High Defibrillation Threshold: The Science,Signs and Solutions

Defibrillation threshold (DFT) testing has traditionally been an integral part of implantable cardioverter defibrillator (ICD) implantation. With the increasing number of patients receiving ICDs, physicians are encountering high DFT more often than before. Tackling the problem of high DFT, warrants an in-depth understanding of the science of defibrillation including the key electrophysiological concepts and the underlying molecular mechanisms. Numerous factors have been implicated in the causation of high DFT. Due consideration to the past medical history, pharmacotherapy, laboratory data and cardiac imaging, help in assessing the pre-procedural risk for occurrence of high DFT. Drugs, procedural changes, type and location of ICD lead system are some of the key players in predicting DFT during implantation. In the event of encountering an unacceptably high DFT, we recommend to follow a step-wise algorithm. Ruling out procedural complications like pneumothorax and tamponade is imperative before embarking on a search for potentially reversible clinical or metabolic derangements. Finally, if these attempts fail, the electrophysiologist must choose from a wide range of options for device adjustment and system modification. Although this review article is meant to be a treatise on the science, signs and solutions for high DFT, it is bound by limitations of space and scope of the article.     

Mixotrophic trade‐off under warming and UVR in a marine and a freshwater alga

Mixotrophic protists combine phagotrophy and phototrophy within a single cell. Greater phagotrophic activity could reinforce the bypass of carbon (C) flux through the bacteria‐mixotroph link and thus lead to a more efficient transfer of C and other nutrients to the top of the trophic web. Determining how foreseeable changes in temperature and UVR affect mixotrophic trade‐offs in favor of one or the other nutritional strategy, along the mixotrophic gradient, is key to understanding the fate of carbon and mineral nutrients in the aquatic ecosystem. Our two main hypotheses were: (i) that increased warming and UVR will divert metabolism toward phagotrophy, and (ii) that the magnitude of this shift will vary according to the organism's position along the mixotrophic gradient. To test these hypotheses, we used two protists (Isochrysis galbana and Chromulina sp.) located in different positions on the mixotrophic gradient, subjecting them to the action of temperature and of UVR and their interaction. Our results showed that the joint action of these two factors increased the primary production:bacterivory ratio and stoichiometric values (N:P ratio) close to Redfield's ratio. Therefore, temperature and UVR shifted the metabolism of both organisms toward greater phototrophy regardless of the original position of the organism on the mixotrophic gradient. Weaker phagotrophic activity could cause a less efficient transfer of C to the top of trophic webs.     

Circadian variation in plasma melanocyte stimulating hormone activity in the rat.

Non--stress levels of plasma melanocyte stimulating hormone (MSH) and corticosterone were determined at 3-h intervals during controlled light--dark cycles in adult, male rats. Significant 24-h periodicity was demonstrated for both plasma MSH and corticosterone. Whereas plasma MSH values were not as high during the early evening hours as during the early morning hours, plasma corticosterone levels showed a marked rise during the early afternoon and crest values occurred just before the lights off phase of the 24-h light--dark cycle. These results indicate that in the rat, the level of MSH in plasma fluctuates with a low amplitude circadian frequency which is not in phase with that observed for plasma corticosterone.     

A fast and sensitive micromethod for the manual sequencing of peptides using O-phthalaldehyde as derivatizing reagent

A general procedure for the manual sequencing of peptides using the fluorogenic reagent O-phthalaldehyde (OPA) is described. The method can be applied in two different ways. One of them involves back hydrolysis of the anilinothiazolinones resulting from the Edman degradation of the peptide and subsequent detection of the free amino acids as OPA derivatives. The other is a subtractive analysis in which the amino acid composition of the remaining peptide is determined after each degradation cycle. The direct procedure can be coupled to the subtractive one in order to assure the accuracy of the sequence analysis. The method is fast and simple, and allows determination of 10 pmol of amino acid per cycle using standard reagents and instrumentation. Sensitivity can be greatly enhanced provided that ultrapure chemicals are employed. Small peptides (8-10 residues) were sequenced from 200 pmol sample, using a high-performance liquid chromatography assembly coupled to a fluorescence detector.     

Episodic corticosterone secretion in the female rat

Studies conducted in several laboratories have shown primate glucocorticoid secretion to occur episodically. In light of the methodological, as well as physiological importance of this finding, the present study was undertaken to determine whether the rat corticosteroid secretion also occurs episodically. Female rats were outfitted with chronic intravenous cannulas, and 1 week later 200 units of heparin were injected through the implanted cannula and blood samples (0.3-0.4 ml) were collected from each rat every 10 min for 3 h during the morning (06.00-10.00 h) or during the afternoon (16.00-19.00 h) (lights on from 05.00 to 19.00 h). Plasma corticosterone levels in cannulated rats showed fluctuations indicative of episodic secretion. The pattern of plasma corticosterone levels was characterized by periodic rapid increases in hormone concentration during both the morning and afternoon sampling periods; the occurrence of these hormonal fluctuations did not have a characteristic frequency. When the data were grouped to obtain single morning and afternoon values, the AM-PM difference was significant (p < 0.005). Collectively, these data suggest that in the rat, adrenal corticosteroids are secreted episodically.     

Analysis of phytoplankton-zooplankton relationships in an oligotrophic lake under natural and manipulated conditions

During August, 1987, we performed a series of Limnocorral experiments in lake La Caldera, a small winter-kill lake in which phytoplankton is strikingly nutrient-limited. The effects of biomanipulation on zooplankton-phytoplankton relationships were assessed by monitoring both individual species and whole-assemblage responses. Two sizes of enclosures were used (15 and 350 litres) and two treatments were assayed: 1) removal of zooplankton by 45 μm filter net and 2) doubling the natural grazing pressure by increasing the zooplankton concentration. Results show the two enclosure types to differ strikingly: flagellates disappeared from the small enclosures, resulting in four- to six-fold changes in chlorophylla concentration and three- to four-fold changes in number of individuals. Most species were grazed (a prey selectivity based on criteria other than size was observed) and their net growth rate increased with zooplankton concentration, causing a net increase in the phytoplankton growth, a stimulatory effect probably through nutrient regeneration that overrides the losses due to grazing.     

Ecoenzyme activity ratios reveal interactive effects of nutrient inputs and UVR in a Mediterranean high-mountain lake

To understand how atmospheric dust deposition and ultraviolet radiation (UVR) can affect remote, freshwater ecosystems through changes in their microbial metabolism, it is important to have tools that allow us detecting alterations and anticipating potential shifts in the functioning of microbial communities. Ecoenzyme activities (EA) are easy to measure and their ratios can be used to assess system microbial metabolism of freshwater bodies, thus evaluating the effects of global change stressors. We carried out an in situ full factorial experiment to determine how the interaction between the addition of C and P, and UVR affect the microbial metabolism of a Mediterranean high-mountain lake. Overall, activities of five ecoenzymes involved in the degradation of C-compounds and in the acquisition of N and P revealed that, under natural conditions, the growth of heterotrophic prokaryotes was dependent on organic compounds released by algae, which is consistent with a higher constraint of bacterial carbon production by C than by P or N, as suggested by EA ratios. Accordingly, the addition of a labile C source did not lead to any significant response of microbial communities, but the addition of P provoked a clear change in the microbial metabolism of the lake, promoting the growth of phytoplankton and leading heterotrophic prokaryotes to be more constrained by P, and to a lesser extent by N, in relation to C. UVR played a secondary role, probably because microbial communities inhabiting high-mountain lakes possess several evolutionary adaptations to high UVR levels. Changes in the microbial metabolism of our model lake under different scenarios of nutrient inputs and UVR can therefore be evaluated by EA ratios.     

Exponential equilibration of genetic circuits using entropy methods

Journal of Mathematical Biology - We analyse a continuum model for genetic circuits based on a partial integro-differential equation initially proposed in Friedman et al. (Phys Rev Lett...