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  • Articles: DFG German National Licenses  (2)
  • 1995-1999  (2)
  • Chest wall mechanics  (1)
  • Intrinsic viscosity  (1)
  • Muscle relaxants  (1)
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  • Articles: DFG German National Licenses  (2)
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Years
  • 1995-1999  (2)
Year
  • 1
    ISSN: 1432-1238
    Keywords: Muscle relaxants ; Sedation ; Respiratory system mechanics ; Chest wall mechanics ; Mechanical ventilation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective To evaluate the separate effects of sedation and paralysis on chest wall and respiratory system mechanics of mechanically ventilated, critically ill patients.Setting: ICU of the University “La Sapienza” Hospital, Rome. Patients and participants 13 critically ill patients were enrolled in this study. All were affected by disease involving both lungs and chest wall mechanics (ARDS in 4 patients, closed chest trauma without flail chest in 4 patients, cardiogenic pulmonary oedema with fluidic overload in 5 patients). Measurements and results Respiratory system and chest wall mechanics were evaluated during constant flow controlled mechanical ventilation in basal conditions (i. e. with the patients under apnoic sedation) and after paralysis with pancuronium bromide. In details, we simultaneously recorded airflow, tracheal pressure, esophageal pressure and tidal volume; with the end-inspiratory and end-expiratory airway occlusion technique we could evaluate respiratory system and chest wall elastance and resistances. Lung mechanics was evaluated by subtracting chest wall from respiratory system data. All data obtained in basal conditions (with the patients sedated with thiopental or propofol) and after muscle paralysis were compared using the Student'st test for paired data. The administration of pancuronium bromide to sedated patients induced a complete muscle paralysis without producing significant modification both to the viscoelastic and to the resistive parameters of chest wall and respiratory system. Conclusions This study demonstrates the lack of additive effects of muscle paralysis in mechanically ventilated, sedated patients. Also in view of the possible side effects of muscle paralysis, our results question the usefulness of generalyzed administration of neuromuscular blocking drugs in mechanically ventilated patients.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1017
    Keywords: Key words Translational diffusion ; Rotational diffusion ; Relaxation times ; Intrinsic viscosity ; Protein structure and dynamics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Physics
    Notes: Abstract Spheres, cylinders or ellipsoids, whose hydrodynamic properties can be computed from analytical or semi-analytical expressions, have been traditionally used as low-resolution approximate descriptors of macromolecular size and shape. However, these simple geometrical bodies can seldom faithfully reproduce any detail of a macromolecular surface. A more sophisticated procedure utilizes instead ensembles of spheres (``beads'') of various diameters in an appropriate spatial arrangement to model the macromolecule. This method has not yet gained widespread application, partially because of the difficulties involved both in the generation and in the handling of the models, and because of the rather complicated mathematics involved in the computation of the hydrodynamic parameters, requiring non-trivial dedicated computer software virtually unavailable in the public-domain. A notable exception was the ``TRV'' program and its predecessors developed by the Garcι′a de la Torre's group, which have been recently updated and made available as the ``HYDRO'' package (Garcι′a de la Torre et al. 1994). To make accessible as many aspects as possible of this powerful modelling procedure, we have assembled a set of computer programs written in C language called BEAMS (BEAds Modelling System), which are described in this paper. The main BEAMS programs provide the user with a choice of four different methods for the computation of the hydrodynamic and structural parameters of ensembles of beads, with the option of automatically generating many random conformations of linear, branched and/or looped strings-of-beads. Selected models can be visualized from any desired point of view and manipulated interactively on a high-resolution colour monitor, and plotted as two-dimensional projections on an eight colour plotter. A further option permits the calculation of the parameters for segmentally flexible models composed of two subunits. Two ancillary programs, PROMOLP (written in VisualBasic for WindowsTM) and GRUMB (written in C for general PC use) help the user in the definition of the number and radius of the beads to be used for the models, and in the interactive construction of spatially pre-defined models. BEAMS should be especially useful in the generation of low-resolution models of large-sized proteins which are difficult or impossible to solve with high-resolution techniques such as X-ray crystallography or NMR, and, in multidomain/modular proteins, in defining the overall spatial arrangement of the various domains/modules from their known 3D-structures.
    Type of Medium: Electronic Resource
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