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Biomedical subjects

B Ross

Publications and source records attributed to B Ross.

At least 91 records · Page 5Linked to original sources

The neurotopography of vowels as mirrored by evoked magnetic field measurements.

The auditory evoked neuromagnetic field elicited by synthetic specimens of the vowels [a], [ae], [u], and [i] was recorded over the left and the right hemisphere of 11 subjects. The N100m and the SF deflection of the recorded signal was submitted to equivalent current source analysis using the model of a single dipole in a spherical volume conductor. Vowel processing was hypothesized to occur in a multistage process rendering a sequence of representations of the acoustic input. Vowel representations were considered to differ among each other in the features they make salient, thus, in the kind of dissimilarity relationship they establish, and, by implication, in terms of the vowel space defined by the respective set of dissimilarities. It was investigated whether a mapping exists between at least one of a number of hypothetical vowel spaces and the cortical response space spanned by the spatial distribution of vowel evoked equivalent current dipoles. Although the spatial configuration of vowel evoked sources proved to be highly variable across subjects, the ordering of distances between N100m and SF equivalent current dipole locations turned out to correspond to the ordering of distances between the corners of a vowel trapezium. There were some, albeit weak, indications of hemispheric differences in vowel processing. The results suggest that the spatial distribution of the equivalent current dipole sources of both the N100m and the SF deflection of the neuromagnetic field elicited by vowels reflect a processing stage transitional between auditory and phonetic representation.

Acoustic Stimulation↗

Binaural fusion and the representation of virtual pitch in the human auditory cortex.

The auditory system derives the pitch of complex tones from the tone's harmonics. Research in psychoacoustics predicted that binaural fusion was an important feature of pitch processing. Based on neuromagnetic human data, the first neurophysiological confirmation of binaural fusion in hearing is presented. The centre of activation within the cortical tonotopic map corresponds to the location of the perceived pitch and not to the locations that are activated when the single frequency constituents are presented. This is also true when the different harmonics of a complex tone are presented dichotically. We conclude that the pitch processor includes binaural fusion to determine the particular pitch location which is activated in the auditory cortex.

Acoustic Stimulation↗

The auditory evoked "off" response: sources and comparison with the "on" and the "sustained" responses.

OBJECTIVE: It is well known that tone bursts elicit a prominent N1/P2 complex in the auditory evoked potential (the on-response), but less is known about a morphologically similar complex (the off-response) that can be recorded under suitable stimulus conditions. The interaction between the two responses indicated that the responses were not physiologically independent. The present experiment employed neuromagnetic methods to determine the cortical sources of N1 and P2 on- and off-responses and their relation to other events observed in the auditory evoked field. DESIGN: Five female and five male subjects with no history of otologic or neurological disorders and with normal audiological status participated in this study. Tone bursts of 2 sec duration (10 msec rise and decay time, cosine function), carrier frequency of 1 kHz, and intensity of 60 dB nHL (normative hearing level) were presented 512 times to the subject's right ear (contralateral to the investigated hemisphere) with an interstimulus interval randomized between 5 and 7 sec. RESULTS: The present study is unique in that several components of the complex auditory evoked response (P1, N1on, P2on, sustained-field, N1off, P2off) were recorded and localized in the same subjects and in the same experiment. The source coordinates obtained for N1 and P2 on- and off-responses indicated that the two responses are generated by overlapping cortical regions. Sources for the P2 components were situated anterior and medial to sources for the N1 components and were indistinguishable from sources for the auditory sustained-field. An early P1on event preceded the N1on (but not the N1off) response and was spatially indistinguishable from the N1on. The equivalent source strength was greater for N1on and P2on sources compared with N1off and P2off sources. CONCLUSIONS: The recoding process signaled by on-and off-responses may be a dynamic form of plasticity in the auditory cortex with a time constant on the order of hundreds of milliseconds, corresponding to the duration of sustained-responses released by acoustic changes and to the duration of the acoustic foreperiod that is necessary before on-and off-responses to acoustic changes can be observed.

Adult↗

Genetic and physical mapping of the progressive epilepsy with mental retardation (EPMR) locus on chromosome 8p.

Progressive epilepsy with mental retardation (EPMR) is an autosomal recessive disorder discovered recently from an isolated region in Finland. The disorder is characterized by normal early development, generalized tonic-clonic seizures with onset at 5-10 years of age, and progressive mental retardation beginning 2-5 years after the onset of seizures. We recently mapped the EPMR locus to a 7-cM region on chromosome 8p between markers AFM185xb2 and D8S262. A recombination detected with a new microsatellite marker AFMa054td9 narrows the region to 4 cM. A yeast artificial chromosome (YAC) contig containing 22 YACs was constructed across the disease gene region. The YAC contig is characterized by a collection of 19 YAC-end sequence-tag sites together with seven microsatellite markers. The entire YAC contig spans a minimum of 3 Mb. Moreover, the distal end of the contig contains a subtelomeric YAC yRM2205 that anchors the contig to the telomere. Construction of a YAC contig across the disease gene region is an essential step toward the isolation of the EPMR gene.

Chromosome Mapping↗

Effects of piezoelectric lithotripsy on human DNA.

Genomic DNA was extracted from excised gallbladder mucosa, obtained shortly after a single treatment piezoelectric lithotripsy. Control samples were obtained from age and sex-matched patients who had received no lithotripsy. No DNA fragmentation was demonstrable on agarose gel electrophoresis. Suspensions of cultured lymphoblasts were subjected to different shock wave doses and the percentage of cells surviving the treatment was assessed immediately and the rate of cell death monitored over the following 7 h. The proportion of cells surviving the treatment decreased with increasing shock wave doses, but subsequent rate of cell death was no different from controls. DNA, extracted from the intact surviving cells, again showed no evidence of fragmentation on electrophoresis, but the DNA extracted from the supernatant showed extensive fragmentation.

Cell Survival↗

Oral Candida albicans from patients infected with the human immunodeficiency virus and characterization of a genetically distinct subgroup of Candida albicans.

Candida albicans has been shown to vary in its phenotypic expression with the progression of human immunodeficiency virus (HIV) infection. This study was designed to investigate whether in Category IV HIV infected patients (CDC, Atlanta, USA) these phenotypic changes were related to changes in the genetic strain of the organism. Isolates of C. albicans were obtained from 45 patients with HIV infection during the progression of their disease as determined by percentage T4 lymphocyte count. Isolates were strain differentiated using two methods. In 67 per cent of the patients a single strain of C. albicans, as determined by the DNA analysis, was isolated from each individual over the experimental period. The phenotypic expression of the genetically identical strains isolated from each patient varied considerably over the experimental period with the morphotype 754 being predominant. These results showed that the genotype of C. albicans isolated persisted in the majority of HIV infected individuals, but that the phenotypical expression of this strain changed. A finding in this study was that 18 strains of C. albicans had DNA which did not hybridize to the probe used. These strains were analysed for the presence of two other C. albicans specific DNA segments using PCR. The probe 27A hybridizing strains yielded PCR products which differed from the non-hybridizing strains. Five of these genetically atypical C. albicans strains and 98 of the C. albicans strains were then analysed for purported virulence factors.(ABSTRACT TRUNCATED AT 250 WORDS)

AIDS-Related Opportunistic Infections↗

Characterization of genetically distinct subgroup of Candida albicans strains isolated from oral cavities of patients infected with human immunodeficiency virus.

During the course of a study of oral Candida albicans strains from 60 human immunodeficiency virus-infected patients over a 2.5-year period, 18 of the 295 C. albicans isolates had genomes that failed to hybridize with a C. albicans-specific DNA probe (27A). These strains were germ tube positive and chlamydospore positive and were identified as C. albicans by the ID 32C test (API Systems, Montlieu, France). These strains were analyzed for the presence of two other C. albicans-specific DNA segments by PCR. The first was a C. albicans 1,348-bp species-specific sequence, and the second was a 1,059-bp C. albicans repetitive element. The probe 27A-hybridizing strains yielded PCR products which differed from those of the nonhybridizing strains. Five of these genetically atypical C. albicans strains and 98 of the C. albicans strains were then analyzed for purported virulence factors. The genetically atypical C. albicans strains, in comparison with typical C. albicans strains, produced greater amounts of extracellular proteinase (P = 0.038, Student's t test), adhered to a greater degree to buccal epithelial cells (P = 0.018, Student's t test), and were less susceptible to the antifungal drug 5-flucytosine (P = 0.0003, Mann-Whitney test). Analysis of these strains with other common antifungal drugs showed no statistically significant variation in susceptibility. The results of this study indicated that these genetically atypical C. albicans strains possess increased virulence in comparison with typical C. albicans strains.

AIDS-Related Opportunistic Infections↗

Effects of methylphenidate in HIV-related depression: a comparative trial with desipramine.

This report is a randomized, double-blind, comparative trial of desipramine with the psychomotor stimulant methylphenidate. Twenty HIV antibody-positive patients with depressive symptoms were randomly assigned to either drug. After individual dose titration, the mean daily dose of desipramine was 150 mg. and methylphenidate 30 mg. daily. The differences in responses between desipramine and methylphenidate were not statistically significant on various measures of depression. The antidepressant effect of methylphenidate did not occur any faster than that of desipramine. Both significantly reduced depressive and anxious symptomatology over the blinded portion of the treatments. Thus, methylphenidate relieves depressive symptomatology with efficacy similar to that of desipramine, offering an alternative to patients who are unable to tolerate standard tricyclic antidepressant therapy. The dopaminergic effects of methylphenidate are likely to mediate its antidepressant effects.

Adult↗

The value of abdominal exploration during cholecystectomy.

With the advent of 'minimal access' cholecystectomy patients no longer have an exploratory laparotomy at the time of the operation and it is possible that relevant pathology may be missed as a result. This study analyses the findings at exploratory laparotomy in 223 patients undergoing open cholecystectomy. Forty-two patients (19%) were found to have incidental pathology but in only three (1.3%) did this lead to additional operative procedures. We therefore conclude that the loss of exploratory laparotomy at cholecystectomy does not have a significant detrimental effect on patient care.

Adenocarcinoma↗

A 2'-O-thiol tether in the ribose moiety of nucleic acids for conjugation chemistry.

A 2'-O-hexylthiotrityl adenosine phosphoramidite has been synthesized and incorporated into oligodeoxyribonucleotide (oligo) phosphodiesters and phosphorothioates. These oligos possess the lipophilic 2'-O-hexylthiotrityl group at pre-selected positions. Upon treatment with silver nitrate solution, a free thiol group was generated which was further functionalized. The new tether offers a convenient nucleophile for conjugation of various pendant moieties that would reside in the minor groove. Because of its versatility and location, the modification has a variety of potential applications, most notably as an enhancer of antisense activity.

Ligands↗

A neuromagnetic study of the functional organization of the sensorimotor cortex.

Movement-related neuromagnetic fields from eight healthy human subjects were investigated in a Bereitschaftspotential paradigm. The three conditions studied were right-sided mouth, index finger and foot movement. The neuromagnetic field patterns corresponding to the motor field and the movement-evoked field I were analysed using a moving dipole model. For both components a somatotopic organization was found: the estimated dipole locations for the mouth were more lateral and those for the foot more medial than the estimated dipole positions for the index finger movement. With regard to possible clinical applications, e.g. non-invasive mapping of the sensorimotor cortex and studies of plasticity of the motor function, the present results suggest that the investigation of movement-evoked field I for the index finger condition is most likely to yield further results.

Adult↗

Evaluation of intravenous ketorolac administered by bolus or infusion for treatment of postoperative pain. A double-blind, placebo-controlled, multicenter study.

BACKGROUND: Ketorolac is a nonsteroidal analgesic that may provide postoperative analgesia without opioid-related side effects. This double-blind, randomized, multicenter study evaluated the analgesic efficacy and safety of intravenous ketorolac in 207 patients during the first 24 h after major surgery. METHODS: Subjects were assigned to receive one of three analgesic regimens: a ketorolac infusion, ketorolac boluses, or placebo. All subjects had access to intravenous morphine via patient-controlled analgesia (PCA). Evaluations included PCA morphine used, pain assessment (categorical pain intensity scores and visual analogue pain scores), pain relief (categorical pain relief scores), sedation, presence of adverse events, and overall rating of regimens by study observers and patients. RESULTS: Patients in the ketorolac infusion group (but not the ketorolac bolus group) used less morphine (average 33 mg) than did the placebo group (44 mg) (P = 0.009). Significant differences favoring both ketorolac groups were seen in the pain intensity and the categorical pain relief scores at various time points during the study. At the termination of the study, compared with the placebo group, categorical pain intensity scores were lower in the ketorolac bolus group; visual analogue pain scores were lower in both ketorolac groups; and pain relief scores were higher in the ketorolac bolus group. The incidence of vomiting was significantly greater in the placebo group (27%) than in the ketorolac infusion group (12%) or bolus group (9%) (P = 0.032 and P = 0.005, respectively). The incidence of postoperative fever was 10% in the ketorolac bolus group and 25% in the placebo group (P = 0.013). Study observers noted less nursing difficulty while caring for patients in the ketorolac infusion group (P = 0.015). Study observers and patients in both ketorolac groups reported statistically significant overall drug superiority compared with placebo. CONCLUSIONS: It is concluded that intravenous boluses or infusions of ketorolac in conjunction with PCA morphine provide effective, safe analgesia after major surgery and improve on the response to PCA morphine alone.

Adult↗

Cost effectiveness of adjuvant bile salt treatment in extracorporeal shock wave lithotripsy for the treatment of gall bladder stones.

The relative cost effectiveness of adjuvant urso and chenodeoxycholic acid treatment in extracorporeal shockwave lithotripsy (ESWL) has been assessed as part of a pragmatic randomised controlled trial of ESWL as a treatment of gall bladder stones. Of the first patients with gall stone volume < 4 cm3 randomised to ESWL in the main trial, 24 were randomised to have ESWL alone and 26 to have adjuvant bile acid treatment, one of whom died before the end of the 12 month follow up period. At 12 months after treatment, differences in gall stone clearance between ESWL alone (3/24 (13%) clear, 5 (21%) referred for surgery) and ESWL and bile acids (6/25 (24%) clear, 2 (8%) referred for surgery) were not significant (p = 0.36, log rank test). Patients in both groups had substantial and significant health gains (according to biliary pain frequency and severity, Nottingham Health Profile scores, visual analogue scale symptom scores, and complications) but there were no significant differences between the groups. Improvements in both groups usually occurred within a few weeks of treatment and were unrelated to gall stone clearance. Costs were greater in the bile salt group (95% confidence intervals for estimated cost difference: 90 pounds to 630 pounds). If the purpose of treatment is symptom relief rather than gall stone clearance then adjuvant bile salt treatment seems to be unnecessary.

Adult↗

Clinical applications of magnetic resonance spectroscopy.

Neurospectroscopy measures a neuronal marker, energy and redox state, specific fuels of tissue respiration, maturation, and possibly myelination. It provides diagnostic patterns of altered neurochemistry. Current clinical uses range from intensive care in neonates to dementia in the elderly and include tumor and stroke management, prognosis in hemorrhage and trauma, white matter, inflammatory diseases, and AIDS. Inborn errors, metabolic and systemic diseases, subclinical hepatic encephalopathy, hyponatremia, and "coma" have been elucidated. Automation, single-voxel MRS, chemical shift imaging, quality control, and outcome analyses are discussed. With no remaining impediments to clinical use, neurospectroscopy has changed the way we look at diseases of the brain.

AIDS Dementia Complex↗