Home About us Contact
|
Home About us Contact | ||
|
|
||
Rebound
Kinds of Rebound Terms modified by Rebound Selected AbstractsStrong rebound of wakefulness follows prostaglandin D2 - or adenosine A2a receptor agonist-induced sleepJOURNAL OF SLEEP RESEARCH, Issue 1 2000Dmitry Gerashchenko SUMMARY We studied the effect of sleep excess on the sleep-wakefulness pattern of rats. Subarachnoid infusion of prostaglandin D2 or the adenosine A2a receptor agonist CGS21680 effectively induced slow wave sleep (SWS) for the first 12 h of the night-time period, whereas they did not induce sleep during the following 24 h of infusion. An increase in the amount of wakefulness was seen during the last 12 h of prostaglandin D2 infusion. The amounts of wakefulness strongly increased during the following 36-h recovery period. Rebound wakefulness was extraordinarily strong after the cessation of CGS21680 infusion, reaching almost complete insomnia during the night-time. Treatment of animals with prostaglandin D2 overnight, following by treatment with CGS21680 on the next night, resulted in the strongest induction of wakefulness rebound. During the rebound period, the amount of wakefulness reached up to 50 min per hour in the daytime. Rebound of wakefulness depended on the amounts of preceding SWS induced by infusion of prostaglandin D2 for 6 or 12 h and of CGS21680 for 12 h. The larger the amount of SWS, the larger the amount of the following rebound of wakefulness. Rebounds of wakefulness occurred as a result of decrease in SWS amounts, whereas paradoxical sleep amounts did not change. Desensitization of adenosine A2a receptors and accumulation of prostaglandin E2 may be involved in the production of strong wakefulness rebound following relatively long treatments (more than 12 h) with prostaglandin D2 or CGS21680. [source] Close association of CD8+/CD38bright with HIV-1 replication and complex relationship with CD4+ T-cell count,CYTOMETRY, Issue 4 2009Edouard Tuaillon Abstract Background: Measuring lymphocyte activation provides information in addition to CD4+ T-cell count for immune monitoring of HIV-1 infected patients. CD38 is a well-established activation marker that is generally analyzed on the whole population of CD8+ T-cells. Focusing specifically on CD38 high expression (CD8+/CD38bright) may be an interesting surrogate gating strategy because CD38bright characterizes principally activated memory cells. Methods: CD8+/CD38bright was investigated in 1,353 HIV-1 infected patients over a one-year period to establish relevant cutoff values and clarify the relationships of this marker with HIV-1 RNA viral load (VL) and CD4+ T-cell count. Results: The CD8+/CD38bright (>8,500 CD38 binding site per cells) is well correlated with HIV-1 VL (r = 0.87, P < 0.001) in this longitudinal follow-up of nonimmunodepressed patients that initiated antiviral therapy (ART). In aviremic patients on ART, the marker was highly predictive of VL rebound (sensitivity 93%, specificity 64% for a VL level of detection >200 copies/ml). While the CD8+/CD38bright moderately correlated with CD4+ T-cell count independently of the VL (r = ,0.37, P < 0.001), it increased dramatically in aviremic patient groups that exhibited profound CD4+ T-cell depletion (median 39% for CD4+ T-cell counts <50/mm3). This result indicates that other additional immunological and/or viral factors than readily detectable HIV-1 replication appears to be involved in T-cell activation of immunodepressed individuals. Conclusions: CD8+/CD38bright is an effective marker for monitoring T-cell activation, which is a central factor of HIV-1 pathogenesis. This gating strategy requires only a single additional staining in conventional four color CD4 protocols. © 2008 Clinical Cytometry Society [source] Improvement of glycaemic control with rebound following orlistat initiation and cessation associated with minimal weight changeDIABETIC MEDICINE, Issue 3 2005S. González Abstract A 57-year-old Caucasian woman with Type 2 diabetes treated for seven years with diet and oral combination hypoglycaemic therapy was referred because of the progressive deterioration of glycaemic control. She was obese (77 kg, BMI = 39.9), hypertensive, hypercholesterolaemic with marked osmotic symptoms (HbA1c 12.2%), therefore she was started on insulin (Human Mixtard 30 b.d.) with metformin therapy. Dietary counselling, recommendations to increase physical activity, and supervised self-injection technique with titration of her insulin were also provided. She was routinely followed-up to assess her progress. Two years later, her glycaemic control remained suboptimal. Average HbA1c was 10.4% despite an increasingly high dose of insulin (94 units/day) although it improved when metformin was increased to 1 g t.d.s. (HbA1c = 9.3%). Her BMI progressively rose from 39.9 to 42.1 (77 to 82.5 kg) despite dietary advice. A trial of orlistat (three months) was commenced, after intensive dietary counselling, that reduced her body weight by 1.5 kg (2% reduction, BMI 41.3). However, her HbA1c improved by 0.5% (from 9.3 to 8.8%). Six months after orlistat was stopped her HbA1c rose to 10.5% and weight increased to 81.8 kg (BMI 41.8). Despite the orlistat treatment broaching NICE guidelines should it have been continued? [source] The Impact of Uncertainty ShocksECONOMETRICA, Issue 3 2009Nicholas Bloom Uncertainty appears to jump up after major shocks like the Cuban Missile crisis, the assassination of JFK, the OPEC I oil-price shock, and the 9/11 terrorist attacks. This paper offers a structural framework to analyze the impact of these uncertainty shocks. I build a model with a time-varying second moment, which is numerically solved and estimated using firm-level data. The parameterized model is then used to simulate a macro uncertainty shock, which produces a rapid drop and rebound in aggregate output and employment. This occurs because higher uncertainty causes firms to temporarily pause their investment and hiring. Productivity growth also falls because this pause in activity freezes reallocation across units. In the medium term the increased volatility from the shock induces an overshoot in output, employment, and productivity. Thus, uncertainty shocks generate short sharp recessions and recoveries. This simulated impact of an uncertainty shock is compared to vector autoregression estimations on actual data, showing a good match in both magnitude and timing. The paper also jointly estimates labor and capital adjustment costs (both convex and nonconvex). Ignoring capital adjustment costs is shown to lead to substantial bias, while ignoring labor adjustment costs does not. [source] Currency boards: More than a quick fix?ECONOMIC POLICY, Issue 31 2000Atish R. Ghosh Once a popular colonial monetary arrangement, currency boards fell into disuse as countries gained political independence. But recently, currency boards have made a remarkable come-back. This essay takes a critical look at their performance. Are currency boards really a panacea for achieving low inflation and high growth? Or do they merely provide a ,quick fix' allowing authorities to neglect fundamental reforms and thus fail to yield lasting benefits? We have three major findings. First, the historical track record of currency boards is sterling, with few instances of speculative attacks and virtually no ,involuntary' exits. Countries that did exit from currency boards did so mainly for political, rather than economic reasons, and such exits were usually uneventful. Second, modern currency boards have often been instituted to gain credibility following a period of high or hyperinflation, and in this regard, have been remarkably successful. Countries with currency boards experienced lower inflation and higher (if more volatile) GDP growth compared to both floating regimes and simple pegs. The inflation difference reflects both a lower growth rate of money supply (a ,discipline effect'), and a faster growth of money demand (a ,credibility effect'). The GDP growth effect is significant, but may simply reflect a rebound from depressed levels. Third, case studies reveal the successful introduction of a currency board to be far from trivial, requiring lengthy legal and institutional changes, as well as a broad economic and social consensus for the implied commitment. Moreover, there are thorny issues, as yet untested, regarding possible exits from a currency board. Thus currency boards do not provide easy solutions. But if introduced in the right circumstances, with some built-in flexibility, they can be an important tool for gaining credibility and achieving macroeconomic stabilization. [source] Xenopus embryonic spinal neurons recorded in situ with patch-clamp electrodes , conditional oscillators after all?EUROPEAN JOURNAL OF NEUROSCIENCE, Issue 2 2003Simon P. Aiken Abstract The central pattern generator for swimming Xenopus embryo is organized as two half-centres linked by reciprocal inhibition. Microelectrode recordings suggest that Xenopus neurons are poorly excitable, necessitating a key role for postinhibitory rebound in the operation of the central pattern generator. However the Xenopus central pattern generator seems unusual in that the component neurons apparently have no intrinsic or conditional rhythmogenic properties. We have re-examined the firing properties of Xenopus embryo spinal neurons by making patch-clamp recordings in situ from intact spinal cord. Recordings made from 99 neurons were divided into three groups. Central pattern generator neurons overwhelmingly (44/51) fired trains of action potentials in response to current injection. Just over half of the sensory interneurons (13/22) also fired trains of action potentials. Neurons that received no synaptic inputs during swimming mostly fired just one or two action potentials (22/26). Thirty-four neurons were identified morphologically. Commissural (8/12) and descending (6/6) interneurons, key components of the spinal central pattern generator, fired repetitive trains of action potentials during current injection. Neurons that were not part of the central pattern generator did not demonstrate this preponderance for repetitive firing. Analysis of the interspike intervals during current injection revealed that the majority of central pattern generators, descending and commissural interneurons, could readily fire at frequencies up to twice that of swimming. We suggest that Xenopus neurons can be considered as conditional oscillators: in the presence of unpatterned excitation they exhibit an ability to fire rhythmically. This property makes the Xenopus embryonic central pattern generator more similar to other model central pattern generators than has hitherto been appreciated. [source] Saturation and self-inhibition of rat hippocampal GABAA receptors at high GABA concentrationsEUROPEAN JOURNAL OF NEUROSCIENCE, Issue 12 2002Katarzyna Mercik Abstract Current responses to ultrafast ,-aminobutyric acid (GABA) applications were recorded from excised patches in rat hippocampal neurons to study the gating properties of GABAA receptors at GABA concentrations close to saturating ones and higher. The amplitude of currents saturated at approximately 1 mm, while the onset rate of responses reached saturation at 4,6 mm GABA. At high GABA concentrations (> 10 mm), the amplitude of current responses was reduced in a dose-dependent manner with a half-blocking GABA concentration of approximately 50 mm. The peak reduction at high GABA doses was accompanied by a tendency to increase the steady-state to peak ratio. At concentrations higher than 30 mm, this effect took the form of a rebound current, i.e. during the prolonged GABA applications, the current firstly declined due to desensitization onset and then, instead of decreasing towards a steady-state value, clearly increased. Both the self-inhibition of GABAA receptors by high GABA doses and rebound were clearly voltage dependent, being larger at positive holding potentials. The fast desensitization component accelerated with depolarization at all saturating [GABA] tested. The rebound phenomenon indicates that the self-block of GABAA receptors is state dependent, and suggests that the sojourn in the desensitized conformation provides a ,rescue' from the block. We propose that high GABA concentrations inhibit the receptors by direct occlusion of the channel pore having no effect on the receptor gating. [source] How fatiguing is dispositional suppression?EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY, Issue 2 2007Disentangling the effects of procedural rebound, ego-depletion Recent work has shown that correcting a dispositional inference may lead social observers to over-emphasize the role of dispositional factors in subsequent judgments. This effect has been explained as a procedural rebound following a phase of dispositional suppression. We conducted two experiments to test an alternative explanation in terms of ego-depletion. In Experiment 1, we compared the effects of ego-depletion and dispositional rebound by relying on the attitude attribution paradigm and the cookie paradigm. In Experiment 2, we turned to a difficult math task in order to induce fatigue. We were able to replicate the dispositional rebound and the ego-depletion effects but none of the experiments supported an ego-depletion explanation of post-suppression dispositional rebound. Copyright © 2006 John Wiley & Sons, Ltd. [source] PERSPECTIVE: PURGING THE GENETIC LOAD: A REVIEW OF THE EXPERIMENTAL EVIDENCEEVOLUTION, Issue 12 2002Peter Crnokrak Abstract., Inbreeding depression, the reduction in fitness that accompanies inbreeding, is one of the most important topics of research in evolutionary and conservation genetics. In the recent literature, much attention has been paid to the possibility of purging the genetic load. If inbreeding depression is due to deleterious alleles, whose effect on fitness are negative when in a homozygous state, then successive generations of inbreeding may result in a rebound in fitness due to the selective decrease in frequency of deleterious alleles. Here we examine the experimental evidence for purging of the genetic load by collating empirical tests of rebounds in fitness-related traits with inbreeding in animals and plants. We gathered data from 28 studies including five mammal, three insect, one mollusc, and 13 plant species. We tested for purging by examining three measures of fitness-component variation with serial generations of inbreeding: (1) changes in inbreeding depression, (2) changes in fitness components of inbred lines relative to the original outbred line, and (3) purged population (outcrossed inbred lines) trait means as a function of ancestral outbred trait means. Frequent and substantial purging was found using all three measures, but was particularly pronounced when tracking changes in inbreeding depression. Despite this, we found little correspondence between the three measures of purging within individual studies, indicating that the manner in which a researcher chooses to estimate purging will affect interpretation of the results obtained. The discrepancy suggests an alternative hypothesis: rebounds in fitness with inbreeding may have resulted from adaptation to laboratory conditions and not to purging when using outcrossed inbred lines. However, the pronounced reduction in inbreeding depression for a number of studies provides evidence for purging, as the measure is likely less affected by selection for laboratory conditions. Unlike other taxon-specific reviews on this topic, our results provide support for the purging hypothesis, but firm predictions about the situations in which purging is likely or the magnitude of fitness rebound possible when populations are inbred remain difficult. Further research is required to resolve the discrepancy between the results obtained using different experimental approaches. [source] AN EVALUATION OF SURFACE HARDNESS OF NATURAL AND MODIFIED ROCKS USING SCHMIDT HAMMER: STUDY FROM NORTHWESTERN HIMALAYA, INDIAGEOGRAFISKA ANNALER SERIES A: PHYSICAL GEOGRAPHY, Issue 3 2009VIKRAM GUPTA ABSTRACT. Four rock types (quartz mica gneiss, schist, quartzite and calc-silicate) located in the Satluj and Alaknanda valleys were used to test whether a Schmidt hammer can be used to distinguish rock surfaces affected by various natural and man-induced processes like manual smoothing of rock surfaces by grindstone, surface weathering, deep weathering, fluvial polishing and blasting during road construction. Surfaces polished by fluvial process yielded the highest Schmidt hammer rebound (R-) values and the blast-affected surfaces yielded the lowest R-values for the same rock type. Variations in R-value also reflect the degree of weathering of the rock surfaces. It has been further observed that, for all the rock types, the strength of relationship between R-values for the treated surfaces (manual smoothing of rock surface by grindstone) and the unconfined compressive strength (UCS) is higher than for the fresh natural surfaces. [source] Landscape and Coast Development of A Lowland Fjord Margin Following Deglaciation, East GreenlandGEOGRAFISKA ANNALER SERIES A: PHYSICAL GEOGRAPHY, Issue 3 2001Louise Hansen The landscapes of western Jameson Land bordering Hall Bredning fjord comprise upper river basins, glacial landscapes, lower river basins and a near-shore zone. The upper river basins are incised into bedrock and display no cover of young sediments whilst the glacial landscapes, located closer to the coast, are dominated by Pleistocene deposits and an irregular topography with hills and ridges. The lower river basins, dissecting the glacial landscapes, are connected to the upper river basins and contain well-defined Holocene delta terraces. The near-shore zone, which includes the present coast, displays a few raised shorelines. Geomorphological observations combined with stratigraphic work and 14C dates provide a chronological framework for the development of landscape and shoreline, as presented by a four-stage reconstruction. The first stage covers the deglaciation of western Jameson Land at the Weichselian-Holocene transition after a collapse of the main fjord glacier in Hall Bredning. The sea inundated the low-lying areas on Jameson Land forming small side-entry fjord basins that possibly follow the track of older valleys. This was followed by a second stage, the paraglacial period, when large meltwater production and sediment transport resulted in a fast infilling of the side-entry fjord basins by deltas. These are now exposed in terraces in the lower river basins at 70,80 m a.s.l. During a third stage, the relaxation period, fluvial activity decreased and the land surface was increasingly occupied by a cover of tundra vegetation. A glacio-isostatic rebound resulted in a relative sea level fall and fluvial incision. During stages two and three the coast was exposed to shallow marine processes that aided the alignment of the coast. Stages one to three presumably lasted for less than 2000 years. During stage four, the stable period, lasting for several thousand years till the present, there were minor adjustments of shoreline and landscape. The four-step reconstruction describes the sedimentary response of a lowland fjord margin to dramatic changes in climate and sea level. The distribution of erosion and sedimentation during this development was mainly controlled by topography. The reconstruction of the latest environmental development of Jameson Land puts new light on Jameson Land's long and complex Quaternary stratigraphic record. The reconstruction may also be used as a model for the interpretation of deposits in similar areas elsewhere. [source] A unified continuum representation of post-seismic relaxation mechanisms: semi-analytic models of afterslip, poroelastic rebound and viscoelastic flowGEOPHYSICAL JOURNAL INTERNATIONAL, Issue 3 2010Sylvain Barbot SUMMARY We present a unified continuum mechanics representation of the mechanisms believed to be commonly involved in post-seismic transients such as viscoelasticity, fault creep and poroelasticity. The time-dependent relaxation that follows an earthquake, or any other static stress perturbation, is considered in a framework of a generalized viscoelastoplastic rheology whereby some inelastic strain relaxes a physical quantity in the material. The relaxed quantity is the deviatoric stress in case of viscoelastic relaxation, the shear stress in case of creep on a fault plane and the trace of the stress tensor in case of poroelastic rebound. In this framework, the instantaneous velocity field satisfies the linear inhomogeneous Navier's equation with sources parametrized as equivalent body forces and surface tractions. We evaluate the velocity field using the Fourier-domain Green's function for an elastic half-space with surface buoyancy boundary condition. The accuracy of the proposed method is demonstrated by comparisons with finite-element simulations of viscoelastic relaxation following strike-slip and dip-slip ruptures for linear and power-law rheologies. We also present comparisons with analytic solutions for afterslip driven by coseismic stress changes. Finally, we demonstrate that the proposed method can be used to model time-dependent poroelastic rebound by adopting a viscoelastic rheology with bulk viscosity and work hardening. The proposed method allows one to model post-seismic transients that involve multiple mechanisms (afterslip, poroelastic rebound, ductile flow) with an account for the effects of gravity, non-linear rheologies and arbitrary spatial variations in inelastic properties of rocks (e.g. the effective viscosity, rate-and-state frictional parameters and poroelastic properties). [source] Surface deformation induced by present-day ice melting in SvalbardGEOPHYSICAL JOURNAL INTERNATIONAL, Issue 1 2009H. P. Kierulf SUMMARY The vertical movement of the Earth's surface is the result of a number of internal processes in the solid Earth, tidal forces and mass redistribution in the atmosphere, oceans, terrestrial hydrosphere and cryosphere. Close to ice sheets and glaciers, the changes in the ice loads can induce large vertical motions at intraseasonal to secular timescales. The Global Positioning System (GPS) and Very Long Baseline Interferometry (VLBI) antennas in Ny-Ĺlesund, Svalbard that started observations in 1991 and 1995, respectively, observe vertical uplift rates on the order of 8 ± 2 mm yr,1, which are considerably larger than those predicted by postglacial rebound (PGR) models (order 2 mm yr,1). The observations also indicate increased uplift rates starting some time in 2000. A local GPS campaign network that has been reoccupied annually since 1998, reveals a tilting away from the neighbouring glaciers. The Svalbard glaciers have been undergoing melting and retreat during the last century, with increased melting since about 2000. We compared the observed vertical motion to the motion predicted by loading models using a detailed ice model with annual time resolution as forcing. The model predictions correlate well with the observations both with respect to the interannual variations and the spatial pattern of long-term trends. The regression coefficients for predicted and observed interannual variations in height is 1.08 ± 0.38, whereas the regression coefficient for the predicted and observed spatial pattern turns out to be 1.26 ± 0.42. Estimates of the predicted secular trend in height due to PGR and present-day melting are on the order of 4.8 ± 0.3 mm yr,1 and thus smaller than the observed secular trend in height. This discrepancy between predictions and observations is likely caused by the sum of errors in the secular rates determined from observations (due to technique-dependent large-scale offsets) and incomplete or erroneous models (unaccounted tectonic vertical motion, errors in the ice load history, scale errors in the viscoelastic PGR models and the elastic models for present-day melting). [source] Inference of mantle viscosity from GRACE and relative sea level dataGEOPHYSICAL JOURNAL INTERNATIONAL, Issue 2 2007Archie Paulson SUMMARY Gravity Recovery And Climate Experiment (GRACE) satellite observations of secular changes in gravity near Hudson Bay, and geological measurements of relative sea level (RSL) changes over the last 10 000 yr in the same region, are used in a Monte Carlo inversion to infer-mantle viscosity structure. The GRACE secular change in gravity shows a significant positive anomaly over a broad region (>3000 km) near Hudson Bay with a maximum of ,2.5 ,Gal yr,1 slightly west of Hudson Bay. The pattern of this anomaly is remarkably consistent with that predicted for postglacial rebound using the ICE-5G deglaciation history, strongly suggesting a postglacial rebound origin for the gravity change. We find that the GRACE and RSL data are insensitive to mantle viscosity below 1800 km depth, a conclusion similar to that from previous studies that used only RSL data. For a mantle with homogeneous viscosity, the GRACE and RSL data require a viscosity between 1.4 × 1021 and 2.3 × 1021 Pa s. An inversion for two mantle viscosity layers separated at a depth of 670 km, shows an ensemble of viscosity structures compatible with the data. While the lowest misfit occurs for upper- and lower-mantle viscosities of 5.3 × 1020 and 2.3 × 1021 Pa s, respectively, a weaker upper mantle may be compensated by a stronger lower mantle, such that there exist other models that also provide a reasonable fit to the data. We find that the GRACE and RSL data used in this study cannot resolve more than two layers in the upper 1800 km of the mantle. [source] Phase transitions and heat conduction in post-glacial reboundGEOPHYSICAL JOURNAL INTERNATIONAL, Issue 2 2002M. E. Tamisiea Summary We have developed a method for including phase boundary conditions into post-glacial rebound models that allows for conduction of latent heat away from the boundary. This method returns the chemical boundary results if latent heat conducts away from the phase boundary too slowly to allow the transition to proceed, as is commonly argued. This is not necessarily the case, however. For example, the secular change of the geoid and the vertical uplift rates for phase boundaries with latent heat conduction can differ from the chemical boundary results by up to 10 and 15 per cent, respectively. When modelling the phase transition, we consider two scenarios: the latent heat is released either at a narrow boundary that separates the two phases or over a thick mixed region of the two phases. In the case where the phase transition occurs over a thick enough region (5,10 km), the final results are close to the results obtained by considering a phase boundary that ignores the release of latent heat completely. This thick boundary formulation also suggest that the phase boundaries could respond nearly instantaneously, changing both the elastic load and body Love numbers. However, we have not considered kinetics, the energetics of the mechanisms of the phase transitions, in this formulation. This work suggests a greater knowledge of the kinetics near equilibrium phase transitions is required. A naive calculation indicates that the kinetics will not be a significant factor for post-glacial rebound but will be a limiting factor for earth tides. [source] Ionic dialysance: Principle and review of its clinical relevance for quantification of hemodialysis efficiencyHEMODIALYSIS INTERNATIONAL, Issue 2 2005Lucile Mercadal Ionic dialysance (D) is an online measured variable now available on several dialysis monitors to evaluate small-solute clearance. Based on conductivity measurements in the inlet and outlet dialysate, the principle of the measurement and the different measurement methods are described. Studies that have evaluated the reliability of ionic dialysance to assess dialysis efficiency are discussed. These studies are divided into two groups: the first comparing ionic dialysance to urea clearance and the second comparing Dt/V to Kt/Vurea, in which the uncertainties of the measurement of Vurea could have misrepresented the relationship between Dt/V and Kt/Vurea. When Kt/Vurea via the Daugirdas second-generation equation taking the rebound into account is considered, slight,even nonsignificant,differences are evidenced between Kt/Vurea and Dt/V. Therefore, ionic dialysance should be considered as a valid measure in future guidelines for dialysis efficiency. [source] The effects of exercise during hemodialysis on adequacyHEMODIALYSIS INTERNATIONAL, Issue 1 2005C. Caner Pedalling during hemodialysis (HD) has been shown to increase solute clearance in a previous study. In the present study, we aimed to test whether an easy to perform exercise program, not requiring a special device, could yield similar outcomes. Fifteen HD patients with the mean age of 48.4 ± 3.8 years were enrolled into the study. Patients with significant access recirculation (>10%), moderate to severe coronary artery disease, moderate to severe heart failure, severe chronic obstructive lung disease, and history of lower extremity surgery during last three month period were excluded. All patients were studied on two consecutive HD sessions with identical prescriptions. At the first session, standard HD was applied without exercise, whereas in the second session lower extremity exercise of 30 minutes duration was added. Reduction rates and rebound for urea, creatinine, and potassium and Kt/V were calculated. Wilcoxon signed rank test was applied in analysis and p < 0.05 was accepted as significance level. All patients completed the study. When both sessions were compared, mean arterial blood pressure (97 ± 3 mmHg vs 120 ± 4 mmHg, p < 0.001) and heart rate (77 ± 1 beats/min vs 92 ± 3 beats/min, p < 0.001) were higher in the exercise group. On the other hand, urea reduction rates, rebound values of urea, creatinine, and potassium were similar in both groups. Conclusion:,In the study, we did not observe any changes in solute rebound and clearance with the exercise. Shorter duration of the exercise may be the explanation of failure to achieve desired outcomes. Increasing patients' tolerance and fitness levels by means of steadily increasing exercise programs may be of help. Additionally, mode of exercise may also be responsible for different outcomes. [source] Hepatitis C virus infection and its clearance alter circulating lipids: Implications for long-term follow-up,HEPATOLOGY, Issue 4 2009Kathleen E. Corey Hepatitis C associated hypolipidemia has been demonstrated in studies from Europe and Africa. In two linked studies, we evaluated the relationship between hepatitis C infection and treatment with lipid levels in an American cohort and determined the frequency of clinically significant posttreatment hyperlipidemia. First, a case-control analysis of patients with and without hepatitis C was performed. The HCV Group consisted of 179 infected patients. The Uninfected Control Group consisted of 180 age-matched controls. Fasting cholesterol, low density lipoprotein (LDL), high density lipoprotein and triglycerides were compared. Next was a retrospective cohort study (Treated Hepatitis C Group) of 87 treated hepatitis C patients with lipid data before and after therapy was performed. In the case-control analysis, the HCV Group had significantly lower LDL and cholesterol than the Uninfected Control Group. In the retrospective cohort, patients in the Treated Hepatitis C Group who achieved viral clearance had increased LDL and cholesterol from baseline compared to patients without viral clearance. These results persisted when adjusted for age, sex, and genotype. 13% of patients with viral clearance had increased LDL and 33% experienced increases in cholesterol to levels warranting lipid lowering therapy. Conclusion: Hepatitis C is associated with decreased cholesterol and LDL levels. This hypolipidemia resolves with successful hepatitis C treatment but persists in nonresponders. A significant portion of successfully treated patients experience LDL and cholesterol rebound to levels associated with increased coronary disease risk. Lipids should be carefully monitored in persons receiving antiviral therapy. (HEPATOLOGY 2009;50:1030,1037.) [source] Prednisolone Priming Enhances Th1 Response and Efficacy of Subsequent Lamivudine Therapy in Patients With Chronic Hepatitis BHEPATOLOGY, Issue 3 2000Yun-Fan Liaw M.D. Asian lamivudine trial has shown that hepatitis B e antigen (HBeAg) seroconversion rate during 1 year of lamivudine therapy was only 16% but was 64% in the subgroup of patients with a pretherapy serum alanine transaminase (ALT) level over 5 times the upper limit of normal (ULN). To test whether ALT rebound following corticosteroid priming enhances response to lamivudine therapy, a pilot study was conducted in 30 patients with ALT levels less than 5× ULN (43-169; N < 36 U/L). They received 30 mg of prednisolone daily for 3 weeks, 15 mg daily for 1 week, no treatment for 2 weeks, and then 150 mg of lamivudine daily for 9 months. Complete response (CR) was defined as ALT normalization with HBV-DNA seroclearance and HBeAg seroconversion. Peripheral blood mononuclear cell proliferation and cytokine secretion in response to recombinant HBV core antigen were serially assayed in 7 patients during priming and after withdrawal of prednisolone. Clinical rebound with an ALT over 5× ULN was observed in 20 patients (67%). Of these 20, 12 (60%) showed CR as compared with 1 (10%) of the 10 patients without significant ALT rebound (P < .002). The HBeAg seroconversion sustained in 70% of the patients 3 to 6 months after the end of lamivudine therapy. Immunological assays revealed that the responders showed Th1 dominant response and higher stimulation index to prednisolone priming. No serious side effect was encountered. These results suggest that corticosteroid priming induced immune/ALT rebound greatly enhances response to lamivudine therapy in chronic hepatitis B. Confirmation by randomized controlled trial is needed. [source] Spontaneous HBeAg seroconversion and loss of hepatitis B virus DNA after acute flare due to development of drug resistant mutants during entecavir monotherapyHEPATOLOGY RESEARCH, Issue 1 2009Ri-Cheng Mao Aims:, Patients with chronic hepatitis B virus (HBV) infection under entecavir (ETV) treatment develop resistant mutants with viral rebound. Here, we report an interesting case of spontaneous loss of HBV-DNA and seroconversion following an acute flare after the development of ETV-resistant mutants. This patient received ETV after lamivudine breakthrough. Methods:, Cloning and sequence analysis of the HBV reverse transcriptase (RT) region were performed with seven samples during ETV therapy. In addition, two full-length HBV genomes derived from samples before and after the emergence of ETV resistance were sequenced. Results:, ETV resistant mutants appeared at week 228, with virological and biochemical rebound at the same time. Unexpectedly, HBeAg seroconversion occurred 8 weeks later. The viral load decreased and became undetectable from week 252. Analysis of HBV isolates in the patient at week 124 revealed that wild-type HBV was predominant at that time and ETV resistant mutants were not found among 20 clones. Interestingly, a new mutant type with rtL180M+rtT184L was found alongside rtL180M+rtT184L+rtM204V/I at week 228 and appeared to develop independently, according to the sequence analysis. In contrast to the previously identified ETV resistant mutants, it did not carry the rtM204V/I mutations. Conclusion:, The data presented here indicates that the flare following the emergence of ETV resistant mutants may reflect immune-mediated control of HBV infection, leading to a spontaneous loss of HBV-DNA and seroconversion. [source] Lopinavir/ritonavir monotherapy as maintenance treatment in HIV-infected individuals with virological suppression: results from a pilot study in BrazilHIV MEDICINE, Issue 5 2008E Sprinz Objective The aim of the study was to evaluate the possibility of using lopinavir/ritonavir (LPV/RTV) alone as maintenance therapy in HIV-infected individuals with virological suppression. Design This was a single-armed single-centre pilot trial. Methods Asymptomatic HIV-infected patients on highly active antiretroviral therapy (HAART) including LPV/RTV, and with plasma HIV RNA <40 copies/mL for at least 6 months, were enrolled in the study, during which they continued with LPV/RTV alone. The intention was to recruit 25 patients to be followed for 2 years. Viral failure was defined as two consecutive HIV RNA measurements >40 copies/mL. Nadir and baseline CD4 cell counts, highest ever HIV RNA load, time with undetectable viraemia before monotherapy, number of previous antiretroviral (ARV) regimens, and gene polymorphism at CYP3A4 and CYP3A5 were evaluated. Results All patients (27) completed the study. Their median age was 43 years, and 66% were men. Ten patients (37%) failed to maintain virological suppression (the median time to HIV rebound was 10.5 months, with a range of 4,23 months). One patient developed full resistance to LPV and another developed neurocognitive impairment while on LPV/RTV which improved after HAART reintroduction. There were no differences between failures and nonfailures according to the analysed parameters. Patients with viral failure were successfully resuppressed. Conclusions LPV/RTV maintenance therapy was associated with 37% failure, a higher than expected failure rate. In order to ensure that unnecessary risks are not being taken in patients on LPV/RTV, this finding should be further evaluated in large randomized trials for longer periods of follow-up. [source] Superior virological response to boosted protease inhibitor-based highly active antiretroviral therapy in an observational treatment programmeHIV MEDICINE, Issue 2 2007E Wood Background The use of boosted protease inhibitor (PI)-based antiretroviral therapy has become increasingly recommended in international HIV treatment consensus guidelines based on the results of randomized clinical trials. However, the impact of this new treatment strategy has not yet been evaluated in community-treated cohorts. Methods We evaluated baseline characteristics and plasma HIV RNA responses to unboosted and boosted PI-based highly active antiretroviral therapy (HAART) among antiretroviral-naďve HIV-infected patients in British Columbia, Canada who initiated HAART between August 1997 and September 2003 and who were followed until September 2004. We evaluated time to HIV-1 RNA suppression (<500 HIV-1 RNA copies/mL) and HIV-1 RNA rebound (,500 copies/mL), while stratifying patients into those that received boosted and unboosted PI-based HAART as the initial regimen, using Kaplan,Meier methods and Cox proportional hazards regression. Results During the study period, 682 patients initiated therapy with unboosted PI and 320 individuals initiated HAART with a boosted PI. Those who initiated therapy with a boosted PI were more likely to have a CD4 cell count <200 cells/,L and to have a plasma HIV RNA>100 000 copies/mL, and to have AIDS at baseline (all P<0.001). However, when we examined virological response rates, those who initiated HAART with a boosted PI achieved more rapid virological suppression [relative hazard 1.26, 95% confidence interval (CI) 1.06,1.51, P=0.010]. Conclusions Patients prescribed boosted PIs achieved superior virological response rates despite baseline factors that have been associated with inferior virological responses to HAART. Despite the inherent limitations of observational studies which require this study be interpreted with caution, these findings support the use of boosted PIs for initial HAART therapy. [source] Extended antiretroviral treatment interruption in HIV-infected patients with long-term suppression of plasma HIV RNAHIV MEDICINE, Issue 1 2005CJ Achenbach Objectives Evaluation of extended treatment interruption (TI) in chronic HIV infection among patients successfully treated with antiretroviral therapy. Methods An observational analysis of 25 patients in a prospectively followed cohort with chronic HIV infection, viral loads <500 HIV-1 RNA copies/mL for at least 6 months, and an interruption in therapy of ,28 days duration was carried out. Follow up was divided into 3-month time periods for analysis. The effects of time period, stratification group and stratification group by time period interactions on CD4 counts were tested using a mixed model. Univariate comparisons among patient characteristics and responses were performed using Fisher's exact test or the Wilcoxon rank sum test. Results At initiation of TI, the median CD4 count was 799 cells/,L. TI duration was a median of 7.1 months. HIV RNA rebounded to a median maximum level of 75 000 copies/mL. Maximum viral rebound was significantly greater in patients who were male, had lipodystrophy and had zenith HIV RNA prior to TI of ,50 000 copies/mL. Lower CD4 cell counts were observed during TI in patients with lipodystrophy, zenith HIV RNA ,50 000 copies/mL, history of AIDS, HIV infection ,5 years and presuppression CD4 count ,350 cells/,L. Patients who reinitiated therapy had shorter TI duration, presuppression CD4 count ,350 cells/,L, previous AIDS diagnosis and lipodystrophy. No patients developed adverse or AIDS-defining events during TI. Conclusions Long-term TI resulted in greater immune deterioration in patients with high viral set points or low CD4 cell counts prior to initiation of suppressive antiretroviral therapy. [source] Clinical implications of stopping nevirapine-based antiretroviral therapy: relative pharmacokinetics and avoidance of drug resistanceHIV MEDICINE, Issue 3 2004NE Mackie Objective To determine the pharmacokinetics of cessation of nevirapine (NVP) in order to design clinical protocols which will reduce the risk of resistance to nonnucleoside reverse transcriptase inhibitors (NNRTIs). Methods In a case study, NNRTI genotypic resistance was demonstrated in a patient discontinuing therapy for toxicity. Subsequently, nine patients receiving NVP-containing antiretroviral regimens and stopping treatment were recruited. Patients were advised to continue the nucleoside analogue reverse transcriptase inhibitor (NRTI) backbone for 5 days following cessation of NVP. Plasma NVP concentrations were determined over 7,10 days after the last dose. HIV-1 reverse transcriptase genotyping was performed at viral load rebound (approximately day 21 following cessation) to detect mutations associated with reduced NNRTI sensitivity. Results The median predicted time for plasma NVP concentration to fall below the inhibitory concentration (IC)50 of wild-type virus was 168 h (range 108,264 h). De novo genotypic mutations conferring resistance to NRTIs or NNRTIs were not demonstrated following cessation of therapy. Conclusions The prolonged elimination half-life of NVP compared with NRTIs, which persists even after 20 weeks of therapy, raises concern over the development of NNRTI resistance if all three drugs are stopped together. Continuation of the NRTI backbone for a further 5 days, allowing the elimination of NVP, may avoid the development of drug resistance. [source] Motor cortex involvement during verbal versus non-verbal lip and tongue movementsHUMAN BRAIN MAPPING, Issue 2 2002Riitta Salmelin Abstract We evaluated left and right motor cortex involvement during verbal and non-verbal lip and tongue movements in seven healthy subjects using whole-head magnetoencephalography. The movements were paced by tone pips. The non-verbal tasks included a kissing movement and touching the teeth with the tongue. The verbal tasks comprised silent articulation of the Finnish vowel /o/, which requires mouth movement similar to that in the kissing task, pronouncing the same self-selected word repeatedly, and producing a new word for every tone pip. Motor cortex involvement was quantified by task-related suppression and subsequent rebound of the 20-Hz activity. The modulation concentrated to two sites along the central sulcus, identified as the motor face and hand representations. The 20-Hz suppression in the face area was relatively similar during all tasks. The post-movement rebound, however, was significantly left-lateralized during word production. In the non-verbal tasks, hand areas showed pronounced suppression of 20-Hz activity that was significantly diminished for the verbal tasks. The latencies of the 20-Hz suppression in the left and right face representations were correlated across subjects during verbal mouth movements. Increasing linguistic content of lip and tongue movements was thus manifested in spatially more focal motor cortex involvement, left-hemisphere lateralization of face area activation, and correlated timing across hemispheres. Hum. Brain Mapping 16:81,91, 2002. © 2002 Wiley-Liss, Inc. [source] Numerical analysis of Rayleigh,Plesset equation for cavitating water jetsINTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN ENGINEERING, Issue 7 2007H. Alehossein Abstract High-pressure water jets are used to cut and drill into rocks by generating cavitating water bubbles in the jet which collapse on the surface of the rock target material. The dynamics of submerged bubbles depends strongly on the surrounding pressure, temperature and liquid surface tension. The Rayleigh,Plesset (RF) equation governs the dynamic growth and collapse of a bubble under various pressure and temperature conditions. A numerical finite difference model is established for simulating the process of growth, collapse and rebound of a cavitation bubble travelling along the flow through a nozzle producing a cavitating water jet. A variable time-step technique is applied to solve the highly non-linear second-order differential equation. This technique, which emerged after testing four finite difference schemes (Euler, central, modified Euler and Runge,Kutta,Fehlberg (RKF)), successfully solves the Rayleigh,Plesset (RP) equation for wide ranges of pressure variation and bubble initial sizes and saves considerable computing time. Inputs for this model are the pressure and velocity data obtained from a CFD (computational fluid dynamics) analysis of the jet. Copyright © 2007 John Wiley & Sons, Ltd. [source] Combined use of bacteriocin-producing strains to control Listeria monocytogenes regrowth in raw pork meatINTERNATIONAL JOURNAL OF FOOD SCIENCE & TECHNOLOGY, Issue 5 2010Privat Kouakou Summary Avoiding the presence of Listeria in meat and dairy products is a major challenge for the food industry. In this work, a Lactobacillus curvatus strain producing the bacteriocin sakacin P and a Pediococcus acidilactici strain producing another bacteriocin, pediocin AcH, were used as starter cultures under laboratory conditions in a Listeria -seeded raw-pork-meat matrix, which was then stored for 6 weeks at 4 °C. At 1 week intervals during the storage period, the antilisterial activity was evaluated. When either strain was added alone, the Listeria monocytogenes cfu count initially dropped from 102 cfu g,1 to an undetectable level by the end of week 1 or 2, but this was followed by a rebound (regrowth) 1 week later. When both strains were added together to the meat matrix, rebound was delayed, Listeria remaining undetected from the end of week 1 to the end of week 5. A rebound was observed 6 weeks post-inoculation, but fewer than 10 cfu g,1 were counted. The use of more than one bacteriocin-producing strain may thus overcome some of the problems limiting the effectiveness of bacteriocins in food systems. [source] Could stereotype rebound affect aid advertising campaigns?INTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 2 2009Sharyn Kennedy The possibility that stereotype rebound may occur for viewers of aid agency appeals was investigated. Stereotype rebound refers to the ironic finding that active efforts to avoid thinking about people in a stereotypical manner can backfire and subsequently lead to increased stereotypical thinking and prejudiced behaviour. In two experiments, participants were instructed to avoid stereotyped thinking about developing world poor and were later asked to respond to a situation involving the same group,in Experiment 1, participants wrote a ,day in the life' story about the target group; in Experiment 2, participants seated themselves in preparation for meeting a member of the outgroup. In neither experiment was the typical stereotype rebound effect observed. In Experiment 1, suppressors' stories were found to be no more stereotypical in content than controls. In Experiment 2, suppressors sat closer to the target than controls. The differences between these results and those of experiments utilizing other stereotyped groups are discussed in terms of differences in stereotype content and attitudes to socially sensitive outgroups. Copyright © 2008 John Wiley & Sons, Ltd. [source] Avian molecular systematics on the rebound: a fresh look at modern shorebird phylogenetic relationshipsJOURNAL OF AVIAN BIOLOGY, Issue 3 2004Marcel Van Tuinen The study of avian molecular systematics currently lags behind that of mammals in several ways. Little phylogenetic resolution is observed among orders and phylogenetic studies below the ordinal level largely remain based on fast evolving mitochondrial sequences. New papers by Paton et al., Ericson et al., and Thomas et al. provide avian molecular systematics with a badly needed boost. These studies indicate that sampling more taxa and slower evolving nuclear genes yields strong phylogenetic resolution among the major shorebird (order Charadriiformes) families. The new data show surprising overall consensus and converge on certain novel clades. If correct, this newly obtained phylogenetic framework has tremendous implications for our understanding of the evolution of shorebird morphology, ecology and behaviour. [source] Mechanisms of cytochrome P450 substrate oxidation: MiniReviewJOURNAL OF BIOCHEMICAL AND MOLECULAR TOXICOLOGY, Issue 4 2007F. Peter Guengerich Abstract Cytochrome P450 (P450) enzymes catalyze a variety of oxidation and some reduction reactions, collectively involving thousands of substrates. A general chemical mechanism can be used to rationalize most of the oxidations and involves a perfenyl intermediate (FeO3+) and odd-electron chemistry, i.e. abstraction of a hydrogen atom or electron followed by oxygen rebound and sometimes rearrangement. This general mechanism can explain carbon hydroxylation, heteroatom oxygenation and dealkylation, epoxidation, desaturation, heme destruction, and other reactions. Another approach to understanding catalysis involves analysis of the more general catalytic cycle, including substrate specificity, because complex patterns of cooperativity are observed with several P450s. Some of the complexity is due to slow conformational changes in the proteins that occur on the same timescale as other steps. © 2007 Wiley Periodicals, Inc. J Biochem Mol Toxicol 21:163,168, 2007; Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/jbt.20174 [source] | ||||||||||||||||||||||||||||||||||||||||||||||||||||