28 research outputs found
A Model of Brain Circulation and Metabolism: NIRS Signal Changes during Physiological Challenges
We construct a model of brain circulation and energy metabolism. The model is
designed to explain experimental data and predict the response of the
circulation and metabolism to a variety of stimuli, in particular, changes in
arterial blood pressure, CO2 levels, O2 levels, and
functional activation. Significant model outputs are predictions about blood
flow, metabolic rate, and quantities measurable noninvasively using
near-infrared spectroscopy (NIRS), including cerebral blood volume and
oxygenation and the redox state of the CuA centre in cytochrome
c oxidase. These quantities are now frequently measured in
clinical settings; however the relationship between the measurements and the
underlying physiological events is in general complex. We anticipate that the
model will play an important role in helping to understand the NIRS signals, in
particular, the cytochrome signal, which has been hard to interpret. A range of
model simulations are presented, and model outputs are compared to published
data obtained from both in vivo and in vitro
settings. The comparisons are encouraging, showing that the model is able to
reproduce observed behaviour in response to various stimuli
Renal responses to exercise in heart and kidney transplant patients
There is a lack of information about renal responses in heart and kidney transplant patients after intense physical exercise. Eleven heart and ten kidney trans plant recipients, as well as two control groups of healthy subjects, were given a maximum exercise test on a bicycle ergometer. One control group was also given a moderate load corresponding to the peak load of the kidney transplant group. Blood and urine samples were collected before and after exercise and assayed for lactate, creatinine, total protein, and albumin. The glomerular filtration rate remained stable at the end of exercise in the transplant patients, while there was a slight (17%) decrease in the control group. Albumin excretion rates after maximum exercise attained a mean of 237 μg min-1 in the control group and a mean of 45 and 16 μg min-1 respectively, in the heart and kidney groups. Postexercise proteinuria seemed to be related to the absolute intensity of the event, but kidney transplant patients showed a reduced effect as compared to heart transplant patients. We conclude that short-term, maximum exercise in heart and kidney transplant recipients is not detrimental to kidney function.SCOPUS: ar.jFLWINinfo:eu-repo/semantics/publishe