Comparison of regional cerebral blood flow in TIA patients with and without occlusion or stenosis of major vessels.

The purpose of this study is to compare the background regional cerebral blood flow (rCBF) in TIA patients with and without angiographically demonstrable lesions. 147 TIA patients with severe stenosis or occlusion of major vessels supplying the brain (A group) were compared with a similar group without any arterial lesion demonstrable by angiography (B group). Their rCBFs were measured by the intravenous Xe133 technique.

Intimal proliferation of smooth muscle cells as an explanation for recurrent coronary artery stenosis after percutaneous transluminal coronary angioplasty.

The pathologic changes in the coronary arteries of three patients who died 5, 17 and 62 days, respectively, after percutaneous transluminal coronary angioplasty were studied. Changes in the vessel wall seen early after angioplasty included focal denudation of the endothelium, splits in the intima extending to and along the inner aspect of the media, focal intimal necrosis and adventitial hemorrhage. Extensive medial dissections were seen in the coronary arteries of the two patients who died 5 and 17 days after coronary angioplasty.

Microelectrode for measuring local cortical oxygen tension and blood flow in the same microareas of cat cortex.

The purpose of this study is to investigate the relationship between changes in cortical Po2 (bPo2) and cortical blood flow when inhalating different oxygen mixtures. Experiments were performed on 31 cats anaesthetized with N2O/O2 plus supplemental drugs for immobilization and analgesia. Cortical Po2 was measured by the polarographic method using 25 microns Pt electrode (coated) and a 250 micron Ag-AgCl2 indifferent electrode, especially designed to rest lightly on the cortex by means of coiled spring support.

Autoregulation of cortical blood flow and oxygen tension in the rabbit.

The relationship between cerebral blood flow autoregulation and oxygen tension of cerebral tissue is not fully known. We have examined the autoregulation of local cortical blood flow (CoBF) and cortical oxygen tension (bPO2) in the rabbit. CoBF was measured continuously by using the heated thermocouple technique and bPo2 was monitored by the polarographic method.

Gender and pre-atherosclerotic lesions. Effects on prevalence in human abdominal aortas.

Gross and microscopic examination of equivalent segments of abdominal aortas obtained at autopsy from 39 male patients aged 10 to 30 years (mean, 20.5 years) and 37 female patients aged 9 to 30 years (mean, 20.9 years) revealed no significant difference in the prevalence of aortic pre-atherosclerotic lesions in male v female patients.

The effect of storage conditions on ion exchange and affinity chromatographic assays for glycated hemoglobin.

Experiments were performed to evaluate the effect on glycated hemoglobin determinations when erythrocytes were stored under various conditions. We studied the influence of time, temperature, glucose concentration, and pH on results obtained by three commercially available column chromatographic procedures designed to quantify glycated hemoglobin. An affinity chromatographic procedure which measures total glycated hemoglobins (GHb) was compared with two ion-exchange column methods.

The ultrasound macroscope: initial studies of breast tissue.

A system called the ultrasound macroscope has been developed to measure the ultrasonic properties of tissues. Based on the concept of the scanning acoustic microscope, it is capable of generating quantitative images of ultrasound velocity, attenuation and backscatter for macroscopic slices of tissue. By maintaining high resolution (approximately 120 microns at 13 MHz) the morphology of complex tissues is well delineated.

Comparison of phosphotungstate and dextran sulfate-Mg2+ precipitation procedures for determination of high density lipoprotein cholesterol.

Because of the controversy over the best method for assaying high density lipoprotein (HDL) cholesterol in the clinical laboratory, a commonly used phosphotungstate method for precipitating low density and very low density lipoproteins (LDL and VLDL) was compared with a recently recommended dextran sulfate precipitation method. The accuracy and precision of HDL cholesterol determinations were similar for both methods. Either of these procedures would appear to be equally satisfactory for the assay of HDL cholesterol in the clinical laboratory.

Cricopharyngeal muscle hypertrophy: radiologic-anatomic correlation.

There is a divergence of opinion concerning the cricopharyngeal muscle defect commonly seen in the pharyngoesophageal area on barium esophagram. Some observers believe this defect is the result of neuromuscular dysfunction with the demonstration of the unrelaxed muscle bundle; however, others believe it is the result of actual hypertrophy of the cricopharyngeal muscle. Radiologic and pathologic study of 24 unselected autopsy cases revealed cricopharyngeal hypertrophy in 13 cases by radiologic criteria.

The status of fluoride in oral health education in Head Start programs.

Due to the potential impact fluoride has on the prevention of dental caries and the lack of research on health education programs in Head Start, a status study was conducted to identify what is being taught to pre-school children and their parents about fluoride. The content of the oral health education program was adequate in terms of toothbrushing, nutrition, and functions of and visits to the dentist. The most significant problem was the lack of education about the significance of fluoride.

Automated turbidimetric assay of serum apolipoprotein A1 using the COBAS-BIO centrifugal analyzer.

An automated turbidimetric procedure for determining serum concentrations of apolipoprotein A1 (apo A1) is described. This procedure allows for rapid, precise and inexpensive assay of apo A1 in large numbers of serum samples.

Coronary artery spasm at the site of angioplasty in the first 2 months after successful percutaneous transluminal coronary angioplasty.

The clinical course of five patients manifesting coronary artery spasm at the site of previous successful percutaneous coronary angioplasty is reviewed. All patients showed this spasm on hemodynamically insignificant (less than 50% diameter narrowing) obstruction. Four patients did not respond to therapy with calcium channel antagonists and nitrates and subsequently developed recurrent stenosis.

Cortical oxidative metabolism under conditions of ischemia, hypoxia, and asphyxia in the rabbit.

The purpose of this investigation was to compare the effects of hypoxia, asphyxia, and ischemia on brain cortical oxidative metabolism. This study was carried out using 14 New Zealand White rabbits. The effects of episodic stress were measured simultaneously on brain functional metabolism by monitoring cortical oxygen tension (brain pO2), cortical cerebral blood flow (cCBF), cortical blood volume, and mitochondrial oxidative metabolism.

A laboratory model for vascular microsurgery.

This article describes the microsurgical training model used at the Naval Regional Medical Center in San Diego, where first year residents spend two weeks of concentrated effort developing basic skills in microsurgery. This training is done outside the busy hospital environment so that no interruptions are encountered. Following this initial experience, weekly research sessions are continued to maintain proficiency and to develop new techniques.

Regional cerebral blood flow in patients with vertebrobasilar disease.

We have investigated the changes in regional cerebral blood flow (rCBF) in patients with occlusive vertebrobasilar disease. Fifty patients who showed severe stenosis or occlusion of the vertebrobasilar artery territory were studied by angiography. Lesions in 13 of these patients were limited to the vertebrobasilar artery (limited VB group), and 37 patients showed combined vertebrobasilar/carotid artery lesions (combined VB-C group).

Long-term evaluation of cerebral blood flow, transient ischemic attacks, and stroke after STA-MCA anastomosis.

A group of 107 consecutive patients with patent extracranial-intracranial bypasses were followed an average of 25.2 months to determine the long-term results on regional cerebral blood flow (rCBF), transient ischemic attacks (TIAs), and stroke incidence. Average mean rCBF initially rose to 110% at 1 week, then gradually fell to 105% at 6 months, and 85% at 2 years.

Efficient storage of sterilized ophthalmic surgical instruments.

To solve the problem of efficient storage of sterilized ophthalmic surgical instruments, we devised a system that uses backloading hooks and cross-indexing of instruments by number together with the mounting of the instruments by number on a pegboard system.