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Autonomic dysreflexia following high level spinal cord injury: time course, mechanisms and possible intervention.Laird, Angela S, Medical Sciences, Faculty of Medicine, UNSW January 2007 (has links)
Following cervical or upper thoracic level spinal cord injury (SCI), motor, sensory and autonomic systems are disrupted. One form of this autonomic dysfunction is the condition autonomic dysreflexia (AD), which is characterised by episodes of high blood pressure in response to afferent input from regions below the injury level. An animal model of autonomic dysreflexia, the T4 transected rat, was used in this thesis to gain insight into the cardiovascular and temperature components of the disorder, possible peripheral mechanisms and interventions to prevent its development. Chapter 2 of the thesis includes the charaterisation of a T4 transection rat model of spinal cord injury. This characterisation includes confirmation of decreased baseline mean arterial pressure (MAP, 71 down from 117 mmHg) and elevated heart rate (HR, 431 bpm from 366 bpm) for 6 weeks post injury (p.i.). Documentation of the development of AD found that hypertensive responses were fully developed (+20 mmHg) by 4 weeks p.i. Further, during episodes of AD at Weeks 4 and 5 p.i., tail surface temperatures decreased significantly (mid-tail, -1.7oC), indicative of extensive vasoconstriction. Comparison of vascular responses of intact and SCI animals to adrenergic agonists (phenylephrine, PHE and methoxamine, METH) following ganglionic blockade in vivo found that SCI animals experienced prolonged vasoconstriction in blood vessels above and below injury level in response to PHE but not METH. Possible mechanisms of this change included decreased neuronal reuptake of PHE (METH is not a substrate for neuronal reuptake). The presence of prolonged vasoconstriction in blood vessels throughout the body, not just regions below injury level, suggests a widespread mechanism for the change, such as the decreased basal MAP, norepinephrine levels or neural activity present following injury. Thus, it was hypothesised that increased activity from an early stage post injury may prevent the peripheral adaptation and perhaps hinder development of AD. For this, the common rehabilitation technique, treadmill training, was used. Surprisingly, rather than preventing AD, the training actually accelerated its development, producing exaggerated hypertensive responses to colorectal distension (CRD) at Weeks 3 and 4 post-injury (Week 4, Trained: +38.5 ?? 1.5 mmHg; Sedentary: 23.4 ?? 3.1mmHg). Comparison of vascular responses of both groups to PHE injection found no significant difference indicating that the enhanced responses were not a result of peripheral vascular changes. Investigation of the central morphology following SCI, made via immunohistochemical processing of the post-mortem spinal cords, found that Treadmill Trained SCI animals had elevated calcitonin gene related peptide (CGRP) immunoreactivity within lamina III/IV of lumbar segments, compared to intact cords. It is possible that this finding indicates afferent sprouting that may have accelerated the development of AD in Treadmill Trained animals. The results within this thesis highlight the importance of awareness and examination of autonomic function in SCI patients, especially those undergoing rehabilitative training.
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Transplantation of nasal olfactory tissues into transected spinal cord of adult rats /Lu, Jike. January 2000 (has links)
Thesis (Ph. D.)--University of New South Wales, 2000. / Also available online.
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Inflammatory cellular response and cytokines IL-1 (Sb (B, IL-6 and TNF (Sa (Bin rat and human spinal cord injury /Yang, Liqun. January 2004 (has links) (PDF)
Thesis (Ph.D.)--University of Adelaide, Dept. of Surgery (Neurosurgery) and Institute of Medical and Veterinary Science, Dept. of Neuropathology, 2004. / "June 2004" Bibliography: leaves 218-238.
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Critical evaluation of predictive modelling of a cervical disc design /De Jongh, Cornel January 2007 (has links)
Thesis (MScIng)--University of Stellenbosch, 2007. / Bibliography. Also available via the Internet.
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Multiple roles for olig2 in the hindbrain oligodendrocyte and abducens motor neuron specification and facial motor neuron migration /Zannino, Denise. January 2009 (has links)
Thesis (Ph. D. in Neuroscience)--Vanderbilt University, May 2009. / Title from title screen. Includes bibliographical references.
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The number and arrangement of the fibers forming the spinal nerves of the frog (Rana virescens) ...Hardesty, Irving, January 1899 (has links)
Thesis (Ph. D.)--University of Chicago. / Cover title. Reprinted from the Journal of comparative neurology, vol. 9, no. 2, June 1899. Bibliography: p. 107-109.
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Preoperative education for patients undergoing lumbar spine surgery for radiculopathy /Louw, Adriaan January 2007 (has links)
Thesis (MSc)--University of Stellenbosch, 2007. / Bibliography. Also available via the Internet.
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Biomechanical evaluation of posterior dynamic stabilization systems in lumbar spine /Parepalli, Bharath K. January 2009 (has links)
Thesis (M.S.)--University of Toledo, 2009. / Typescript. "Submitted as partial fulfillment of the requirements for the Master of Science Degree in Mechanical Engineering." "A thesis entitled"--at head of title. Bibliography: leaves 92-98.
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The number and arrangement of the fibers forming the spinal nerves of the frog (Rana virescens) ...Hardesty, Irving, January 1899 (has links)
Thesis (Ph. D.)--University of Chicago. / Cover title. Reprinted from the Journal of comparative neurology, vol. 9, no. 2, June 1899. Bibliography: p. 107-109.
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A behavior modification approach to nursing therapeutics in the care of spinal cord-injured patients an experimental nursing study /Rottkamp, Barbara Catherine, January 1975 (has links)
Thesis (Ed. D.)--Columbia University. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 182-192).
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