Operational radiologic image archive on digital optical disks

A digital optical disk archive for storage of computed radiographic, computed tomographic, magnetic resonance, ultrasonographic, and digitized film radiographic images was installed. In the system, digital images enter a minicomputer, are temporarily stored on magnetic disks, and are archived onto write-once read-many optical disks at their full resolution. A pictorial index of minified images is maintained for each patient. After 8 months of operation, 49,400 megabytes of images had been retained on 19 optical disks stored, after January 1987, in a mechanical jukebox-style optical disk library. The success rate for archival capture of images during the initial period was 96.6%. The failures were due to overfilling of the magnetic disk, a problem addressed through the addition of a second magnetic disk unit. There were no medium-related image errors during the early period. Problems resulting from the slow speed of optical disk systems were addressed operationally by initiating recall of a patient's archived images from the optical to the faster magnetic disk as soon as the system received a request to acquire a new image. Also, optical disk retrieval times are expected to improve with technologic development.     

Vertebral bone density in children: effect of puberty

To determine changes in bone density during growth, trabecular vertebral density and an index of spinal cortical bone were measured with quantitative computed tomography in 101 children. The children were divided by age into three groups: prepubertal, indeterminate, and pubertal. Compared with prepubertal children, pubertal adolescents had significantly higher trabecular bone density and more compact bone in the spine (P less than .001). After controlling for puberty, vertebral bone density failed to correlate significantly with age, sex, weight, height, surface area, and body mass index. The results indicate that bone density increases markedly during puberty.     

Negative Pressure Artificial Respiration: Use in Treatment of Respiratory Failure of the Newborn

Ninety-one infants with respiratory failure secondary to primary pulmonary disease and with a birth weight of 1000 g. or over have been managed in a negative-pressure respirator (Air-Shields) over a three-year period. Of these the failure in 87 was due to respiratory distress syndrome (RDS) and in four it resulted from massive meconium aspiration. Respiratory failure was indicated initially by arterial blood gas tensions (while breathing 100% O₂) of Po₂ <40 mm. Hg, pH <7.10 and Pco₂ >75 mm. Hg in the initial 47 cases; these levels were subsequently raised to Po₂ < 50 mm. Hg, pH <7.20 and Pco₂ >70 mm. Hg for the remainder. Fifty-four (59.3%) of the infants survived the use of the respirator and 47 of these (51.6%) were subsequently discharged alive and well. Mean time in hours to normalization of blood gas values while on the respirator were as follows: for Po₂, 10.5; for pH, 11.6; and for Pco₂, 22.6. These values indicate that the respirator is more efficient in promoting oxygenation (raising Po₂) than ventilation (lowering Pco₂). They also suggest that the observed acidosis is in large part secondary to the hypoxia rather than the result of co₂ retention. For the survivors the average time of total respirator dependency before commencement of weaning was 53.7 hours. All the infants were managed without the use of endotracheal tubes although the use of the respirator and/or administration of 100% oxygen were either continuous or intermittent for periods of up to two weeks. There have been no instances of so-called respirator lung disease in the survivors or in those who died, which suggests that the use of high oxygen concentration by itself is not the major factor in the pathogenesis of this complication.     

Peripheral total parenteral nutrition for premature infants with the respiratory distress syndrome: a controlled study.

In 40 premature infants, in whom severe respiratory distress precluded oral feeding, peripheral total parenteral nutrition consisting of casein hydrosylate, dextrose, and soybean emulsion was compared to nutrition with dextrose and electrolytes. The TPN group received more calories, and the total serum protein in them increased significantly. Metabolic complications did not occur. Transient thrombocytosis occurred in six infants who received TPN and eosinophilia occurred in nine. The case fatality rate in the TPN group (three of 20) was not significantly less than in the glucose group (six of 20). The differences suggested that infants who weigh less than 1,500 gm may receive the greater benefit from TPN.     

Eye oscillations in strobe reared cats

Cats reared from birth in stroboscopic illumination develop abnormal spontaneous eye oscillations of low amplitude. The present experiments were undertaken to define these eye movements as recorded in the dark, in stroboscopic light of various frequencies, after exposure to normal light and after attenuation of the vestibulo-ocular reflex (VOR) gain by optical reversal of vision. The interaction of spontaneous eye oscillations with voluntary saccadic eye movements, and optokinetic tracking (OKN), were also studied. Two cats, reared from birth to 18 months Hz strobe light, and one normally reared control animal, were used. Horizontal movement of the right eye was measured by the scleral eye coil method. The frequency content of eye movement records was determined by power spectral analysis. VOR gain was estimated in the dark, by rotating the animals sinusoidally at1/8 Hz and 5°/sec velocity amplitude. In the dark, both strobe reared cats had abnormal spontaneous eye oscillations at a frequency close to 8 Hz, with peak-to-peak amplitudes of 0.5–1.0°. These abnormal eye movements did not interfere with, nor were they abolished by, normal oculomotor activity. The introduction of strobe light modified the spontaneous eye movements by entraining the oscillations at a given ‘forcing’ frequency, and by producing a number of harmonics or sub-harmonics. In one of the strobe reared animals, the effect of normal light was to reduce the characteristic ‘dark’ value of 9 Hz, to a new maintained ‘light’ value of 2.7 Hz. Adaptive attenuation of the VOR gain caused the abolition of regular spontaneous eye oscillations in the dark; nevertheless, oscillations to single strobe flashes could still be elicited in the VOR adapted condition. The results are interpreted as representing an organised attempt by the developing oculomotor system to attain the goal of stable visual perception in a new visual environment.     

Neuroplasticity and cellular resilience in bipolar disorder

Manji HK, Zhou R, Chen G. Neuroplasticity and cellular resilience in bipolar disorder. Bipolar Disord 2002: 4(Suppl. 1): 56–57. © Blackwell Munksgaard, 2002     

Inter-saccadic interval analysis of optokinetic nystagmus

Optokinetic nystagmus from healthy human subjects was recorded at different intensity levels elicited by different speeds of the optokinetic stimulus. The time intervals between the onset of consecutive fast components were analyzed and a characteristic pattern of variation in the interval histogram was observed. As the intensity of nystagmus decreased, the interval histogram changed from being symmetric mono-modal, to asymmetric mono-modal and finally to a multi-modal form in which the high order modes were approximately integral multiples of the basic mode. This characteristic change was distinctly altered when the subject followed the optokinetic stimulus voluntarily. The findings lead to new hypotheses about the nystagmus mechanism.