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  • 1995-1999  (3)
  • 1990-1994
  • 1997  (3)
  • 1
    ISSN: 1432-1238
    Keywords: Key words Kyphoscoliosis ; Mechanical ventilation ; Respiratory mechanics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: To evaluate respiratory mechanics in the early phase of decompensation in a group of seven patients with severe kyphoscoliosis (KS) (Cobb angle 〉 90 °) requiring mechanical ventilatory support. Design: Prospective clinical study with a control group. Setting: General intensive care unit at University of Rome “La Sapienza”. Patients: Seven consecutive patients affected by severe KS in the early phase of acute decompensation and a control group of six ASA (American Society of Anesthesiology) 1 subjects who were mechanically ventilated during minor surgery. Measurements and results: Respiratory mechanics were evaluated during constant flow-controlled mechanical ventilation at zero end-expiratory pressure with the end-inspiratory and end-expiratory occlusion technique. In five patients who showed increased ohmic resistance (RRSmin), we evaluated the possibility of reversing this increase with a charge dose of 6 mg/kg doxophylline i. v. In four KS patients, in whom a reliable esophageal pressure was confirmed by a positive occlusion test, we separated respiratory system data into lung and chest wall component. All KS patients showed reduced values of respiratory compliance (CRS) and increased respiratory resistance (RRS). The average basal values of CRS were 36 ± 10 vs 58 ± 8.5 cmH2O in control patients; RRSmax was 20 ± 3.1 vs. 4.5 ± 1.2 cmH2O/l per s; RRSmin 6.2 ± 1.2 vs. 2 ± 0.5 cmH2O/l per s: ΔRRS 14 ± 2.6 cmH2O vs 2.4 ± 0.7 cmH2O/l per s. All KS patients showed low values of intrinsic positive end-expiratory pressure (PEEPi) (1.8 ± 1.5 cmH2O). Separation of lung and chest-wall mechanics, performed only in four patients, showed a reduction in both lung (66.7 ± 7.2 ml/cmH2O) and chest wall values (84 ± 8.2 ml/cmH2O), while both RmaxL and RmaxCW were increased (16.6 ± 2 and 2.8 ± 0.4 cmH2O/l per s, respectively). Infusion of doxophylline did not significantly change respiratory mechanics when evaluated 15, 30, and 45 min after the infusion. Conclusions: During acute decompensation, both lung and chest-wall compliance are severely reduced in KS patients: conversely, and, contrary to that in patients with chronic obstructive pulmonary disease, increases in airway resistance and PEEPi seem to play only a secondary role.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 156 (1997), S. 737-738 
    ISSN: 1432-1076
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 3
    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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