Incidence of Cardiovascular Instability in Patients With Guillain-Barré Syndrome: A Retrospective Study.

Introduction Guillain-Barré syndrome (GBS) is an autoimmune disease affecting radicles and peripheral nerves resulting in acute flaccid paralysis. Respiratory failure, autonomic dysfunction, and secondary complications such as pneumonia, and venous thromboembolism are the major causes of death and disability in GBS. Cardiovascular complications play a major role in the prognosis of GBS patients.

Factors predicting 30-day mortality after pancreaticoduodenectomy-the impact of elevated aspartate aminotransferase.

Purpose: High preoperative bilirubin levels and cholangitis are associated with poor peri-operative outcomes following pancreaticoduodenectomy (PD). However, the impact of deranged preoperative aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels on immediate postoperative outcomes is relatively unexplored. We hypothesized that deranged AST and ALT lead to worse postoperative outcomes after PD.

Enhanced recovery after pancreatoduodenectomy-does age have a bearing?

Introduction: With the proven benefits of enhanced recovery protocols (ERP) after pancreatoduodenectomy (PD), their implementation has become a well-accepted clinical practice across the major pancreatic surgery centres of the world. The impact of age on the execution of ERP has remained an area of ambiguity. The aim of this study was to assess the impact of age on the feasibility of various postoperative elements of ERP after PD.

Edge effects reduce α-diversity but not β-diversity during community assembly in a human-modified tropical forest.

Edge effects can alter the spatial organization of diversity in fragmented habitats. For tropical forests, however, there has been large variation in the strength and direction of such effects reported by different studies. For long-lived organisms like trees, one reason for inconsistent patterns might be due to most studies having examined patterns of diversity and compositional variation in older life stages that bear the legacy of a forest past.

Recurrence of membranous nephropathy three weeks' postrenal transplant: A surprise in store.

Membranous nephropathy (MN) may occur in the transplanted kidney, either as recurrent disease in patients who had MN as the cause of end-stage renal disease (ESRD) in the native kidney or de novo, in patients who had another cause of ESRD initially. The reported incidence of recurrent MN ranges between 10% and 45%. Clinical manifestations of recurrent MN are typically observed 13-15 months after transplantation, although they may be observed much earlier (within weeks).

Tests of models for saccade-vergence interaction using novel stimulus conditions.

During natural activities, two types of eye movements - saccades and vergence - are used in concert to point the fovea of each eye at features of interest. Some electrophysiological studies support the concept of independent neurobiological substrates for saccades and vergence, namely saccadic and vergence burst neurons. Discerning the interaction of these two components is complicated by the near-synchronous occurrence of saccadic and vergence components.

Vestibular and non-vestibular contributions to eye movements that compensate for head rotations during viewing of near targets.

Geometry dictates that when subjects view a near target during head rotation the eyes must rotate more than the head. The relative contribution to this compensatory response by adjustment of the vestibulo-ocular reflex gain (Gvor), visual tracking mechanisms including prediction, and convergence is debated. We studied horizontal eye movements induced by sinusoidal 0.

Comparison of velocity waveforms of eye and head saccades.

We compared the velocity waveforms of head and eye-in-head movements during eye-head saccades over a range 5-50 degrees. The velocity waveforms of eye-in-head saccades showed a skew ratio (acceleration period/saccade duration) that varied as a function of saccade size and duration. The velocity waveforms of head saccades showed a more constant skew of approximately 0.

Tests of Hering- and Helmholtz-type models for saccade-vergence interactions by comparing visually guided and memory-guided movements.

We compared the dynamic properties of memory-guided and visually-guided saccade-vergence movements. For memory-guided responses, convergence components were slowed proportionally more than corresponding saccadic components, compared with visually-guided responses. This result is consistent with independent saccadic and vergence systems, and supports a Hering-type model for saccade-vergence interactions.

Effects of retinal image slip on modulation of visual vestibulo-ocular reflex during near viewing.

During viewing of a near target, the gain of the visually modulated vestibulo-ocular reflex (vVOR) exceeds 1.0. We investigated whether retinal image slip contributes to this gain increase by measuring responses during strobe illumination.

Evaluating large saccades in patients with brain-stem or cerebellar disorders.

Clinicians conventionally test saccades at the bedside by noting the accuracy, initiation time, and speed of large movements, with the patient's head stationary. Partly for methodological reasons, laboratory analysis of saccades has mainly focused on movements of 20 degrees or less. By measuring the velocity waveform of large saccades, it is possible to examine more closely the way in which brain stem and cerebellum guide the eye to the target.

Effects of eyelid closure, blinks, and eye movements on the electroencephalogram.

Objective: To characterize the effects of the eyeball and eyelid positions during eyeblinks on electroencephalographic (EEG) potentials.

Methods: Movements of the upper eyelids and eyes were measured in two healthy subjects using the magnetic search coil technique during horizontal and vertical eye rotations, eyeblinks, and lid closure. Corresponding signal changes were recorded simultaneously on the electroencephalogram (EEG).

Directional asymmetry during combined saccade-vergence movements.

We investigated relationships between saccadic and vergence components of gaze shifts as 10 human subjects switched visual fixation between targets aligned in the midsagittal plane that lay in different vertical directions and at different distances. When fixation was shifted between a higher distant target and a lower near target, peak convergence velocity followed peak vertical saccadic velocity by a median interval of 12 ms. However, when fixation was shifted between a lower distant target and a higher near target, peak convergence velocity followed peak vertical saccadic velocity by a median interval of 76 ms.

Age-related changes in blood lymphocyte subsets of south Indian children.

Background: Enumeration of lymphocyte subsets has been widely used for the diagnosis and monitoring of several haematological and immunological disorders. Various studies have demonstrated age, sex and racial differences in lymphocyte subset expression. Reference values are not available for Indian children and there is a need for this information to replace commonly used, but inappropriate, adult lymphocyte subset ranges.

Evaluating small eye movements in patients with saccadic palsies.

Slow saccades are an important diagnostic feature of a range of degenerative, metabolic, and genetic diseases of the nervous system. Many affected patients have difficulty initiating saccades, and the movements themselves may be small, making it difficult to make comparisons with control subjects. A large-field optokinetic stimulus may elicit quick phases of nystagmus in patients who cannot initiate voluntary saccades, but these movements may also be small.

Vertical optokinetic nystagmus and saccades in normal human subjects.

Purpose: Optokinetic stimulation induces nystagmus that can be used to test the saccadic and visual-tracking systems in some patients with voluntary gaze palsies. The purpose of this study was to characterize vertical optokinetic nystagmus (OKN) in normal human subjects, comparing the dynamic properties of the quick phases with voluntary saccades of similar size and measuring the slow-phase responses to visual stimuli with a range of spatial and temporal frequencies.

Methods: Vertical OKN and saccades were recorded in 10 healthy adult subjects (age range, 24-54 years) using the magnetic search coil technique.

Disorders of vertical optokinetic nystagmus in patients with ocular misalignment.

Purpose: To compare responses to vertical and horizontal optokinetic (OK) stimulation in patients with disorders of ocular alignment.

Methods: Using the magnetic search coil technique, we measured horizontal and vertical rotations of both eyes in six patients with strabismus since childhood and eight normal subjects. The OK stimulus subtended 72 degrees horizontally and 60 degrees vertically, consisted of black-and-white stripes with a spatial frequency of 0.

Properties of anticipatory vergence responses.

Purpose: To characterize the dynamic properties of vergence eye movements made between near and far targets that were alternately illuminated with predictable timing.

Methods: Using the magnetic search coil technique, eye movements were measured in 10 normal subjects as they shifted their point of fixation between a near green LED and a distant red laser spot, both aligned on subjects' midlines. Targets were alternately illuminated every 1.