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Reflectance enzyme histochemistry (REH): visualization of cerium-based and DAB primary reaction products of phosphatases and oxidases in cryostat sections by confocal laser scanning microscopy.

In the present study the reflectance mode of confocal laser scanning microscopy was adapted to detect and to assess semiquantitatively cerium-based primary reaction products of oxidases [Ce(IV) perhydroxide] and phosphatases [Ce(III) hydroxyphosphate converted into Ce(IV) perhydroxyphosphate] as well as of the 3,3'-diaminobenzidine (DAB)-based primary reaction product of cytochrome c oxidase in cryostat sections. Confocal laser scanning microscopy offers a unique way of making visible histochemical reaction products which are weakly absorbant but sufficiently reflective. It was easily possible to record simultaneously the reflectance signals at the wavelength of the exciting laser (preferentially 488 nm) and the autofluorescence signals ( > 580 nm in our set-up) of glutaraldehyde-fixed tissue. The results of an imbibition study of cerium-containing model precipitates indicate that the cerium, generally, should be oxidized prior to observation because the index of refraction of Ce(IV) compounds is considerably higher than that of the corresponding Ce(III) compounds. An attempt at comparative numerical assessment of reflection intensities from reflectant parts in morphologically similar sections is presented. The proposed technique may open new possibilities in enzyme- and immunohistochemistry.

3,3'-Diaminobenzidine↗

Noninvasive evaluation of the influence of aortic wave reflection on left ventricular ejection during auxotonic contraction.

To develop a noninvasive method for evaluating the influence of aortic wave reflection on left ventricular ejection, the carotid pulse wave and the pulsed Doppler wave in the left ventricular outflow tract were evaluated in 35 patients. Agreement between the pulsed Doppler waveform and the aortic flow velocity contour (obtained invasively) was verified by Fourier analysis. The carotid augmentation index was used to determine the magnitude of the aortic pressure wave reflection. A Doppler index named "DR1/3" was defined as the ratio of deceleration at the first one-third in the deceleration phase to the peak flow velocity of the pulsed Doppler. This index was validated by close correlation with the carotid augmentation index (n = 48, r = 0.70, P < 0.01). Both nitrates and nifedipine induced a significant decrease in DR1/3 (indicating an increase in left ventricular ejection flow) in relation to a reduction of the reflected pressure wave. The new noninvasive index, DR1/3, is useful in evaluating the influence of aortic wave reflection as part of the left ventricular afterload and in assessing the benefit of treatment aimed at reducing wave reflection.

Aorta↗

Continuous monitoring of gastroduodenal mucosal hemodynamics in rats by laser-Doppler flowmetry and reflectance spectrophotometry.

Gastroduodenal mucosal hemodynamics in rats was monitored continuously by laser-Doppler flowmetry (LDF) and reflectance spectrophotometry, and the validity of these techniques was determined. Corpus mucosal hemodynamics was recorded for 90 min, under stable conditions. In cases of graded hemorrhagic hypotension, corpus mucosal blood flow by LDF and hydrogen gas clearance, and potential differences showed a good correlation. Corpus, antral, and duodenal mucosal hemodynamics monitored by LDF, hydrogen gas clearance, and reflectance spectrophotometry reflected regional hemodynamic differences. In monitoring mucosal hemodynamics by LDF and reflectance spectrophotometry, regular oscillations (4-6 cycles/min) were observed in most animals. The characteristic change of oscillations during graded hemorrhagic hypotension was thus elucidated. In moderate hypotension (50-90 mmHg), high-amplitude and high-frequency (5-10 cycles/min) oscillations were observed, while in cases of severe hypotension (25-40 mmHg), the oscillations almost ceased. Observation of the oscillatory changes is thus a new application of LDF and reflectance spectrophotometry.

Animals↗

Teachers' interactions and their collaborative reflection processes during peer meetings.

Teachers' reflections are often narrowly focused on technical questions ('how to') and less on the underlying moral, political and emotional aspects of their functioning. However, for a better understanding of teaching practice it is important to uncover beliefs and values that usually remain implicit. Meeting with others is considered crucial for enhancing the quality of teachers' reflections. However, little is known about how any beneficial effects of such meetings are brought about. We explored the relationship between medical teachers' interactions and collaborative reflection processes during peer meetings. Five experienced teachers and a teacher trainer participated in the study. Three peer meetings were videotaped and transcribed. Teachers' interactions and collaborative reflective processes were analysed. The interactions promoted reflection not only on technical questions but also on moral, political, and emotional issues. 'Guiding/directing', 'proposing an alternative' and 'exploring an alternative' appeared to be the principal interactions. The results may be useful for teachers and trainers who are considering organising and/or improving peer meetings.

Cooperative Behavior↗

The thickness of monoolein lipid bilayers as determined from reflectance measurements.

Measurements of the reflectance of monoolein/n-alkane and monoolein/squalene lipid bilayers have been made. The total thickness of the bilayer was calculated from the dependence of reflectance on the refractive index of the aqueous salt or sucrose solution surrounding the bilayer. The total thickness was then compared to the thickness of the hydrocarbon chain region as determined from capacitance measurements. From this comparison, we found that the thickness of each polar region of the bilayers in salt solutions was 0.5 +/- 0.1 nm, independent of the hydrocarbon solvent used. When the aqueous solutions contained sucrose, each polar region was approx. 0.9 nm thick. When n-tetradecane and n-hexadecane were used as solvents, microlenses of solvent trapped in the monoolein bilayer increased the reflectance. After about one hour, the coalescence of microlenses into larger lenses allowed the reflectance of the bilayer alone to be measured. The use of reflectance to measure the thickness of monoolein bilayers appears to be consistent with other methods and to give useful information about the structure of lipid bilayers.

Chemical Phenomena↗

Reflection and transmission of laser light from the esophagus: the influence of incident angle.

The application of lasers in gastrointestinal endoscopy is rapidly expanding. Because of the tubular configuration of the gastrointestinal tract, endoscopists often deliver laser energy at large angles of incidence. As incident angle affects the fraction of radiation reflected from the tissue surface, we measured the transmittance and reflectance of laser light from in vitro esophagus as a function of incident angle, using integrating sphere and goniometric techniques. At a wavelength of 633 nm and angles of incidence less than 50 degrees, the total transmittance of the esophagus is approximately 25% and the total reflectance is approximately 45%; both are isotropically distributed. At larger angles of incidence, a specularly reflected component becomes evident and the total reflectance increases. The absorbed light per unit area illuminated decreases with increasing angle, because the area illuminated by the laser beam is proportional to the secant of the incident angle. The data suggest that during endoscopic laser procedures the incident laser beam should be directed within 50 degrees of normal for optimal performance and safety.

Biophysical Phenomena↗

Reflectance and Mossbauer spectroscopy of ferrihydrite-montmorillonite assemblages as Mars soil analog materials.

Spectroscopic analyses show that Fe(3+)-doped smectites prepared in the laboratory exhibit important similarities to the soils on Mars. Ferrihydrite has been identified as the interlayer ferric component in Fe(3+)-doped smectites by a low quadrupole splitting and magnetic field strength of approximately 48 tesla in Mossbauer spectra measured at 4.2 K, as well as a crystal field transition at 0.92 micrometer. Ferrihydrite in these smectites explains features in the visible-near infrared region that resemble the energies and band strengths of features in reflectance spectra observed for several bright regions on Mars. Clay silicates have met resistance in the past as Mars soil analogs because terrestrial clay silicates exhibit prominent hydrous spectral features at 1.4, 1.9, and 2.2 micrometers; and these are observed weakly, if at all, in reflectance spectra of Mars. However, several mechanisms can weaken or compress these features, including desiccation under low-humidity conditions. The hydration properties of the interlayer cations also effect band strengths, such that a ferrihydrite-bearing smectite in the Martian environment would exhibit a 1.9 micrometers H2O absorption that is even weaker than the 2.2 micrometers structural OH absorption. Mixing experiments demonstrate that infrared spectral features of clays can be significantly suppressed and that the reflectance can be significantly darkened by mixing with only a few percent of a strongly absorbing opaque material. Therefore, the absolute reflectance of a soil on Mars may be disproportionately sensitive to a minor component. For this reason, the shape and position of spectral features and the chemical composition of potential analogs are of utmost importance in assessing the composition of the soil on Mars. Given the remarkable similarity between visible-infrared reflectance spectra of soils in bright regions on Mars and Fe(3+)-doped montmorillonites, coupled with recent observations of smectites in SNC meteorites and a weak 2.2 micrometers absorption in some Mars soils, ferrihydrite-bearing smectites warrant serious consideration as a Mars soil analog.

Aluminum Silicates↗

Reflection coefficients in pulsatile flow through converging junctions and the pressure distribution in a simple loop.

Analytical expressions for the reflection coefficients in pulsatile flow through converging junctions are derived by two independent methods and are used to study the effects of wave reflections on the pressure distribution in a simple vascular loop. A simulated physiological situation is used as an example in which the loop is formed by the combination of a bypass and a bypassed vessel, the relative diameter of the latter being varied in order to simulate a narrowing. The results demonstrate how, in the case of a converging junction, the effects of wave reflections on the pressure distribution in one vessel depend on conditions within the vessel itself as well as in the other. The new reflection coefficients take into account this interdependence of flow in the two vessels forming a converging junction, and are shown to be consistent with reflection coefficients commonly used in diverging junctions.

Aorta, Abdominal↗

Ultraviolet as a component of flower reflections, and the colour perception of Hymenoptera.

Based on the measurements of 1063 flower reflection spectra, we show that flower colours fall into distinct clusters in the colour space of a bee. It is demonstrated that this clustering is caused by a limited variability in the floral spectral reflectance curves. There are as few as 10 distinct types of such curves, five of which constitute 85% of all measurements. UV reflections are less frequent and always lower in intensity than reflections in other parts of the spectrum. A further cluster of colour loci is formed in the centre of the colour space. It contains the colour loci of green leaves, several other background materials and only very few flowers. We propose a system to classify the reflection functions of flowers, and a set of colour names for bee colours.

Animals↗

Photoplethysmographic evaluation of the relationship between skin reflectance and skin blood volume.

Although photoplethysmography can be used successfully to determine venous recovery time, it cannot be used in tests which rely on a determination of the blood volume change (e.g. maximum venous outflow). In seeking an explanation for this inadequacy it was shown that although the photoplethysmograph is able to indicate changes in reflectance, it is incapable of measuring reflectance, per se; information which is essential for an accurate calculation of venous volume decrease. A minor modification of the system enables relative reflectance measurements to be made. Measurements were performed under in vitro conditions to establish the skin-reflectance/skin-blood volume relationship; photon diffusion theory is then used to describe the skin-reflectance/skin-blood volume relationship and to determine the scattering and absorption coefficients of skin and whole blood.

Blood Volume↗

Fringe mode reflectance laser Doppler microscope system.

A reflectance fringe mode Laser Doppler microscope anemometer (LDMA) has been designed and tested. A novel beam splitter permits adjustment of the direction and separation of the two laser beams which form the fringe sensing volume, and furnishes the control needed to compensate for chromatic aberration and variation in optical quality. Tests conducted in a narrow 28:1 aspect rectangular flow channel filled with water showed close agreement between the predicted and measured velocity profiles. Velocity measurements, made alternately in the reflectance and transmittance modes using the same sensing volume in the channel, revealed deviations between the modes of less than 1.1% for water and 2.3% for whole blood. The deviation for the in vivo experiment was better than 2.8%. Velocity profiles were measured alternately in the same sensing volume, (dimensions were 10 x 12 microns) by reflectance and transmittance LDMA in 40 hamster cheek-pouch arterioles, ranging from 65 to 140 microns in diameter. These showed close agreement throughout the range of measured vessels. Reflectance LDMA makes non-invasive, high resolution velocity measurements in the range of 0.03 to 40 cm/s possible in small blood vessels near the surface of opaque organs and tissues. The accuracy and reproducibility of the readings were calculated to be better than 1.1%. Reflectance fringe mode LDMA greatly extends the applicability of LDMA because sites where transmittance LDMA can be applied are limited.

Animals↗

Reflectance of rat brain structures mapped by an optical fiber technique.

A method to detect differences in reflectance as a pair of glass fibers is advanced through various brain structures at a constant speed is described. The system has been used to develop a technique for accurate and easy placement of electrodes or cannulae into a limited brain region. The probe consisted of two thin (50 micrometer in diameter) glass optic fibers. A 5 W lamp was used to transmit light down one of these fibers. The relative intensity of light reflected from brain tissue into the other optic fiber was monitored with a photomultiplier and ink-writing recorder. Different brain structures were shown to vary in the amount of reflectance, with white matter having much higher reflectance than gray matter. It was demonstrated in a total of 239 penetrations that the patterns of successive changes in the reflected light response, as the probe was lowered into the brain, was characteristic for each frontal plane. The probe may additionally be itself used as an electrode if plated with silver.

Animals↗

'But we're doing it already!' Exploring a response to the concept of reflective practice in order to improve its facilitation.

The paper uses the stimulus of a personal reflection to explore how the concept of reflective practice can be facilitated. The thoughts on facilitation combine the use of recognised knowledge, experience and reflection to offer a way of reducing the risk of rejection of reflective practice. In setting the context for such an exploration, reflective practice is defined and its potential contribution to nursing considered.

Clinical Competence↗

Evoked otoacoustic emissions as cochlear Bragg reflections.

The reflection of cochlear waves is mathematically described for various assumptions about the dependence of the echo-generating mechanism on place and frequency, without requiring knowledge of the physical details of the mechanism. Any 'wave-related' reflections, caused by intrinsic features of the resonance or active-feedback mechanism, cannot explain long group delays in an approximately shift-similar basilar membrane (BM). Only 'BM related' scattering due to inhomogenities is a possible explanation then. Reflection at a fixed point of the BM could cause only narrow-band evoked otoacoustic emissions (EOAEs). Long group delays in a wider frequency band can be obtained by assuming Bragg reflection at an approximately periodic inhomogenity of BM parameters, possibly due to spatial variations of active undamping. This explains the long delays, about inversely proportional to frequency, the decreasing instantaneous frequency, the often found multi-packet or modulated structure of echoes (vanishing at higher SPL), the spectra of simultaneous and delayed EOAEs and their relation to the threshold of hearing. These phenomena do not necessarily require multiple reflection due to middle/inner-ear mismatch.

Auditory Threshold↗

Quantitative assessment of ultrasonic myocardial reflectivity in hypertrophic cardiomyopathy.

The purpose of this study was to investigate the relation between acoustic properties of the myocardium and magnitude of left ventricular hypertrophy in patients with hypertrophic cardiomyopathy. An on-line radio frequency analysis system was used to obtain quantitative operator-independent measurements of the integrated backscatter signal of the ventricular septum and posterior free wall in 25 patients with hypertrophic cardiomyopathy and 25 normal age-matched control subjects. The integrated values of the radio frequency signal were normalized for the pericardial interface and expressed in percent. Tissue reflectivity was significantly increased in the hypertrophied ventricular septum, as well as in the nonhypertrophied posterior free wall, in patients with hypertrophic cardiomyopathy (58 +/- 15% and 37 +/- 12%, respectively) compared with values in normal subjects (33 +/- 10% and 18 +/- 5%, respectively; p less than 0.001). Furthermore, measurements of reflectivity of the septum or posterior free wall, or both, were beyond 2 SD of normal values in greater than 90% of the patients and were also abnormal in each of the five study patients who had only mild and localized left ventricular hypertrophy. No correlation was identified between myocardial tissue reflectivity and left ventricular wall thickness in the patients with hypertrophic cardiomyopathy (correlation coefficient r = 0.4; p = NS). These findings demonstrate that myocardial reflectivity is abnormal in most patients with hypertrophic cardiomyopathy and is largely independent of the magnitude of left ventricular hypertrophy. Moreover, quantitative analysis of ultrasonic reflectivity can differentiate patients with hypertrophic cardiomyopathy from normal subjects independently of clinical features and conventional echocardiographic measurements.

Adolescent↗

Wave reflection analysis of the human cerebral circulation during syncope.

Up till now, the presence of wave reflection of pressure and flow waves was not considered in studies on the cerebral circulation. This study tested the hypothesis whether the typical changes in cerebral blood flow velocity (CBFV) seen in patients during vasovagal syncope can be explained by the emergence of a wave reflection site in the cerebrovascular vessels. Continuous recordings of peripheral blood pressure (ABP, by Finapres) and CBFV (by transcranial Doppler) of 20 control subjects and 10 patients with syncope during tilt table testing were analyzed. Wave reflection analysis (WRA) consisted of a multivariate regression analysis with CBFV as dependent variable and simultaneous ABP as well as delayed ABP (by systematically varied time lags) as independent variables. The time delay yielding the best prediction of CBFV was interpreted as the reflection time. A univariate regression analysis with only simultaneous ABP as independent variable served as control method. In patients and controls CBFV during supine position could be explained sufficiently (explained variance=88-90%) by univariate regression without improvement by WRA. During syncope, multivariate regression improved the prediction of CBFV (explained variance=58% with univariate and 77% with multivariate regression) in 9 of 10 patients. The mean reflection time was 160 ms. The results can be explained by a collapse of the distal bridging veins during systemic hypotension giving rise to a pressure wave moving backward with a resulting distortion of the flow wave. In particular, the WRA model could account for the characteristic changes in the diastolic flow shape during syncope.

Adult↗

Color changes of resin composites in the reflectance and transmittance modes.

OBJECTIVES: The objective of this study was to evaluate the changes in color and color coordinates after accelerated aging of resin composites depending on the measuring modes of reflectance and transmittance. METHODS: Color of seven resin composites (1-mm thick specimens) was measured in the reflectance mode and in the transmittance mode. After the baseline color measurement, the specimens were aged for total energy of 150 kJ/m2. Color change after aging was calculated in the reflectance mode and in the transmittance mode. Based on the data of A2 shade composites, the influence of measuring mode on the color change (DeltaEab*) and changes in three color coordinates (DeltaL*, Deltaa* and Deltab*) after aging was analyzed by ANOVA (p<0.01). RESULTS: Measuring mode influenced DeltaEab*, DeltaL* and Deltaa* values. There were significant correlations between the color changes measured in the reflectance mode and in the transmittance mode (r=0.91). SIGNIFICANCE: The color changes in the transmittance mode can roughly be estimated based on the reflected color changes.

Analysis of Variance↗

Reflectance properties and physiological responses of Salicornia virginica to heavy metal and petroleum contamination.

Wetland ecosystems of California are located in highly populated areas and subject to high levels of contamination. Monitoring of wetlands to assess degrees of pollution damage requires periodic retrieval of information over large areas, which can be effectively accomplished by rapidly evolving remote sensing technologies. The biophysical principles of remote sensing of vegetation under stress need to be understood in order to correctly interpret the information obtained at the scale of canopies. To determine the potential to remotely characterize and monitor pollution, plants of Salicornia virginica, a major component of wetland communities in California, were treated with two metals and two crude oil types to study their sensitivity to pollutants and how this impacted their reflectance characteristics. Several growth and physiological parameters, as well as shoot reflectance were measured and correlated with symptoms and contamination levels. Significant differences between treatments were found in at least some of the measured parameters in all pollutants. Reflectance was sensitive to early stress levels only for cadmium and the lightweight petroleum. Pollutants that differ in their way of action also had different plant reflectance signatures. The high degree of correlation between reflectance features and stress indicators highlights the potential of using remote sensing to assess the type and degree of pollution damage.

Automation↗