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A technique for extracting physiological parameters and the required input function simultaneously from PET image measurements: theory and simulation study.

Positron emission tomography (PET) is an important tool for enabling quantification of human brain function. However, quantitative studies using tracer kinetic modeling require the measurement of the tracer time-activity curve in plasma (PTAC) as the model input function. It is widely believed that the insertion of arterial lines and the subsequent collection and processing of the biomedical signal sampled from the arterial blood are not compatible with the practice of clinical PET, as it is invasive and exposes personnel to the risks associated with the handling of patient blood and radiation dose. Therefore, it is of interest to develop practical noninvasive measurement techniques for tracer kinetic modeling with PET. In this paper, a technique is proposed to extract the input function together with the physiological parameters from the brain dynamic images alone. The identifiability of this method is tested rigorously by using Monte Carlo simulation. The results show that the proposed method is able to quantify all the required parameters by using the information obtained from two or more regions of interest (ROI's) with very different dynamics in the PET dynamic images. There is no significant improvement in parameter estimation for the local cerebral metabolic rate of glucose (LCMRGlc) if the number of ROI's are more than three. The proposed method can provide very reliable estimation of LCMRGlc, which is our primary interest in this study.

Brain↗

Time-of-day variations of indicators of attention: performance, physiologic parameters, and self-assessment of sleepiness.

BACKGROUND: A study was performed to analyze time-of-day variations of different indicators of attention and their interrelations. METHODS: After a sufficiently long all-night sleep 12 healthy non-sleep-deprived subjects ran through a test battery (Stanford Sleepiness Scale, Visual Analogue Scale, Critical Flicker Fusion Test [CFF], Visualization Test, Number Facility Test, Reaction Time, Pupillometry, and modified Multiple Sleep Latency Test) every 2 hours from 7:00 AM until 11:00 PM. Time-of-day variations were tested nonparametrically with Friedman's test for repeated measurements. Principal component factor analysis (of individually standardized values) was used to identify variable complexes with the same pattern of time-of-day variation. RESULTS: Statistically significant time-of-day variations were found for all variables, except for Fusion Frequency in CFF and Reaction Time. In factor analysis the physiologic parameters (pupillometric variables and sleep latencies) load on one factor, whereas the self-assessment scales, the Visualization Test, Number Faculty Test, and CFF load on the second factor. The variables that load primarily on factor 1 show peak levels of alertness immediately after getting up (at 7:00 AM) and again at 9:00 PM. Those variables that load primarily on factor 2 indicate a peak level of alertness around noon (11:00 AM-3:00 PM). CONCLUSIONS: Different aspects of attention follow different time-of-day variations. It is discussed, that these findings can be attributed to underlying circadian and homeostatic factors.

Adult↗

Biochemical and physiological parameters and estimated work output in draught horses pulling loads for long periods.

A study was undertaken in five draught horses of 648 +/- 33 kg body weight to find the effects of continuously pulling loads on their cardiovascular, respiratory and metabolic responses. A cart equipped with an odometer, for measuring distance, and a hydraulic dynamometer, for measuring draught force, was used. Heart and respiration rates and rectal temperatures were recorded. Blood samples for measuring arterial and venous pH and blood gases, haemoglobin, glucose and lactic acid concentrations and the serum activity of the enzymes creatine phosphokinase (CK), lactate dehydrogenase, aspartate aminotransferase and alkaline phosphatase were taken before exercise and immediately after each journey (morning and afternoon) of the daily work. Draught exercise, with loads which generated forces of between 0.57 and 0.59 kN, at speeds of 1.60 to 2.11 m/s, for 8 h daily for five consecutive days, with resting intervals of 10 min each hour, was well tolerated. Exercise tolerance was evaluated from the recovery from the changes observed in the biochemical and physiological parameters induced by the work. The analysis of these showed that, when the horses were subjected to prolonged periods of resting, their loss of fitness for work was shown by significant increases in the serum activity of muscle-derived enzymes and in blood lactate concentrations during the first day of work. However, over the following days the horses adapted to the work, so that the decreases in serum enzyme activities and blood lactate concentrations were reduced. Since similar observations have been described for racehorses, the determination of blood lactate concentrations and the serum activities of muscle-derived enzymes, specifically CK, seem to be good indicators of fitness in draught horses.

Acid-Base Equilibrium↗

Surgical procedure affects physiological parameters in rat myocardial ischemia: need for mechanical ventilation.

Several surgical approaches are being used to induce myocardial ischemia in rats. The present study investigated two different operative procedures in spontaneously breathing and mechanically ventilated rats under sham conditions. A snare around the left coronary artery (LCA) was achieved without occlusion. Left lateral thoracotomy was performed in spontaneously breathing and mechanically ventilated rats (tidal volume 8 ml/kg) with a respiratory rate of 90 strokes/min at different levels of O2 supplementation (room air and 30, 40, and 90% O2). All animals were observed for 60 min after thoracotomy. Rats operated with exteriorization of the heart through left lateral thoracotomy while breathing spontaneously developed severe hypoxia and hypercapnia despite an intrathoracic operation time of <1 min. Arterial O2 content decreased from 18.7 +/- 0.5 to 3.3 +/- 0.9 vol%. Lactate increased from 1.2 +/- 0.1 to 5.2 +/- 0.3 mmol/l. Significant signs of ischemia were seen in the electrocardiogram up to 60 min. Mechanically ventilated animals exhibited a spectrum ranging from hypoxia (room air) to hyperoxia (90% O2). In order not to jeopardize findings in experimental myocardial ischemia-reperfusion injury models, stable physiological parameters can be achieved in mechanically ventilated rats at an O2 application of 30-40% at 90 strokes/min.

Animals↗

Temperature-dependent changes in physiologic parameters of spontaneous canine soft tissue sarcomas after combined radiotherapy and hyperthermia treatment.

PURPOSE: The objectives of this study were to evaluate effects of hyperthermia on tumor oxygenation, extracellular pH (pHe), and blood flow in 13 dogs with spontaneous soft tissue sarcomas prior to and after local hyperthermia. METHODS AND MATERIALS: Tumor pO2 was measured using an Eppendorf polarographic device, pHe using interstitial electrodes, and blood flow using contrast-enhanced magnetic resonance imaging (MRI). RESULTS: There was an overall improvement in tumor oxygenation observed as an increase in median pO2 and decrease in hypoxic fraction (% of pO2 measurements <5 mm Hg) at 24-h post hyperthermia. These changes were most pronounced when the median temperature (T50) during hyperthermia treatment was less than 44 degrees C. Tumors with T50 > 44 degrees C were characterized by a decrease in median PO2 and an increase in hypoxic fraction. Similar thermal dose-related changes were observed in tumor perfusion. Perfusion was significantly higher after hyperthermia. Increases in perfusion were most evident in tumors with T50 < 44 degrees C. With T50 > 44 degrees C, there was no change in perfusion after hyperthermia. On average, pHe values declined in all animals after hyperthermia, with the greatest reduction seen for larger T50 values. CONCLUSION: This study suggests that hyperthermia has biphasic effects on tumor physiologic parameters. Lower temperatures tend to favor improved perfusion and oxygenation, whereas higher temperatures are more likely to cause vascular damage, thus leading to greater hypoxia. While it has long been recognized that such effects occur in rodent tumors, this is the first report to tie such changes to temperatures achieved during hyperthermia in the clinical setting. Furthermore, it suggests that the thermal threshold for vascular damage is higher in spontaneous tumors than in more rapidly growing rodent tumors.

Animals↗

Influence of the type of training sport practised on psychological and physiological parameters during exhausting endurance exercises.

The present purpose was to study the influence of the type of training sport practised (long distance running, sprinting, handball) on ratings of perceived exertion (RPE), estimation of time limit (ETL), and heart rate (HR) on running tests. It was hypothesised that these parameters would be related to the type of training sport practised. 31 trained women (10 endurance-trained runners, 10 sprinters, and 11 handball players) performed two exercises to exhaustion on an outdoor track. The first test was a graded run to estimate maximal aerobic speed (SMA), i.e., the minimal speed which elicited maximal oxygen uptake. The second test was a constant all-out run at speed delta 50 (Sdelta50), which corresponded to the speed halfway between SMA and the speed at lactate threshold (SLT), to specify time to exhaustion at this intensity (TLIM). Sensations regarding RPE, ETL, and HR were recorded during these tests. SMA, Sdelta50, and SLT, expressed in absolute values (km x hr.(-1)) were statistically significantly different between groups (p < .05) whereas TLIM was not. The covariance analysis showed that endurance-trained runners perceived the exercise as lighter and presented lower HR than handball players and sprinters for a same running %SMA (p < .05). Moreover, endurance-trained runners felt that they could endure more than the other groups at a given %SMA or relative exhaustion time (%TLIM). These results mean that the type of training sport which has been performed may mediate perceptual responses and influence physiological parameters during exhausting exercises. These results are likely in part related to sport-specificity of the exercise mode used in tests. This point must be taken into consideration by physical trainers who have to prescribe exercise intensities during athletic seasons for different groups of athletes.

Adult↗

The effects of nitrous oxide on behavior and physiological parameters during conscious sedation with a moderate dose of chloral hydrate and hydroxyzine.

The purpose of this study was to determine differences in heart rate (HR), blood pressure (BP), peripheral oxygen saturation (pO2), expired CO2 (CO2), and behavior (using two scales) comparing nitrous oxide/oxygen (N2O) with oxygen (O2) alone in 20 children (mean age 45 +/- 5.1 months) sedated with chloral hydrate (CH) and hydroxyzine in a double-blind crossover design. Administration of CH (40 mg/kg) and hydroxyzine (2 mg/kg) was held constant for each patient visit; however, N2O (50%) was administered during one visit and O2 (100%) at the other in a randomly determined manner. Physiologic and behavioral parameters were collected during eight specific procedural events (e.g., administration of local anesthesia). Data were analyzed with a repeated-measures ANOVA, one-way ANOVA, t-test, Kruskal Wallis ANOVA, and descriptive statistics. There was no statistically significant difference in any physiologic or behavioral parameter as a function of inhalation agent. However, significant differences were found for certain physiological parameters (i.e., HR [F = 5.41, P < 0.001], pO2 [F = 6.04, P < 0.001], and CO2 [F = 2.33, P < 0.027]) and all behavioral measures (% crying [F = 2.82, P < 0.008], % quiet [F = 5.38, P < 0.001], % movement [F = 3.88, P < 0.001], and % struggle [F = 2.83, P < 0.007]) of one scale (Ohio State University Behavioral Rating Scale [OSUBRS]) as a function of procedural events. Although no statistically significant differences were attributable to inhalation agent, evidence suggests that N2O resulted in less crying and struggling and more quiet behaviors than O2. Significant correlations existed between sub-categories of the two behavioral rating scales, suggesting some association between the scales. One may conclude from the results of this study that moderate doses of CH and hydroxyzine in combination with nitrous oxide are not associated with any significant potentiation effects on physiologic parameters compared with the same oral agents with oxygen alone. Certain procedural events (e.g., administration of local anesthesia) do result in patient responses that affect specific behaviors and physiology. Although the effects of N2O may not be statistically significant, generally it produces an attenuation in physiological and behavioral responses as measured under the conditions of this study.

Analysis of Variance↗

Mapping the physiological parameters of articular cartilage with magnetic resonance imaging.

The ability of magnetic resonance imaging (MRI) to visualize the spatial distribution of parameters related to the physiological and structural properties of tissues makes it an ideal tool for the study of articular cartilage. A variety of ingenious MRI methods have been devised to probe the complex composition and biochemistry of normal and degenerate articular cartilage. In this article we review the current status of this research and pose some questions concerning the future directions of articular cartilage research and clinical applications.

Cartilage Diseases↗

[Effects of caffeine on physiological parameters during a learning test].

Several physiological variables were continuously monitored concomitantly to performance in a conceptual learning paradigm in 48 men before and after oral administration of 300 mg caffeine in decaffeinated coffee vehicle (N = 16) or control administrations consisting of decaffeinated coffee alone (N = 16), warm water (N = 8), or no beverage (N = 8). In a stepwise discriminant analysis, only an increased vasoconstriction obtained from the index finger in the caffeine-treated subjects distinguished the caffeine-treated group from the control groups. For this dose of caffeine, the R-R interval of the electrocardiogram, respiration, skin conductance change, and electromyographic response failed to differentiate the various treatment groups. Furthermore, caffeine administration did not affect conceptual learning in the test situation used although it decreased variance of performance in a continuous letter cancellation task.

Adolescent↗

Effects of the stereoisomers of nicotine and nornicotine on schedule-controlled responding and physiological parameters of dogs.

The behavioral and physiological effects of five tobacco alkaloids were assessed in two different test paradigms. One group of beagle dogs (N = 5) responded under a multiple fixed-interval (FI) 300 sec, fixed-ratio (FR) 30 response schedule of food presentation. With both l-nicotine (0.1-3.0 mumol/kg i.m.) and l-nornicotine (0.1-10.0 mumol/kg i.m.), FI response rates, when averaged across the entire session, were increased at low doses and decreased at high doses; FR response rates were only decreased. d-Nicotine (0.1-30.0 mumol/kg i.m.), and d- and dl-nornicotine (0.1-10.0 mumol/kg i.m.) produced a transient increase in FI response rates at low doses. The effects of the same five compounds on pupillary diameter, rectal temperature and heart rate were measured in a second group of beagle dogs (N = 6). Both pupillary diameter and rectal temperature were decreased initially by l-nicotine (0.6 mumol/kg i.v.), d-nicotine (6.0 mumol/kg i.v.) and d-, l- and dl-nornicotine (3.0 mumol/kg i.v.); base-line levels were recovered within 60 min. Aside from differences in potency, the time courses of action were similar for all five compounds. Increases in heart rate also were produced by all five compounds, but there were marked differences in the duration of action. l-Nicotine and d- and dl-nornicotine produced appreciable, sustained increases in heart rate, whereas d-nicotine and l-nornicotine produced moderate, brief increases. The combined results of the present experiments indicate the stereoisomers of nicotine and nornicotine are behaviorally and physiologically active, and may contribute in varying amounts to the pharmacologic actions of tobacco.

Animals↗

[The effect of a reduced drinking water dose on the digestibility of nutrients and several metabolic parameters in sheep. 2. N-balance, water balance and several physiologic parameters].

Wethers of an average live weight of 43.2 kg received alfalfa pellets either according to maintenance requirement (1.3 kg = group I) or ad libitum (1.5 times the amount; 2.0 kg = group II). In variant a both groups received water ad libitum, in variant b the animals received 1/3 of the amount of water, which was taken in ad libitum. Apparent digestibility was between 59 and 64%, the lower value of which was ascertained with the higher feed intake in variant a. 85% of the apparently digested nitrogen were excreted in urine after optimal water supply and ca. 100% after reduced water supply, so that a slightly negative N balance (Ib) and an N balance of +2.3% res (IIb) were achieved. The N balances amounted to +9.4% (Ia) and +8.4% (IIa) resp. after sufficient water supply. The water intake in liters/kg consumed DM reached the following values (in brackets total water intake from drinking water + water in the feed): Ia = 3.16 (3.30), Ib = 1.38 (1.52), IIa = 2.94 (3.08) and IIb = 1.58 (1.72). The water balance (in % of the total water intake) reached the following values in the same sequence: 13.7, 13.2, 17.2 and 25.3. The water content of the body (according to the phenazone dilution method determined from one sheep each) decreased in Ib by 4.7% and in IIb by 5.7% and thus did not reach critical limits. The quota of urea N in urine significantly increased after water restriction. Urea concentration and haematocrit in the blood plasma did not show any significant changes in dependence on water intake; the same was ascertained for the molar quotas of volatile fatty acids in the rumen fluid and in faeces.

Animal Feed↗

Application of morphological and physiological parameters representative of a Brazilian population sample in the respiratory tract model.

The human respiratory tract model (HRTM) adopted by ICRP in its Publication 66 accounts for the morphology and physiology of the respiratory tract. The characteristics of air drawn into the lungs and exhaled are greatly influenced by the morphology of the respiratory tract, which causes numerous changes in pressure, flow rate, direction and humidity as air moves into and out of the lungs. These characteristics are important to determine the fractional deposition. It is known that the morphology and physiology are influenced by environmental, occupational and economic conditions. The ICRP recommends, for a reliable evaluation of the regional deposition, the use of parameters from a local population wherever such information is available. The main purpose of this study is to verify the influence of using the morphology and physiology parameters representative of a sample of the Brazilian population on the deposition model of the ICRP Publication 66 model.

Algorithms↗

Segmentation of depth-EEG seizure signals: method based on a physiological parameter and comparative study.

The analysis of stereoelectroencephalographic (intracerebral recording) signals provides information on the electrical activity of brain structures implied in epileptic seizures. A simple nonparametric adaptive segmentation method, based on a physiologically relevant parameter, is presented and compared with three methods reported in the literature. The comparative frame allows us to objectively test methods for their performances on the same basis. Results show that the proposed method is robust with respect to the types of change studied and easier to conduct, even if it is less accurate about the estimation of instants of change than another method presented in this study. Signals are segmented throughout the duration of seizures without parameter readjustment and generate instants of change in accordance with those interactively delimited by the clinician.

Algorithms↗

[Measurement and estimation system for monitoring physiologic parameters of man and biological feedback training].

A flexible instrumental programmed system realizing the biological feedback (BFB) method and permitting an easy tuning of the channels and parameters for treatment and reflection of physiological information is designed. A measurement and estimation real-time medical system for monitoring and BFB training is described, based on visual programming. An example of practical clinical application of the system to BFB training for the EEG rhythms is offered.

Alcoholism↗

In vitro study of the influence of physiological parameters on dynamic in-mouth flavour release from liquids.

Influences of shear rate (surface extension), airflow, in-mouth headspace volume, synthetic saliva and human epithelial cells (modelling mucosa) on the initial dynamic flavour release from liquids were analysed. Simulating physiological mouth parameters, initial dynamic flavour release experiments over a time period of 30 s were carried out using a proven mouth model apparatus. Flavour compounds of different chemical classes were dissolved in water or in aqueous starch hydrolysate in concentrations typically present in food ( micro g/l to mg/l). Forced by increasing shear rates the enlargement of the gas-liquid interface (vortex formation) caused an increased release of flavour molecules. The release of less soluble compounds was reduced by increasing shear forces due to an improved dissolution. Increasing volumetric airflow rates resulted generally in higher release rates and in a change of pattern of release kinetics. Maximum flavour release was found at a ratio of 1:1 for in-mouth headspace and liquid volume. Neither addition of saliva alone nor the combination of saliva and mucosa showed significant influence on in-mouth flavour release from liquids in the model mouth.

Chromatography, Gas↗