Assessing overall functioning with adolescent inpatients.

The current study sought to evaluate the validity and reliability of a brief measure of overall functioning for adolescents. Clinicians were asked to complete the Overall Functioning Scale (OFS) for 72 adolescents consecutively admitted to the adolescent psychiatric inpatient service of a community safety net medical center. The results revealed that this new measure is related to the patients' length of stay, clinician-rated measures of social cognition and object relations, Global Assessment of Functioning (GAF) score at admission, as well as global rating of engagement in individual psychotherapy.

Recent progress in understanding the pathophysiology of post-traumatic stress disorder: implications for targeted pharmacological treatment.

Post-traumatic stress disorder (PTSD) is a common and chronic anxiety disorder that can result after exposure to a traumatic event. Though our understanding of the aetiology of PTSD is incomplete, several neurobiological systems have been implicated in the pathophysiology and vulnerability towards developing PTSD after trauma exposure. We aimed to provide a concise review of benchmark findings in important neurobiological systems related to the aetiology and maintenance of PTSD symptomology.

Ultrastructural changes in the pulmonary arterioles in acute hypoxic pulmonary hypertension in the rat.

This study was planned to obtain ultrastructural details of the early changes in intra-acinar arterioles in acute hypoxic pulmonary hypertension that could lead to understanding the mechanisms in the development of chronic hypoxic hypertension. In the anesthetized rat, using 5-10% normobaric O2, within minutes after hypoxia, there are changes in endothelial cells characteristic of activation: prominence of cell body and protuberance of the nucleus, electron-dense membrane-bound bodies adluminally, increasing pseudopodia of the adluminal cell membrane, edema within (vacuoles) and beneath the endothelial cells with separation of the endothelial cells from the basal lamina. There is activation of platelets and leucocytes in the lumen and accumulation of platelets at the endothelium.

Age related alterations in the response of the pial arterioles to adenosine in the rat.

To evaluate the effects of aging on vasoreactivity of pial arterioles to adenosine and barium chloride, an hydraulically intact cranial window preparation was developed in the rat. The microvasculature of anesthetized 3- and 24-month-old Fischer-344 rats was studied during superfusion with artificial cerebrospinal fluid with and without test agents and results determined by videomicroscopy techniques. In both cohorts, the response of pial arterioles to adenosine was both dose and vessel size dependent: arteriolar dilation increased with increasing concentrations of adenosine and at any given concentration the percent increase in diameter was greater in the smaller vessels.

Acute wound repair in an aged animal: a model for accelerated aging of the microvasculature?

This study of wound repair in the aged rat is based on increased carbohydrate content of various proteins which occurs with aging and is readily seen in the microvasculature (MV). We have used the periodic acid-Schiff (PAS) reaction to identify histochemically the carbohydrate moiety of the glycoproteins found in these blood vessels. In the young rat, as in other young vertebrates, elements of the MV are PAS negative and become increasingly PAS+ beyond the half life span.

Histochemical characterization of the aging microvasculature in the human and other mammalian and non-mammalian vertebrates by the periodic acid-Schiff reaction.

Prior histochemical studies with the periodic acid-Schiff (PAS) reaction have shown altered biochemical composition in a limited part of the microvasculature (MV) in aging in two species of laboratory animals. We therefore studied, with the PAS reaction, all the components of the MV in multiple tissues from various immature, adult and aged mammals, including human, and immature and aged nonmammalian vertebrates. We now demonstrate that there is an altered biochemical composition of capillaries, arterioles and venules in various tissues with aging.

Demonstration of uniform capillary basal lamina thickness by computer technology.

Blood capillaries are assumed to be circular cylinders composed of an inner layer of endothelial cells surrounded by an acellular uniformly thick basal lamina. The capillary basal lamina is the structural and functional interface between the capillary endothelial cells and the adjacent extracellular matrix, important in growth and control mechanisms of the endothelial cell. Capillaries examined in electron micrographs are cut randomly and a projected image of a capillary other than perpendicular to its long axis will produce artifactual thickening of the assumed uniformly thick basal lamina.

Collagen and elastin fibers in human pulmonary alveolar walls.

The morphology and morphometric data of collagen and elastin fibers in the pulmonary alveolar walls are presented. Specimens were obtained from postmortem lungs quick-frozen at specified transpulmonary pressures. Collagen was stained by silver, and elastin was stained by orcein.

Elasticity of arterioles and venules in postmortem human lungs.

The elasticity and branching order of noncapillary microscopic blood vessels less than 100 microns diam were studied in human lungs obtained 7-30 h postmortem, using a silicone elastomer method that selectively filled pulmonary arterioles or venules. The lungs were inflated to 10 cmH2O pressure and a gradient of transmural vascular pressure of 0-17 cm H2O, from lobe base to apex, was established in the silicone-filled vascular system. Histological materials were obtained after airway fixation by formaldehyde solution and analyzed for vessel diameter in the branching order of 1, 2, and 3, with the smallest noncapillary vessel designated as order 1, in accord with the Strahler system.

Collagen and elastin fibers in human pulmonary alveolar mouths and ducts.

To provide a quantitative basis for the understanding of the mechanical properties of the lung tissue, the morphology of the pulmonary alveolar ducts was studied and the dimensions of the collagen and elastin fiber bundles in the alveolar mouths were measured. Statistical data are presented in this report. It was found that the probability frequency functions of the widths of both the collagen and elastin fibers are skewed to the right, but the fourth roots of the widths are normally distributed.

How many pulmonary alveoli are supplied by a single arteriole and drained by a single venule?

A detailed measurement of histological specimens of the lungs of the cat shows that each terminal precapillary vessel (arteriole) supplies, on the average, 24.5 pulmonary alveoli; each terminal postcapillary vessel (venule) drains, on the average, 17.8 alveoli.

Morphometry of cat's pulmonary arterial tree.

Morphometic data of the pulmonary artery in the cat's right lung are presented. Silicone elastomer casts of cat's right lung were made, and measured, counted and analyzed. The Strahler system is used to describe the branching pattern of the arterial vascular tree.

Changes in arteriole in acute and chronic hypoxic pulmonary hypertension and recovery in rat.

After 1 h of exposure to 0.5 atm of pressure, the electron microscopy of intra-acinar arterioles of the young female adult rat showed edema and subendothelial blebs. Pulmonary hypertension developed rapidly with an increase in hemoglobin, hematocrit, and right ventricular weight.

Morphometry of cat pulmonary venous tree.

Morphometric data of the pulmonary veins in the cat right lung are presented. Silicone elastomer casts of the right lungs of five cats were made, measured, counted, and analyzed. The Strahler system is used to describe the branching pattern of the vascular tree.

Patency and compliance of pulmonary veins when airway pressure exceeds blood pressure.

Our measurements on cat's lung show that pulmonary veins and venules are not collapsible, but remain open when the alveolar gas pressure (PA) exceeds the local blood pressure (Pv). Their compliance constants show no discontinuity as Pv falls below PA. The capillaries, however, do collapse when PA greater than Pv.

Computer-derived image compositing.

A computer-derived composite image is obtained of the details contained in successive photomicrographs taken by optical sectioning of the collagen networks in the pulmonary interalveolar wall. Three-dimensional information is therefore contained in a two-dimensional portrayal, providing a basis for computer digital analysis otherwise not readily available.

Redistribution of canine left ventricular myocardial blood flow in unloaded systole.

The left coronary arteries of dogs were cannulated and perfused with blood from support dogs. The experimental hearts were unloaded by severing the aortas to maximize strains and minimize fiber stress. In each heart we compared the transmural distribution of blood flow in two states: (1) provision of perfusion pressure (40 mm Hg) only during systole and then (2) provision of perfusion pressure throughout the cardiac cycle.

Intralamellar blood flow patterns in fish gills.

The dimensions of the lamellar vascular sheet in ling cod gills were examined over a range of transmural pressures (delta Plam). The mean vascular sheet thickness (h) increased linearly with delta Plam over the range 30-60 cmH2O, where h = 8.36 + 0.