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Biomedical subjects

C E Chapman

Publications and source records attributed to C E Chapman.

At least 55 records · Page 3Linked to original sources
PubMed1987

Inhibitory and facilitatory effects from the peroneal nerve onto the soleus H-reflex in normal and spinal man.

The effects of conditioning stimulation of a mixed nerve in the leg, the common peroneal nerve (CPN), on the ipsilateral soleus H-reflex were compared with the effects of stimulating its cutaneous branch, the superficial peroneal nerve (SPN), in two groups of subjects--normals and patients with spinal spasticity subsequent to a clinically complete transection of the spinal cord. Condition-test delays of 20 msec to 2 sec, measured from the end of the 20 msec train (3 pulses at 100 Hz), were investigated. In normal subjects, CPN stimulation at 1.4 X MT profoundly depressed the soleus H-reflex. There was an initial depression (peak 40-90 msec) followed by a slow recovery which was incomplete at condition-test delays of 2 sec. One-half of the subjects showed a late facilitation, or disinhibition, peaking at 170-190 msec. The inhibitory effects were attributed to activation of low threshold, groups I and II, muscle afferents because stimulation of the SPN, at 1.5 X threshold for a compound action potential recorded from the CPN, had only facilitatory effects on the soleus H-reflex. Facilitation occurred at condition-test delays of 30-190 msec. The cutaneous stimulation was presumed to activate the largest, A beta, cutaneous afferents as it elicited a weak paraesthesia on the dorsum of the foot. The results suggested that cutaneous afferents may have contributed to the late facilitation seen with CPN conditioning stimulation. In spinal cord-lesioned subjects, CPN stimulation depressed the soleus H-reflex but the decrease was less and the recovery was faster and more complete than in normals. The magnitude of the initial depression at 20-100 msec varied with the severity of the spasticity, subjects with mild spasticity showing less of a depression. Weak cutaneous conditioning stimulation either had no effect or produced a slight depression of the soleus H-reflex, providing clear evidence that transmission in the pathways mediating the facilitatory effects of cutaneous afferents onto extensor motoneuronal pools is depressed in spinal spasticity. This may shift the balance of activity toward the flexor motoneurones, thus favouring the development of, for example, flexor spasms and flexor hypertonia. Since inhibitory effects from cutaneous stimulation are associated with activation of higher threshold afferents in normal man, the present results may reflect a decrease in the threshold for flexor withdrawal reflexes commonly associated with spasticity of spinal origin.

Adolescent↗
PubMed1987

An evaluation of anti-insulin radioimmunodetection in patients with suspected insulinoma.

Nine patients with suspected insulinoma were scanned with iodine-131 labelled anti-insulin. The clinical diagnosis was subsequently confirmed at laparotomy in eight patients, two of whom had liver metastases. The primary insulinoma was accurately localized by anti-insulin scanning in four patients and these tumours ranged from 1 to 3 cm in diameter. Both computerized axial tomography (CT) scanning and pancreatic angiography had given false negative results in one of these patients. Hepatic metastases were correctly identified in one of two patients. No hepatic false positive reports occurred. Positive scan areas were graded as definite, probable or possible. All four of the pancreatic positive results graded as definite or probable positive were correct. Three false positive results occurred in the region of the pancreatic body, all had been graded as possible. Anti-insulin scanning failed to detect four subsequently proven insulinomata (3 mm-2 cm in diameter). Pelvic uptake of anti-insulin occurred in a patient who was found to have a para-ovarian tumour. An homogenate of this tumour also reacted with anti-insulin in a radioimmunoassay. A true negative pancreatic scan was obtained in this patient. We conclude that this technique is insufficiently accurate for routine clinical use.

Adenoma, Islet Cell↗
PubMed1987

Limitations to the killing of tumours using radiolabelled antibodies.

We have calculated the minimum requirements for effective therapy using intravenously administered, tumour-directed antibodies labelled with either iodine 131 or yttrium 90. A lethally large amount of either radionuclide would be required to achieve tumour destruction. At least a 10-fold increase in tumour uptake is necessary to combine tumour destruction with a survivable whole-body dose. The required improvement in specific uptake can be substantially reduced by accelerating the excretion of radioactivity outside the tumour. For all situations studied, yttrium 90 is superior to iodine 131 as a cytotoxic label.

Antibodies, Monoclonal↗
PubMed1986

Activity of dentate neurons during arm movements triggered by visual, auditory, and somesthetic stimuli in the monkey.

Single-unit recordings were obtained from 404 neurons in the dentate and interposed nuclei in two monkeys trained to perform simple movements of the elbow in response to three different sensory cues: a light, a tone, and a small, brief perturbation of the trained forearm. Both flexion and extension movements were investigated. Those dentate neurons that showed a clear modulation before the onset of movement (149 of 318 cells recorded) were classified as stimulus related or movement related on the basis of an analysis of the timing of the initial change in discharge. Seventy-one percent of these dentate neurons (106/149) were classified as stimulus related, and 21% (31/149) were classified as movement related. Within the stimulus-related group 87% responded selectively to only one or two of the sensory cues (selective stimulus-related neurons), most often the teleceptive cues, whereas the remaining 13% responded nonselectively to all three cues (nonselective stimulus-related neurons). Interposed neurons, in contrast, showed principally movement-related discharge, and this represented the initial change in discharge in 89% of the neurons. Eleven percent of the interposed cells showed a selective response to the somesthetic cue. The discharge of 28 out of 91 dentate neurons tested with both flexion and extension movements varied with the direction of movement. Few dentate neurons (9%) were found to display any direction sensitivity when considering the discharge preceding the onset of movement, and none of these showed a reciprocal pattern. The discharge of a greater proportion of neurons (24%) was direction sensitive during movement and was occasionally reciprocal. In the same monkeys, however, 78% of the neurons in the neighboring interposed nucleus were direction sensitive, and one-quarter of these displayed reciprocal patterns of discharge. Thus, the discharge of dentate neurons, occurring well in advance of a conditioned movement, cannot specify direction in this simple reaction-time (RT) task. The sensory responses of selective stimulus-related dentate cells ended near the onset of movement but were time locked to the stimulus and not to the movement. When a neuron was responsive to two of the cues the response did not vary with the modality of the stimulus apart from changes in the latency. The initial sensory response was usually followed by later "secondary" changes in discharge that were temporally related to the movement.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1986

Clinical evaluation of anti-alpha-fetoprotein radioimmunodetection.

Anti-alpha-fetoprotein (AFP) radioimmunodetection was performed in response to clinical requests in 16 patients. In two patients, assessment of a known tumour was required; the anti-AFP scans were accurate and provided useful clinical information in both cases. In the remaining 14 patients the request was for localisation of suspected recurrent tumour. Accurate information was provided in four of these patients. In this latter group, various conventional methods of investigation had failed to disclose the site of recurrence. However, of a total of 21 sites reported as positive in these 14 patients, eight proved to be false positives. Two false negative results also occurred in this group and nine could not be evaluated. Although occasionally patients were usefully scanned, improvements are necessary before consistently reliable information can be obtained using this technique.

Abdominal Neoplasms↗
PubMed1984

Discharge properties of area 5 neurones during arm movements triggered by sensory stimuli in the monkey.

Unitary discharge was recorded from 157 cells in area 5 of 2 monkeys trained to perform rapid movements of the contralateral arm. Ninety-six cells were task-related. The earliest movement-related modulation in discharge for the large majority of cells (92%) followed the onset of electromyographic (EMG) activity. The discharge pattern of almost all units for which discharge was recorded during movements in opposite directions varied with direction, most often in a nonreciprocal manner. Discharge was correlated with peak velocity in 23% of the excited cells (n = 52). Almost the entire population of cells correlated with velocity were located in the upper part of the anterior bank of the intraparietal sulcus, suggesting that there may be at least two different functional subregions within the arm representation of area 5. Forty percent of the movement-related units had a short latency response to a small, brief perturbation of the elbow which served as one of the movement cues. These sensory responses were labile, not being present in every trial for a large number of cells. Thirty-six percent of the perturbation-sensitive cells were classified as reaction time (RT)-dependent on the basis of a correlation between RT and either the magnitude or the frequency of occurrence of the response. The response was clearly dependent on the subsequent motor response being absent when movement was extinguished. This dependence of the sensory response on the subsequent movement is a property which might represent a neural substrate for somatic sensory attention. The results also support the idea that the RT-dependent cells may be involved in the initiation of the shortest RT movements in response to the somaesthetic cue.

Acoustic Stimulation↗
PubMed1983

Effects of dorsal cord stimulation on stretch reflexes.

The effects of dorsal cord stimulation on phasic and tonic stretch reflex activity in extensor muscles were studied in decerebrate cats. The tonic stretch response was depressed in both fore- and hindlimb (stimulation at levels C1 and T8, respectively) and this often persisted for 5-20 min after the end of 1-10 min of dorsal cord stimulation. Depression of the phasic stretch response was only consistently seen in the forelimb during stimulation (C1) and this rarely outlasted the period of stimulation. These results support the idea that dorsal cord stimulation can reduce muscle tone but provide no explanation for the long-lasting effects of chronic, continuous stimulation in spastic man.

Animals↗
PubMed1979

The effects of cold-induced muscle spindle secondary activity on monosynaptic and stretch reflexes in the decerebrate cat.

The effects of muscle spindle secondary ending activity on the stretch reflex were studied in unanesthetized decerebrate cats. Activation of secondary endings was accomplished by reducing the muscle temperature. This has been shown to cause a sustained asynchronous discharge from secondary endings. Cooling of the medial gastrocnemius or lateral gastrocnemius-soleus muscles caused an increase in the phasic and tonic components of their stretch reflexes. Cooling of the relaxed medial gastrocnemius muscle caused similar increases in the components of the stretch reflex of the synergistic lateral gastrocnemius-soleus muscle and an increase in its monosynaptic reflex. It was concluded that the facilitatory autogenetic and synergistic effects of muscle cooling on the stretch and monosynaptic reflexes were brought about by activity in group II afferents from muscle spindle secondary endings and could not be ascribed to any other type of muscle receptor. These results support the concept of an excitatory role for the secondary endings of the muscle spindle in the stretch reflex of the decerebrate cat.

Animals↗
PubMed1977

Conformational changes induced by the addition of carbamyl phosphate to sickle cell hemoglobin.

The conformational changes upon anaerobic carbamyl phosphate addition to dilute hemoglobin solutions have been studied by means of circular dichroism. Freshly prepared carbamyl phosphate stabilizes the conformation of pure deoxyhemoglobin without detectable NH2-terminal carbamylation. Addition of preincubated (i.e. partially converted to cyanate) carbamyl phosphate, however, results in such carbamylation and in the formation of the conformationally different carbamyldeoxyhemoglobin which exhibits enhanced oxygen affinity. Fresh carbamyl phosphate carbamylates hemoglobin in deoxygenated hemolysates containing erythrocyte phosphatases. Therefore the reversal of SS erythrocyte sickling by carbamyl phosphate is attributable to carbamylation by the carbamyl phosphate hydrolysis product, cyanate.

Carbamates↗