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Jordan, J.

Publications and source records attributed to Jordan, J..

25 records · Page 2

Malignant vagotonia due to selective baroreflex failure

Baroreflex failure is characterized by dramatic fluctuations of sympathetic activity and paroxysms of hypertension and tachycardia. In contrast, unopposed parasympathetic activity has not been described in patients with baroreflex failure because of concurrent parasympathetic denervation of the heart. We describe the unusual case of a patient with baroreflex failure in a setting of preserved parasympathetic control of HR manifesting episodes of severe bradycardia and asystole. Thus, parasympathetic control of the HR may be intact in occasional patients with baroreflex failure. Patients with this selective baroreflex failure require a unique therapeutic strategy for the control of disease manifestations.

Case Reports

The hypertension of autonomic failure and its treatment

We studied the incidence and severity of supine hypertension in 117 patients with severe primary autonomic failure presenting to a referral center over a 9-year period. Patients were uniformly characterized by disabling orthostatic hypotension, lack of compensatory heart rate increase, abnormal autonomic function tests, and unresponsive plasma norepinephrine. Fifty-four patients had isolated autonomic impairment (pure autonomic failure). Sixty-three patients had central nervous system involvement in addition to autonomic impairment (multiple-system atrophy). Patients were studied off medications, in a metabolic ward, and on a controlled diet containing 150 mEq of sodium. Fifty-six percent of patients had supine diastolic blood pressure > or =90 mm Hg. The prevalence of hypertension was slightly greater in females (63%) than in males (52%). Potential mechanisms responsible for this hypertension were investigated. No correlation was found between blood volume and blood pressure. Similarly, plasma norepinephrine (92+/-15 pg/mL) and plasma renin activity (0.3+/-0.05 ng/mL per hour) were very low in the subset of patients with pure autonomic failure and supine hypertension (mean systolic/diastolic pressure, 177 +/- 6/108 +/- 2 mm Hg, range 167/97 to 219/121). Supine hypertension represents a challenge in the treatment of orthostatic hypotension. We found these patients to be particularly responsive to the hypotensive effects of transdermal nitroglycerin. Doses ranging from 0.025 to 0.1 mg/h decreased systolic blood pressure by 36+/-7 mm Hg and may effectively treat supine hypertension overnight, but the dose should be individualized and used with caution.

NASA Discipline Regulatory Physiology

An analysis of lidar observations of polar stratospheric clouds

Lidar observations by Browell et al. (1990) are interpreted using single scattering calculations for nonspherical particles and aerosol microphysical calculations. Many of the lidar observations are consistent with particles containing 10 ppbv of condensed nitric acid vapor and an equivalent mass of water. The lidar observations of these Type 1 clouds identify two subtypes, whose properties are deduced. Type 1b particles are spherical, or nearly spherical, and typically have radii near 0.5 micron; Type 1a particles are not spherical, and have a spherical volume equivalent radius exceeding 1.0 micron. Several factors may cause variations in the size of the particles. The most significant factors are the cooling rate and the degree to which the air parcels cool below the condensation point. Specific examples in which cooling rate and cooling point may have led to variations in particle size are found in the Browell et al. (1990) data set. Condensation of 1 ppmm of water or less is quantitatively sufficient to account for the magnitude of the lidar backscatter observed from water ice clouds. The ice particles are not spherical in shape. The sizes of particles in water ice clouds cannot be determined because they are much larger than the wavelength of the lidar.

Toon, Owen B.

Physical processes in polar stratospheric ice clouds

The formulation and evolution of polar stratospheric ice clouds are simulated using a one-dimensional model of cloud microphysics. It is found that the optical thickness and particle size of ice clouds depend on the cooling rate of the air in which the cloud formed. It is necessary that there be an energy barrier to ice nucleation upon the preexisting aerosols in order to account for the cooling rate dependence of the cloud properties.

Toon, Owen B.

LANES 1 Users' Guide

This document is intended for users of the Local Area Network Extensible Simulator, version I. This simulator models the performance of a Fiber Optic network under a variety of loading conditions and network characteristics. The options available to the user for defining the network conditions are described in this document. Computer hardware and software requirements are also defined.

Jordan, J.

Rainfall results of the Florida Area Cumulus Experiment, 1970-76

The Florida Area Cumulus Experiment of 1970-76 (FACE-1) is a single-area, randomized, exploratory experiment to determine whether seeding cumuli for dynamic effects (dynamic seeding) can be used to augment convective rainfall over a substantial target area in south Florida. Rainfall is estimated using S-band radar observations after adjustment by raingages. The two primary response variables are rain volumes in the total target (TT) and in the floating target (FT), the most intensely treated portion of the target. The experimental unit is the day and the main observational period is the 6 h after initiation of treatment. Analyses without predictors suggest apparent increases in both the location and the dispersion characteristics of rainfall due to seeding in the FT and TT variables with substantial statistical support for the FT results and lesser statistical support for the TT results. Analyses of covariance using meteorologically meaningful predictor variables suggest a somewhat larger effect of seeding with stronger statistical support. These results are interpreted in terms of the FACE conceptual model.

Woodley, W. L.