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Biomedical subjects

C A Cole

Publications and source records attributed to C A Cole.

At least 19 recordsLinked to original sources

Cloacal gland and gonadal photoresponsiveness in male Japanese quail selected for divergent plasma corticosterone response to brief restraint.

Corticosterone is linked to testicular depression, and in Coturnix, a relatively photorefractory species, day length and androgen dependency in cloacal gland development and foam production are evident. Furthermore, male quail selected for reduced (low stress, LS) rather than exaggerated (high stress, HS) plasma corticosterone stress response show more photo-induced reproductive development, greater resistance to reproductive declines induced by exposure to very short days, and a quicker recovery to a higher reproductive level upon return to long days. To determine whether a milder reduction in day length would also influence stress line reproductive photoresponsiveness, and perhaps photorefractoriness, males grown on 16 h of light were given 13 h of light for 4 wk followed by a return to long days for 12 wk. Cloacal gland measurements were made following the initial stimulatory photoperiod and weekly thereafter during the 2 light treatments. Plasma testosterone was determined initially, after 4 wk of light reduction, and at the end of the study, along with BW, testes weight (TWT), and TWT relative to BW. Cloacal gland volume (CVOL) was greater in LS than HS males grown on long days. Whereas exposure to 13 h of light reduced CVOL in both lines, line differences (LS > HS) persisted during the first 3 wk of light reduction. Moreover, by 2 wk of rephotostimulation, and weekly thereafter, line differences (LS > HS) in CVOL reemerged. Cloacal gland foam production and the proportion of individuals that produced cloacal gland foam responses reflected changes in CVOL. The BW did not differ by line, yet LS males had a higher TWT and TWT relative to BW than HS ones. All individuals, however, exhibited relative photorefractory responses. Whereas none of the LS males completely resisted reproductive regression induced by a 3 h light reduction, LS males showed other reproductive benefits upon mild photocastration and subsequent rephotostimulation (e.g., greater resistance to CVOL and cloacal gland foam production losses during a mild light crash and quicker restoration to full reproductive potential upon relighting).

Animals↗

Founder's Award, Society for Biomaterials. Sixth World Biomaterials Congress 2000, Kamuela, HI,May 15-20, 2000. Really smart bioconjugates of smart polymers and receptor proteins.

Over the past 18 years we have been deeply involved with the synthesis and applications of stimuli-responsive polymer systems, especially polymer-biomolecule conjugates. This article summarizes our work with one of these conjugate systems, specifically polymer-protein conjugates. We include conjugates prepared by random polymer conjugation to lysine amino groups, and also those prepared by site-specific conjugation of the polymer to specific amino acid sites that are genetically engineered into the known amino acid sequence of the protein. We describe the preparation and properties of thermally sensitive random conjugates to enzymes and several affinity recognition proteins. We have also prepared site-specific conjugates to streptavidin with temperature-sensitive polymers, pH-sensitive polymers, and light-sensitive polymers. The preparation of these conjugates and their many fascinating applications are reviewed in this article.

Acrylamides↗

Activated, N-substituted acrylamide polymers for antibody coupling: application to a novel membrane-based immunoassay.

A room-temperature-precipitable, activated terpolymer consisting of N-isopropylacrylamide (NIPAAm)/N-n-butylacrylamide(nBAAm)/N-acryloxysuccinimide (NASI) (LCST = 7-13 degrees C) at a monomer feed ratio of 60:40:2.5, respectively, was prepared and conjugated to an antibody. The conjugate was evaluated in a novel cellulose acetate (CA) membrane-based immunoassay which utilizes the especially strong physical attachment of the polymer to CA to bind and concentrate the polymer attached protein onto the membrane. When compared in the CA membrane immunoassay to the antibody-poly(NIPAAm) conjugate prepared via anhydrous copolymerization of NIPAAm and NASI at the monomer feed ratio of 40:1, respectively, the performance of the NIPAAm/nBAAm/NASI terpolymer was superior to that of the NIPAAm/NASI copolymer (LCST = 32 degrees C) when the studies were carried out at room temperature. However, the terpolymer and copolymer gave equivalent performance when the assay mixture was heated to 45 degrees C. These results indicate the importance of the LCST of the polymer component of the Ab-polymer conjugate to its adsorption and binding on the CA membrane.

Acrylamides↗

Temperature-dependent absorption/desorption behavior of lower critical solution temperature (LCST) polymers on various substrates.

We have been studying adsorption and retention (resistance to desorption) behavior of temperature sensitive LCST polymers on different substrates as a function of temperature. According to our studies with Poly 64 (a copolymer of 60% (mol) NIPAAm and 40% (mol) NnBAAm, LCST = 8.5 degrees C in water), the copolymer retention depends on the rinse temperature. When the rinse temperature is above the LCST, the polymer adheres well to most surfaces. On the contrary, at rinse temperatures below the LCST, most of the adsorbed polymer is easily rinsed off. These studies are relevant to our work on the thermally reversible adsorption of LCST polymers conjugated to peptides and proteins, such as affinity ligands, for uses in immunoassays and affinity separations. The interaction between the LCST polymer and most hydrophobic polymer surfaces is mainly due to hydrophobic interactions, and the critical surface tension (gamma c) and the solubility parameter (delta) of the solid polymer substrate are the most important factors which influence the LCST polymer adsorption and retention. The critical surface tension appears to correlate best with the LCST polymer adsorption levels on different substrates, while the solubility parameter correlates best with the retention of the adsorbed polymer. According to our preliminary study, n-butyl groups probably interact more strongly with the substrates than isopropyl groups because of the greater hydrophobic surface area of the former groups.

Acrylamides↗

Distinguishing negligence from intentional tort when a health care provider deviates from a patient's consent.

A number of California appellate courts have held that a health care provider's unintentional deviation from a patient's consent will support a cause of action for "technical battery"--an intentional tort. This policy has allowed plaintiffs to circumvent California's statutory malpractice damage limits and seek punitive damages, thus posing a significant threat to the foundation of California medical malpractice tort law reform. The California Supreme Court recently acknowledged the problem and appears to be taking steps toward a solution.

California↗

Effect of sodium salicylate, aspirin, and ibuprofen on enzymes required by the chondrocyte for synthesis of chondroitin sulfate.

OBJECTIVE: To examine the effects of sodium salicylate (Sal), aspirin [acetylsalicylic acid (ASA)] and ibuprofen (Ibu) (as the racemic mixture and the R- and S-enantiomers) on the activities of 2 enzymes involved in the biosynthesis of the hexose components of chondroitin sulfate (CS), i.e., UDP-glucose dehydrogenase (UDP-GD) and glutamine-fructose-6-phosphate-aminotransferase (GFAT), and of glucuronosyltransferase (GT), an enzyme involved in elongation of the nascent CS chain. METHODS: UDP-GD and GT were obtained commercially. A homogenate of bovine articular cartilage chondrocytes was employed as a source of GFAT. In each case, enzymatic activity was measured spectrophotometrically. RESULTS: Neither UDP-GD nor GFAT was inhibited by concentrations of Sal, ASA or Ibu that were achieved clinically in joint tissues (e.g., 1.0 mM Sal and ASA, 170 microM Ibu). In contrast, GT activity was inhibited by Sal and ASA in a concentration dependent fashion; at 1.0 mM, a concentration commonly reached in synovial fluid of patients treated with an antiinflammatory dose of the drug, GT activity in the presence of Sal and ASA was 54% (p = 0.001) and 75% (p = 0.05), respectively, of the control value. In contrast, a clinically relevant concentration of Ibu had no effect on GT activity. CONCLUSION: Salicylates may suppress cartilage proteoglycan synthesis by inhibiting GT.

Animals↗

Health care litigation: a common theory of noneconomic damages compensation.

In this article and the preceding article, the sixth and seventh in a series on health care litigation, the topic of noneconomic damages in medical malpractice cases is discussed. The preceding article addressed the law regarding noneconomic damages for emotional distress to third parties. This article describes a number of recent attempts to expand other categories of noneconomic damages, shows how this expansion can result in tort law problems, and suggests a possible solution.

Humans↗

Health care litigation: achieving fairness and reasonableness in punitive damages awards.

This article, the eighth in a series on health care litigation, discusses whether due process considerations require that the common-law procedures for awarding punitive damages be modified and whether juries have undue discretion in awarding punitive damages. The authors analyze an important recent United States Supreme Court punitive damages case and examine the changes states may need to make in their punitive damages assessment procedures to conform with the Supreme Court's holding.

Alabama↗

Health care litigation: assuring consistency and proportionality in punitive damages awards.

This article, the ninth in a series on health care litigation, explains possible reforms that could be implemented to prevent juries from awarding unreasonable and unfair amounts of punitive damages. One way to minimize this problem would be to establish a system that promotes consistency in punitive damages awards. Another reform would involve instituting mechanisms to ensure proportionality in punitive damages awards. This article explores the steps involved in establishing a new system, and the benefit to defendants if the punitive damages system is reformed.

Liability, Legal↗

Application of a thermally-reversible polymer-antibody conjugate in a novel membrane-based immunoassay.

We have developed a novel method to immobilize antibodies onto a cellulose acetate membrane using a conjugate of an N-isopropylacrylamide polymer covalently bound to the antibody. When compared with the unconjugated antibody, over 30-fold increase in retention of the antibody on the membrane was observed when it was conjugated to poly (N-isopropylacrylamide). Studies of the polymer-membrane interaction suggest a combination of hydrophobic and ionic forces, especially the former, is responsible for the high retention. We applied this novel immobilization technology in the development of a membrane-based immunoassay.

Antibodies↗

Health care litigation: recent trends in the law of noneconomic damages--emotional distress.

This article and an article to follow, the sixth and seventh in a series, will address the topic of noneconomic damages in medical malpractice cases. Pain and suffering, emotional distress, loss of consortium, loss of a chance, hedonic damages, and other forms of nonpecuniary damages have played a major role in the increased recovery of compensatory damages from health care providers. This article will provide an overview of the subject of noneconomic damages and an in-depth discussion of the law regarding damages for emotional distress to third parties as it has evolved in the State of California.

California↗

Health care litigation: the arbitration alternative for dispute resolution.

This is the second in a series of articles on health care litigation. This article focuses on the benefits of arbitration as an alternative dispute mechanism for health care providers. The use of arbitration offers speed and economy to the parties. For the health care provider, arbitration can reduce litigation expense and the likelihood of "runaway" jury verdicts.

California↗

Health care litigation: managing an appeal.

This is the third in a series of articles on health care litigation. This article illustrates how unfavorable appellate precedent can occur and proposes techniques for preventing such adverse results.

California↗

Health care litigation: understanding and explaining causation.

This is the fourth in a series of articles on health care litigation. This article focuses on the substantive aspects of causation, one of the most difficult and controversial issues in health care litigation. The article identifies the differing perspectives of the medical and legal professions on the concept of cause and proposes an approach to clarify the concept for juries, judges, and arbitrators. An analysis of the procedural aspects of causation will appear in the next issue of The Medical Staff Counselor.

Health Services↗

Health care litigation: proving--and disproving--causation.

This article, the fifth in a series, focuses on procedural issues concerning the causation element in health care litigation. The fourth article in the series identified the different perspectives of the medical and legal professions on the concept of cause and proposed an approach to clarify the concept for juries, judges, and arbitrators. This article analyzes the procedural aspects of proving causation or--as most health care providers in litigation often find it necessary to do--disproving causation.

Expert Testimony↗

Sunscreen testing using the mouse ear model.

During the developmental stages of sunscreen formulation it is desirable to have a simple, accurate and inexpensive biological model to test product effectiveness. Another desirable attribute is a quantitative, unbiased response endpoint for evaluation. We have developed such a test system based upon the ear swelling response of hairless albino mice. With this system, irradiation times are greatly reduced; furthermore, the response parameter is metric and can be determined noninvasively with an inexpensive micrometer. Protection factors determined with the mouse ear model show high correlation with the sun protection factors as determined on human subjects (r = 0.92) and were linearly related over a wide range of values. This new method affords a simple, accurate and inexpensive system for evaluation of efficacy and safety of new products.

Animals↗

Duplex carotid ultrasound.

Technical advances in the field of ultrasound have resulted in the development of a high resolution real-time B-mode imaging system that permits direct Doppler analysis of hemodynamic abnormalities. This system combines both anatomic information and physiological information which permits detailed analysis of the entire spectrum of disease occurring at the carotid bifurcation. Future developments will permit improved management of patients at risk for stroke from carotid vascular disease.

Arteriosclerosis↗