This study was registered at ClinicalTrials.gov, identifier NCT01670448.
Purpose: Ideally, preoxygenation is performed using a tight fitting mask either by breathing normally for three to five minutes or with four to eight vital capacity (VC) breaths in 0.5 to one minute, but in practice leaks are frequent and sometimes unavoidable. This study was designed to determine which breathing method provided the best oxygenation in the presence of leak.Methods: Twenty volunteers were instructed to breathe from a circle circuit supplied with 6 L·min -1 of fresh oxygen. Each subject was tested under four situations selected in random order: 1) normal breathing for three minutes without leak; 2) normal breathing for three minutes with a leak; 3) four VCs in 30 sec without a leak; and 4) four VCs in 30 sec with a leak. The leak was created by a piece of size 18 French nasogastric tube, 5 cm long, taped under the face mask. Inspired and expired O 2 and CO 2 were sampled at the nostrils. Results: In the absence of a leak, the end-tidal oxygen fraction (F EO2 ) was greater after three minutes of tidal breathing (89 ± 3%; mean ± SD) in comparison with the response to four VCs (76 ± 7%; P < 0.001). Introduction of a leak decreased the F EO2 significantly (P < 0.001). With a leak, the F EO2 was similar with normal breathing (61 ± 8%) and after four VCs (59 ± 11%). Conclusion:Preoxygenation with tidal volume breathing for three minutes yields higher F EO2 in comparison to four VCs. If a small leak (4 mm internal diameter) is introduced, the F EO2 decreases significantly with both breathing methods to approximately 60%. Objectif
In patients with cirrhosis and portal hypertension, NCX-1000 administration was safe, but it was not able to reduce portal pressure. A significant reduction of systolic blood pressure and HBF was observed in the treatment arm, suggesting that the drug had systemic effects and lacked selective release of NO at the intrahepatic circulation.
The present study used the presentation of food pictures and judgements about their duration to assess the emotions elicited by food in women suffering from an eating disorder (ED). Twenty-three women diagnosed with an ED, namely anorexia (AN) or bulimia nervosa (BN), and 23 healthy controls (HC) completed a temporal bisection task and a duration discrimination task. Intervals were marked with emotionally pre-rated pictures of joyful and disgusting food, and pictures of neutral objects. The results showed that, in the bisection task, AN women overestimated the duration of food pictures in comparison to neutral ones. Also, compared to participants with BN, they perceived the duration of joyful food pictures as longer, and tended to overestimate the duration of the disgusting ones. These effects on perceived duration suggest that AN women experienced an intense reaction of fear when they were confronted to food pictures. More precisely, by having elevated the arousal level and activated the defensive system, food pictures seemed to have speeded up the rhythm of the AN participants’ internal clock, which led to an overestimation of images’ duration. In addition, the results revealed that, in both tasks, ED women presented a lower temporal sensitivity than HC, which was related to their ED symptomatology (i.e., BMI, restraint and concern) and, particularly, to their weaker cognitive abilities in terms of attention, processing speed and working memory. Considered all together, the findings of the present experiment highlight the role of fear and anxiety in the manifestations of AN and point out the importance of considering non-temporal factors in the interpretation of time perception performance.
The brain renin-angiotensin system (bRAS) is involved in the control of hydromineral balance. However, little information is available on the functional regulation of the bRAS as a consequence of sodium deficit in the extracellular fluid compartments. We used a pharmacological model of acute Na+ depletion (furosemide injections) to investigate changes of a major component of the bRAS, the hypothalamic angiotensin type 1A (AT(1A)) receptors. Furosemide induced a rapid and long-lasting expression of the AT(1A) mRNA in the subfornical organ, the median preoptic nucleus (MnPO), and the parvocellular division of the paraventricular nucleus (pPVN). Na+ depletion increased the number of cells expressing AT(1A) mRNA in the pPVN, but not in the MnPO. The enhancement of AT(1A) mRNA expression was associated with an increase in AT(1) binding sites in all the regions studied. It is of interest that in the paraventricular nucleus, the majority of the neurons expressing AT(1A) mRNA also showed an increase in metabolic activity (Fos-related antigen immunoreactivity [FRA-ir]). By contrast, in the MnPO, we observe two distinct cell populations. Our data demonstrated that an acute Na+ deficit induced a functional regulation of the hypothalamic AT(1A) receptors, indicating that these receptors are subject to plasticity in response to hydromineral perturbations.
Background-The role of kinins in the cardioprotective effects of ACE inhibitors remains controversial. Methods and Results-Right ventricular pressure overload in rabbits was produced by pulmonary artery banding for 21 days. Rabbits were untreated, or they received the ACE inhibitor ramipril with or without bradykinin B 1 and B 2 receptor blockers or the angiotensin (Ang) II type I (AT 1 ) receptor blocker losartan. Pulmonary artery banding caused right ventricular hypertrophy, depressed papillary muscle contractility, and loss of Ang II contractile effects because of a signaling defect downstream of AT 1 receptors. Paradoxically, AT 1 receptor density and G protein ␣ subunits ␣q and ␣i1/2 increased. Inotropic responsiveness to the ␣-receptor agonist phenylephrine was normal. Ramipril preserved cardiac contractility, but this effect was attenuated by simultaneous use of kinin receptor blockers. Ramipril also maintained responsiveness to Ang II and prevented AT 1 receptor and G protein upregulation. The simultaneous use of a kinin receptor blocker attenuated but did not prevent upregulation in the AT 1 receptor and G protein. Losartan had no effect on baseline contractility, but it maintained cardiac inotropic responsiveness to Ang II, prevented upregulation of AT 1 receptors, but did not modify G protein upregulation. Conclusions-Pressure
The study investigated how the brain activity changed when participants were engaged in a temporal production task known as the “filled-duration illusion.” Twelve right-handed participants were asked to memorize and reproduce the duration of time intervals (600 or 800 ms) bounded by two flashes. Random trials contained auditory stimuli in the form of three 20 ms sounds between the flashes. In one session, the participants were asked to ignore the presence of the sounds, and in the other, they were instructed to pay attention to sounds. The behavioral results showed that duration reproduction was clearly affected by the presence of the sounds and the duration of time intervals. The filled-duration illusion occurred when there were sounds; the participants overestimated the interval in the 600-ms interval condition with sounds. On the other hand, the participants underestimated the 800-ms interval condition without sounds. During the presentation of the interval to be encoded, the contingent negative variation (CNV) appeared around the prefrontal scalp site, and P300 appeared around the parieto-central scalp site. The CNV grew larger when the intervals contained the sounds, whereas the P300 grew larger when the intervals were 800 ms and did not contain the sounds. During the reproduction of the interval to be presented, the Bereitschaftspotential (BP) appeared over the fronto-central scalp site from 1000 ms before the participants’ response. The BP could refer to the decision making process associated with the duration reproduction. The occurrence of three event-related potentials (ERPs), the P300, CNV, and BP, suggests that the fronto-parietal area, together with supplementary motor area (SMA), is associated with timing and time perception, and magnitude of these potentials is modulted by the “filled-duration illusion”.
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