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Biomedical subjects

B Forster

Publications and source records attributed to B Forster.

At least 19 recordsLinked to original sources
PubMed2006

Tract identification by novel MRI signal changes following stereotactic anterior capsulotomy.

BACKGROUND: Five patients underwent magnetic resonance imaging (MRI) following MRI-guided stereotactic bilateral anterior capsulotomy to detect lesion-related anatomic changes. METHODS: Five disabled and treatment-resistant patients with major depression (n = 4) and obsessive-compulsive disorder (n = 1) underwent stereotactic bilateral anterior capsulotomy. All patients had postoperative MRI at 2 months and at 1-4 years after surgery. An additional patient who had a pure motor deficit following a spontaneous basal ganglia hemorrhagic stroke was imaged as a comparator. RESULTS: The 2-month postcapsulotomy MRI showed a previously undescribed increase in T1-weighted signal within similar neural pathways for each patient. These pathways showed no changes in T2-weighted or fluid-attenuated inversion recovery sequences. The signal changes are different from the expected changes associated with anterograde Wallerian degeneration and identify retrograde changes in the proximal segment of the interrupted axon. CONCLUSION: Previously undescribed T1-weighted signal alterations following stereotactic surgery identify retrograde non-Wallerian changes in interrupted axons and provide a new method in identifying and tracing lesioned pathways.

Adult↗
PubMed2001

Variation between two near isogenic barley (Hordeum vulgare) cultivars in expression of the B subunit of the vacuolar ATPase in response to salinity.

A gene encoding the barley vacuolar ATPase subunit B (BSVAP) was differentially expressed between two near isogenic barley cultivars, Golden Promise and Maythorpe. This gene (BSVAP) was isolated by the mRNA differential display technique (DDRT-PCR). BSVAP was salt inducible under long-term salinity stress in the salt sensitive cultivar Maythorpe but less so in the relatively salt tolerant Golden Promise and was more highly expressed under control conditions in Maythorpe. The physiological consequences of altered vacuolar ATPase expression are discussed in relation to the salt sensitivity of Maythorpe.

Adenosine Triphosphatases↗
PubMed2000

Interhemispheric transfer of colour and shape information in the presence and absence of the corpus callosum.

Two split-brained subjects, one (L.B.) with full forebrain commissurotomy and one (R.B.) with callosal agenesis, and a group of twenty neurologically intact subjects were tested in three discrimination tasks: a go-no go task, a two-choice task, and a three-choice task. The discriminations were based on colour in Experiment 1, and on shape in Experiment 2. The stimuli were presented in one or other visual field, and the subjects responded with the fingers of one or other hand, allowing the differences in reaction time between crossed and uncrossed responses (CUD) to be calculated. For the normal subjects the CUD tended to diminish with the complexity of the tasks, suggesting that both hemispheres were increasingly involved. Unlike R.B. and the normal controls, who made virtually no errors, L.B. had increasing difficulty as task complexity increased. He was better able to transfer information from the right to the left hemisphere than vice versa, but an analysis of his accuracy under the crossed conditions showed that the amount transferred was always well under one bit. This confirms previous evidence that L.B. has very limited subcortical transfer of either colour or shape.

Adult↗
PubMed2000

Effect of luminance on successiveness discrimination in the absence of the corpus callosum.

Three split-brained subjects, one with full forebrain commissurotomy and two with callosotomy, were impaired at judging whether pairs of lights in opposite visual fields were successive or simultaneous. This impairment did not vary with luminance when the lights were grey against a dark background, but was more pronounced when the lights were equiluminant with a yellow background. All three subjects were also better able to discriminate succession from simultaneity when the lights were both in the left visual field than when they were both in the right. A fourth subject with callosal agenesis was only slightly impaired relative to normal subjects, who were virtually errorless.

Adult↗
PubMed1998

Interhemispheric transmission times in the presence and absence of the forebrain commissures: effects of luminance and equiluminance.

One subject (L.B.) with full forebrain commissurotomy, one (R.B.) with callosal agenesis and 20 normal controls were tested for simple reaction time (RT) with each hand, to visual stimuli in one or the other visual field. RTs for uncrossed conditions (hand ipsilateral to the visual field) were subtracted from RT to crossed conditions (hand contralateral to the visual field) to yield the crossed-uncrossed difference (CUD), taken to be a measure of interhemispheric transfer time. CUDs increased from an average of 4.9 ms among the control subjects, to 23.3 ms for R.B., to 53.1 ms for L.B. Although overall RTs in all subjects increased with decreasing luminance of the stimuli, the CUD was not systematically affected and remained largely unaffected even under equiluminance. The results support previous evidence that interhemispheric transfer, even in the split brain, depends on visually insensitive pathways.

Adult↗
PubMed1997

Regional HmPAO SPECT and CT measurements in the diagnosis of Alzheimer's disease.

BACKGROUND: This study investigated the hypothesis that the combination of regional CT brain atrophy measurements and semiquantitative SPECT regional blood flow ratios could produce a diagnostic test for Alzheimer's disease (AD) with an accuracy comparable to that achieved with the present clinical gold standard of the NINCDS-ADRDA criteria. METHODS: Single proton emission computed tomography (SPECT) and CT head scans were performed on 122 subjects referred an UBC Alzheimer clinic and diagnosed as either 'not demented' (ND-37) or 'possible/probable AD' (AD-85) by the NINCDS-ADRDA criteria. Stepwise discriminant analysis (SDA) was performed on the bilateral SPECT regions of interest and compared to bilateral CT qualitative/quantitative assessment in the frontal, parietal and temporal lobes to determine which were most accurate at ND/AD distinction. Receiver operating curves (ROC) were then constructed for these variables individually and for their combined discriminant function. RESULTS: The left temporal qualitative cortical atrophy score (CT) and left temporal perfusion ratio (SPECT) were selected in the SDA. The combined discriminant function was more specific at AD/ND distinction than either of CT or SPECT alone. The accuracy of AD/ND distinction with the combined discriminant function was below that achieved by clinical diagnosis according to the NINCDS-ADRDA criteria and was not significantly different from that achieved with SPECT or CT alone as defined by ROC curve analysis. CONCLUSION: The measurements of left temporal cortical atrophy and regional cerebral blood flow were most indicative of AD; however they lacked the sensitivity and specificity to recommend their use as a diagnostic test for AD.

Aged↗
PubMed1995

Ankylosed spines are prone to fracture.

Fracture of an ankylosed spine is often overlooked. Because the force that damages an ankylosed spine is frequently slight, patients do not realize they are injured. Doctors can miss the fracture for the same reason and because patients already have a history of back pain. Plain radiographs sometimes fail to demonstrate the fracture site.

Adult↗
PubMed1990

A glucose reduction challenge in the differential diagnosis of fasting hypoglycemia: a two-center study.

Investigation of patients with suspected or proven hypoglycemia is often a time-consuming and expensive process. We describe a glucose reduction challenge test which may be useful as an out-patient screening procedure. Insulin is infused for 3 h at 40 mU/kg.h. Plasma glucose was monitored at the bedside during the test, and blood samples were collected for measurement of C-peptide. Responses were examined in 17 normal controls, and 6 patients with insulinomas. In normal subjects, mean plasma glucose fell to a plateau value of 3.2 +/- 0.2 mmol/L (57 +/- 2.6 mg/dL) and remained at that level with few symptoms. In contrast, five of six patients with insulinomas developed severe hypoglycemia, with plasma glucose levels between 1.9 (34 mg/dL) and 2.2 mmol/L (39 mg/dL). Plasma C-peptide concentrations were suppressed to 0.08 pmol/mL or less in normal subjects, but in insulinoma patients remained at 0.32-1.6 pmol/mL i.e. outside the normal range, and diagnostic of nonsuppressible insulin secretion. These data demonstrate that moderate reduction of serum glucose maintained for a prolonged period results in marked suppression of plasma C-peptide, permitting improved discrimination between normal subjects and patients with insulinomas. This glucose reduction challenge can, therefore, be used as a test of glucose-regulating ability, where failure (hypoglycemia) per se represents a measurable abnormality. C-Peptide measurements will determine whether the cause of hypoglycemia is due to hyperinsulinemia.

Adult↗
PubMed1989

Identification by MRI.

A semi-skeletted water-lodged corpse was supposed to be an 82-year-old missed man. Fifteen years ago this person underwent an operation of a trimalleolar fracture of the left ankle joint. Conventional X-ray photograms of the left ankle joint of the water-lodged corpse showed no evidence of an operation. A T-1 weighted spin-echo sequence revealed the entire aspect of the osteosynthesis as documented in the previously performed post-operative X-ray photograms.

Aged↗
PubMed1988

Immunohistological demonstration of lymphocyte surface antigens in postmortem lymphoid tissues.

The postmortem stability of cell antigens has hardly been studied. Using monoclonal antibodies (mabs) we examined the postmortem detectability of lymphocyte surface antigens in different lymphoid organs by comparing two sensitive, immunohistological staining procedures. To quantify the probable degree of autolysis of the tissues a score system was applied by taking into consideration the postmortem age as well as the core temperature of the corpses. The antigens examined generally proved to be very resistant to autolytic influences. Differences were found when comparing different mabs and with regard to the type of lymphoid tissue. The loss of immunohistological reactions was most extensive in the spleen whereas tonsils showed almost no qualitative alterations in staining patterns. Reactivity of mabs with postmortem tissues decreased in the following order: Dako CD22 and anti-Leu 4, anti-Leu 3a, anti-Leu 7, Dako T8. The mabs anti-Leu 7 and Dako-T8 frequently failed to demonstrate their respective antigens but no correlation between the loss of staining and the degree of autolytic decomposition (our score) could be detected. In general, postmortem tissues as well as tissues shock frozen after delay are suitable for qualitative immunohistology of those cells characterized by the mabs applied. The APAAP-method proved unequivocally to be the superior staining technique.

Antigens, Differentiation↗
PubMed1987

Sparing of cognitive function in mild hypoglycemia: dissociation from the neuroendocrine response.

Central nervous system function during insulin-induced reductions in plasma glucose was studied by measuring plasma epinephrine concentrations and testing cognitive function. Mild glucose reduction [mean plasma glucose, 62 +/- 3 (+/- SEM) mg/dL (3.4 +/- 0.2 mmol/L)] was induced with an iv insulin infusion at the rate of 40 mU/kg.h for 180 min in 7 normal subjects. Despite a marked increase in mean plasma epinephrine concentrations, which peaked at 426 +/- 68 pm/mL (2325 +/- 371 pmol/mL; P less than 0.001), no significant differences in cognitive function occurred as determined by a series of trail-making tests compared with the results of serial tests in a group of 17 control subjects. In contrast, when hypoglycemia was induced (plasma glucose, less than 42 mg/dL; 2.3 mmol/L) by bolus injection of insulin in 4 normal subjects, cognitive function was impaired in every subject, as demonstrated by a delay in completion of the trail-making test. The mean completion time was prolonged to 107 +/- 16% of the baseline at the time of hypoglycemia vs. 74 +/- 4% in control subjects (P less than 0.01). These findings suggest that cognitive function may be spared during mild plasma glucose reductions and is dissociated from the neuroendocrine adrenergic response that is activated under these conditions. This dissociation may be part of a homeostatic process in which overall brain function is maintained during glucoprivation, although counterregulation has already been triggered to prevent a further decrease in plasma glucose.

Adult↗
PubMed1984

Upper middle class adolescent drug use: patterns and factors.

The purpose of this study was to determine the patterns and best predictors of experimentation and use of drugs by a suburban upper middle class adolescent (5th grade through high school) population. The data show increasing percentages of students involved with drugs across the grades, differences in involvement for females compared to males, distinctions between the most popular drugs (alcohol, marijuana and cigarettes) and other less popular drugs and factors associated with trial and use of the various drugs. Some statements are made in conclusion about the meaning and use of this data for drug education and prevention.

Adolescent↗
PubMed1983

Situational depression and the dexamethasone suppression test.

Neither baseline integrated 24 hr cortisol concentrations nor cortisol escape from dexamethasone suppression were able to distinguish a group of endogenously depressed patients who experienced precipitating events prior to their depression (situational) from a group of endogenously depressed patients with no discernible precipitating events (non-situational). Symptom severity, features of psychosis, and family history also were similar between the two groups. These results highlight the inadequacy of using the presence or absence of precipitating events for subtyping endogenous depression.

Adjustment Disorders↗