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  1. Article ; Online: An in vitro approach to determine the human relevance of anti-spermatogenic effects of 4-methylmorpholine 4-oxide, monohydrate (NMMO) in rat reproductive toxicity studies.

    Clewell, Rebecca A / Clewell, Harvey J / Linakis, Matthew W / Easley, Charles A / Langmo, Jacqueline N / Salley, Joshua / Gentry, Robinan / Rücker, Thomas

    Toxicology in vitro : an international journal published in association with BIBRA

    2022  Volume 82, Page(s) 105365

    Abstract: Reduced sperm counts have been observed in male rats in an extended one generation reproductive toxicity study (EOGRTS, OECD 443) following repeated administration of 300 mg/kg/day N-Methylmorpholine N-oxide (NMMO). However, no adverse effects on ... ...

    Abstract Reduced sperm counts have been observed in male rats in an extended one generation reproductive toxicity study (EOGRTS, OECD 443) following repeated administration of 300 mg/kg/day N-Methylmorpholine N-oxide (NMMO). However, no adverse effects on reproductive organs have been reported in studies conducted with NMMO, and the mode of action (MOA) for the effects of NMMO on spermatogenesis is unknown, which complicates the interpretation of these data for human risk assessment. Here, a New Approach Method (NAM) strategy was used to evaluate NMMO MOA and compare interspecies susceptibility for anti-spermatogenic effects using organotypic in vitro assays combined with in vitro metabolism and in vitro to in vivo extrapolation (IVIVE) biokinetic modeling to compare predicted oral equivalent doses (OEDs) in human and rat. Dose-response data were collected in isolated germ cells and in an ex vivo seminiferous tubule model that recapitulates the interaction between the somatic environment and differentiating germ cells to account for potential direct and indirect effects on germ cells. With regard to direct spermatogenic effects, the human isolated germ cell model showed no toxicity at doses ≤300 μM (OED ≤ 86 mg/kg/day). With regard to indirect effects, the rat ex vivo model demonstrated dose-dependent decreases in secondary spermatocyte populations at OEDs ≥89 mg/kg/day, and reduced expression of RNAs specific to several stages of spermatogenesis (spermatogonia, pachytene spermatocytes, round spermatids) at OED = 267 mg/kg/day, consistent with in vivo observations. In contrast, the monkey ex vivo model did not show dose-dependent decreases in these same RNAs, and often demonstrated increased trends instead. These studies demonstrate clear quantitative and qualitative differences in the rat and primate response to NMMO. Furthermore, effects observed in the rat in vitro culture were not observed in the monkey at concentrations equivalent to in vivo doses of up to 1376 mg/kg/day, which is higher than the in vivo dose limit in the EOGRT study, indicating that the isolated findings on spermatogenesis in the rat studies are not likely to be relevant to humans.
    MeSH term(s) Animals ; Humans ; Male ; Morpholines ; Oxides ; Rats ; Seminiferous Tubules ; Spermatids ; Spermatocytes ; Spermatogenesis ; Testis
    Chemical Substances Morpholines ; Oxides ; 4-methylmorpholine (11P91ANU5X)
    Language English
    Publishing date 2022-04-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 639064-x
    ISSN 1879-3177 ; 0887-2333
    ISSN (online) 1879-3177
    ISSN 0887-2333
    DOI 10.1016/j.tiv.2022.105365
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A pilot study of optical neuronavigation-guided brain biopsy in the horse using anatomic landmarks and fiducial arrays for patient registration.

    Santistevan, Lawrence / Easley, Jeremiah / Ruple, Audrey / Monck, Sam / Randall, Elissa / Wininger, Fred / Packer, Rebecca A

    Journal of veterinary internal medicine

    2020  Volume 34, Issue 4, Page(s) 1642–1649

    Abstract: Background: Optical neuronavigation-guided intracranial surgery has become increasingly common in veterinary medicine, but its use has not yet been described in horses.: Objectives: To determine the feasibility of optical neuronavigation-guided ... ...

    Abstract Background: Optical neuronavigation-guided intracranial surgery has become increasingly common in veterinary medicine, but its use has not yet been described in horses.
    Objectives: To determine the feasibility of optical neuronavigation-guided intracranial biopsy procedures in the horse, compare the use of the standard fiducial array and anatomic landmarks for patient registration, and evaluate surgeon experience.
    Animals: Six equine cadaver heads.
    Methods: Computed tomography images of each specimen were acquired, with the fiducial array rigidly secured to the frontal bone. Six targets were selected in each specimen. Patient registration was performed separately for 3 targets using the fiducial array, and for 3 targets using anatomic landmarks. In lieu of biopsy, 1 mm diameter wire seeds were placed at each target. Postoperative images were coregistered with the planning scan to calculate Euclidian distance from the tip of the seed to the target.
    Results: No statistical difference between registration techniques was identified. The impact of surgeon experience was examined for each technique using a Mann-Whitney U test. The experienced surgeon was significantly closer to the intended target (median = 2.52 mm) than were the novice surgeons (median = 6.55 mm) using the fiducial array (P = .001). Although not statistically significant (P = .31), for the experienced surgeon the median distance to target was similar when registering with the fiducial array (2.47 mm) and anatomic landmarks (2.58 mm).
    Conclusions and clinical importance: Registration using both fiducial arrays and anatomic landmarks for brain biopsy using optical neuronavigation in horses is feasible.
    MeSH term(s) Anatomic Landmarks ; Animals ; Biopsy/methods ; Biopsy/veterinary ; Brain/surgery ; Horses/surgery ; Neuronavigation/instrumentation ; Neuronavigation/methods ; Neuronavigation/veterinary ; Pilot Projects
    Language English
    Publishing date 2020-05-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 92798-3
    ISSN 1939-1676 ; 0891-6640
    ISSN (online) 1939-1676
    ISSN 0891-6640
    DOI 10.1111/jvim.15813
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A pilot study of optical neuronavigation‐guided brain biopsy in the horse using anatomic landmarks and fiducial arrays for patient registration

    Lawrence Santistevan / Jeremiah Easley / Audrey Ruple / Sam Monck / Elissa Randall / Fred Wininger / Rebecca A. Packer

    Journal of Veterinary Internal Medicine, Vol 34, Iss 4, Pp 1642-

    2020  Volume 1649

    Abstract: Abstract Background Optical neuronavigation‐guided intracranial surgery has become increasingly common in veterinary medicine, but its use has not yet been described in horses. Objectives To determine the feasibility of optical neuronavigation‐guided ... ...

    Abstract Abstract Background Optical neuronavigation‐guided intracranial surgery has become increasingly common in veterinary medicine, but its use has not yet been described in horses. Objectives To determine the feasibility of optical neuronavigation‐guided intracranial biopsy procedures in the horse, compare the use of the standard fiducial array and anatomic landmarks for patient registration, and evaluate surgeon experience. Animals Six equine cadaver heads. Methods Computed tomography images of each specimen were acquired, with the fiducial array rigidly secured to the frontal bone. Six targets were selected in each specimen. Patient registration was performed separately for 3 targets using the fiducial array, and for 3 targets using anatomic landmarks. In lieu of biopsy, 1 mm diameter wire seeds were placed at each target. Postoperative images were coregistered with the planning scan to calculate Euclidian distance from the tip of the seed to the target. Results No statistical difference between registration techniques was identified. The impact of surgeon experience was examined for each technique using a Mann‐Whitney U test. The experienced surgeon was significantly closer to the intended target (median = 2.52 mm) than were the novice surgeons (median = 6.55 mm) using the fiducial array (P = .001). Although not statistically significant (P = .31), for the experienced surgeon the median distance to target was similar when registering with the fiducial array (2.47 mm) and anatomic landmarks (2.58 mm). Conclusions and Clinical Importance Registration using both fiducial arrays and anatomic landmarks for brain biopsy using optical neuronavigation in horses is feasible.
    Keywords equine ; intracranial ; intraoperative guidance ; natural landmark ; neurosurgery ; nonfiducial ; Veterinary medicine ; SF600-1100
    Subject code 630
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: A pilot study of optical neuronavigation‐guided brain biopsy in the horse using anatomic landmarks and fiducial arrays for patient registration

    Santistevan, Lawrence / Easley, Jeremiah / Ruple, Audrey / Monck, Sam / Randall, Elissa / Wininger, Fred / Packer, Rebecca A

    Journal of veterinary internal medicine. 2020 July, v. 34, no. 4

    2020  

    Abstract: BACKGROUND: Optical neuronavigation‐guided intracranial surgery has become increasingly common in veterinary medicine, but its use has not yet been described in horses. OBJECTIVES: To determine the feasibility of optical neuronavigation‐guided ... ...

    Abstract BACKGROUND: Optical neuronavigation‐guided intracranial surgery has become increasingly common in veterinary medicine, but its use has not yet been described in horses. OBJECTIVES: To determine the feasibility of optical neuronavigation‐guided intracranial biopsy procedures in the horse, compare the use of the standard fiducial array and anatomic landmarks for patient registration, and evaluate surgeon experience. ANIMALS: Six equine cadaver heads. METHODS: Computed tomography images of each specimen were acquired, with the fiducial array rigidly secured to the frontal bone. Six targets were selected in each specimen. Patient registration was performed separately for 3 targets using the fiducial array, and for 3 targets using anatomic landmarks. In lieu of biopsy, 1 mm diameter wire seeds were placed at each target. Postoperative images were coregistered with the planning scan to calculate Euclidian distance from the tip of the seed to the target. RESULTS: No statistical difference between registration techniques was identified. The impact of surgeon experience was examined for each technique using a Mann‐Whitney U test. The experienced surgeon was significantly closer to the intended target (median = 2.52 mm) than were the novice surgeons (median = 6.55 mm) using the fiducial array (P = .001). Although not statistically significant (P = .31), for the experienced surgeon the median distance to target was similar when registering with the fiducial array (2.47 mm) and anatomic landmarks (2.58 mm). CONCLUSIONS AND CLINICAL IMPORTANCE: Registration using both fiducial arrays and anatomic landmarks for brain biopsy using optical neuronavigation in horses is feasible.
    Keywords biopsy ; brain ; cadaver ; computed tomography ; horses ; patients ; veterinary medicine
    Language English
    Dates of publication 2020-07
    Size p. 1642-1649.
    Publishing place John Wiley & Sons, Inc.
    Document type Article
    Note NAL-AP-2-clean ; JOURNAL ARTICLE
    ZDB-ID 92798-3
    ISSN 1939-1676 ; 0891-6640
    ISSN (online) 1939-1676
    ISSN 0891-6640
    DOI 10.1111/jvim.15813
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Improvement of sensitivity and dynamic range in proximity ligation assays by asymmetric connector hybridization.

    Kim, Joonyul / Hu, Jiaming / Sollie, Rebecca S / Easley, Christopher J

    Analytical chemistry

    2010  Volume 82, Issue 16, Page(s) 6976–6982

    Abstract: The proximity ligation assay (PLA) is one of the most sensitive and simple protein assays developed to date, yet a major limitation is the relatively narrow dynamic range compared to other assays such as enzyme-linked immunosorbent assays. In this work, ... ...

    Abstract The proximity ligation assay (PLA) is one of the most sensitive and simple protein assays developed to date, yet a major limitation is the relatively narrow dynamic range compared to other assays such as enzyme-linked immunosorbent assays. In this work, the dynamic range of PLA was improved by 2 orders of magnitude and the sensitivity was improved by a factor of 1.57. To accomplish this, asymmetric DNA hybridization was used to reduce the probability of target-independent, background ligation. An experimental model of the aptamer-target-connector complex (apt(A)-T-apt(B)-C(20,PLA)) in PLA was developed to study the effects of asymmetry in aptamer-connector hybridization. Connector base pairing was varied from the PLA standard of 20 total bases (C(20)) to an asymmetric combination with 15 total bases (C(15)). The results of this model suggested that weakening the affinity of one side of the connector to one aptamer would significantly reduce target-independent ligation (background) without greatly affecting target-dependent ligation (signal). These predictions were confirmed using PLA with asymmetric connectors for detection of human thrombin. This novel, asymmetric PLA approach should impact any previously developed PLA method (using aptamers or antibodies) by reducing target-independent ligation events, thus generally improving the sensitivity and dynamic range of the assay.
    MeSH term(s) Aptamers, Nucleotide/chemistry ; Base Sequence ; Humans ; Models, Molecular ; Nucleic Acid Hybridization/methods ; Oligonucleotides/chemistry ; Thrombin/analysis
    Chemical Substances Aptamers, Nucleotide ; Oligonucleotides ; Thrombin (EC 3.4.21.5)
    Language English
    Publishing date 2010-08-15
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1508-8
    ISSN 1520-6882 ; 0003-2700
    ISSN (online) 1520-6882
    ISSN 0003-2700
    DOI 10.1021/ac101762m
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  6. Article ; Online: An Sp185/333 gene cluster from the purple sea urchin and putative microsatellite-mediated gene diversification.

    Miller, Chase A / Buckley, Katherine M / Easley, Rebecca L / Smith, L Courtney

    BMC genomics

    2010  Volume 11, Page(s) 575

    Abstract: Background: The immune system of the purple sea urchin, Strongylocentrotus purpuratus, is complex and sophisticated. An important component of sea urchin immunity is the Sp185/333 gene family, which is significantly upregulated in immunologically ... ...

    Abstract Background: The immune system of the purple sea urchin, Strongylocentrotus purpuratus, is complex and sophisticated. An important component of sea urchin immunity is the Sp185/333 gene family, which is significantly upregulated in immunologically challenged animals. The Sp185/333 genes are less than 2 kb with two exons and are members of a large diverse family composed of greater than 40 genes. The S. purpuratus genome assembly, however, contains only six Sp185/333 genes. This underrepresentation could be due to the difficulties that large gene families present in shotgun assembly, where multiple similar genes can be collapsed into a single consensus gene.
    Results: To understand the genomic organization of the Sp185/333 gene family, a BAC insert containing Sp185/333 genes was assembled, with careful attention to avoiding artifacts resulting from collapse or artificial duplication/expansion of very similar genes. Twelve candidate BAC assemblies were generated with varying parameters and the optimal assembly was identified by PCR, restriction digests, and subclone sequencing. The validated assembly contained six Sp185/333 genes that were clustered in a 34 kb region at one end of the BAC with five of the six genes tightly clustered within 20 kb. The Sp185/333 genes in this cluster were no more similar to each other than to previously sequenced Sp185/333 genes isolated from three different animals. This was unexpected given their proximity and putative effects of gene homogenization in closely linked, similar genes. All six genes displayed significant similarity including both 5' and 3' flanking regions, which were bounded by microsatellites. Three of the Sp185/333 genes and their flanking regions were tandemly duplicated such that each repeated segment consisted of a gene plus 0.7 kb 5' and 2.4 kb 3' of the gene (4.5 kb total). Both edges of the segmental duplications were bounded by different microsatellites.
    Conclusions: The high sequence similarity of the Sp185/333 genes and flanking regions, suggests that the microsatellites may promote genomic instability and are involved with gene duplication and/or gene conversion and the extraordinary sequence diversity of this family.
    MeSH term(s) Animals ; Base Sequence ; Chromosomes, Artificial, Bacterial/genetics ; Conserved Sequence/genetics ; DNA Transposable Elements/genetics ; DNA, Intergenic/genetics ; Gene Duplication/genetics ; Genetic Variation ; Genome/genetics ; Microsatellite Repeats/genetics ; Molecular Sequence Data ; Multigene Family/genetics ; Reproducibility of Results ; Segmental Duplications, Genomic/genetics ; Sequence Alignment ; Sequence Analysis, DNA ; Strongylocentrotus purpuratus/genetics
    Chemical Substances DNA Transposable Elements ; DNA, Intergenic
    Language English
    Publishing date 2010-10-18
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ISSN 1471-2164
    ISSN (online) 1471-2164
    DOI 10.1186/1471-2164-11-575
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  7. Article ; Online: Duration and magnitude of blood pressure below cerebral autoregulation threshold during cardiopulmonary bypass is associated with major morbidity and operative mortality.

    Ono, Masahiro / Brady, Kenneth / Easley, R Blaine / Brown, Charles / Kraut, Michael / Gottesman, Rebecca F / Hogue, Charles W

    The Journal of thoracic and cardiovascular surgery

    2013  Volume 147, Issue 1, Page(s) 483–489

    Abstract: Objectives: Optimizing blood pressure using near-infrared spectroscopy monitoring has been suggested to ensure organ perfusion during cardiac surgery. Near-infrared spectroscopy is a reliable surrogate for cerebral blood flow in clinical cerebral ... ...

    Abstract Objectives: Optimizing blood pressure using near-infrared spectroscopy monitoring has been suggested to ensure organ perfusion during cardiac surgery. Near-infrared spectroscopy is a reliable surrogate for cerebral blood flow in clinical cerebral autoregulation monitoring and might provide an earlier warning of malperfusion than indicators of cerebral ischemia. We hypothesized that blood pressure below the limits of cerebral autoregulation during cardiopulmonary bypass would be associated with major morbidity and operative mortality after cardiac surgery.
    Methods: Autoregulation was monitored during cardiopulmonary bypass in 450 patients undergoing coronary artery bypass grafting and/or valve surgery. A continuous, moving Pearson's correlation coefficient was calculated between the arterial pressure and low-frequency near-infrared spectroscopy signals and displayed continuously during surgery using a laptop computer. The area under the curve of the product of the duration and magnitude of blood pressure below the limits of autoregulation was compared between patients with and without major morbidity (eg, stroke, renal failure, mechanical lung ventilation >48 hours, inotrope use >24 hours, or intra-aortic balloon pump insertion) or operative mortality.
    Results: Of the 450 patients, 83 experienced major morbidity or operative mortality. The area under the curve of the product of the duration and magnitude of blood pressure below the limits of autoregulation was independently associated with major morbidity or operative mortality after cardiac surgery (odds ratio, 1.36; 95% confidence interval, 1.08-1.71; P = .008).
    Conclusions: Blood pressure management during cardiopulmonary bypass using physiologic endpoints such as cerebral autoregulation monitoring might provide a method of optimizing organ perfusion and improving patient outcomes from cardiac surgery.
    MeSH term(s) Aged ; Area Under Curve ; Blood Pressure ; Cardiopulmonary Bypass/adverse effects ; Cardiopulmonary Bypass/mortality ; Cerebrovascular Circulation ; Coronary Artery Bypass/adverse effects ; Coronary Artery Bypass/mortality ; Female ; Heart Valves/surgery ; Homeostasis ; Hospital Mortality ; Humans ; Logistic Models ; Male ; Middle Aged ; Monitoring, Intraoperative/methods ; Multivariate Analysis ; Odds Ratio ; Postoperative Complications/mortality ; Postoperative Complications/therapy ; Predictive Value of Tests ; Risk Factors ; Spectroscopy, Near-Infrared ; Time Factors ; Treatment Outcome
    Keywords covid19
    Language English
    Publishing date 2013-09-26
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 3104-5
    ISSN 1097-685X ; 0022-5223
    ISSN (online) 1097-685X
    ISSN 0022-5223
    DOI 10.1016/j.jtcvs.2013.07.069
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  8. Article ; Online: An Sp185/333 gene cluster from the purple sea urchin and putative microsatellite-mediated gene diversification

    Buckley Katherine M / Miller Chase A / Easley Rebecca L / Smith L Courtney

    BMC Genomics, Vol 11, Iss 1, p

    2010  Volume 575

    Abstract: Abstract Background The immune system of the purple sea urchin, Strongylocentrotus purpuratus , is complex and sophisticated. An important component of sea urchin immunity is the Sp185/333 gene family, which is significantly upregulated in ... ...

    Abstract Abstract Background The immune system of the purple sea urchin, Strongylocentrotus purpuratus , is complex and sophisticated. An important component of sea urchin immunity is the Sp185/333 gene family, which is significantly upregulated in immunologically challenged animals. The Sp185/333 genes are less than 2 kb with two exons and are members of a large diverse family composed of greater than 40 genes. The S. purpuratus genome assembly, however, contains only six Sp185/333 genes. This underrepresentation could be due to the difficulties that large gene families present in shotgun assembly, where multiple similar genes can be collapsed into a single consensus gene. Results To understand the genomic organization of the Sp185/333 gene family, a BAC insert containing Sp185/333 genes was assembled, with careful attention to avoiding artifacts resulting from collapse or artificial duplication/expansion of very similar genes. Twelve candidate BAC assemblies were generated with varying parameters and the optimal assembly was identified by PCR, restriction digests, and subclone sequencing. The validated assembly contained six Sp185/333 genes that were clustered in a 34 kb region at one end of the BAC with five of the six genes tightly clustered within 20 kb. The Sp185/333 genes in this cluster were no more similar to each other than to previously sequenced Sp185/333 genes isolated from three different animals. This was unexpected given their proximity and putative effects of gene homogenization in closely linked, similar genes. All six genes displayed significant similarity including both 5' and 3' flanking regions, which were bounded by microsatellites. Three of the Sp185/333 genes and their flanking regions were tandemly duplicated such that each repeated segment consisted of a gene plus 0.7 kb 5' and 2.4 kb 3' of the gene (4.5 kb total). Both edges of the segmental duplications were bounded by different microsatellites. Conclusions The high sequence similarity of the Sp185/333 genes and flanking regions, suggests that the microsatellites may promote genomic instability and are involved with gene duplication and/or gene conversion and the extraordinary sequence diversity of this family.
    Keywords Genetics ; QH426-470 ; Biology (General) ; QH301-705.5 ; Science ; Q ; DOAJ:Genetics ; DOAJ:Biology ; DOAJ:Biology and Life Sciences ; Biotechnology ; TP248.13-248.65
    Subject code 572
    Language English
    Publishing date 2010-10-01T00:00:00Z
    Publisher BioMed Central
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Predicting the limits of cerebral autoregulation during cardiopulmonary bypass.

    Joshi, Brijen / Ono, Masahiro / Brown, Charles / Brady, Kenneth / Easley, R Blaine / Yenokyan, Gayane / Gottesman, Rebecca F / Hogue, Charles W

    Anesthesia and analgesia

    2011  Volume 114, Issue 3, Page(s) 503–510

    Abstract: Background: Mean arterial blood pressure (MAP) targets are empirically chosen during cardiopulmonary bypass (CPB). We have previously shown that near-infrared spectroscopy (NIRS) can be used clinically for monitoring cerebral blood flow autoregulation. ... ...

    Abstract Background: Mean arterial blood pressure (MAP) targets are empirically chosen during cardiopulmonary bypass (CPB). We have previously shown that near-infrared spectroscopy (NIRS) can be used clinically for monitoring cerebral blood flow autoregulation. The hypothesis of this study was that real-time autoregulation monitoring using NIRS-based methods is more accurate for delineating the MAP at the lower limit of autoregulation (LLA) during CPB than empiric determinations based on age, preoperative history, and preoperative blood pressure.
    Methods: Two hundred thirty-two patients undergoing coronary artery bypass graft and/or valve surgery with CPB underwent transcranial Doppler monitoring of the middle cerebral arteries and NIRS monitoring. A continuous, moving Pearson correlation coefficient was calculated between MAP and cerebral blood flow velocity and between MAP and NIRS data to generate mean velocity index and cerebral oximeter index. When autoregulated, there is no correlation between cerebral blood flow and MAP (i.e., mean velocity and cerebral oximetry indices approach 0); when MAP is below the LLA, mean velocity and cerebral oximetry indices approach 1. The LLA was defined as the MAP at which mean velocity index increased with declining MAP to ≥ 0.4. Linear regression was performed to assess the relation between preoperative systolic blood pressure, MAP, MAP in 10% decrements from baseline, and average cerebral oximetry index with MAP at the LLA.
    Results: The MAP at the LLA was 66 mm Hg (95% prediction interval, 43 to 90 mm Hg) for the 225 patients in which this limit was observed. There was no relationship between preoperative MAP and the LLA (P = 0.829) after adjusting for age, gender, prior stroke, diabetes, and hypertension, but a cerebral oximetry index value of >0.5 was associated with the LLA (P = 0.022). The LLA could be identified with cerebral oximetry index in 219 (94.4%) patients. The mean difference in the LLA for mean velocity index versus cerebral oximetry index was -0.2 ± 10.2 mm Hg (95% CI, -1.5 to 1.2 mm Hg). Preoperative systolic blood pressure was associated with a higher LLA (P = 0.046) but only for those with systolic blood pressure ≤ 160 mm Hg.
    Conclusions: There is a wide range of MAP at the LLA in patients during CPB, making estimation of this target difficult. Real-time monitoring of autoregulation with cerebral oximetry index may provide a more rational means for individualizing MAP during CPB.
    MeSH term(s) Aged ; Aged, 80 and over ; Blood Pressure/physiology ; Cardiopulmonary Bypass/methods ; Cerebrovascular Circulation/physiology ; Cohort Studies ; Female ; Homeostasis/physiology ; Humans ; Male ; Middle Aged ; Monitoring, Intraoperative/methods ; Oximetry/methods ; Predictive Value of Tests ; Prospective Studies
    Language English
    Publishing date 2011-11-21
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0b013e31823d292a
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  10. Article ; Online: Direct detection of diverse metabolic changes in virally transformed and Tax-expressing cells by mass spectrometry

    Vertes Akos / Mahieux Renaud / Chevalier Sebastien / Kehn-Hall Kylene / Carpio Lawrence / Easley Rebecca / Shrestha Bindesh / Sripadi Prabhakar / Kashanchi Fatah

    Retrovirology, Vol 8, Iss Suppl 1, p A

    2011  Volume 179

    Keywords Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2011-06-01T00:00:00Z
    Publisher BioMed Central
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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