Estrous cyclicity and behavioral sensitization in female rats following repeated intravenous cocaine administration

Repeated intermittent administration of cocaine is well known to produce behavioral sensitization in male animals. The present studies explored whether intact adult female rats maintained normal estrous patterns in response to repeated IV cocaine administration and whether behavioral sensitization occurred with this route of administration. Adult female Sprague-Dawley rats (N = 48) were surgically implanted with an intravenous access port. Animals received 3.0 mg/kg IV cocaine once/day for 14 days. Daily vaginal lavages indicated that female rats continued to cycle normally throughout the experiment. Estimates of statistical power for detecting alterations in estrous cycle length ranged from 0.61-0.95 for small (0.1) to large (0.4) effect sizes. Moreover, no cocaine-treated animals displayed persistent vaginal estrus or were acyclic and cocaine treatment did not decrease body weight. Immediately after the cocaine injection, animals were placed in IR photocell activity chambers for 60 min. Female rats displayed a significant 75% increase in locomotor activity across the 14-day time course of IV cocaine injections. These data indicate that 3.0 mg/kg of IV cocaine does not interfere with normal estrous cyclicity, and that behavioral sensitization occurs in female rats following repeated daily IV cocaine dosing. Collectively, these data suggest that the IV cocaine-dosing model may be particularly useful in exploring the gender-dependent effects of cocaine using intact female rats.

Aorta wall motion monitoring by 1-d MRI of perpendicular diameters

A method for monitoring the cross-sectional size of blood vessels rapidly is introduced. The method creates a one-dimensional (1-D) profile of a strip along the diameter of a vessel using magnetic resonance imaging (MRI). The strips can be much wider than pixels in a typical two-dimensional (2-D) image to increase the signal-to-noise ratio. A second strip perpendicular to the first is also imaged sequentially to allow the detection, estimation, and correction of errors in diameter measurements resulting from the strip inadvertently covering a chord, rather than a diameter. Diameter measurements derived from 1-D profiles agree with measurements derived from 2-D images. This method is nearly an order of magnitude faster than 2-D MRI and has the potential for real-time implementation. J. Magn. Reson. Imaging 1999;10:833-840.

Method for improved multiband excitation profiles using the Shinnar-Le Roux transform

A method to design multiband RF pulses for magnetic resonance imaging is described. The method is based on the Shinnar-Le Roux transform and involves a phase correction that provides control over the phase of the excited bands. The theory behind the method and this phase correction is outlined. The method is demonstrated with the design of RF pulses for Hadamard encoding and Haar wavelet encoding. Experimentally measured excitation profiles and images for RF pulses designed with the new method are compared to those designed by the conventional method. The conventional method is shown to result in distortion of the excitation profile when the bands are closely spaced. A 78% reduction in this distortion is attributed to the new method. This translates into a 52% reduction of out-of-slice signal in Haar wavelet encoding. Magn Reson Med 42:577-584, 1999.

Motion measurements from individual MR signals using volume localization

A novel method is presented for measuring motion using individual magnetic resonance (MR) signals. This method uses a volume-localized excitation with reduced spatial encoding to measure displacement with a temporal resolution of several milliseconds. The trajectory of the excited volume is derived from the time-dependent frequency of the MR signal, which changes as the volume moves through a magnetic-field gradient. Phantom and in vivo experiments confirm that this method can monitor the trajectory of plug-like structures accurately, with T2* decay limiting the measurement period. The displacement of flowing blood in a human aorta has been measured for 65 msec from one MR signal, with a theoretical accuracy of 0.25 mm and an effective time resolution of 2 msec. The high temporal resolution of this method is useful for capturing rapid motions. An interesting property of this method is that it measures motion from the reference frame of the moving anatomy.

Community health nurses' knowledge of Lyme disease: implications for surveillance and community education

A statewide assessment was conducted to determine the general knowledge and professional practices about Lyme disease (LD) of local health department nurses. The study sample included 226 nurses practicing in 80 health departments in Indiana. Data were collected using a self-administered questionnaire and analyzed using group independent t tests. Findings showed that nurses were most knowledgeable about personal protection against LD and least knowledgeable about symptoms, case definition, and reporting criteria. Nonbaccalaureate degreed nurses scored significantly higher on questions about LD than the baccalaureate or master's prepared nurses. Results point to the need for better dissemination of LD information among public health nurses, expanded LD education for the public, and further development of LD surveillance activities.

Nucleic acid-based cross-linking assay for detection and quantification of hepatitis B virus DNA

A nucleic acid photo-cross-linking technology was used to develop a direct assay for the quantification of hepatitis B virus (HBV) DNA levels in serum. Cross-linker-modified DNA probes complementary to the viral genomes of the major HBV subtypes were synthesized and used in an assay that could be completed in less than 6 h. The quantification range of the assay, as determined by testing serial dilutions of Eurohep HBV reference standards and cloned HBV DNA, was 5 x 10(5) to 3 x 10(9) molecules of HBV DNA/ml of serum. Within-run and between-run coefficients of variation (CVs) for the assay were 4. 3 and 4.0%, respectively. The assay was used to determine HBV DNA levels in 302 serum samples, and the results were compared to those obtained after testing the same samples with the Chiron branched-DNA (bDNA) assay for HBV DNA. Of the samples tested, 218 were positive for HBV DNA by both assays and 72 gave results below the cutoff for both assays. Of the remaining 12 samples, 10 were positive for HBV DNA by the cross-linking assay only; the 2 other samples were positive by the bDNA assay only. Twenty-eight samples had to be retested by the bDNA assay (CV, >20% between the results obtained from the testing of each sample in duplicate), whereas only three samples required retesting by the cross-linking assay. The correlation between the HBV DNA levels, as measured by the two tests, was very high (r = 0.902; P = 0.01). We conclude that the cross-linking assay is a sensitive and reproducible method for the detection and quantification of HBV DNA levels in serum.

Collagen fiber sliding during ligament growth and contracture

It is hypothesized that the sliding of collagen fibers past one another plays an important role in changes of ligament length during growth or contracture. To explore this possibility, we used the fluorescent dye dichlorotriazinyl fluorescein to stain collagen fibers perpendicular to their orientation in a rat medial collateral ligament model. Growth, contracture, and control models (with rats weighing 50-75 g in the first and 500-600 g in the latter two groups) were studied. In the contracture model, the medial collateral ligament was transected distally. Marking sutures were used to verify the presence of growth or contracture in each medial collateral ligament. Fluorescence photomicrography after 2 weeks demonstrated stained collagen fibers protruding from either side of the original mark as one would expect, in either growth or contracture, if the fibers slid past one another and away from their initial location during changes in length. By measuring the initial and final widths of the growth and contracture model marks and correlating them to controls that had minimal growth (rats grow throughout their life) and were free of contracture, we have provided evidence that collagen sliding plays a significant role in changes in ligament length.

An episode of ventricular tachycardia during long-duration spaceflight

An episode of nonsustained ventricular tachycardia was recorded from a crew member during the second month aboard the MIR space station. Although asymptomatic, this cardiac event increases the concern that serious cardiac dysrhythmias may be a limiting factor during long-duration spaceflight.

Wavelet encoding for improved SNR and retrospective slice thickness adjustment

A method to encode the slice-select direction in magnetic resonance imaging through the use of a discrete wavelet transform is presented. The paper reports the first implementation of wavelet encoding using the Haar basis. Theoretically, the signal-to-noise ratio (SNR) for two levels of wavelet encoding is expected to be approximately 1.6 times higher than for conventional multislice imaging in which each slice is excited separately. A slightly lower SNR is encountered experimentally because of slice interference. The design of radiofrequency (RF) pulses to excite slices approximating Haar wavelet basis functions is discussed. Wavelet encoding also provides an efficient method for balancing slice thickness and SNR after an image has been acquired. The experiments have been conducted at 1.5 Tesla. Wavelet encoding of slices should be especially suitable for low-field MRI, in which the SNR is lower and the characteristically lower T1 values favor the use of shorter TR, which sometimes forces the slices to be acquired in multiple passes.

A focal zone of thalamic plasticity

In this study, sensory maps in the thalamus were investigated by examining their volume and shape. We determined the forelimb representation in adult rats after the removal of hindlimb input by nucleus gracilis lesions. Three-dimensional reconstructions of thalamic sensory maps were obtained from a grid of electrode penetrations. We found that the volume of the shoulder sensory map contracted >50% at an acute time interval (n = 6), followed by a robust volumetric sensory map expansion of 25% at 1 week (n = 8) and 1 month (n = 8) after lesion relative to controls (n = 8). The topology of the volumetric increase was scrutinized by slicing functional maps in the coronal, sagittal, and horizontal planes. The equivalence of such slices from each animal was established by virtue of their distance from either a functional or neuroanatomical landmark. Surprisingly, all of the volumetric increase unequivocally occurred in a circumscribed coronal slice 300 micron thick. This focal zone was located toward the rostral pole of the thalamic tactile relay, the ventroposterolateral nucleus. Analysis in the sagittal plane revealed that, unexpectedly, the shoulder map volume expanded by superimposing its representation on that of the forepaw, via an advancement of the shoulder representation by 0.6 mm medially. We propose a "hot spot" hypothesis in which focal zones of plasticity may not be specific to the thalamus but may have manifestations elsewhere in the nervous system, such as the cerebral cortex or dorsal column nuclei.

Preventable blindness in the east African elderly

The epidemiology and delivery of eye care for East Africa are outlined. The common causes of blindness in the elderly (> 60 years old) are discussed individually. Cataract causes (50%), trachoma (16%) and glaucoma (12%) of blindness in the East Africa Region.

Functional magnetic resonance imaging: a potential tool for the evaluation of spinal cord stimulation: technical case report

OBJECTIVE AND IMPORTANCE

The management of chronic pain of spinal origin continues to represent a challenge for neurosurgeons. Spinal cord stimulation for chronic intractable pain is an effective therapy in approximately 50% of patients. The present study uses a novel imaging approach, functional magnetic resonance imaging (fMRI), to examine the central effects of spinal cord stimulation.

CLINICAL PRESENTATION

Three patients, each with a chronic history of intractable pain, were treated at the Toronto Hospital with a trial of dorsal column stimulation (DCS). For all patients, significant improvement in pain symptoms was achieved with DCS.

INTERVENTION

fMRI on a 1.5-T conventional magnetic resonance system was used to study the effects of DCS in these patients. Images were collected while the stimulator was activated and deactivated.

CONCLUSION

This report is the first to describe the cerebral effects of exogenous spinal cord stimulation with fMRI. fMRI allows for the objective examination of the effects of DCS and may provide an objective means of evaluating the efficacy of DCS as a therapy for intractable pain of spinal origin.

Functional MRI of pain- and attention-related activations in the human cingulate cortex

The aims of the study were to use functional magnetic resonance imaging (fMRI) to 1) locate pain-related regions in the anterior cingulate cortex (ACC) of normal human subjects and 2) determine whether each subject's pain-related activation is congruent with ACC regions involved in attention-demanding cognitive processes. Ten normal subjects underwent fMRI with a 1.5-T standard commercial MRI scanner. A conventional gradient echo technique was used to obtain data from a single 4-mm sagittal slice of the left ACC, approximately 3.5 mm from midline. For each subject, interleaved sets of 6 images were obtained during a pain task, an attention-demanding task, and at rest, for a total of 36 images per task. Pain of different intensities was evoked via electrical stimulation of the right median nerve. The attention-demanding task consisted of silent word generation (verbal fluency). Additional experiments obtained data from the right ACC. A pixel-by-pixel statistical analysis of task versus rest images was used to determine task-related activated regions. The pain task resulted in a 1.6-4.0% increase in mean signal intensity within a small region of the ACC. The exact location of this activation varied from subject to subject, but was typically in the posterior part of area 24. The signal intensity changes within this region correlated with pain intensity reported by the subject. The attention-demanding tasks increased the mean signal intensity by 1.3-3.3% in a region anterior and/or superior to the pain-related activation in each subject. The activated region was typically larger than the pain-related activation. In some cases this activation was at or superior to the ACC border, near the supplementary motor area. These regions did not show any pain-intensity-related activation. In one subject both right and left ACC were imaged, revealing bilateral ACC activation during the attention task but only contralateral pain-related activation. These findings shed light on pain- and attention-related cognitive processes. The results provide evidence for a region in the posterior part of the ACC that is involved in pain and a more anterior region involved in other attention-demanding cognitive tasks.

Evaluation of cardiac rhythm disturbances during extravehicular activity

This study represents the first systematic evaluation of dysrhythmias before, during, and after spaceflight including extravehicular activity (EVA). The data, based on 7 Shuttle crew members, revealed a nonsignificant decrease in ventricular and supraventricular ectopy during EVA, suggesting that the incidence of dysrhythmias is no greater during EVA than with any other phase of a mission or preflight.

Superiority of sirolimus (rapamycin) over cyclosporine in augmenting allograft and xenograft survival in mice treated with antilymphocyte serum and donor-specific bone marrow

BACKGROUND

Sirolimus is a potent immunosuppressive agent with great therapeutic potential. The objective of our study was to evaluate the efficacy of sirolimus versus cyclosporine in augmenting the unresponsiveness induced by an antilymphocyte serum (ALS)/donor-specific bone marrow (BM)-based regimen across three levels of histoincompatibility: class I and II disparate (DBA/2 to B6AF1), complete mismatch (AKR to C57BL/6), and xenograft (ACI rat to B6AF1).

METHODS

Full-thickness skin grafts were taken from donors and placed on recipients in standard fashion. Seven groups of recipient mice (n=10-28) received various combinations of the following treatment protocols: sirolimus, 1.5 mg/kg (3.0 mg/kg for xenografts) every other day from day 0 to day 12; cyclosporine, 50 mg/kg every other day from day 10 through 22; ALS, 0.5 ml on days -1 and 2 for allografts and days -1, 2, and 4 for xenografts; and BM, 25 million donor-specific cells IV on day 7.

RESULTS

The administration of ALS or ALS/BM resulted in modest but significant prolongation of skin graft survival in all combinations tested. Cyclosporine combined with ALS or ALS/BM significantly extended allograft survival compared with ALS or ALS/BM alone (P<0.05) but had no effect on xenograft survival. In contrast, the combination of sirolimus with ALS or ALS/BM resulted in a two- to threefold increase in allograft survival and over a fourfold increase in xenograft survival when compared with the comparable cyclosporine-based regimen. Additionally, lymphocytes isolated from class I and II incompatible mice with skin grafts surviving >100 days demonstrated markedly reduced interleukin 2 and interferon-gamma secretion in response to irradiated donor-specific lymphocytes in culture.

CONCLUSIONS

In the regimens tested, sirolimus was superior to cyclosporine in augmenting donor BM-induced skin graft prolongation in ALS-treated mice across all levels of histoincompatibility.

Case management at work for SSA disability beneficiaries: process results of the Project NetWork return-to-work demonstration

This article presents the results of the process analysis of the evaluation of the Project NetWork demonstration, a Federal demonstration undertaken by the Social Security Administration (SSA) in 1991 to test alternative methods of providing rehabilitation and employment services to SSA's Disability Insurance beneficiaries and Supplemental Security Income disabled and blind applicants and recipients. The major findings are: (1) from an operational standpoint, it is feasible to expand access to vocational rehabilitation (VR) services to a broad spectrum of SSA beneficiaries, and (2) roughly similar results are achieved, in terms of client intake and provision of services, when case management services are provided by SSA staff, contracted out to State VR agencies, or contracted with private VR providers. Later evaluation reports will trace demonstration impacts on earnings and disability benefits and report the overall benefits and costs of return-to-work services for this population.

Fourier registration of three-dimensional brain MR images: exploiting the axis of rotation

We have developed a novel algorithm to register three-dimensional MR images that have undergone rigid body motion. The most interesting feature of the algorithm is that it reduces a general three-dimensional rotation to a simple planar rotation by finding the axis of rotation. The algorithm, which is a nontrivial three-dimensional extension of existing Fourier registration algorithms, has been tested on 30 artificially misaligned MR images of a phantom, four artificially misaligned MR images of a brain, and one case of actual patient motion. The algorithm successfully registered every image. The registration error for a voxel 10 cm from the origin for the artificially misaligned phantom images was 2.8 mm at most and had a mean of 1.2 mm and standard deviation of .7 mm. The registration parameters for the images contaminated by actual patient motion were similar to that from an established image registration algorithm. The results indicate that the algorithm is accurate, reliable, and fast. The rigid body model requires the brain to be segmented from MR images of the head before registration.

Wavelet encoding for 3D gradient-echo MR imaging

An implementation of wavelet encoding to resolve one spatial direction of a three-dimensional gradient-echo magnetic resonance image is described. This is the first report of the use of wavelet encoding with a relatively short repetition time for rapid image acquisition. An important feature of this implementation is that it allows wavelet-encoded images to be reconstructed without phase correction. The images show no discernible degradation compared with images acquired with phase encoding or scaling-function encoding instead of wavelet encoding. In addition to describing the implementation, typical sources of phase errors are investigated both theoretically and experimentally.

Cancer in remission. Challenge in collaboration for family physicians and oncologists

OBJECTIVE

To explore oncologists' perspectives on the process of cancer patient follow up and to identify what oncologists need from family physicians during the remission stage of cancer disease.

DESIGN

Qualitative study with in-depth interviews.

SETTING

Regional cancer centre serving a catchment area of 1.4 million people.

PARTICIPANTS

A purposive sample of 10 oncologists. One was unable to participate because of sabbatical leave. The nine who participated represented both radiation and medical oncology. Oncologists who had practised at the cancer centre for less than 2 years were excluded from the study.

MAIN OUTCOME MEASURES

Existing barriers to communication and collaboration between oncologists and family physicians in cancer patient follow up.

RESULTS

Oncologists described roles for themselves in reassuring patients, detecting recurrence, monitoring toxicity of treatment, and gathering data for clinical trials. Collaboration with family physicians in the remission phase was identified as desirable but inhibited by variable and unpredictable interest, poor communication with family physicians, and patients' own preferences for follow up. Oncologists perceived the cancer system structure as a "black box" within which multidisciplinary teams worked well but seldom included family physicians. Oncologists expressed a need to see healthy patients and to have more understanding and support from family physicians, preferably through sharing follow-up care. Developing dialogue and a more collaborative approach were suggested.

CONCLUSIONS

Family physicians should maintain a role in remission follow-up. However, a more collaborative approach with oncologists is warranted. Communication barriers, patient preferences, and misperceptions between groups must be addressed before roles are redefined.

Multilevel wavelet-transform encoding in MRI

This paper explores an alternative to standard Fourier MRI called wavelet-transform encoding. Spatially selective radiofrequency (RF) pulses are used to excite slice profiles in the shape of the wavelet-basis functions of a discrete wavelet transform. Our implementation on a standard commercial whole body MRI system resolves one spatial dimension through wavelet encoding and orthogonal directions through conventional frequency encoding and rectangular-slice selection. The wavelet transform is described as a method for multiresolution analysis, and we show how a high resolution MR image can be constructed from lower resolution images, representing the approximation and detail structures of the object. A multiple level architecture of the wavelet reconstruction is described, thereby allowing wavelet-encoded images to be reconstructed through several modes. Multilevel wavelet-encoded images of a gel phantom are presented that show comparable image quality to Fourier-encoded images of similar signal-to-noise ratio. However, a chemical-shift artifact is identified with this particular implementation.