The suprachiasmatic nuclei (SCN) of the hypothalamus harbor the central clock of the circadian system, which gradually matures during the perinatal period. In this study, time-resolved transcriptomic and proteomic approaches were used to describe fetal SCN tissue-level rhythms before rhythms in clock gene expression develop. Pregnant rats were maintained in constant darkness and had intact SCN, or their SCN were lesioned and behavioral rhythm was imposed by temporal restriction of food availability. Model-selecting tools dryR and CompareRhythms identified sets of genes in the fetal SCN that were rhythmic in the absence of the fetal canonical clock. Subsets of rhythmically expressed genes were assigned to groups of fetuses from mothers with either intact or lesioned SCN, or both groups. Enrichment analysis for GO terms and signaling pathways revealed that neurodevelopment and cell-to-cell signaling were significantly enriched within the subsets of genes that were rhythmic in response to distinct maternal signals. The findings discovered a previously unexpected breadth of rhythmicity in the fetal SCN at a developmental stage when the canonical clock has not yet developed at the tissue level and thus likely represents responses to rhythmic maternal signals.
Survival and neurological outcomes after out-of-hospital cardiac arrest (OHCA) remain low. The further development of prehospital extracorporeal resuscitation (ECPR) towards Controlled Automated Reperfusion of the Whole Body (CARL) has the potential to improve survival and outcome in these patients. In CARL therapy, pulsatile, high blood-flow reperfusion is performed combined with several modified reperfusion parameters and adjusted defibrillation strategies. We aimed to investigate whether pulsatile, high-flow reperfusion is feasible in refractory OHCA and whether the CARL approach improves heart-rhythm control during ECPR. In a reality-based porcine model of refractory OHCA, 20 pigs underwent prehospital CARL or conventional ECPR. Significantly higher pulsatile blood-flow proved to be feasible, and critical hypotension was consistently prevented via CARL. In the CARL group, spontaneous rhythm conversions were observed using a modified priming solution. Applying potassium-induced secondary cardioplegia proved to be a safe and effective method for sustained rhythm conversion. Moreover, significantly fewer defibrillation attempts were needed, and cardiac arrhythmias were reduced during reperfusion via CARL. Prehospital CARL therapy thus not only proved to be feasible after prolonged OHCA, but it turned out to be superior to conventional ECPR regarding rhythm control.
130 million people in Western Europe and the USA suffer from chronic cardiac degeneration or kidney insufficiency. The medical treatment requires a routine medical examination accompanied by laboratory blood analyses. This is cost-intensive for the health care system and also time consuming for the patients. This paper presents an economical, wireless sensor node solution in terms of an intelligent near field communication (NFC) potassium measurement strip (NPMS) usable in a home environment. The NPMS comprises two different electrochemical sensors for the acquisition of two parameters in capillary blood and an autonomous sense and identification grain (ASIG) for the electrical analysis, communication, and data transfer. The ASIG is equipped with an integrated amperometric and potentiostatic functionality, radio frequency identification (RFID) interface for high frequency (HF)/NFC, and has been designed using a 130 nm CMOS standard process. It facilitates the implementation of two different measurement techniques, which are necessary for the accurate determination of the potassium concentration in capillary blood, whereby the occurrence of hemolysis can be detected. This NPMS impresses with its large scale integration and is solely powered by the NFC reader device.Keywords: NFC; amperometry; potentiometry; CMOS Intelligenter NFC-Kalium-Messstreifen mit Hämolysekontrolle in Kapillarblut. Mess-und Identifikations-Chip (ASIG)
Millionen Menschen in Westeuropa und den USA leider an chronischer Herz-oder Niereninsuffizienz. Die Behandlung erfordert eine regelmäßige medizinische Untersuchung, welche mit Laboranalysen des Blutes einhergeht. Dies ist kostenintensiv für das Gesundheitswesen und auch zeitaufwendig für den Patienten. Dieser Beitrag präsentiert eine ökonomische, drahtlose Sensorknotenlösung in Form eines intelligenten NFC-Kalium-Messstreifens (NPMS) für den Heimgebrauch. Der NPMS enthält zwei verschiedene elektrochemische Sensoren für die Erfassung zweier Parameter im Kapillarblut und einen autonomen
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