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Biomedical subjects

B Stern

Publications and source records attributed to B Stern.

52 records · Page 3Linked to original sources

Endocrine comparison of obese menstruating and amenorrheic women.

10 examine the relationship between obesity and chronic anovulation, we compared basal serum LH, FSH, and PRL levels, determined at 20-min intervals, and basal C21 [progesterone, 17- hydroxyprogesterone , pregnenolone, 17-hydroxypregnenolone ( 17Pe ), and cortisol], C19 [testosterone (T), delta 4-androstenedione (A), and dehydroepiandrosterone] and C18 (estrone and estradiol) steroid hormone concentrations measured at 1- to 2-h intervals for a 24-h period in five normal weight cycling women (NC) and in two groups of weight-matched obese women. Five of the obese women were regularly cycling (OC), and six were amenorrheic (OA). Sex hormone-binding globulin (SHBG) and non-SHBG-bound T and estradiol concentrations were also measured in each woman. Compared to NC women, OC women had normal basal protein and steroid hormone concentrations, except for reduced 17Pe levels (P less than 0.05). Mean SHBG concentrations were reduced by approximately 30%, and non-SHBG-bound T was increased by 70%, although the differences were not significant. In addition, when six precursors of testosterone (pregnenolone, 17Pe , dehydroepiandrosterone, progesterone, 17-hydroxyprogesterone, and A) were considered together as a group and the data analyzed by the kappa 2 test, a reduction in basal levels of these precursors was found in OC women relative to those in NC women (P less than 0.005). In OA women, mean concentrations of SHBG were markedly reduced and those of total T, A, estrone, and non-SHBG-bound T were significantly increased compared to those in both NC and OC women. Mean 24-h concentrations of LH tended to be greatest and FSH lowest in this group, but were not significantly different from those in the other groups. The mean LH pulse frequency was significantly greater in OA than in OC women (P less than 0.05). Mean 24-h PRL and cortisol levels were also reduced in OA women relative to those in NC women. These data suggest the possibility of a compensatory decline in total T production in OC women in an attempt to maintain normal hormonal homeostasis; as a consequence, ovulation continues in a cyclic fashion. In OA women, such compensatory mechanisms are no longer operative. Instead, a central and/or peripheral defect, resulting in overproduction of androgen, may also exist and lead to anovulation in OA women. In conclusion, our data imply that obesity is not a primary factor causing chronic anovulation. However, obesity may aggravate an already existing subtle defect in some women and result in amenorrhea.

Adult↗

Calcium transport and Ca2+-ATPase activity in ram spermatozoa plasma membrane vesicles.

Plasma membrane vesicles, isolated from ejaculated ram sperm, were found to contain Ca2+-activated Mg2+-ATPase and Ca2+ transport activities. Membrane vesicles that were exposed to oxalate as a Ca2+-trapping agent accumulated Ca2+ in the presence of Mg2+ and ATP. The Vmax for Ca2+ uptake was 33 nmol/mg protein per h, and the Km values for Ca2+ and ATP were 2.5 microM and 45 microM, respectively. 1 microM of the Ca2+ ionophore A23187, added initially, completely inhibited net Ca2+ uptake and, if added later, caused the release of Ca2+ previously accumulated. A Ca2+-activated ATPase was present in the same membrane vesicles which had a Vmax of 1.5 mumol/mg protein per h at free Ca2+ concentration of 10 microM. This Ca2+-ATPase had Km values of 4.5 microM and 110 microM for Ca2+ and ATP, respectively. This kinetic parameter was similar to that observed for uptake of Ca2+ by the vesicles. The Ca2+-ATPase activity was insensitive to ouabain. Both Ca2+ transport and Ca2+-ATPase activity were inhibited by the flavonoid quercetin. Thus, ram spermatozoa plasma membranes have both a Ca2+ transport activity and a Ca2+-stimulated ATPase activity with similar substrate affinities and specificities and similar sensitivity to quercetin.

Animals↗

Intervention study in high school students with elevated blood pressures. Dietary experiment with polyunsaturated fatty acids.

A blood pressure-lowering effect of increased prostaglandin synthesis via polyunsaturated fatty acids has been demonstrated in animal experiments. To our knowledge, for the first time an attempt was made to lower elevated blood pressures in adolescents (age 15-18 years) through a diet enriched in polyunsaturated fatty acids. This community-based dietary trial involved 30 students in the diet group and 20 students in the control group without any dietary intervention. Within 6 weeks the systolic blood pressure decreased by almost 11 mm Hg in the diet group and by 6 mm Hg in the control group. Diastolic blood pressure fell by 2 and 1 mm Hg, respectively. The effect on blood pressure was markedly different in normal weight adolescents. Systolic blood pressure in the diet group decreased by 14 mm Hg but only by 5 mm Hg in the control group. Diastolic blood pressure levels fell by 4 mm Hg in the diet group and increased by 4 mm Hg in the control group. Unfortunately, the numbers in these two comparison groups were rather small. The majority (70%) of adolescents with high blood pressure was overweight (greater than or equal to 20% above normal weight). However, for the small group of normal weight adolescents, the diet enriched with polyunsaturated fatty acids may be suitable to reduce elevated blood pressure levels.

Adolescent↗

Critical arginine residue for maintaining the bacteriophage tail structure.

The addition of 0.2 m l-arginine to various T-even bacteriophage preparations inactivated the virus preparations irreversibly. The virus particles were even more sensitive to added d-arginine and l-homoarginine than to l-arginine but were unaffected by arginine analogues with either an altered carboxyl group or guanidyl group. Treatment of phage T2H with 2,3-butanedione, a reagent which specifically reacts with the guanidyl portion of arginine residues, resulted in the apparent in-activation of most of the virus particles. However, after incubation of the treated particles at pH 7.5 at 37 C for 1 hr in the absence of butanedione, the original virus titer almost completely returned. The reactivation was completely inhibited by the presence of 0.2 m d-arginine. It appeared that the virus protein coat was sufficiently plastic so that the initial conformational change resulting from the alteration of an arginine residue (to possibly an ornithine residue) was at least partially reversible and that the virus tail proteins then refolded to produce a stable and active virus particle. These reactivated virus particles were not sensitive to inactivation by d-arginine but could now be rapidly inactivated by l-ornithine. Virus particles inactivated by arginine have altered tail structures. They have contracted tail sheaths still attached to tail plates and still contain tail cores. These properties of virus particles indicate that there is a free carboxyl group and a guanidyl group spatially equivalent to an arginine residue on one component of the virus tail which bind reversibly by means of polar linkages to another tail component. These bonds maintain the integrity of the virus tail. Added arginine appears to compete with this endogenous viral arginine for the binding sites and then to favor an irreversible conformational change.

Arginine↗

Visual imagery as a cognitive means of compensation for brain injury.

In this article we are interested in presenting a cognitive therapeutic approach to cases of brain damage based in essence on the principle of compensation, as opposed to the usual cognitive treatment methods which attempt direct treatment of the damaged link in the thinking process. The present case is a patient who suffered a left fronto-temporal injury, resulting in severe problems with understanding verbal material, and who was taught to use the undamaged right hemisphere to translate the verbal material into visual material. He was then instructed to 're-translate' the processed material that he understood back into verbal material. The use of this treatment method is based on the principle of dual coding, which allows for a more meaningful consolidation of learned material. Additionally, it is crucial that the material used within this treatment approach be meaningful to the patient, in order that his motivation be increased.

Adult↗

Psychotherapy in cases of brain damage: a possible mission.

We present here a psychodynamic model for treating brain-injured patients. In contrast to the common assumption that brain-injured patients remain in an emotional vacuum, our model uses dream material to enable a direct access to the psychic inner life of the patient. It thus refutes the view that these patients can only benefit from supportive psychotherapy.

Adult↗

An estimate of the need for environmental health academicians in the workforce.

In July 1987, a workshop was held to evaluate the environmental health workforce. The workshop was sponsored by the Bureau of Health Professions. Health Resources and Services Administration of the Public Health Service. Participants were drawn from State and local agencies, Federal agencies, industry, and academia. Estimates of workforce needs were based on background information and informed consensus judgments of workshop participants. The final report of the workshop was published in January 1988. The authors synthesize some of the consensus judgements and review data from a position paper developed for the workshop. The supply, demand, and projected need for new academicians in environmental health on both graduate and undergraduate levels through 1992 are estimated. These estimates are based on the need for persons trained in the various environmental health subspecialties identified during the workshop. Outlined are the number and educational backgrounds of new faculty required. The types of new training programs that are required to meet the needs for environmental health specialists through 1992 are discussed.

Environmental Health↗