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Influence of fibrinogen degradation products on thrombin time, activated partial thromboplastin time and prothrombin time of canine plasma.

To investigate how thrombin time, activated partial thromboplastin time (APTT) and prothrombin time are influenced by fibrinogen degradation products (FDP), different concentrations (0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.8 and 1.0 mg/ml) of the purified FDP X, Y, D and E were added to the plasma of healthy dogs. If fragment Y was added to the plasma a considerable inhibitory effect could be demonstrated for all three test systems. A significant prolongation (p < 0.05) was found for concentrations of > or =0.1 mg/ml (thrombin time, APTT) and > or =0.2 mg/ml (prothrombin time). With FDP Y concentrations from >0.185 mg/ml (prothrombin time) to >0.24 mg/ml (APTT) coagulation time was prolonged beyond the respective reference range. As regards the other fragments, a comparable inhibitory effect could only be shown for fragment X added to the thrombin time test system. This effect can most probably be explained by the competition of the FDP X and fibrinogen for the fibrinogen binding sites of thrombin, rather than by a fibrin polymerization disorder. The results demonstrate that for plasma with normal fibrinogen concentration the group tests are only prolonged beyond the reference range at FDP concentrations very rarely found in spontaneous hyperfibrinolysis.

Animals↗

"Haemostasis time", a modified bleeding time test and its comparison with the Duke and Ivy/template bleeding times. II. Application in bleeding disorders.

"Haemostasis time" (HT), the occlusion time of a Butterfly 25 short cannula inserted into the cubital vein, is a bleeding time modification comparable to the skin bleeding times according to Duke and Ivy/Mielke. It also measures platelet function and is not influenced more than the latter tests by clotting factors. In HT, subendothelium is replaced by a standard artificial surface. The technique was investigated in patients with haemophilia A and B, von Willebrand's disease (vWD), and defects of factors VII and XI. HT was prolonged in 9/16 patients with haemophilia A/B, but did not correlate with the factor VIII:C/IX:C values. However, it reflected the different bleeding tendencies in those patients as represented by early or late onset of bleeding symptoms and occurrence of spontaneous haemarthroses. Of the vWD patients, not classified by multimeric analysis, 15/31 had prolonged Simplate II bleeding times, 14/31 prolonged HTs. Only 20/31 patients had corresponding normal or prolonged bleeding times with both techniques. HT correlated significantly with the Duke bleeding time (p = 0.011), ristocetin cofactor activity (p = 0.003) and von Willebrand factor antigen (p = 0.022), while no correlations were found between these parameters and the Simplate II method. Statistical evaluation shows, that in vWD, HT can replace the less precise Duke bleeding time but not the non-related Ivy/Simplate techniques.

Adolescent↗

Regaining lost time: adult aging and the effect of time restoration on recall of time-compressed speech.

Two experiments in which time was restored to artificially accelerated (time-compressed) speech are reported. Experiment 1 showed that although both young and older adults' recall of the speech benefited from the restoration of time, time restoration failed to boost the older adults to their baseline levels for unaltered speech. In Experiment 2, either 100% or 125% of lost time was restored by inserting pauses, either at linguistic boundaries or at random points within the passages. Experiment 2 showed that the beneficial effects of time restoration depended on where processing time was inserted, as well as how much time was restored. Results are interpreted in terms of age-related slowing in speech processing moderated by preserved linguistic knowledge and short-term conceptual memory.

Adult↗

Patient experience of time duration: strategies for 'slowing time' and 'accelerating time' in general practices.

Approaches to time management in general practices characteristically focus on objective 'clock time', for example, through appointment scheduling. No less important, however, is how patients experience time duration. Time is experienced as having passed slowly (time prolongation), quickly (time compression) or in rough synchronization with clock time. Duration has been theorized to be positively associated with information processing. This paper builds on that theory to suggest how practices can influence patients' subjective experience of duration in the practice environment, for example, by making waiting times appear to quicken and consultations appear to slow.

Family Practice↗

On measuring the minimum detection time: a simple reaction time study in the time estimation paradigm.

Kornblum's time estimation paradigm, together with the so-called 'race model', provides an appealing alternative for measuring the 'cut-off' which separates 'true' reaction times from anticipatory reaction times. However, the model is not precise enough to reveal the relation between the signal intensity and the 'cut-off'. Accordingly, Kornblum's model is extended with an emphasis on the measure of the 'cut-off'. Another aspect of the extension is to use a parametric method to analyse the data. In particular, it is assumed that the time estimation-induced latency is gamma distributed and the signal-induced latency is Weibull distributed, with the latter shifted by the 'cut-off'. The rationale behind the parametric assumption is discussed. For illustrative purposes, two pieces of experimental work are presented. Since the core of the race model is the assumption of an independent race between the time estimation process and the detection process, the first experiment tests whether, for the same signal intensity, the signal-induced latency distribution is invariant across different time intervals; the second experiment tests whether, for the same time interval, the time estimation-induced latency distribution is invariant across different signal intensity conditions. The data from the second experiment are also used to test various parametric assumptions in the model, which include the signal effect on the 'cut-off'. The new model fits the data well.

Humans↗

Incremental exercise, plasma concentrations of catecholamines, reaction time, and motor time during performance of a noncompatible choice response time task.

The primary purpose was to examine the effect of incremental exercise on a noncompatible response time task. Participants (N=9) undertook a 4-choice noncompatible response time task under 3 conditions, following rest and during exercise at 70% and 100% of their maximum power output. Reaction and movement times were the dependent variables. Maximum power output had been previously established on an incremental test to exhaustion. A repeated-measures multivariate analysis of variance yielded a significant effect of exercise intensity on the task, observation of the separate univariate repeated-measures analyses of variance showed that only movement time was significantly affected. Post hoc Tukey tests indicated movement time during maximal intensity exercise was significantly faster than in the other two conditions. The secondary purpose of the study was to assess whether increases in plasma concentrations of adrenaline and nor-adrenaline during exercise and power output would act as predictor variables of reaction and movement times during exercise. Catecholamine concentrations were based on venous blood samples taken during the maximum power output test. None of the variables were significant predictors of reaction time. Only power output was a significant predictor of movement time (R2 = .24). There was little support for the notion that peripheral concentrations of catecholamines directly induce a central nervous system response.

Adult↗

Distance and movement time effects on the timing of agonist and antagonist muscles: a test of the impulse-timing theory.

The experiment examined the effects of movement time (MT) and distance on the timing at electromyographic (EMG) activity from an agonist and antagonist muscle during rapid, discrete elbow movements in the horizontal plane. According to impulse-timing theory (Wallace, 1981) MT, not distance moved, should have a pronounced effect on the timing of EMG activity (duration of initial agonist and antagonist burst and time to onset of initial antagonist burst). The levels of MT were 100 and 160 msec and the levels of distance were 27 degrees and 45 degrees of elbow flexion. In general support of impulse-timing theory, the results of the three EMG timing measures showed that MT had a more pronounced effect on these measures than distance. In addition, the timing of EMG activity in relation to total MT remained fairly consistent across the four MT-distance conditions.

Journal Article↗

[Historical times, physical times, epidemiological times: probable contributions of Fernand Braudel and Ilya Prigogine to epidemiological thinking]

The text is an approach on time as a scientific category in epidemiology. Considering the aphorism time-place-person, time is pointed out as an element with little theoretical concern, despite its presence in main epidemiological concepts. While a topic connected to important changes in other disciplines, such as history, geography, biology and physics, time represents an interesting point of view to the interdisciplinary dialogue and its relevance for a critical knowledge in epidemiology. To argue about this idea, the historical and physical time constructions of Fernand Braudel and Ilya Prigogine are presented. These time theoretical constructions are compared with a probable epidemiological time. Finally, using the emerging infectious diseases as an example, some considerations are made about an apparent epistemological inadequacy of the epidemiological time to recognize the social and historical aspects involved in the complexity of the disease expressions in human populations.

Journal Article↗

The cerebellum: it's about time! But timing is not everything--new insights into the role of the cerebellum in timing motor and cognitive tasks.

Converging evidence from different research studies supports a role for the cerebellum in timing neural processes. The cerebellum is part of a distributed system for motor control. The timing hypothesis provides a specific functional role for the unique contribution of the cerebellum. The timing capabilities of the cerebellum appear to extend beyond motor control into tasks focusing on perceptual processing that require the precise representation of temporal information and sensorimotor learning. Behavioral and modeling studies suggest that the cerebellar timing system is best characterized as providing a near-infinite set of interval-type timers rather than as a single clock with pacemaker or oscillatory properties, but this is controversial. In addition to learning precisely timed motor responses, the cerebellum is involved in on-line processing using feed-forward systems for which sensory input is used prior to movement execution to improve movement accuracy. This would be a mechanism for triggering accurate "time." The cerebellum continues to fascinate scientists, and although survival is possible without the cerebellum, the resultant quality of life is significantly compromised with clumsiness, ataxia, hypotonia, dysarthria, slowing of various cognitive perceptual processes, and impaired fine motor and ocular-motor coordination. The last three decades have seen the development of research that has focused on how the cerebellum functions. Further neurophysiologic research in cerebellar cortical neurotransmission is likely to further our understanding of the cerebellar contribution to timing sensorimotor processes.

Animals↗

[More accidents due to daylight saving time? A comparative study on the distribution of accidents at different times of day prior to and following the introduction of Central European Summer Time (CEST) (author's transl)].

In the summer of 1980 for the first time clocks in the Federal Republic of Germany were advanced 1 h ahead of Central European Time (CET), which had been in use until then. In a sample of a total of 1070 accident patients, who had accidents on data pairs taken from the months of May 1979 (before the introduction of the so-called Central European Summer Time- CEST) and May 1980, comparable by day of the week, holiday, and weather conditions, and were seen at the University of Heidelberg Dept. of Surgery, a statistically significant increase in accident frequency between 7:30 p.m. and 5:30 a.m. was found when comparing the years 1979 and 1980 (P less than 0.05). At the same time, the services of the outpatient department were claimed to a greater extent in the evening and night time in 1980 than prior to the introduction of CEST. Since the sample must be considered comparably as to age and sex distribution as well as calendar days and climatic influence, and change in routine due to the adaptation to daylight saving time is discussed as the most probable reason for the observed increase in accidents. The influence of CEST apparently exceeds a short adjustment phase. Further studies are recommended to investigate a possible correlation between daylight saving time and an increased risk of accidents.

Accidents↗

Time perspective, time attitude, and time orientation in alcoholism: a review.

It has been proposed that alcoholics may have a disrupted subjective sense of time. A review of empirical investigations of alcoholics' psychological time functioning is presented, attempting to carefully distinguish between the concepts of time perspective, time attitude, and time orientation. It is recognized that the label "alcoholic" is not a homogeneous diagnosis, and it is used here for individuals in treatment for problems related to alcohol abuse. Important questions raised by the previous investigations are listed along with speculations about the role of cognitive impairment in relation to time functioning of alcoholics. Suggestions are made for potential differential treatment according to the patients' time functioning as it relates to motivation, and for additional research needed in this area.

Alcoholism↗

A reassessment of the bleeding time: association of age, hematocrit, platelet function, von Willebrand factor, and bleeding time thromboxane B2 with the length of the bleeding time.

In order to provide an overview of the relative contribution of platelet, von Willebrand factor, and other abnormalities to patients with clinical bleeding difficulties, we performed a retrospective survey of coagulation studies on 569 individuals referred to the University of Manitoba coagulation laboratory because they, or a closely related family member, showed clinical evidence of a bleeding disorder. There was a highly significant (p less than 0.001) negative correlation between the bleeding time and each of the following parameters: the platelet count; the hematocrit; the percent aggregation to collagen, epinephrine, ADP, and arachidonic acid; and the logarithm of von Willebrand factor antigen and a measure of its activity (ristocetin cofactor). A significant and independent inverse relationship between the length of the bleeding time and the extent of platelet adhesion to glass beads, patient age, and prothrombin consumption were also observed. Multivariate analysis of the ability of all parameters to predict the bleeding time showed an r2 of only 0.33. Bleeding time thromboxane B2, in a second smaller study of 70 patients, showed a negative correlation with the length of the bleeding time (p = 0.0001), and, when used together with the above parameters, significantly enhanced the ability to predict the length of the bleeding time (r2 = 0.55). Defects in platelet function, as measured in vitro, and significant enough to have an effect on the bleeding time, occurred with greater frequency than defects in von Willebrand factor in the Manitoba patients evaluated.

Adolescent↗

Effects of mood states and anxiety as induced by the video-recorded stroop color-word interference test in simple response time tasks on reaction time and movement time.

Mood states and anxiety might alter performance in complex tasks whereas in more simple tasks such as stimulus-response, high anxiety could provoke bias in mechanisms of attention leading to better performances. We investigated the effects of anxiety, tension, and fatigue induced by the video-recorded Stroop Color-Word Interference Test on either reaction or movement time. 61 subjects performed a visual and an auditory response-time test in Control and Anxiogenic conditions during which heart rate was measured. Tension and anxiety states were assessed using self-evaluation. Analysis showed auditory response time was improved for both reaction and movement times in the Anxiogenic condition. These data suggest that the increased attention underlying anxiety and mood responses could have favored auditory response time by leading subjects to process stimuli more actively. In addition, state-anxiety and tension could have influenced muscular tension, enhancing the movement time in the auditory task.

Adolescent↗

The influence of time, temperature and packed cell on activated partial thromboplastin time and prothrombin time.

Activated partial thromboplastin time (APTT) and prothrombin time (PT) were performed in four groups of studies in order to evaluate the influences of time, temperature, and different forms of plasma storage to the result. Different designs for storage of the plasmas were studied, including the plasmas stored either with or without packed cells, the plasmas stored in the cuvette with exact volume for performing the test or in the test tube. The temperatures for store of the plasma were at room temperature, at 4 degrees C and at -70 degrees C. The time for store of the plasma was from 1 hour up to 7 hours. The plasmas included normal pooled plasmas and diseased plasmas. From this study, it is found that the PT test was not easily affected by the temperature, storage time and the form of storage in comparison with the APTT test which was much easily affected by the above conditions. APTT should be done within 2 hours after sampling and the plasma should be stored with the packed cells at 4 degrees C in order to obtain a reliable result. PT could be done within 7 hours without influence to the result if the plasma was stored with the packed cells at 4 degrees C. No significant cold-induced shortening of PT could be noted when the plasma was incubated at 4 degrees C up to 7 hours. In either PT or APTT, the most suitable condition for storing the plasma should be with the packed cells at 4 degrees C.

Blood Preservation↗

Evaluation of a point-of-care coagulation analyzer for measurement of prothrombin time, activated partial thromboplastin time, and activated clotting time in dogs.

OBJECTIVE: To evaluate a point-of-care coagulation analyzer (PCCA) in dogs with coagulopathies and healthy dogs. ANIMALS: 27 healthy and 32 diseased dogs with and without evidence of bleeding. PROCEDURE: Prothrombin time (PT), activated partial thromboplastin time (aPTT), and activated clotting time (ACT) were determined, using a PCCA and standard methods. RESULTS: Using the PCCA, mean (+/- SD) PT of citrated whole blood (CWB) from healthy dogs was 14.5+/-1.2 seconds, whereas PT of nonanticoagulated whole blood (NAWB) was 10.4+/-0.5 seconds. Activated partial thromboplastin time using CWB was 86.4+/-6.9 seconds, whereas aPTT was 71.2+/-6.7 seconds using NAWB. Reference ranges for PT and aPTT using CWB were 12.2 to 16.8 seconds and 72.5 to 100.3 seconds, respectively. Activated clotting time in NAWB was 71+/-11.8 seconds. Agreement with standard PT and aPTT methods using citrated plasma was good (overall agreement was 93% for PT and 87.5% for aPTT in CWB). Comparing CWB by the PCCA and conventional coagulation methods using citrated plasma, sensitivity and specificity were 85.7 and 95.5% for PT and 100 and 82.9% for aPTT, respectively. Overall agreement between the PCCA using NAWB and the clinical laboratory was 73% for PT and 88% for aPTT. Using NAWB for the PCCA and citrated plasma for conventional methods, sensitivity and specificity was 85.7 and 68.4% for PT and 86.7 and 88.9% for aPTT, respectively. CONCLUSIONS AND CLINICAL RELEVANCE: The PCCA detected intrinsic, extrinsic, and common pathway abnormalities in a similar fashion to clinical laboratory tests.

Animals↗