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  • 1
    Electronic Resource
    Electronic Resource
    Exercise-induced conduction velocity increment: a marker of impaired peripheral nerve blood flow in diabetic neuropathy (1992)
    Springer
    Diabetologia 35 (1992), S. 155-159 
    Details
    ISSN: 1432-0428
    Keywords: Diabetic neuropathy ; nerve blood flow ; sural nerve ; sural sensory conduction velocity ; temperature ; exercise
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Severe microvascular disease exists at the stage of clinical diabetic neuropathy. A non-invasive test that will identify those diabetic subjects who will eventually develop neuropathy is essential for early intervention. Sural sensory conduction velocity was recorded (x 3) in 12 non-neuropathic diabetic subjects, 15 diabetic subjects with established neuropathy and 16 age-matched normal control subjects, before and after exercise to 80% age/sex predicted maximum heart rate. Fixed sural electrodes were used. Subcutaneous temperature was recorded by a needle thermocouple placed near the sural nerve. Sural sensory conduction velocity increased significantly after exercise in normal subjects (p〈0.01, mean increase 5.07 m/s) and non-neuropathic diabetic subjects (p〈0.02, mean increase 3.99 m/s) but not in neuropathic subjects (mean increase 0.99 m/s). Subcutaneous temperature rose significantly in normal subjects (p〈0.01, mean increase 2.07°C) and non-neuropathic diabetic subjects (p〈0.001, mean increase 2.52 °C) but not in neuropathic subjects (mean increase 0.15 °C). However, sural sensory conduction velocity increased by 1.2 m · s−1. °C−1 following direct warming of the limb in six neuropathic subjects which was comparable to that of normal and non-neuropathic subjects (1.49 and 1.48 m · s−1. °C−1). The impairment of exercise conduction increment in diabetic neuropathy suggests impaired nerve blood flow in diabetic neuropathy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00402548
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  • 2
    Electronic Resource
    Electronic Resource
    Impaired blood flow and arterio-venous shunting in human diabetic neuropathy: a novel technique of nerve photography and fluorescein angiography (1993)
    Springer
    Diabetologia 36 (1993), S. 1266-1274 
    Details
    ISSN: 1432-0428
    Keywords: Diabetic neuropathy ; sural nerve ; nerve blood flow ; epineurial vessel photography ; fluorescein angiography ; arterio-venous shunting ; vasa nervorum
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary New techniques of sural nerve photography and fluorescein angiography which are able to provide an index of nerve blood flow have been developed. Under local anaesthetic, 3 cm of sural nerve was exposed at the ankle using an operating microscope. Without disturbing the epineurium, vessels were identified and photographed at a standard magnification (× 30). These were independently graded by an ophthalmologist not otherwise involved with the study. Fluorescein angiography was then carried out on the exposed nerve. The fluorescein appearance time and intensity of fluorescence were quantified, using computer analysis of digitised images. Thirteen subjects with chronic sensory motor neuropathy, five non-neuropathic diabetic and nine normal control subjects were studied. The mean epineurial vessel pathology score of the neuropathic group was significantly higher than the combined normal control and non-neuropathic diabetic groups (p 〈0.01). Direct epineurial arteriovenous shunting was observed in six neuropathic and one non-neuropathic diabetic patients and not in any of the normal control subjects. The nerve fluorescein appearance time was significantly delayed in subjects with chronic sensory motor neuropathy (51.5 ± 12 s) compared to both normal (34.7 ± 9 s, p 〈0.01) and non-neuropathic diabetic subjects (33.4 ± 11 s, p 〈0.025). The mean intensity of fluorescence at 96, 252 and 576 s, was significantly lower in subjects with chronic sensory motor neuropathy compared with both of the other groups (p 〈0.05). The epineurial vessel pathology score was significantly related to reduced sural (p 〈0.01) and peroneal (p 〈0.001) nerve conduction velocities, elevated vibration (p 〈0.01) and thermal (p 〈0.001) perception and the severity of retinopathy (p 〈0.002). The fluorescein appearance time was significantly related to reduced sural sensory (p 〈0.02) conduction velocity, elevated vibration (p 〈0.01) perception and epineurial vessel (p 〈0.002) pathology score, but it failed to relate to peroneal motor (p = 0.06) conduction velocity, thermal (p = 0.1) perception and the severity of retinopathy (p = 0.3). Intensity of fluorescence was significantly related to fluorescein appearance time (at 96 s, p 〈0.001; at 576 s, p 〈0.05) but did not relate to measures of neuropathic severity. These techniques have enabled us to observe that epineurial vessel anatomy is abnormal and that nerve blood flow is impaired in subjects with chronic sensory motor neuropathy. In addition epineurial arterio-venous shunting may be a feature of diabetic neuropathy. These techniques may further be applied to study nerve blood flow in early diabetic neuropathy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00400804
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  • 3
    Electronic Resource
    Electronic Resource
    The cerebral cortex in congenital hydrocephalus in the H-Tx rat: a quantitative light microscopy study (1991)
    Springer
    Acta neuropathologica 82 (1991), S. 217-224 
    Details
    ISSN: 1432-0533
    Keywords: Hydrocephalus ; Rat ; Cerebral cortex ; Cortical cell density ; Capillary density
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Hydrocephalus in the H-Tx rat first develops in late gestation and causes death at 4–7 weeks. The effect of hydrocephalus on overall cortical dimensions and on five specific regions (frontal, sensory-motor, parietal, auditory and visual) has been studied by quantitative light microscopy at 10 and 30 days after birth. The lateral ventricle volumes in hydrocephalic rats were about 40x larger than controls and increased fourfold between 10 and 30 days. Cortical volume was reduced by a small amount at 10 days but was larger in hydrocephalics at 30 days. Thinning of the cortical mantle was severe with disruption of the laminar structure, particularly in the auditory and visual regions, where it was already present at 10 days. The density of cortical cells (neurones and glia) was not altered in hydrocephalics at 10 days but was reduced in all regions at 30 days. Estimates of total cell number suggest that the lower density was not associated with an overall loss of cells. Capillary numerical density was not affected by the hydrocephalus at 10 days after birth but by 30 days it was significantly lower, particularly in the worst-affected posterior regions. The results show that the cerebral cortex is severely distorted and that in advanced hydrocephalus, although overall cell number is not affected, both cell density and capillary density are lower by up to 30%.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00294448
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  • 4
    Electronic Resource
    Electronic Resource
    CO2 cerebrovascular reactivity as a function of perfusion pressure — a modelling study (1993)
    Springer
    Acta neurochirurgica 121 (1993), S. 159-165 
    Details
    ISSN: 0942-0940
    Keywords: Cerebral blood flow ; autoregulation ; cerebral perfusion pressure ; carbon dioxide ; computer modelling
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A mathematical model is described that demonstrated the properties of cerebral vascular resistance and compliance expressed as a function of cerebral perfusion pressure (CPP) and arterial CO2 partial pressure (PaCO2). The hypercapnic induced shift of the lower limit of autoregulation to a higher range of CPP, as shown by this model, is a useful characteristic that facilitates the differentiation between normal and impaired autoregulation described previously in experimental studies. Dynamic properties of cerebrovascular circulation derived from the relationship between pulse wave of CBF waveform and CPP have been analysed at different levels of PaCO2-phenomenon, being often described as dependence of blood flow velocity pulsatility index on the autoregulatory reserve. The model was also used to interpret interhemispheric asymmetry of CBF reactivity to changes in arterial concentration of CO2 in patients with carotid artery stenosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01809269
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  • 5
    Electronic Resource
    Electronic Resource
    Destructive Effect of Aspartame on Ascorbic Acid in Cu-catalyzed Solutions (1991)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of food science 56 (1991), S. 0 
    Details
    ISSN: 1750-3841
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Agriculture, Forestry, Horticulture, Fishery, Domestic Science, Nutrition , Process Engineering, Biotechnology, Nutrition Technology
    Notes: The effect of aspartame on the early stage of ascorbic acid oxidation in solutions was studied by measuring ascorbic acid retention in an open system at 30°C and the oxygen uptake in a closed system at 33°C. Comparisons were also made between aspartame (0.06% and 0.12%) and sucrose (10% and 20%) in Cu-catalyzed and noncatalyzed solutions at 30°C. Copper activity in aspartame solution was measured by using a cupric ion selective electrode. Aspartame increased the rate of ascorbic acid oxidation in all tested solutions. In the presence of copper the oxidation rate of ascorbic acid was significantly higher in aspartame solutions than in sucrose solutions despite the fact that aspartame showed Cu-complex capacity in solution.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2621.1991.tb07963.x
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  • 6
    Electronic Resource
    Electronic Resource
    The performance of two intensive care humidifiers at high gas flows (1993)
    Oxford, UK : Blackwell Publishing Ltd
    Anaesthesia 48 (1993), S. 0 
    Details
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: High continuous flow breathing systems are now available to provide fresh gas flows well in excess of 100 l.min−1 in continuous positive airway pressure systems used for respiratory support. The performance of two commonly used intensive care humidifiers, the Kendal Conchatherm and the Fisher and Paykel FP310 have been assessed at flows of 50, 75, 100, 125 and 150 l.min −1. Their performance when using two humidifiers connected in parallel and in series was also studied. At afresh gas flow of 100 l.min−1 the single Conchatherm gave an absolute water vapour concentration of 15.6 g.m−3 and the single FP310 11.9 g.m−3. At all flows the best results were achieved using two Conchatherm humidifiers in series. It is concluded that with high continuous flow breathing systems the humidification achieved with conventional humidifiers may be inadequate and it may be necessary to combine two humidifiers to obtain clinically useful humidification.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2044.1993.tb07427.x
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  • 7
    Electronic Resource
    Electronic Resource
    Tectonothermal evolution of the High Himalayan Crystalline Sequence, Langtang Valley, northern Nepal (1992)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of metamorphic geology 10 (1992), S. 0 
    Details
    ISSN: 1525-1314
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Geosciences
    Notes: The High Himalayan Crystalline Sequence in north-central Nepal is a 15-km-thick pile of metasediments that is bound by the Main Central Thrust to the south and a normal fault to the north. The Langtang section through the metasediments shows an apparent inversion of metamorphic isograds with high-P, kyanite-grade rocks exposed beneath low-P, sillimanite-grade rocks. Textural evidence confirms that the observed inversion is a result of a polyphase metamorphic history and phase equilibria studies indicate that thermal decoupling has occurred within a mechanically coherent section of crust. Rocks now exposed at the base of the High Himalayan thrust sheet underwent Barrovian regional metamorphism (M1) prior to 34 Ma in the early stages of the Himalayan orogeny, recording metamorphic conditions of T= 710 ± 30° C, P= 9 ± 1 kbar. After the activation of the Main Central Thrust, which emplaced these metapelites southwards onto the lower grade Lesser Himalayan formations, the upper part of the thrust sheet was overprinted by a second heating event (M2), resulting in sillimanite-grade metamorphism and anatexis of metapelites at T= 760 ± 30° C, P= 5.8 ± 0.4 kbar between 17 and 20 Ma. Crustally derived, leucogranite magmas have been emplaced into low-grade Tethyan sediments on the hangingwall of the normal fault that bounds the northern limit of the metapelitic sequence.The cause of the selective heating of the upper section of the metasediments during M2 cannot be reconciled with either post-thrusting thermal relaxation or advection models. The cause of M2 remains problematical but it is suggested that heat focusing has occurred at the top of the High Himalayan Crystalline Sequence as a result of movement on the normal fault blanketing metapelites of high heat productivity with low-grade sediments of low thermal conductivity. This model implies that the normal fault was active before M2, consistent with decompression textures that formed during, or shortly after, sillimanite-grade metamorphism.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1525-1314.1992.tb00095.x
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  • 8
    Electronic Resource
    Electronic Resource
    Carbon-isotope constraints on fluid advection during contrasting examples of incipient charnockite formation (1993)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of metamorphic geology 11 (1993), S. 0 
    Details
    ISSN: 1525-1314
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Geosciences
    Notes: Abstract Incipient charnockite formation within amphibolite facies gneisses is observed in South India and Sri Lanka both as isolated sheets, associated with brittle fracture, and as patches forming interconnected networks. For each mode of formation, closely spaced drilled samples across charnockite/gneiss boundaries have been obtained and δ13C and CO2 abundances determined from fluid inclusions by stepped-heating mass spectrometry.Isolated sheets of charnockite (c.50 mm wide) within biotite–garnet gneiss at Kalanjur (Kerala, South India) have developed on either side of a fracture zone. Phase equilibria indicate low-pressure charnockite formation at pressures of 3.4 ± 1.0 kbar and temperatures of about 700°C (for XH2O= 0.2). Fluid inclusions from the charnockite are characterized by δ13C values of −8% and from the gneiss, 2 m from the charnockite, by values of −15%. The large CO2 abundances and relatively heavy carbon-isotope signature of the charnockite can be traced into the gneiss over a distance of at least 280 mm from the centre of the charnockite, whereas the reaction front has moved only 30 mm. This suggests that fluid advection has driven the carbon-isotope front through the rock more rapidly than the reaction front. The carbon-front/reaction-front separation at Kalanjur is significantly larger than the value determined from a graphite-bearing incipient charnockite nearby, consistent with the predictions of one-dimensional advection models.Incipient charnockites from Kurunegala (Sri Lanka) have developed as a patchy network within hornblende–biotite gneiss. CO2 abundances rise to a peak near one limb of the charnockite, and isotopic values vary from δ13C of c.−5.5% in the gneiss to −9.5% in the charnockite. The shift to lighter values in the charnockite can be ascribed to the formation of a CO2-saturated partial melt in response to influx of an isotopically light carbonic fluid.Thus, incipient charnockites from the high-grade terranes of South India and Sri Lanka reflect a range of mechanisms. At shallower structural levels non-pervasive CO2 influxed along zones of brittle fracture, possibly associated with the intrusion of charnockitic dykes. At deeper levels, in situ melting occurred under conditions of ductile deformation, leading to the development of patchy charnockites.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1525-1314.1993.tb00193.x
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  • 9
    Electronic Resource
    Electronic Resource
    Contrasting retrograde oxygen isotope exchange behaviour and implications: examples from the Langtang Valley, Nepal (1994)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of metamorphic geology 12 (1994), S. 0 
    Details
    ISSN: 1525-1314
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Geosciences
    Notes: Quantitative modelling of oxygen exchange by diffusion during slow cooling has been compared to the observed oxygen isotope distributions from high-grade metamorphic and granitic rocks of the High Himalayan Crystallines, Langtang Valley, central Nepal, in order to investigate the effect of retrograde diffusional exchange on the preservation of high-temperature, oxygen isotope systematics.Modelled fractionations, using water-present diffusion data reported in the literature, predict quartz-mica fractionations to be much larger than those at peak metamorphic and igneous conditions due to low closure temperatures for micas. Quartz-feldspar fractionations may be less than those at peak conditions, and in some samples may even be slightly negative.The observed oxygen isotope fractionations in the metamorphic rocks are small and largely appear to record equilibrations close to peak conditions determined by other methods. Hence these rocks clearly do not conform to predictions of fluid-present diffusional retrograde exchange. It is suggested that their retrograde history was therefore within an anhydrous closed system in which diffusion was slow and hence mineral closure temperatures were high. The granitic rocks record rather larger quartz-biotite fractionations, approaching those predicted by the diffusion modelling. However, quartz-feldspar fractionations are large and hence, although significant retrograde exchange has clearly occurred, simple diffusion alone is not sufficient to explain the observed data and open-system exchange may be required. The presence of fluids during the retrograde history of this part of the section is supported by petrographic evidence.The different retrograde oxygen exchange histories recorded between the regional metamorphic and magmatic regimes of the Langtang section would appear to support the importance of water on the kinetics of such exchange, and suggests that in its absence, diffusional exchange may become insignificant, allowing oxygen isotope thermometry to record meaningful high-temperature data.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1525-1314.1994.tb00021.x
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  • 10
    Electronic Resource
    Electronic Resource
    Isotopic constraints on fluid infiltration from an eclogite facies shear zone, Holsenøy, Norway (1994)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of metamorphic geology 12 (1994), S. 0 
    Details
    ISSN: 1525-1314
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Geosciences
    Notes: Granulite facies anorthosites on Holsenøy Island in the Bergen Arcs region of western Norway are transected by shear zones 0.1–100 m wide characterized by eclogite facies assemblages. Eclogite formation is related to influx of fluid along the shears at temperatures of c. 700d̀C and pressures in excess of 1.7 GPa. Combined carbon and nitrogen stable isotope, 40Ar/36Ar, trace-element and petrological data have been used to determine the nature and distribution of fluids across the anorthosite-eclogite transition.A metre-wide drilled section traverses the eclogitic centre of the shear into undeformed granulite facies garnet-clinopyroxene anorthosite. Clinozoisite occurs along grain boundaries and microcracks in undeformed anorthosite up to 1 m from the centre of the shear and clinozoisite increases in abundance as the edge of the shear zone is approached. The eclogite-granulite transition, marked by the appearance of sodic pyroxene and loss of albite, occurs within the most highly sheared section of the traverse. The jadeite-in reaction coincides with increased paragonite activity in mica. The separation between paragonite and clinozoisite reaction fronts can be semiquantitatively modelled assuming advective fluid flow perpendicular to the shear zone. The inner section of the traverse (0.25 m wide) is marked by retrogressive replacement of omphacite by plagioclase + paragonite accompanied by veins of quartz-phengite-plagioclase.C-N-Ar characteristics of fluid inclusions in garnet show that fluids associated with precursor granulite, eclogite and retrogressed eclogite are isotopically distinct. The granulite-eclogite transition coincides with a marked change in CO2 abundance and δ13C (〈36ppm, δ13C=-2% in the granulite; 〈180 ppm, δ13C=-10% in the eclogite). The distribution of Ar indicates mixing between influxed fluid (40Ar/36Ar 〉 25 times 103) and pre-existing Ar in the granulite (40Ar/36Ar 〈 8 times 103). δ15N values decrease from +6% in the anorthosite to +3% within the eclogite shear. The central zone of retrogressed eclogite post-dates shearing and is characterised by substantial enrichment of Si, K, Ba and Rb. Fluids are CO2-rich (δ13C ∼ -5%) with variable N2 and Ar abundances and isotopic compositions.Both Ar and H2O have penetrated the underformed granulite fabric more than 0.5m beyond the granulite/eclogite transition during eclogite formation. Argon isotopes show a mixing profile consistent with diffusion through an interconnecting H2O-rich fluid network. In contrast, a carbon-isotope front coincides with the deformation boundary layer, indicating that the underformed anorthosite was impervious to CO2-rich fluids. This is consistent with the high dihedral angle of carbonic fluids, and may be interpreted in terms of evolving fluid compositions within the shear zone.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1525-1314.1994.tb00025.x
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