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https://www.readbyqxmd.com/read/29125053/twenty-minutes-of-normothermic-cardiac-arrest-in-a-pig-model-the-role-of-short-term-hypothermia-for-neurological-outcome
#1
Katharina Foerster, Christoph Benk, Friedhelm Beyersdorf, Heidi Cristina Schmitz, Karin Wittmann, Itumeleng Taunyane, Claudia Heilmann, Georg Trummer
INTRODUCTION: Cardiopulmonary resuscitation restores circulation, but with inconsistent blood-flow and pressures. Our recent approach using an extracorporeal life support system, named "controlled integrated resuscitation device" (CIRD), may lead to improved survival and neurological recovery after cardiac arrest (CA). The basic idea is to provide a reperfusion tailored to the individual patient by control of the conditions of reperfusion and the composition of the reperfusate. Hypothermia is one aspect of this concept...
November 1, 2017: Perfusion
https://www.readbyqxmd.com/read/29123858/development-of-new-equipment-for-intra-arrest-brain-cooling-that-uses-cooled-oxygen-in-the-lungs-volunteer-study
#2
Atsushi Sakurai, Rumi Tagami, Shingo Ihara, Junko Yamaguchi, Atsunori Sugita, Nami Sawada, Tomohide Komatsu, Satoshi Hori, Kosaku Kinoshita
Aims: Many experimental studies have reported that intra-arrest cooling during cardiac arrest is a promising treatment to mitigate brain injury. However, there is no clinically established method for cooling the brain during cardiac arrest. We hypothesized that, as blood flow in the lungs must be very slow during cardiopulmonary resuscitation, the blood could be cooled by ventilating the lungs with cooled oxygen like a radiator, and that this cooled blood would in turn cool the brain...
April 2017: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29119455/ct-brain-artefact-due-to-air-bubbles-in-the-oil-cooling-system-characteristic-band-like-configuration-on-sagittal-reformatted-image
#3
Simon Sin Man Wong, James Siu Wai Cheung, Tom Wai Kin Lee, Chris Siu Chun Tsai, Alex Wing Hung Ng
PURPOSE: To retrospectively review the imaging characteristics of CT artefacts due to air bubbles within the oil cooling system of the X-ray tube housing. MATERIALS AND METHODS: Air bubbles were introduced into the oil cooling system of the X-ray tube housing during tube replacement in one of the CT scanners in the authors' institution. All 126 CT brain studies performed in this period were retrospectively reviewed. One hundred and four studies were negative for artefacts...
November 8, 2017: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/29105854/simultaneous-determination-and-tissue-distribution-studies-of-four-phenolic-acids-in-rat-tissue-by-uflc-ms-ms-after-intravenous-administration-of-salvianolic-acid-for-injection
#4
Shuang Li, Xiuman Xie, Dongxiang Li, Zhiguo Yu, Ling Tong, Yunli Zhao
A rapid, simple and sensitive ultra-fast liquid chromatography tandem mass spectrometric method was developed and validated for simultaneous determination and tissue distribution studies of rosmarinic acid, salvianolic acid D, lithospermic acid and salvianolic acid B in rats after intravenous administration of salvianolic acid for injection. The tissue homogenate samples were pretreated by protein precipitation with pre-cooled acetonitrile. Chromatographic separation was achieved on a Waters Cortecs UPLC C18 column (1...
November 6, 2017: Biomedical Chromatography: BMC
https://www.readbyqxmd.com/read/29099343/feasibility-study-of-a-novel-high-flow-cold-air-cooling-protocol-of-the-porcine-brain-using-mri-temperature-mapping
#5
Jan Sedlacik, Åsmund Kjørstad, Zsuzsanna Nagy, Jan-Hendrik Buhk, Christoph R Behem, Constantin J Trepte, Jens Fiehler, Fabian Temme
Early, prehospital cooling seeks to reduce and control the body temperature as early as possible to protect the brain and improve patient outcome in cardiac arrest, stroke, and traumatic brain injury. In this study, we investigate the feasibility of localized cooling of the porcine brain by using a novel high-flow cold air protocol, which utilizes the close proximity between the nasal cavity and the brain. Five adult pigs were anesthetized and temperature change was mapped before, during, and after cooling by using the proton resonance frequency method on a 3 T Siemens Magnetom Skyra system...
November 3, 2017: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/29059865/design-of-focal-brain-cooling-system-for-suppressing-epileptic-seizures
#6
Kei Hata, Koichi Fujiwara, Manabu Kano, Takao Inoue, Sadahiro Nomura, Hirochika Imoto, Michiyasu Suzuki
Epilepsy is a group of diseases caused by excessive neuronal activities, and one-quarter of the patients do not become seizure-free by the existing treatments. The potential treatments include focal brain cooling, which aims to cool the region where the excessive neuronal activities begin. We are developing a focal brain cooling system. The system delivers cold saline to a cranially implanted cooling device. The outflow is cooled by a Peltier device and pumped for circulation. The Peltier device and the pump are activated only when a seizure is predicted...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29040750/cool-callous-and-in-control-superior-inhibitory-control-in-frequent-players-of-video-games-with-violent-content
#7
Laura Stockdale, Robert G Morrison, Robert Palumbo, James Garbarino, Rebecca L Silton
Research on the effects of media violence exposure has shown robust associations among violent media exposure, increased aggressive behavior, and decreased empathy. Preliminary research indicates that frequent players of violent video games may have differences in emotional and cognitive processes compared to infrequent or non-players, yet research examining the amount and content of game play and the relation of these factors with affective and cognitive outcomes is limited. The present study measured neural correlates of response inhibition in the context of implicit attention to emotion, and how these factors are related to empathic responding in frequent and infrequent players of video games with graphically violent content...
October 4, 2017: Social Cognitive and Affective Neuroscience
https://www.readbyqxmd.com/read/29038971/the-implementation-of-targeted-temperature-management-an-evidence-based-guideline-from-the-neurocritical-care-society
#8
Lori Kennedy Madden, Michelle Hill, Teresa L May, Theresa Human, Mary McKenna Guanci, Judith Jacobi, Melissa V Moreda, Neeraj Badjatia
BACKGROUND: Targeted temperature management (TTM) is often used in neurocritical care to minimize secondary neurologic injury and improve outcomes. TTM encompasses therapeutic hypothermia, controlled normothermia, and treatment of fever. TTM is best supported by evidence from neonatal hypoxic-ischemic encephalopathy and out-of-hospital cardiac arrest, although it has also been explored in ischemic stroke, traumatic brain injury, and intracranial hemorrhage patients. Critical care clinicians using TTM must select appropriate cooling techniques, provide a reasonable rate of cooling, manage shivering, and ensure adequate patient monitoring among other challenges...
October 16, 2017: Neurocritical Care
https://www.readbyqxmd.com/read/29025324/the-effects-of-head-cooling-on-brain-function-during-passive-hyperthermia-an-fmri-study
#9
Yan Xue, Li Li, Shaowen Qian, Kai Liu, Xiaohong Joe Zhou, Bo Li, Qingjun Jiang, Zhuanzhuan Wu, Lexia Du, Gang Sun
PURPOSE: To investigate the effect of head-cooling on resting-state spontaneous brain activity during passive hyperthermia. METHODS: An environmental heat exposure was simulated on 16 healthy men under a normal control condition (NC) at 25°C and two hot conditions at 50°C with (HHC) and without (HOT) keeping the head cool, respectively. Resting-state functional MRI (fMRI) data were acquired under each condition and the values of amplitude low frequency fluctuations (ALFF) and z functional connectivity (zFC) were computed to examine regional activity and functional integration, respectively...
October 12, 2017: International Journal of Hyperthermia
https://www.readbyqxmd.com/read/29024930/effect-of-concurrent-src-kinase-inhibition-with-short-duration-hypothermia-on-ca2-calmodulin-kinase-iv-activity-and-neuropathology-after-hypoxia-ischemia-in-the-newborn-swine-brain
#10
Panagiotis Kratimenos, Ioannis Koutroulis, Amit Jain, Shadi Malaeb, Maria Delivoria-Papadopoulos
BACKGROUND: Hypoxia-ischemia (HI) results in increased activation of Ca2+/calmodulin kinase IV (CaM kinase IV) mediated by Src kinase. Therapeutic hypothermia ameliorates neuronal injury in the newborn. HYPOTHESIS: Inhibition of Src kinase concurrently with hypothermia further attenuates the hypoxia-induced increased activation of CaM kinase IV compared with hypothermia alone. DESIGN/METHODS: Ventilated piglets were exposed to HI, received saline or a selective Src kinase inhibitor (PP2), and were cooled to 33°C...
October 13, 2017: Neonatology
https://www.readbyqxmd.com/read/28982970/cold-block-of-in-vitro-eyeblink-reflexes-evidence-supporting-the-use-of-hypothermia-as-an-anesthetic-in-pond-turtles
#11
Joyce Keifer, Zhaoqing Zheng
Use of hypothermia as a means of anesthesia for amphibians and reptiles is prohibited by agencies that establish veterinary guidelines. This has recently been called into question by members of the scientific community based on reviews of published literature. Using pond turtles (Trachemys scripta elegans), hypothermia as a method for anesthesia to precede euthanasia by decapitation was assessed. Turtles were subjected to hypothermia using a cooling followed by freezing protocol. Body temperature measurements ranged between -1 to -2°C while core body temperature was -1°C...
October 5, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28981509/differential-temperature-sensitivity-of-synaptic-and-firing-processes-in-a-neural-mass-model-of-epileptic-discharges-explains-heterogeneous-response-of-experimental-epilepsy-to-focal-brain-cooling
#12
Jaymar Soriano, Takatomi Kubo, Takao Inoue, Hiroyuki Kida, Toshitaka Yamakawa, Michiyasu Suzuki, Kazushi Ikeda
Experiments with drug-induced epilepsy in rat brains and epileptic human brain region reveal that focal cooling can suppress epileptic discharges without affecting the brain's normal neurological function. Findings suggest a viable treatment for intractable epilepsy cases via an implantable cooling device. However, precise mechanisms by which cooling suppresses epileptic discharges are still not clearly understood. Cooling experiments in vitro presented evidence of reduction in neurotransmitter release from presynaptic terminals and loss of dendritic spines at post-synaptic terminals offering a possible synaptic mechanism...
October 2017: PLoS Computational Biology
https://www.readbyqxmd.com/read/28962511/granulocyte-colony-stimulating-factor-significantly-decreases-density-of-hippocampal-caspase-3-positive-nuclei-thus-ameliorating-apoptosis-mediated-damage-in-a-model-of-ischaemic-neonatal-brain-injury
#13
Peter Pastuszko, Gregory J Schears, Joanna Kubin, David F Wilson, Anna Pastuszko
OBJECTIVES: Ischaemic brain injury is a major complication in patients undergoing surgery for congenital heart disease, with the hippocampus being a particularly vulnerable region. We hypothesized that neuronal injury resulting from cardiopulmonary bypass and associated circulatory arrest is ameliorated by pretreatment with granulocyte colony-stimulating factor (G-CSF), a cytokine and an anti-apoptotic neurotrophic factor. METHODS: In a model of ischaemic brain injury, 4 male newborn piglets were anaesthetized and subjected to deep hypothermic circulatory arrest (DHCA) (cooled to 18°C, DHCA maintained for 60 min, rewarmed and recovered for 8-9 h), while 4 animals received G-CSF (34 µg/kg, intravenously) 2 h prior to the DHCA procedure...
October 1, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28961316/reduced-infancy-and-childhood-epilepsy-following-hypothermia-treated-neonatal-encephalopathy
#14
Xun Liu, Sally Jary, Frances Cowan, Marianne Thoresen
OBJECTIVE: To investigate what proportion of a regional cohort of cooled infants with neonatal encephalopathy develop epilepsy (determined by the International League Against Epilepsy [ILAE] definition and the number of antiepileptic drugs [AEDs]) up to 8 years of age. METHODS: From 2006-2013, 151 infants with perinatal asphyxia underwent 72 h cooling. Clinical and amplitude-integrated electroencepalography (aEEG) with single-channel EEG-verified neonatal seizures were treated with AEDs...
November 2017: Epilepsia
https://www.readbyqxmd.com/read/28951276/early-transient-mild-hypothermia-attenuates-neurological-deficits-and-brain-damage-after-experimental-subarachnoid-hemorrhage-in-rats
#15
Nadine Lilla, Christoph Rinne, Judith Weiland, Thomas Linsenmann, Ralf-Ingo Ernestus, Thomas Westermaier
OBJECTIVE: Metabolic exhaustion in ischemic tissue is the basis for a detrimental cascade of cell damage. In the acute stage of subarachnoid hemorrhage (SAH), a sequence of global and focal ischemia occurs, threatening brain tissue to undergo ischemic damage. This study was conducted to investigate whether early therapy with moderate hypothermia can offer neuroprotection after experimental SAH. MATERIALS AND METHODS: 20 male Sprague-Dawley rats were subjected to SAH and treated by active cooling (34° C) or served as controls by continuous maintenance of normothermia (37...
September 23, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28939427/yawning-a-thermoregulatory-mechanism-during-fever-a-study-of-yawning-frequency-and-its-predictors-during-experimentally-induced-sickness
#16
Alexandre Marraffa, Mats Lekander, Peter Solsjö, Mats J Olsson, Julie Lasselin, John Axelsson
Yawning has been proposed to serve both physiological and social functions, the latter likely to have developed later in its evolution. A central hypothesis is that yawning cools the brain but whether yawning is a thermoregulatory mechanism that is activated during hyperthermia (i.e., thermoregulatory failure) or is activated in any instance of brain temperature increase (e.g., also during fever) is unclear and experimental assessments of yawning during fever are lacking. In this study, we determined the effect of experimentally induced fever on yawning frequency...
December 1, 2017: Physiology & Behavior
https://www.readbyqxmd.com/read/28935718/residual-brain-injury-after-early-discontinuation-of-cooling-therapy-in-mild-neonatal-encephalopathy
#17
Peter J Lally, Paolo Montaldo, Vânia Oliveira, Ravi Shankar Swamy, Aung Soe, Seetha Shankaran, Sudhin Thayyil
We examined the brain injury and neurodevelopmental outcomes in a prospective cohort of 10 babies with mild encephalopathy who had early cessation of cooling therapy. All babies had MRI and spectroscopy within 2 weeks after birth and neurodevelopmental assessment at 2 years. Cooling was prematurely discontinued at a median age of 9 hours (IQR 5-13) due to rapid clinical improvement. Five (50%) had injury on MRI or spectroscopy, and two (20%) had an abnormal neurodevelopmental outcome at 2 years. Premature cessation of cooling therapy in babies with mild neonatal encephalopathy does not exclude residual brain injury and adverse long-term neurodevelopmental outcomes...
September 21, 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/28912456/physiological-activity-in-calm-thermal-indoor-environments
#18
Tsuyoshi Okamoto, Kaori Tamura, Naoyuki Miyamoto, Shogo Tanaka, Takaharu Futaeda
Indoor environmental comfort has previously been quantified based on the subjective assessment of thermal physical parameters, such as temperature, humidity, and airflow velocity. However, the relationship of these parameters to brain activity remains poorly understood. The objective of this study was to determine the effect of airflow on brain activity using electroencephalograms (EEG) of participants in a living environment under different airflow conditions. Before the recording, the room was set to a standardised air temperature and humidity...
September 14, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28895060/cerebral-tissue-oxidative-ischemia-reperfusion-injury-in-connection-with-experimental-cardiac-arrest-and-cardiopulmonary-resuscitation-effect-of-mild-hypothermia-and-methylene-blue
#19
Lars Wiklund, Ranjana Patnaik, Aruna Sharma, Adriana Miclescu, Hari S Sharma
The present investigation is an expansion of previous studies which all share a basic experimental protocol of a porcine-induced cardiac arrest (CA) of 12 min followed by 8 min of cardiopulmonary resuscitation (CPR), different experimental treatments (immediate as well as postponed induced mild hypothermia and administration of much or less cool intravenous fluids), and a follow-up period of 3 h after which the animals were sacrificed. Another group of animals was studied according to the same protocol after 12-min CA and "standard CPR...
September 11, 2017: Molecular Neurobiology
https://www.readbyqxmd.com/read/28844645/direct-electrical-stimulation-in-the-human-brain-disrupts-melody-processing
#20
Frank E Garcea, Benjamin L Chernoff, Bram Diamond, Wesley Lewis, Maxwell H Sims, Samuel B Tomlinson, Alexander Teghipco, Raouf Belkhir, Sarah B Gannon, Steve Erickson, Susan O Smith, Jonathan Stone, Lynn Liu, Trenton Tollefson, John Langfitt, Elizabeth Marvin, Webster H Pilcher, Bradford Z Mahon
Prior research using functional magnetic resonance imaging (fMRI) [1-4] and behavioral studies of patients with acquired or congenital amusia [5-8] suggest that the right posterior superior temporal gyrus (STG) in the human brain is specialized for aspects of music processing (for review, see [9-12]). Intracranial electrical brain stimulation in awake neurosurgery patients is a powerful means to determine the computations supported by specific brain regions and networks [13-21] because it provides reversible causal evidence with high spatial resolution (for review, see [22, 23])...
September 11, 2017: Current Biology: CB
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