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C B James

Publications and source records attributed to C B James.

25 records · Page 2Linked to original sources

The effect of posture on the intraocular pressure and pulsatile ocular blood flow in patients with non-arteritic anterior ischaemic optic neuropathy.

Intraocular pressure (IOP) and pulsatile ocular bloodflow (POBF) have been recorded in 15 patients with unilateral non-arteritic anterior ischaemic optic neuropathy (na-AION) and in 28 healthy subjects of comparable age. Measurements were obtained in both the upright and lying postures with a pneumotonometer linked to a Langham ocular bloodflow system. By comparison with the healthy subjects, patients with na-AION were found to have a significantly greater postural pressure change in IOP (3.9 +/- 0.4 mmHg in the affected eye and 3.6 +/- 0.6 mmHg in the unaffected eye of the patients with na-AION compared to 2.2 +/- 0.4 mmHg in the right eye of the healthy subjects P less than 0.01 and less than 0.05 respectively). There was no significant difference between the IOP in the affected and unaffected eyes of patients with na-AION nor between this group and the healthy subjects in either posture. Pulsatile ocular bloodflow measurements were similar in both groups and in both eyes of the patients with na-AION. In both groups POBF fell significantly on lying down (healthy right eyes -84 +/- 16 ul/min p less than 0.01, na-AION affected eye -84 +/- 24 ul/min p less than 0.01, unaffected eye -83 +/- 26 ul/min p less than 0.001). These figures represent decrements of 19% in all groups. These findings suggest that assumption of the supine posture may be associated with a reduction in the pulsatile component of ocular perfusion. The importance of this in the pathogenesis of na-AION is discussed.

Adult↗

Pulsatile ocular blood flow in patients with low tension glaucoma.

Measurements of the intraocular pressure (IOP) pulse and pulsatile ocular blood flow (POBF) have been made in 22 patients with bilateral low tension glaucoma (LTG) and 29 healthy subjects matched as closely as possible for age, refractive error, IOP, systemic pulse pressure, and heart rate. Recordings were made in both the standing and supine positions. The amplitude of the intraocular pressure pulse was significantly lower in patients with LTG (1.2, SEM 0.1 mmHg standing, and 1.3, SEM 0.1 mmHg lying) than in healthy subjects (1.9, SEM 0.1 mmHg standing, and 2.0 SEM 0.1 mmHg lying): p less than 0.001 standing and p less than 0.002 lying. Measurement of POBF also showed a significant reduction between the healthy subjects (428 (31) SEM microliters/min standing and 345 (28) SEM microliters/min lying) and subjects with LTG (301 (27) SEM microliters/min standing and 249 (24) SEM microliters/min lying), p less than 0.005 standing and p less than 0.02 lying. This represents a difference of approximately 30% between the two groups in either posture. A close non-parametric correlation existed between the level of IOP and the POBF (r = 0.75, p less than 0.001 standing, and r = -0.55, p less than 0.02 lying). Such a correlation was not present in the healthy subjects. A reduction in POBF occurred in both groups on assuming the supine posture (healthy subjects 83 (16) SEM microliters/min, LTG subjects 52 (17) SEM microliters/min). These figures represent reductions of 19% and 17% respectively in comparison with the standing value. The results lend further confirmation to the hypothesis that vascular factors are associated with low tension glaucoma.

Adult↗

Night myopia.

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Accidents, Traffic↗

The natural history of non-arteritic anterior ischaemic optic neuropathy.

Seventy one patients with non-arteritic anterior ischaemic optic neuropathy were studied retrospectively. Sixty three (89%) were followed to the end of the study or death, mean follow up time was 5.3 years. Whilst twenty (28%) had diabetes or hypertension, in thirty nine (55%) no predisposing condition was identified. In those who had monocular disease at presentation (68), subsequent involvement of the second eye occurred in seventeen (25%), seven within the first year. Nineteen patients died within the study period. Of these, nine died from myocardial infarction and four from cerebrovascular disease. This is a significant increase above figures calculated from the Office of Population Census and Surveys (p less than 0.001 for all causes, p less than 0.002 for myocardial infarction and cerebrovascular disease). Such an increase in mortality has not been previously reported, and implies that this condition carries a more sinister systemic prognosis than is frequently supposed.

Adult↗

DNA-stimulated protein phosphorylation in HeLa whole cell and nuclear extracts.

Incorporation of 32P from gamma-labeled ATP into a number of polypeptides in HeLa whole cell and nuclear extracts was dependent on added double-stranded DNA or poly(dI-dC), but not denatured or supercoiled DNA. DNA-dependent phosphorylation of a high Mr endogenous substrate could be reconstituted from the precipitate formed after incubation of whole cell extracts with DNA. Fractionation of extracts by phosphocellulose or DEAE-Sephacel chromatography yielded preparations that phosphorylated casein as well as endogenous polypeptides in a DNA-dependent manner. These results are consistent with the existence of a novel protein kinase in HeLa cells that is highly dependent upon the presence of double-stranded DNA for efficient phosphorylation of a variety of substrates.

Adenosine Triphosphate↗

Infectious crystalline keratopathy.

We present a patient who developed a crystalline keratopathy after a penetrating keratoplasty. This rare complication can be caused by bacterial infection, and the patient responded to the appropriate antibiotic therapy. The literature is reviewed and possible causes and mechanisms of the crystalline appearance are discussed.

Adult↗

Identification of a region on the adenovirus E1A gene responsible for induction by phorbol ester tumor promoter.

12-O-Tetradecanoylphorbol-13-acetate (TPA) treatment induces human adenovirus (Ad) early region 1A (E1A) messenger ribonucleic acid expression in infected or Ad-transformed cells. Here, we report that deletion analysis has identified a TPA-responsive element (TRE) in the E1A enhancer region. Deletion analysis indicates that the TRE is located upstream of the E1A cap site between nucleotides -237 and -47. Incubation of extracts from TPA-treated cells with radioactively labeled deoxyribonucleic acid (DNA) fragments containing the TRE (-237 to -47) form specific DNA-protein complexes as demonstrated by gel shift analysis and Southwestern blotting. These experiments provide evidence that novel protein-DNA complexes are formed on a region of the E1A promoter required for TPA-enhanced expression. We speculate that these DNA-binding proteins may interact with the TRE and play a critical role in the mechanism through which TPA upregulates transcription from the Ad E1A gene.

Adenovirus E1A Proteins↗