Advances in nonimplantable electrical stimualtors for correction of urinary incontinence.

The nonimplantable electrical stimulators are widely used as rehabilitation aids for correction of urinary incontinence. The advances in the field of the design of nonimplantable electrical stimulators such as automatic vaginal electrical stimulator VAGICON-X and anal pressure controlled electrical stimulator are described. The evaluation of VAGICON-X in patients suffering from stress and urge incontinence as well as preliminary results of acute application of anal pressure electrical stimulation in patients with stress incontinence as presented.     

The electric fungus

Summary

Fungal cells generate D.C. and A.C. (action potentials) electrical currents during theirgrowth and differentiation. In addition, they exhibit tropic growth (galvanotropism) and tactic responses (galvanotaxis) in applied electrical fields. The natural D.C. electrical currents of fungi are due to clustering of ion channels and pumps in certain regions of the cells, mycelium or thallus. It now seems that these electrical currents per se are not essential for the process of tip growth although the local traffic of calcium ions, which are a component of the currents, may be. Instead, electrical currents and action potentials are concerned apparently with spatial control of nutrient uptake and perhaps in intramycelium communication. Studies of the phenomenon of galvanotropism have been used to explore further the mechanisms underlying apical extension of hyphae and these also implicate localcalcium ion uptake as being important for this process. Motile zoospores of phytopathogenic fungi exhibit galvanotaxis in weak electrical fields of a size comparable to those generated by plant roots. This tactic behaviour predicts the sites of their accumulation in the natural electrical fields generated by roots and suggests that they may utilize the endogenous electrical currents of plants to detect potential hosts. Generating and responding to electrical currents is therefore an important and general aspect of fungal physiology.     

A cortical evoked potential study of afferents mediating human esophageal sensation

The aim of this study was to compare the characteristics of esophageal cortical evoked potentials (CEP) following electrical and mechanical stimulation in healthy subjects to evaluate the afferents involved in mediating esophageal sensation. Similarities in morphology and interpeak latencies of the CEP to electrical and mechanical stimulation suggest that they are mediated via similar pathways. Conduction velocity of CEP to either electrical or mechanical stimulation was 7.9-8.6 m/s, suggesting mediation via thinly myelinated Adelta-fibers. Amplitudes of CEP components to mechanical stimulation were significantly smaller than to electrical stimulation at the same levels of perception, implying that electrical stimulation activates a larger number of afferents. The latency delay of approximately 50 ms for each mechanical CEP component compared with the corresponding electrical CEP component is consistent with the time delay for the mechanical stimulus to distend the esophageal wall sufficiently to trigger the afferent volley. In conclusion, because the mechanical and electrical stimulation intensities needed to obtain esophageal CEP are similar and clearly perceived, it is likely that both spinal and vagal pathways mediate esophageal CEP. Esophageal CEP to both modalities of stimulation are mediated by myelinated Adelta-fibers and produce equally robust CEP responses. Both techniques may have important roles in the assessment of esophageal sensory processing in health and disease.     

Research on the Effect of Electrical Signals on Growth of Sansevieria under Light-Emitting Diode (LED) Lighting Environment

The plant electrical signal has some features, e.g. weak, low-frequency and time-varying. To detect changes in plant electrical signals, LED light source was used to create a controllable light environment in this study. The electrical signal data were collected from Sansevieria leaves under the different illumination conditions, and the data was analyzed in time domain, frequency domain and time–frequency domain, respectively. These analyses are helpful to explore the relationship between changes in the light environment and electrical signals in Sansevieria leaves. The changes in the plant electrical signal reflected the changes in the intensity of photosynthesis. In this study, we proposed a new method to express plant photosynthetic intensity as a function of the electrical signal. That is, the plant electrical signal can be used to describe the state of plant growth.     

Formation model of the electrical potential of skin

A model of the electrical potential form of the skin was discovered. It contained electrical parameters of the epidermis and sweat glands which were connected with those of the sweat. The formula for the electrical potential of the skin are explained by the base type of man's galvanic skin reaction.     

Neuromuscular electrical stimulation for skeletal muscle function

Lack of neural innervation due to neurological damage renders muscle unable to produce force. Use of electrical stimulation is a medium in which investigators have tried to find a way to restore movement and the ability to perform activities of daily living. Different methods of applying electrical current to modify neuromuscular activity are electrical stimulation (ES), neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and functional electrical stimulation (FES). This review covers the aspects of electrical stimulation used for rehabilitation and functional purposes. Discussed are the various parameters of electrical stimulation, including frequency, pulse width/duration, duty cycle, intensity/amplitude, ramp time, pulse pattern, program duration, program frequency, and muscle group activated, and how they affect fatigue in the stimulated muscle.     

Electrical injury mechanisms: electrical breakdown of cell membranes

Electric fields are capable of damaging cells through both thermal and nonthermal mechanisms. While joule heating is generally recognized to mediate tissue injury in electrical trauma, the possible role of electrical breakdown of cell membranes has not been thoroughly considered. Evidence is presented suggestive that in many instances of electrical trauma the local electrical field is of sufficient magnitude to cause electrical breakdown of cell membranes and cell lysis. In theory, large cells such as muscle and nerve cells are more vulnerable to electrical breakdown. To illustrate the significance of cell size and orientation, a geometrically simple model of an elongated cell is analyzed.     

Corrected body surface potential mapping.

In the method for body surface potential mapping described here, the influence of thorax shape on measured ECG values is corrected. The distances of the ECG electrodes from the electrical heart midpoint are determined using a special device for ECG recording. These distances are used to correct the ECG values as if they had been measured on the surface of a sphere with a radius of 10 cm with its midpoint localized at the electrical heart midpoint. The equipotential lines of the electrical heart field are represented on the virtual surface of such a sphere. It is demonstrated that the character of a dipole field is better represented if the influence of the thorax shape is reduced. The site of the virtual reference electrode is also important for the dipole character of the representation of the electrical heart field.     

Gap junction coupling and calcium waves in the pancreatic islet

The pancreatic islet is a highly coupled, multicellular system that exhibits complex spatiotemporal electrical activity in response to elevated glucose levels. The emergent properties of islets, which differ from those arising in isolated islet cells, are believed to arise in part by gap junctional coupling, but the mechanisms through which this coupling occurs are poorly understood. To uncover these mechanisms, we have used both high-speed imaging and theoretical modeling of the electrical activity in pancreatic islets under a reduction in the gap junction mediated electrical coupling. Utilizing islets from a gap junction protein connexin 36 knockout mouse model together with chemical inhibitors, we can modulate the electrical coupling in the islet in a precise manner and quantify this modulation by electrophysiology measurements. We find that after a reduction in electrical coupling, calcium waves are slowed as well as disrupted, and the number of cells showing synchronous calcium oscillations is reduced. This behavior can be reproduced by computational modeling of a heterogeneous population of β-cells with heterogeneous levels of electrical coupling. The resulting quantitative agreement between the data and analytical models of islet connectivity, using only a single free parameter, reveals the mechanistic underpinnings of the multicellular behavior of the islet.     

Model for the cell biomembrane electric potential during active transport of various ions

A model of a stationary electrical potential on biomembrane was created. This model takes into account conformational changes in transport ATPase. N positive ions are transported simultaneously by the system of active transport. The model allows one to determine independently ion concentrations inside the cell and membrane electrical potential. It is shown that, to obtain the electrical potential, it is necessary to take into account organic negative intracellular ions. The effect of positive ions that are not transported by active transport systems on the potential value is discussed. The results obtained are in a good agreement with experimental data for various cells.     

Transmission on an Active Electrical Response between Fibroblasts (L Cells) in Cell Culture

An active electrical response, the hyperpolarizing activation or H.A. response, is characteristic of L cells (a continuous line of fibroblasts) and is transmitted in a decremental manner between contiguous cells. Direct electrical coupling between pairs of L cells occurs occasionally, but transmission of the active electrical response is not dependent on such electrical connections. Some L cells are sensitive to acetylcholine but the transmitted response is not dependent on a cholinergic mechanism. 5-Iodosalicylate blocks the active electrical response. The response can be elicited readily by mechanical stimuli, and thus can serve both as a mechanical and chemical receptor mechanism and as a means of communication between cells.     

Transducer for recording electrical and mechanical chronic intestinal activity.

An extraluminal displacement transducer has been developed for simultaneously recording the mechanical activity in two perpendicular directions and the electrical activity of the intestinal serosa. The length variations in two perpendicular directions were measured by means of strain gauges bounded on two pairs of lamellae embedded in a rigid stand. The electrical activity was recorded by means of four electrodes situated at the extremity of these lamellae. The electrical gauges of each pair of lamellae are connected to form a Wheatstone bridge. This device allows establishment of a correlation between the mechanical displacement of the intestinal wall serosa and electrical potentials by means of studies of long duration.     

Electrical aspects of cell growth and invasiveness

The various lines of evidence that electrical oscillatory behavior is a necessary accompaniment of cellular reproduction are examined. They are found, thus far, to be in support of the hypothesis. The main evidence is from mouse cells of normal adult, embryonic, or cancer origins, and obtained from studies of the (dielectrophoretic) attraction of polarizable particles. As a corollary to the implied need for electrical oscillations during cell growth, one expects that there is an electrical aspect to contact inhibition of reproduction. The requisite electrical oscillations could be damped out by neighboring cells, to produce an inhibition. This suggests three ways in which malignant cancer cells could become invasive: viz. 1) Increased power level of oscillations, 2) Frequency shifts away from the loss peak of surrounding cells, 3) Insulation from dielectric lossiness of surrounding cells. The evidence to date favors the second mechanism.     

Coupling in secondary transport. Effect of electrical potentials on the kinetics of ion linked co-transport.

In a previous paper kinetic equations of secondary active transport by cotransport have been derived. In the present paper these equations have been expanded by including the effect of an electrical potential difference in order to make them applicable to the more realistic systems of secondary active transport driven by the gradients of Na+ or H+. Thermodynamically an electrical potential difference is as a driving force fully exchangeable with an equivalent chemical potential difference. This is not necessarily so for the kinetics of co-transport. It is not always the same whether a given difference in electrochemical activity of the driver ion is mainly osmotic, i.e. due to difference in concentration, or electric, i.e. due to a difference in the electrochemical activity coefficient. In most cases a difference in concentration is more effective in driving co-transport than is an equivalent difference in electrical potential leading to the same difference in electrical activity. The effectiveness of the latter highly depends on the model, whether it is of the affinity type or of the velocity type, but also on whether the loaded or the unloaded carrier bears an electrical charge. With the same electrical potential difference co-transport is as a rule faster if the ternary complex rather than the empty carrier is charged. Also the "standard parameters", (see Glossary, page 62) Jmax and Km, of the overall transport respond differently to the introduction of an electrical potential difference, depending on the model. So an electrical potential difference will mostly affect Km if the loaded carrier is ionic, and mostly Jmax if the empty carrier is ionic, provided that the mobility of the loaded carrier is greater than that of the empty one. On the other hand, distinctive criteria between affinity type and velocity type models are partly affected by an electrical potential difference. If the translocation steps of loaded and unloaded carrier are no longer rate limiting for the overall transport, electrical effects on the transport rate are bound to vanish as does the activation by co-transport.     

Proton flux in large unilamellar vesicles in response to membrane potentials and pH gradients.

The transport of protons across liposomes composed of phosphatidylcholine in response to electrical potentials or pH gradients has been investigated. The results support three major conclusions. The first of these concerns the need for reliable measurements of electrical potentials and pH gradients. It is shown that the potential probe tetraphenylphosphonium and the pH probe methylamine provide accurate and self consistent measures of electrical potentials and pH gradients respectively in these systems. Second, it is shown by two independent techniques that the pH gradients induced in response to valinomycin and potassium dependent electrical potentials are significantly smaller than would be expected for electrochemical equilibrium. The pH gradients observed are stable over an 8 h time course and are sensitive to the ionic composition of the buffers employed, where the presence of external sodium results in the smallest induced pH gradients. These results are discussed in terms of current models of proton conductance across membranes. In a final area of investigation, it is shown that valinomycin and carbonyl cyanide m-chlorophenyl hydrazone (CCCP) can transport sodium ions in a synergistic manner.     

A theory of synchronization of heart pace-maker cells

This paper presents a theory of synchronization of heart pace-maker cells. The interaction between cells is supposed to be electrical. The most important result is that when the leakage current is small and the junction resistance low, the synchronizing mechanism may become the electrical coupling. When the membrane electrical properties are described by the BVP model, the result is proved analytically. When Noble (1962) equations are used the result is demonstrated by simulation with the computer.     

Horizontal cells of turtle retina: a neurotransmitter control of electrical junctions?

Recent experiments suggest that GABA and dopamine can modulate the permeability of the electrical junctions between horizontal cells of the turtle retina. The possible significance and functional advantages of a chemical control of the electrical junctions are briefly discussed. A similar mechanism could combine in a network of interacting elements the low energy cost and low intrinsic noise typical of the electrical synapses with the great functional plasticity typical of the chemical transmission.     

Effects of electrical and structural remodeling on atrial fibrillation maintenance: a simulation study

Atrial fibrillation, a common cardiac arrhythmia, often progresses unfavourably: in patients with long-term atrial fibrillation, fibrillatory episodes are typically of increased duration and frequency of occurrence relative to healthy controls. This is due to electrical, structural, and contractile remodeling processes. We investigated mechanisms of how electrical and structural remodeling contribute to perpetuation of simulated atrial fibrillation, using a mathematical model of the human atrial action potential incorporated into an anatomically realistic three-dimensional structural model of the human atria. Electrical and structural remodeling both shortened the atrial wavelength--electrical remodeling primarily through a decrease in action potential duration, while structural remodeling primarily slowed conduction. The decrease in wavelength correlates with an increase in the average duration of atrial fibrillation/flutter episodes. The dependence of reentry duration on wavelength was the same for electrical vs. structural remodeling. However, the dynamics during atrial reentry varied between electrical, structural, and combined electrical and structural remodeling in several ways, including: (i) with structural remodeling there were more occurrences of fragmented wavefronts and hence more filaments than during electrical remodeling; (ii) dominant waves anchored around different anatomical obstacles in electrical vs. structural remodeling; (iii) dominant waves were often not anchored in combined electrical and structural remodeling. We conclude that, in simulated atrial fibrillation, the wavelength dependence of reentry duration is similar for electrical and structural remodeling, despite major differences in overall dynamics, including maximal number of filaments, wave fragmentation, restitution properties, and whether dominant waves are anchored to anatomical obstacles or spiralling freely.     

Dynamic responses of electrically coupled systems

An identified pair of electrically coupled neurons in the buccal ganglion of the freshwater snail Helisoma trivolvis is an experimentally accessible model of electrical synaptic transmission. In this investigation, electrical synaptic transmission is characterized using sinusoidal frequency (Bode) responses computed by Laplace transforms and responses to brief stimuli. The frequency response of the injected neuron shows a 20-dB/decade attenuation and a phase shift from 0 degree at low frequencies to -90 degrees at high frequencies. The response of a coupled cell shows a 40-dB/decade attenuation and a phase shift from 0 degrees at low frequencies to -180 degrees at high frequencies. A simple mathematical model of electrical synaptic transmission is described that displays each of these crucial features of the measured frequency responses. Methods are described to estimate the frequency responses of coupled systems based on presynaptic measurements. The responses of the coupled system to brief pulses of current were computed using the principle of superposition. The electrical properties of coupled systems impose a minimum delay in reaching a peak in all postsynaptic responses. The delays in the postsynaptic responses to brief stimuli are related to the electrical and anatomical parameters of coupled networks.     

An Attempt to Infer the Electrophysiological Functions of Some Intracellular Structures in Cardiac Cells by an Electronic Analogue

A circuit which simulates the electrical conduction characteristics of the neuron has been modified by the addition of a feedback loop to simulate the electrical properties of some of the "specialized" tissues of the mammalian heart. It is suggested that there is similar electrical feedback in the muscle cells which is responsible for their electrical properties, and possible relationships between the feedback and observed structures are discussed.