder is not the dominant contributor to the individual mean square displacements. Disordered regions in electron density maps are no longer automatically taken as signs of errors in structure determination. It is now recognized that the absence of strong electron density is often an indicator of conformational flexibility. Some of the functional roles for protein dynamics are beginning to be understood. Missing from these results are the physicochemical details that can be extracted from thermal motion analysis of small molecule crystal structures. Application of these methods to protein data is very difficult, but it is well to remember that just over 10 years ago it was commonly felt that protein structures could not even be refined. Certainly some small, well-diffracting proteins should be amenable to many of the sophisticated small-molecule analyses, as they yield X-ray data to resolutions comparable to simple organic structures. The most important type of analysis that awaits is anisotropic B factor refinement, which would give the principal directions of motion added to the amplitude information now obtained. Unfortunately, refinement of unrestrained anisotropic thermal elipsoids requires six parameters for each atom instead of a single isotropic B parameter, and even 1.5 A resolution data do not provide enough overdeterminacy.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Effects of peripheral circular contours on dynamic spatial orientation.

The rod-and-frame effect (RFE) was investigated with the use of a frame that oscillated about an axis at its center at five different frequencies, ranging from .013 to .213 Hz. The resultant RFE shifted continuously with the roll motion of the frame, and it was significantly larger at the lowest frequency (.013 Hz) than under comparable static conditions. The dynamic RFE was lowest at the higher oscillation frequencies. Oscillatory roll vection--apparent self-motion--was reported by 3 of the 9 subjects when the frame was oscillating at its highest frequency (.213 Hz). The subjects yielded large increases in the RFE during the sessions with reports of vection. Surrounding the kinetic frame with a circular contour eliminated all reports of vection and significantly interacted with frequency to reduce the RFE--but only at low frequencies. The reduction amounted to 21.2% averaged over all 9 subjects at the three lowest frequencies. A surrounding contour, therefore, suppressed low-frequency kinetic visual orientation information that might otherwise have produced larger changes in apparent self-orientation and perceived vertical. Vection-sensitive subjects differed from nonvection subjects by exhibiting (1) a high-frequency fall-off in real-motion gain, (2) a high-frequency enhancement in illusory-motion gain, and (3) only a small and nonsignificant increase in illusory-movement phase lag with increases in frequency.

Adolescent↗