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Biomedical subjects

A L Williams

Publications and source records attributed to A L Williams.

At least 37 records · Page 2Linked to original sources
PubMed1999

Use of PCR in detection of Mycobacterium avium complex (MAC) bacteremia: sensitivity of the assay and effect of treatment for MAC infection on concentrations of human immunodeficiency virus in plasma.

We evaluated the sensitivity and specificity of a PCR-based qualitative test for the rapid diagnosis of Mycobacterium avium-M. intracellulare complex (MAC) bacteremia in patients with AIDS disease. Eleven subjects with newly culture-proven MAC bacteremia had the following tests performed at biweekly intervals during the first 8 weeks of therapy: blood culture, Mycobacterium-specific PCR, and quantitative human immunodeficiency virus (HIV) viral-load testing. Mycobacterium genus-specific biotinylated primers were used to amplify a sequence of approximately 582 nucleotides within the 16S rRNA genes of M. avium and M. intracellulare. Detection of the amplified product was performed with an oligonucleotide probe-coated microwell plate combined with an avidin-horseradish peroxidase-tetramethylbenzidine conjugate-substrate system. While not as sensitive as BACTEC culture, PCR detected 17 of 18 specimens which grew >/=40 organisms/ml (94.4% sensitivity) and 9 of 16 specimens which grew </=40 organisms/ml (56.3% sensitivity). No clear change in HIV viremia occurred in response to successful treatment of patients' MAC bacteremia. Use of the PCR test allowed detection of MAC bacteremia in 1 day, with a sensitivity similar to those of quantitative blood culture techniques, and it may prove useful for rapid screening of suspected cases. HIV viremia was unaffected by 8 weeks of MAC therapy.

AIDS-Related Opportunistic Infections↗
PubMed1996

Potential interference of leucite crystallization during porcelain thermal expansion measurement.

OBJECTIVES: The elevated temperatures and slow heating and cooling rates associated with a thermal expansion run provide a thermal treatment comparable to those previously shown to produce leucite crystallization in dental PFM porcelains. The purpose of this study was to determine whether the exposure of dental porcelains to the time-temperature profile of a thermal expansion run could result in leucite crystallization, a potential interference with the accurate determination of the thermal expansion coefficient. METHODS: A total of 112 thermal expansion specimens were prepared, 16 each of six commercially available body porcelains, as well as the "Component No. 1" (leucite-containing) frit of the Weinstein et al. (1962) patent. In a randomized design, the leucite contents of specimens subjected to a 3 degrees C/min thermal expansion run were compared to those of untreated controls. The leucite content of each specimen was determined via quantitative X-ray powder diffraction using an Al2O3 internal standard. One-tailed t-tests were applied to determine whether the dilatometer thermal treatment produced a statistically significant increase in leucite content. RESULTS: The heat treatment afforded by a 3 degrees C/min dilatometer run was not sufficient to induce measurable leucite crystallization in any of the porcelains examined in this study. SIGNIFICANCE: The crystallization of leucite during a dilatometer heating run can be ruled out as a possible interference with the determination of the coefficient of thermal expansion of dental porcelain.

Aluminum Silicates↗
PubMed1996

Microcracks in dental porcelain and their behavior during multiple firing.

Dental porcelains rely on the high-thermal-expansion mineral leucite to elevate their bulk thermal expansion to levels compatible with dental PFM alloys. The microcracks that form around these leucite particles when cooled during porcelain manufacture are a potential source of change in bulk porcelain thermal expansion during fabrication of porcelain-fused-to-metal crowns and bridges. The purpose of the present study was to determine whether multiple firings of commercial dental porcelains could produce changes in microcrack density. Specimens of six commercial porcelains and the "Component No. 1" of the Weinstein patent were fabricated and subjected to 1, 2, 4, 8, and 16 firings. The microcrack densities were determined by quantitative stereology, whereby intersections of microcracks were counted with a test grid. The microcrack data were subjected to linear regression analysis and analysis of variance. The microcrack densities of four of the six porcelains and the Component No. 1 frit were not significantly affected by the number of firings (p > 0.05). One porcelain exhibited a weak but highly significant positive correlation between microcrack density and multiple firings (r2 = 0.24, p = 0.0003), while the remaining porcelain exhibited a weak but statistically significant negative correlation between microcrack density and multiple firings (r2 = 0.15, p = 0.006). The results of this study indicate that even for porcelains that exhibit a measurable change in microcrack density as a function of multiple firings, the magnitude of the increase or decrease in microcrack density after several firings is sufficiently small to cause only negligible shifts in porcelain bulk thermal expansion.

Aluminum Silicates↗
PubMed1995

A comparison of MR sequences for lesions of the parotid gland.

PURPOSE: To compare six MR sequences (plain and gadolinium-enhanced fat suppressed T1-weighted spin echo, T2-weighted standard spin echo, fat-suppressed and non-fat-suppressed T2-weighted fast spin echo, and inversion-recovery T2-weighted fast spin echo) in their ability to detect, delineate, and characterize lesions of the parotid gland. METHODS: Fifty-eight parotid gland lesions imaged on 47 examinations were retrospectively evaluated by three blinded observers. Several outcome-related variables were compared by the above six sequences: imaging time, image quality, anatomic sharpness of parotid space, subjective lesion conspicuity, detected abnormality volume, number of individual lesions or discrete lobulations, conspicuity of invasion into adjacent boundaries and structures, and overall diagnostic value. RESULTS: Differences in the above outcome variables between sequences did not correlate with MR scanner software upgrade level, coil type, or lesion-dependent characteristics. Fat-suppressed fast spin-echo T2-weighted and inversion-recovery fast spin-echo T2-weighted sequences resulted in significantly higher scores for lesion conspicuity, detected abnormality volume, and overall diagnostic value. T1-weighted images resulted in the next highest scores, whereas gadolinium-enhanced T1-weighted and standard spin-echo T2-weighted sequences performed poorly for most parotid lesions. CONCLUSION: MR imaging of the parotid gland should include fat-suppressed, long-repetition-time, fast spin-echo T2-weighted, and T1-weighted sequences. Gadolinium-enhanced images need not be obtained routinely.

Adolescent↗
PubMed1992

Generation of a substructure library for the description and classification of protein secondary structure. I. Overview of the methods and results.

Protein secondary structure has been typically classified into four major classes--alpha-helices, extended strands, reverse turns, and loops. Available methods for secondary structure analysis utilize predefined structure templates to search for structural matches among proteins. By this approach a significant portion of a proteins backbone conformation is assigned to one of a limited number of conformations or, if unassigned, to random coil. To expand our ability to describe protein secondary structure, we have developed an algorithm that operates independently of a predefined structure template. The procedure uses two geometric descriptors, the linear distance and the backbone dihedral angle, to represent the conformation form the alpha-carbon coordinates. The algorithm functions by searching for conformationally equivalent, contiguous fragments without regard to secondary structural classification and is thus independent of the complexity of the backbone fold. The result is a library of conformationally equivalent structure fragments that exhibit some novel characteristics. The library contains features that reproduce the major secondary structure classes as well as defining conformations previously described only as random or undefined conformations. Additionally, the library defines several subclassifications of beta-strands. We present here a validation of this method and a presentation and discussion of the most significant results. In a second study, we report the results of application of this method to spectra-structure correlations in Fourier transform infrared spectroscopy.

Algorithms↗
PubMed1992

Three-dimensional time-of-flight MR angiography with a surface coil: evaluation in 12 subjects.

We compared three-dimensional time-of-flight MR angiograms obtained with head coils and then with surface coils in five patients with intracranial vascular lesions and in seven normal volunteers to determine if imaging of intracranial vascular anatomy could be improved with the use of a surface coil. Visualization of small peripheral vessels was consistently better with a surface coil than with a head coil at identical small fields of view (FOVs). The surface-coil technique allowed small-FOV imaging of peripheral vascular lesions with higher spatial resolution and signal-to-noise ratio similar to that of large-FOV head-coil images. The use of a surface coil introduced the problem of signal falloff; centrally located vessels were visualized as well or better when a standard head coil was used. We conclude that surface-coil MR angiography can serve as a useful adjunct to routine head-coil MR angiography in the evaluation of peripheral vascular abnormalities.

Angiography↗
PubMed1991

Women's experiences of sexual abuse in childhood.

This study reports the results of questioning 1,253 women about experiences of sexual abuse during childhood. An incidence of 3.5% was identified; many of those affected reported benefit from the opportunity to discuss what had happened, an aspect which should be facilitated during routine consultations. The study identified a substantial burden on emotional health presenting into adult life. The wide range of places where abuse occurred and of relationships between the abusers/victims has important implications for educating children.

Adolescent↗
PubMed1991

Generalization patterns associated with training least phonological knowledge.

This study examined the relationship between productive phonological knowledge and generalization learning patterns in phonologically disordered children. Nine functionally misarticulating children (ages 3:8-5:9) were trained on aspects of their phonological systems that were characterized as inventory constraints that constituted "least phonological knowledge" in relation to the adult sound system (Elbert & Gierut, 1986). The misarticulated sounds were trained in the context of consonant clusters. Although all the subjects exhibited equivalent levels of phonological knowledge on the same misarticulated sounds and identical training was provided, three different learning patterns were observed. Results are discussed with regard to the characterization of phonological knowledge in underlying representations that are depicted as "non-adult-like" or incorrect relative to the target sound system. Implications for clinical assessment are discussed.

Articulation Disorders↗
PubMed1990

MR imaging of optic nerve lesions: value of gadopentetate dimeglumine and fat-suppression technique.

Eleven patients with known or suspected optic nerve lesions and eight normal subjects were examined with spin-echo technique at 1.5 T with unenhanced T1-weighted imaging, IV gadopentetate-dimeglumine-enhanced T1-weighted imaging, and enhanced T1-weighted imaging with fat suppression. Two pathologically proved and four presumed optic nerve meningiomas demonstrated significant enhancement and were best seen with the fat-suppression technique. None of the three presumed optic nerve gliomas nor the optic nerves of normal subjects demonstrated qualitative enhancement. We conclude that the use of a fat-suppression technique with gadopentetate dimeglumine enhancement improves delineation of enhancing optic nerve lesions. This technique should be useful for evaluating other anatomic regions where enhancing tissue marginates fat.

Adipose Tissue↗
PubMed1989

Gradient recalled echo MR imaging of superior sagittal sinus occlusion.

With T1-weighted gradient recalled echo (GRE) MR images and flow compensation, we studied the superior sagittal sinus in 3 normal volunteers and 3 patients with sinus occlusion. In these images, sites of patency of the superior sagittal sinus were identified due to the high signal intensity of the normal sinus. Tumor invading the sinus was nearly isointense with cerebral gray matter. T1-weighted GRE imaging proves to be an effective technique to evaluate sinus blood flow.

Cerebrovascular Circulation↗
PubMed1989

MR imaging of facial nerve enhancement in Bell palsy or after temporal bone surgery.

The authors evaluated magnetic resonance (MR) images obtained with intravenously administered gadolinium in ten patients who had facial paralysis and no facial nerve tumor. In patients with either Bell palsy (four patients) or facial paralysis after temporal bone surgery (six patients), intratemporal facial nerve enhancement was seen. Facial nerve enhancement on MR images proved to be a nonspecific finding.

Facial Nerve↗
PubMed1989

Contrast enhancement in spinal MR imaging.

We evaluated 44 patients with suspected spinal tumors or previous laminectomies with gadolinium-DTPA MR imaging in order to characterize the enhancement in normal, postoperative, and neoplastic intraspinal tissue. Using the signal intensity of CSF as an internal control, we calculated the percentage increase in signal intensity from pre- to postgadolinium studies. Tumors (astrocytoma, ependymoma, schwannoma) enhanced 70-350%; epidural scar, normal epidural venous plexus, and dorsal root ganglion enhanced up to 200%. Contrast enhancement does not per se distinguish neoplastic from normal tissue. Enhancement with gadolinium-DTPA appeared to increase the conspicuousness of intramedullary tumors but not intraosseous metastases. We believe that gadolinium-enhanced MR imaging is a valuable adjunct to routine MR imaging in the evaluation of intraspinal neoplastic processes and may be useful in delineating normal and postoperative structures in the spinal canal.

Contrast Media↗
PubMed1988

The effect of patient positioning on MR imaging of the internal auditory canal.

Identification of individual cranial nerves and complete exclusion of tumor in the internal auditory canal may be difficult with MR, especially in imperfectly positioned patients. MR studies of the temporal bones in patients and in normal volunteers positioned non-rotated or canted were correlated with corresponding cryomicrotomic sections. Especially in axial images, oblique sectioning of cranial nerves VII and VIII may cause difficulty in identifying individual nerves. A combination of axial and coronal short TR and TE images can be used to confidently exclude intracanalicular tumor in most cases.

Facial Nerve↗