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Abstract: Nicotine has been shown to stimulate neurotransmitter release from brain tissue by acting on presynaptic receptors. In this study, the ability of nicotine pretreatment to produce functional desensitization was investigated in rat striatal synaptosomes in which the release of [3H]dopamine was measured with an in vitro superfusion system. Pretreatment of synaptosomes with low concentrations of l -nicotine resulted in a decrease in the ability of a subsequent nicotine challenge to evoke [3H]dopamine release. The IC50 for nicotine-induced desensitization was found to be 12 n M with a maximum inhibition of >90% at 300 n M . Nicotine pretreatment did not affect the release evoked by amphetamine, veratridine, or 15 m M K+. The onset of nicotine-induced desensitization occurred with a t 1/2 of 43 s at 30 n M nicotine. The temperature dependence of onset yielded a Q10 of 1.2.Recovery from desensitization was slower ( t 1/2 = 4.33 min), and both the onset and recovery appeared to follow a single first-order process. Several intermittent schedules of nicotine treatment were found to be effective at inducing and maintaining desensitization. The results of this study show that nonstimulating concentrations of nicotine can produce a complete functional desensitization of subsequent nicotine-induced neurotransmitter release.  相似文献   
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5 female and 3 male patas monkeys and 6 female and 3 male talapoin monkeys matured in a captive breeding colony. Age at puberty is given, and some variation discussed. The talapoin, a very small monkey, becomes adult at 4 1/2 years for females, 1 or 2 years later for males. The patas, a rather large monkey, becomes adult at 2 1/2 years, for females, and 1 or 2 years later for males. Both these ages for puberty differ from data for the rhesus monkey which has been accepted as generalizable to all Old World monkeys. Possible causes of differences between species in average age at puberty are discussed, including nutrition, environmental inconstancy, and relative size of infant and mother. It is suggested that age at first conception, a biologically more relevant index than menarche, should be considered as a potentially important adaptive variable when describing primate species.  相似文献   
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Background

Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder, and accounts for 8% of individuals with moderate or severe dizziness. BPPV patients experience substantial inconveniences and disabilities during symptomatic periods. BPPV therapeutic processes – the Dix-Hallpike Test (DHT) and the Canalith Repositioning Maneuver (CRM) – have an evidence base that is at the clinical practice guideline level. The most commonly used CRM is the modified Epley maneuver. The DHT is the gold standard test for BPPV and the CRM is supported by numerous randomized controlled trials and systematic reviews. Despite this, BPPV care processes are underutilized.

Methods/design

This is a stepped-wedge, randomized clinical trial of a multi-faceted educational and care-process-based intervention designed to improve the guideline-concordant care of patients with BPPV presenting to the emergency department (ED) with dizziness. The unit of randomization and target of intervention is the hospital. After an initial observation period, the six hospitals will undergo the intervention in five waves (two closely integrated hospitals will be paired). The order will be randomized. The primary endpoint is measured at the individual patient level, and is the presence of documentation of either the Dix-Hallpike Test or CRM. The secondary endpoints are referral to a health care provider qualified to treat dizziness for CRM and 90-day stroke rates following an ED dizziness visit. Formative evaluations are also performed to monitor and identify potential and actual influences on the progress and effectiveness of the implementation efforts.

Discussion

If this study safely increases documentation of the DHT/CRM, this will be an important step in implementing the use of these evidenced-based processes of care. Positive results will support conducting larger-scale follow-up studies that assess patient outcomes. The data collection also enables evaluation of potential and actual influences on the progress and effectiveness of the implementation efforts.

Trial registration

ClinicalTrials.gov, ID: NCT02809599. The record was first available to the public on 22 June 2016 prior to the enrollment of the first patients in October 2016.
  相似文献   
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The ideal free distribution (IFD) requires that individuals can accurately perceive density‐dependent habitat quality, while failure to discern quality differences below a given perception threshold results in distributions approaching spatial uniformity. Here, we investigate the role of population growth in restoring a nonideal population to the IFD. We place a simple model of discrete patch choice under limits to the resolution by which patch quality is perceived and include population growth driven by that underlying quality. Our model follows the population's distribution through both breeding and dispersal seasons when perception limits differ in their likely influence. We demonstrate that populations of perception limited movers can approximate an IFD provided sufficient population growth; however, the emergent IFD would be temporally inconstant and correspond to reproductive events. The time to emergence of the IFD during breeding is shorter under exponential growth than under logistic growth. The IFD during early colonization of a community persists longer when more patches are available to individuals. As the population matures and dispersal becomes increasingly random, there is an oscillation in the observance of IFD, with peaks most closely approximating the IFD occurring immediately after reproductive events, and higher reproductive rates producing distributions closer to the IFD.  相似文献   
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