Throughout life, sensory systems adapt to the sensory environment to provide optimal responses to relevant tasks. In the case of a developing system, sensory inputs induce changes that are permanent and detectable up to adulthood. Previously, we have shown that rearing rat pups in a complex acoustic environment (spectrally and temporally modulated sound) from postnatal day 14 (P14) to P28 permanently improves the response characteristics of neurons in the inferior colliculus and auditory cortex, influencing tonotopical arrangement, response thresholds and strength, and frequency selectivity, along with stochasticity and the reproducibility of neuronal spiking patterns. In this study, we used a set of behavioral tests based on a recording of the acoustic startle response (ASR) and its prepulse inhibition (PPI), with the aim to extend the evidence of the persistent beneficial effects of the developmental acoustical enrichment. The enriched animals were generally not more sensitive to startling sounds, and also, their PPI of ASR, induced by noise or pure tone pulses, was comparable to the controls. They did, however, exhibit a more pronounced PPI when the prepulse stimulus was represented either by a change in the frequency of a background tone or by a silent gap in background noise. The differences in the PPI of ASR between the enriched and control animals were significant at lower (55 dB SPL), but not at higher (65-75 dB SPL), intensities of background sound. Thus, rearing pups in the acoustically enriched environment led to an improvement of the frequency resolution and gap detection ability under more difficult testing conditions, i.e., with a worsened stimulus clarity. We confirmed, using behavioral tests, that an acoustically enriched environment during the critical period of development influences the frequency and temporal processing in the auditory system, and these changes persist until adulthood.

• MeSH
• akustická stimulace metody   MeSH
• kritické období (psychologie) * MeSH
• krysa rodu Rattus MeSH
• novorozená zvířata MeSH
• potkani Long-Evans MeSH
• rozlišení výšky zvuku fyziologie   MeSH
• sluchová percepce fyziologie   MeSH
• sluchové kmenové evokované potenciály fyziologie   MeSH
• úleková reakce fyziologie   MeSH
• věkové faktory MeSH
• životní prostředí * MeSH
• zvířata MeSH
• Check Tag
• krysa rodu Rattus MeSH
• ženské pohlaví MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

Extensor digitorum longus (EDL) muscles from rats at various intervals after birth were grafted into EDL muscles of adult recipients. Three to twelve months after the operation, host muscles containing the grafts were removed and examined for the presence of muscle spindles in the graft. The aim of the study was to establish when muscle spindles become capable of regeneration during development. Regenerated muscles grafted during the first week after birth were virtually spindleless. Grafts of muscles transplanted 10 and 15 days postnatally contained only 5-8 muscle spindles on average. In contrast, the regenerated grafts originating from muscles of 24- and 28-day-old rats were spindle-rich as in mature muscle grafts; the number of spindles in the transplanted EDL muscles (25.0 +/- 2.3; mean +/- SE) attained values comparable to free standard autografts of these muscles in adult animals. Thus, the critical period after grafting, which also involves the loss of a vascular supply, is considerably longer than the critical period for muscle-spindle survival after nerve injury. Fifteen days after birth, when muscle spindles still survive denervation, only a few regenerated spindles were present in the individual muscle regenerates. We assume that the low resistance of immature spindle capsules to ischaemia accounts for their massive degeneration and abortive spindle regeneration in grafts from 10- to 15-day-old rats.

• MeSH
• adenosintrifosfatasy metabolismus   MeSH
• kosterní svaly růst a vývoj   transplantace   MeSH
• krysa rodu Rattus MeSH
• myofibrily enzymologie   MeSH
• nervosvalová vřeténka anatomie a histologie   fyziologie   MeSH
• regenerace fyziologie   MeSH
• vývoj svalů * MeSH
• zvířata MeSH
• Check Tag
• krysa rodu Rattus MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Názvy látek
• adenosintrifosfatasy MeSH

Although numerous clinical, laboratory, and pharmacological variables have been reported as significant risk factors for critical illness polyneuromyopathy (CIPM), there is still no consensus on the aetiology of this condition. Objectives of the study were to assess the clinical and electrophysiological incidence and risk factors for CIPM.A cohort of critically ill patients was observed prospectively for a one-month period and the association between neuromuscular involvement and various potential risk factors was evaluated. Sixty one critically ill patients completed the follow-up (30 women, 31 men, median age 59 years).CIPM development was detected clinically in 17 patients (27.9 %) and electrophysiologically in 35 patients (57.4 %). CIPM was significantly associated with the presence and duration of systemic inflammatory response syndrome and the severity of multiple, respiratory, central nervous, and cardiovascular organ failures. The median duration of mechanical ventilation was significantly longer in patients with CIPM than in those without (16 vs 3 days, p<0.001). Independent predictors of CIPM obtainable within the 1(st) week of critical illness were the admission sequential organ failure assessment score (odds ratio [OR], 1.15; 95% confidence interval [CI], 1.02-1.36), the 1(st) week total sequential organ failure assessment scores (OR, 1.14; 95 % CI, 1.06-1.46) and the 1(st) week duration of systemic inflammatory response syndrome (OR, 1.05; 95% CI, 1.01-1.15). They were able to correctly predict the development of CIPM at the end of the 1(st) week in about 80% of critically ill cases.In conclusion, the presence and duration of systemic inflammatory response syndrome and the severity of multiple and several organ failures are associated with increased risk of the development of CIPM.

• MeSH
• časové faktory MeSH
• falešně pozitivní reakce MeSH
• interval spolehlivosti MeSH
• kritický stav * MeSH
• lidé středního věku MeSH
• lidé MeSH
• multiorgánové selhání etiologie   MeSH
• následné studie MeSH
• odds ratio MeSH
• polyneuropatie patofyziologie   MeSH
• prospektivní studie MeSH
• rizikové faktory MeSH
• ROC křivka MeSH
• stupeň závažnosti nemoci MeSH
• syndrom systémové zánětlivé reakce etiologie   MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• srovnávací studie MeSH

• MeSH
• kortison aplikace a dávkování   škodlivé účinky   MeSH
• myši MeSH
• plod účinky léků   MeSH
• rozštěp patra chemicky indukované   MeSH
• těhotenství MeSH
• zvířata MeSH
• Check Tag
• myši MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• Názvy látek
• kortison MeSH

• MeSH
• abnormality vyvolané léky epidemiologie   MeSH
• časové faktory MeSH
• dítě MeSH
• gestační stáří * MeSH
• indukovaný porod MeSH
• lidé MeSH
• maternofetální výměna látek MeSH
• menstruace MeSH
• následné studie MeSH
• odumření plodu epidemiologie   MeSH
• plod účinky léků   MeSH
• samovolný potrat epidemiologie   MeSH
• těhotenství MeSH
• thalidomid škodlivé účinky   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Názvy látek
• thalidomid MeSH

• MeSH
• histony farmakologie   MeSH
• kuřecí embryo účinky léků   MeSH
• morfogeneze účinky léků   MeSH
• zvířata MeSH
• Check Tag
• kuřecí embryo účinky léků   MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• Názvy látek
• histony MeSH

In the cultures of the alga Chlamydomonas reinhardtii, division rhythms of any length from 12 to 75 h were found at a range of different growth rates that were set by the intensity of light as the sole source of energy. The responses to light intensity differed in terms of altered duration of the phase from the beginning of the cell cycle to the commitment to divide, and of the phase after commitment to cell division. The duration of the pre-commitment phase was determined by the time required to attain critical cell size and sufficient energy reserves (starch), and thus was inversely proportional to growth rate. If growth was stopped by interposing a period of darkness, the pre-commitment phase was prolonged corresponding to the duration of the dark interval. The duration of the post-commitment phase, during which the processes leading to cell division occurred, was constant and independent of growth rate (light intensity) in the cells of the same division number, or prolonged with increasing division number. It appeared that different regulatory mechanisms operated through these two phases, both of which were inconsistent with gating of cell division at any constant time interval. No evidence was found to support any hypothetical timer, suggested to be triggered at the time of daughter cell release.

• MeSH
• buněčný cyklus účinky záření   MeSH
• časové faktory MeSH
• Chlamydomonas reinhardtii cytologie   růst a vývoj   účinky záření   MeSH
• cirkadiánní proteiny Period metabolismus   MeSH
• cirkadiánní rytmus genetika   účinky záření   MeSH
• kultivované buňky MeSH
• mutace genetika   MeSH
• světlo * MeSH
• tma MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Názvy látek
• cirkadiánní proteiny Period MeSH

Autologous cell therapy (ACT) is a new treatment for patients with no-option critical limb ischemia (NO-CLI). We evaluated the factors involved in the nonresponse to ACT in patients with CLI and diabetic foot. Diabetic patients (n = 72) with NO-CLI treated using ACT in our foot clinic over a period of 8 years were divided into responders (n = 57) and nonresponders (n = 15). Nonresponder was defined as an insufficient increase in transcutaneous oxygen pressure by <5 mm Hg, 3 months after ACT. Patient demographics, diabetes duration and treatment, and comorbidities as well as a cellular response to ACT, limb-related factors, and the presence of inherited thrombotic disorders were compared between the 2 groups. The main independent predictors for an impaired response to ACT were heterozygote Leiden mutation (OR 10.5; 95% CI, 1.72-4) and homozygote methylenetetrahydrofolate reductase (MTHFR 677) mutation (OR 3.36; 95% CI, 1.0-14.3) in stepwise logistic regression. Univariate analysis showed that lower mean protein C levels (P = .041) were present in nonresponders compared with responders. In conclusion, the significant predictors of an impaired response to ACT in diabetic patients with NO-CLI were inherited thrombotic disorders.

• Klíčová slova
• cell therapy, critical limb ischemia, inherited thrombotic disorders, risk factors,
• MeSH
• autologní transplantace MeSH
• dědičné koagulopatie komplikace   diagnóza   genetika   MeSH
• diabetická noha komplikace   diagnóza   chirurgie   MeSH
• faktor V genetika   MeSH
• heterozygot MeSH
• hodnocení rizik MeSH
• homozygot MeSH
• ischemie komplikace   diagnóza   chirurgie   MeSH
• kritický stav MeSH
• lidé středního věku MeSH
• lidé MeSH
• methylentetrahydrofolátreduktasa (NADPH2) genetika   MeSH
• mutace MeSH
• neúspěšná terapie MeSH
• rezistence k aktivovanému proteinu C komplikace   genetika   MeSH
• rizikové faktory MeSH
• senioři MeSH
• transplantace buněk * škodlivé účinky   MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Názvy látek
• factor V Leiden MeSH Prohlížeč
• faktor V MeSH
• methylentetrahydrofolátreduktasa (NADPH2) MeSH
• MTHFR protein, human MeSH Prohlížeč

BACKGROUND: Neuromuscular weakness in paediatric patients with sepsis and multiple organ dysfunction is increasingly reported. However, many aspects of neuromuscular involvement in critically ill children are not completely understood. As more patients survive the critical illness, an understanding of the long-term outcomes of this condition is needed. AIMS: To describe clinical and electrophysiological features and evaluate the long-term outcomes in critically ill paediatric patients with neuromuscular complications. METHODS: A case series of five critically ill children was observed prospectively for a 1-month period. Selected clinical and laboratory parameters were evaluated. Electrophysiological studies were performed during the first week and then 1 month later in order to detect signs of critical illness polyneuromyopathy (CIPM). Patients with neuromuscular involvement completed a 1-year follow-up. RESULTS: Electrophysiological abnormalities were detected in two patients. Flaccid quadriplegia was a clinical presentation. Both children had electromyographic evidence of chronic partial denervation at follow-up, findings indicative of a preceding axonal neuropathy. Marked but incomplete recovery within 1 year after the onset of the disease occured in both patients. With a mild residual functional handicap the health-related quality of life was not significantly impaired (Barthel Index > 80). CONCLUSIONS: In both our patients with CIPM, the long-term clinical outcome is markedly better than we expected when electromyography in the 1-year follow-up demonstrated a persistent severe chronic partial denervation. These findings can have important implications for the management and rehabilitation of paediatric intensive care survivors.

• MeSH
• dítě MeSH
• elektrická stimulace MeSH
• elektrofyziologie MeSH
• elektromyografie MeSH
• kosterní svaly patofyziologie   MeSH
• kritický stav MeSH
• kvadruplegie etiologie   MeSH
• lidé MeSH
• mladiství MeSH
• následné studie MeSH
• nemoci periferního nervového systému patofyziologie   terapie   MeSH
• nemoci svalů patofyziologie   terapie   MeSH
• neurologické vyšetření MeSH
• péče o pacienty v kritickém stavu MeSH
• prognóza MeSH
• prospektivní studie MeSH
• umělé dýchání MeSH
• výsledek terapie MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

OBJECTIVES: To assess international trends and patterns of prenatal diagnosis of critical congenital heart defects (CCHDs) and their relation to total and live birth CCHD prevalence and mortality. SETTING: Fifteen birth defect surveillance programmes that participate in the International Clearinghouse for Birth Defects Surveillance and Research from 12 countries in Europe, North and South America and Asia. PARTICIPANTS: Live births, stillbirths and elective terminations of pregnancy for fetal anomaly diagnosed with 1 of 12 selected CCHD, ascertained by the 15 programmes for delivery years 2000 to 2014. RESULTS: 18 243 CCHD cases were reported among 8 847 081 births. The median total prevalence was 19.1 per 10 000 births but varied threefold between programmes from 10.1 to 31.0 per 10 000. CCHD were prenatally detected for at least 50% of the cases in one-third of the programmes. However, prenatal detection varied from 13% in Slovak Republic to 87% in some areas in France. Prenatal detection was consistently high for hypoplastic left heart syndrome (64% overall) and was lowest for total anomalous pulmonary venous return (28% overall). Surveillance programmes in countries that do not legally permit terminations of pregnancy tended to have higher live birth prevalence of CCHD. Most programmes showed an increasing trend in prenatally diagnosed CCHD cases. DISCUSSION AND CONCLUSIONS: Prenatal detection already accounts for 50% or more of CCHD detected in many programmes and is increasing. Local policies and access likely account for the wide variability of reported occurrence and prenatal diagnosis. Detection rates are high especially for CCHD that are more easily diagnosed on a standard obstetric four-chamber ultrasound or for fetuses that have extracardiac anomalies. These ongoing trends in prenatal diagnosis, potentially in combination with newborn pulse oximetry, are likely to modify the epidemiology and clinical outcomes of CCHD in the near future.

• Klíčová slova
• critical congenital heart defects, epidemiology, prenatal diagnosis,
• MeSH
• lidé MeSH
• novorozenec MeSH
• prenatální diagnóza * statistika a číselné údaje   trendy   MeSH
• prevalence MeSH
• retrospektivní studie MeSH
• těhotenství MeSH
• vrozené srdeční vady diagnóza   epidemiologie   mortalita   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• novorozenec MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Asie epidemiologie   MeSH
• Evropa epidemiologie   MeSH
• Jižní Amerika epidemiologie   MeSH
• Severní Amerika epidemiologie   MeSH