Near-infrared spectroscopy cerebral oxygen saturation thresholds for hypoxia-ischemia in piglets.

Detection of cerebral hypoxia-ischemia remains problematic in neonates. Near-infrared spectroscopy, a noninvasive bedside technology has potential, although thresholds for cerebral hypoxia-ischemia have not been defined. This study determined hypoxic-ischemic thresholds for cerebral oxygen saturation (SCO2) in terms of EEG, brain ATP, and lactate concentrations, and compared these values with CBF and sagittal sinus oxygen saturation (SVO2).

Efficacious use of a cap shaped coil for transcranial magnetic stimulation of descending motor paths.

We report another technique of transcranial magnetic stimulation (TMS) for exciting the originating cells of the descending corticospinal tract. A cap shaped TMS coil has been described for simultaneously exciting muscles in all four extremities. This TMS coil is useful for monitoring the functional integrity of the descending motor paths during spinal cord surgery, because information regarding the integrity of both the left and right sides of the spinal cord motor paths can be obtained concurrently.

A model of hippocampal activity in trace conditioning: where's the trace?

The hippocampus is generally thought to play a modulating role in the timing of conditioned responses in classical trace conditioning. One hypothesis is that the hippocampus stores a memory trace of the conditioned stimulus (CS) during the stimulus-free period. Cellular recordings, however, do not show any obvious CS storage.

Relational learning with and without awareness: transitive inference using nonverbal stimuli in humans.

Learning complex relationships among items and representing them flexibly have been shown to be highly similar in function and structure to conscious forms of learning. However, it is unclear whether conscious learning is essential for the exhibition of flexibility in learning. Successful performance on the transitive inference task requires representational flexibility.

Early patency of the infarct-related artery after myocardial infarction preserves diastolic filling.

A patent infarct-related artery (IRA) following myocardial infarction has been associated with lower mortality, increased systolic function, decreased left ventricular remodeling, and electrical stability. The purpose of this study was to determine whether coronary artery patency early after myocardial infarction is associated with greater early diastolic filling than a closed artery. Radionuclide ventriculograms were performed at a central laboratory on 167 patients who received alteplase for an acute myocardial infarction and had infarct artery patency determined by cardiac catheterization.

Norepinephrine alters exercise oxygen consumption in heart failure patients.

Purpose: The primary aim of this research was to evaluate the effect of acute norepinephrine (NE) infusion on the exercise oxygen utilization in heart failure patients as compared with healthy adults.

Methods: Eleven healthy adults and 10 patients with NYHA class II-III heart failure (ejection fraction <40%) who were not on beta-blocker therapy underwent steady state exercise under placebo or NE infusion conditions, followed by maximal ramp exercise testing. Oxygen utilization, hemodynamic responses, and serum lactate NE levels were evaluated.

Estradiol modulates long-term synaptic depression in female rat hippocampus.

Fluctuating estradiol levels in the adult, female rat modify the anatomical and functional organization of the hippocampal CA1 region. When systemic levels of estradiol are low, e.g.

Successful autologous bone marrow transplant without the use of blood product support.

We describe a successful autologous bone marrow transplant without the use of any blood products. The patient had relapsed large cell lymphoma. He was a Jehovah's Witness and would not accept transfusions of red blood cells or platelets.

Controlling activity fluctuations in large, sparsely connected random networks.

Controlling activity in recurrent neural network models of brain regions is essential both to enable effective learning and to reproduce the low activities that exist in some cortical regions such as hippocampal region CA3. Previous studies of sparse, random, recurrent networks constructed with McCulloch-Pitts neurons used probabilistic arguments to set the parameters that control activity. Here, we extend this work by adding an additional, biologically appropriate, parameter to control the magnitude and stability of activity oscillations.

Primacy versus recency in a quantitative model: activity is the critical distinction.

Behavioral and neurobiological evidence shows that primacy and recency are subserved by memory systems for intermediate- and short-term memory, respectively. A widely accepted explanation of recency is that in short-term memory, new learning overwrites old learning. Primacy is not as well understood, but many hypotheses contend that initial items are better encoded into long-term memory because they have had more opportunity to be rehearsed.

Estradiol enhances the induction of homosynaptic long-term depression in the CA1 region of the adult, ovariectomized rat.

An ovarian steroid-dependent cycle of synaptogenesis and synapse shedding occurs naturally in the hippocampus of the adult female rat. The newly formed axospinous synapses in CA1 may differ functionally from extant axospinous synapses, e.g.

Perforant path activation modulates the induction of long-term potentiation of the schaffer collateral--hippocampal CA1 response: theoretical and experimental analyses.

In one computational model of hippocampal function, the entorhinal cortical input to CA1 is hypothesized to play a key role in the ability of CA1 to decode CA3 recodings. Here, we develop a modification of this CA1 decoder hypothesis that is applicable to several computational theories of hippocampal function, and then we electrophysiologically investigate one assumption of this new hypothesis. First, using biologically realistic estimates, we calculate that CA3-induced CA1 excitation is too high and that inhibition plausibly plays a role in this CA1 decoder model.

Safety and cost of hyperhydration for the prevention of hemorrhagic cystitis in bone marrow transplant recipients.

Hemorrhagic cystitis is a major cause of morbidity after bone marrow transplantation. Traditional methods of prevention have included mesna (2-mercaptoethane sodium sulfonate) and bladder irrigation. We report the use of hyperhydration as an alternative to these prophylactic measures.

Monitoring spinal cord motor and somatosensory evoked potentials in anesthetized primates.

Monitoring Motor Evoked Potential (MEP) to Transcranial Stimulation (TMS) monitoring (MEP) is a growing technique to assess motor function under anesthesia. The following primate study was conducted to analyze the non-myogenic spinal motor and sensory volleys and to examine their reproducibility under nitrous oxide-methohexidone anesthesia. The traveling periodic spinal descending MEP to TMS and ascending somatosensory (SEP) to posterior tibial nerve stimulation across the thoracic cord were recorded in 12 cynomolgus monkeys.

Temporal sequence compression by an integrate-and-fire model of hippocampal area CA3.

Cells in the rat hippocampus fire as a function of the animal's location in space. Thus, a rat moving through the world produces a statistically reproducible sequence of "place cell" firings. With this perspective, spatial navigation can be viewed as a sequence learning problem for the hippocampus.

The statistical relationship between connectivity and neural activity in fractionally connected feed-forward networks.

It is desirable to have a statistical description of neuronal connectivity in developing tractable theories on the development of biological neural networks and in designing artificial neural networks. In this paper, we bring out a relationship between the statistics of the input environment, the degree of network connectivity, and the average postsynaptic activity. These relationships are derived using simple neurons whose inputs are only feed-forward, excitatory and whose activity is a linear function of its inputs.

Effect of endurance exercise training on heart rate variability at rest in healthy young and older men.

Heart rate variability (HRV) (SD of the RR interval), an index of parasympathetic tone, was measured at rest and during exercise in 13 healthy older men (age 60 to 82 years) and 11 healthy young men (age 24 to 32 years) before and after 6 months of aerobic exercise training. Before exercise training, the older subjects had a 47% lower HRV at rest compared with the young subjects (31 +/- 5 ms vs 58 +/- 4 ms, p = 0.0002).

A neural network solution to the transverse patterning problem depends on repetition of the input code.

Using computer simulations, this paper investigates how input codes affect a minimal computational model of the hippocampal region CA3. Because encoding context seems to be a function of the hippocampus, we have studied problems that require learning context for their solution. Here we study a hippocampally dependent, configural learning problem called transverse patterning.

The clinical significance of flow cytometry crossmatching in heart transplantation.

Background: Flow cytometry crossmatching is more sensitive than cytotoxic methods in identifying preformed antibodies to donor alloantigens. However, the significance of a positive flow crossmatch remains unknown for a recipient of a heart transplant who has a negative anti-human globulin crossmatch.

Methods: Flow crossmatching was performed retrospectively for 92 recipients of a primary cardiac allograft who underwent transplantation with a negative AHG crossmatch.

Coverage of bone marrow transplant patients: a survey of American and Canadian institutions.

Personnel involved in supportive care of bone marrow transplant (BMT) patients include fellows (F), medical house-staff (HS), nurse practitioners (NP), physician assistants (PA), and moonlighting physicians (MP). We have obtained surveys from 108 American and Canadian transplant centers on the composition of inpatient support teams. Eighty-seven percent of institutions responding to the survey were university-based programs.

Free postsynaptic densities in the hippocampus of the female rat.

The number of synapses in the adult, female hippocampal CA1 region fluctuates naturally across the estrous cycle in an ovarian steroid-dependent manner. This phasic variation in synapse number occurs without identifiable degenerating synapses. Ultrastructural correlates of the dynamic aspect of this synapse loss and synapse formation thus remain undescribed.

Homosynaptic long-term depression of CA3-CA3 synapses in the in vivo hippocampus.

We tested the hypothesis that homosynaptic long-term depression (LTD) can be induced at the CA3-CA3 synapses in the adult, in vivo hippocampus while the CA3-CA1 synapses remain unchanged. Low-frequency conditioning stimulation of the contralateral fimbria significantly depressed the CA3 population response but did not change the simultaneously recorded CA3 response to angular bundle test stimulation. Similarly, in another group of animals, low-frequency conditioning stimulation of the contralateral fimbria depressed the CA3 synaptic response and left the collateral CA1 synaptic response unchanged.

Relationships between cerebral blood flow velocities and arterial pressures during intra-aortic counterpulsation.

Objective: To determine the effects of intra-aortic counterpulsation (IABP) on cerebral blood flow velocity.

Design: Prospective self-controlled study.

Setting: University hospital surgical intensive care unit.

Predicting the distribution of synaptic strengths and cell firing correlations in a self-organizing, sequence prediction model.

This article investigates the synaptic weight distribution of a self-supervised, sparse, and randomly connected recurrent network inspired by hippocampal region CA3. This network solves nontrivial sequence prediction problems by creating, on a neuron-by-neuron basis, special patterns of cell firing called local context units. These specialized patterns of cell firing--possibly an analog of hippocampal place cells--allow accurate prediction of the statistical distribution of synaptic weights, and this distribution is not at all gaussian.

Quantifying the role of inhibition in associative long-term potentiation in dentate granule cells with computational models.

In the dentate gyrus, coactivation of a mildly strong ipsilateral perforant path (pp) input with a weak contralateral pp input will not induce associative long-term potentiation in the weak input path unless both inputs project to the same part of the molecular layer. This "spatial convergence requirement" is thought to arise from either voltage attenuation between input locations or inhibition. Simulations with a detailed model of a dentate granule cell were performed to rule out voltage attenuation and to quantify the inhibition necessary to obtain the spatial convergence requirement.