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Biomedical subjects

C MacKenzie

Publications and source records attributed to C MacKenzie.

14 recordsLinked to original sources
PubMed1996

Protamine enhances the activity of human recombinant interferon-gamma.

Recombinant interferon-gamma (IFN-gamma) is a potent immune regulatory cytokine and is involved in the defense against several intracellular organisms, such as Chlamydia and Toxoplasma. Furthermore IFN-gamma is able to inhibit the growth of human tumor cell lines. The ability to inhibit the growth of intracellular organisms makes the therapeutic use of recombinant human IFN-gamma in certain patient groups, such as those with chronic granulomatous disease, leprosy, and HIV infection, very attractive. We have shown recently that IFN-gamma-mediated effects can be blocked by heparin and that this inhibitory effect can be abrogated by the addition of protamine. In this report, we show that the antagonistic effect of protamine on heparin-mediated inhibition of IFN-gamma activity is mainly due to the capacity of protamine to enhance IFN-gamma activity. We found that protamine enhances the capacity of IFN-gamma to inhibit the growth of different brain tumor cell lines, to induce indolamine 2, 3-dioxygenase activity, to induce toxoplasmostasis, and to induce MHC class II antigen expression in human glioblastoma cells and in human native fibroblasts. We were able to demonstrate that IFN-gamma binds to protamine, and, therefore, we assume that the effect of protamine on IFN-gamma is due to a direct interaction between the two molecules.

Cell Line↗
PubMed1994

A tool for measuring functional outcomes after total hip arthroplasty.

PURPOSE: To describe a functional milestone scale (FMS) for measuring functional progression following total hip arthroplasty and to demonstrate that this scale meets accepted standards of scale construction. METHODS: Inter-observer reliability of the scale was determined for 30 patients using a kappa coefficient of concordance (k) for ordinal data, representing 221 pairs of observations. There were 79, 54, 44, and 44 pairs of observations for transfer, walker, crutch, and stair ambulation, respectively. RESULTS: The k coefficient ranged from 0.82 to 0.91. Agreement between therapists was almost perfect according to the criteria of Feinstein. CONCLUSIONS: The FMS exhibits substantial inter-observer reliability and moderate to substantial validity. We have demonstrated its clinical applications as well as showing it to be a useful management and research tool.

Activities of Daily Living↗
PubMed1994

Knemometry.

Knemometry provides a powerful tool for observation of short-term growth patterns. Failure of response to growth-promoting therapies in the short term predicts a poor statural response, but the relationship of the lower leg growth suppression seen with oral and inhaled corticosteroids, and the clinical implications in the longer term, remain unclear. The accumulating evidence suggests that there are measurable biochemical and clinical effects with some inhaled corticosteroids (e.g. beclomethasone dipropionate and budesonide), when given at the upper end of the recommended conventional dose range (18) and for long-term prophylaxis, and certainly at the higher starting doses. It is imperative, therefore, that all children receiving inhaled corticosteroids should have their growth monitored carefully and that the lowest effective dose of corticosteroid should be used.

Administration, Inhalation↗
PubMed1991

Selective perturbation of visual input during prehension movements. 1. The effects of changing object position.

Prehension involves processing information in two hypothesized visuomotor channels: one for extrinsic object properties (e.g., the spatial location of objects) and one for intrinsic objects properties (e.g., shape and size). The present study asked how the two motor components that correspond to these channels (transport and grasp, respectively) are related. One way to address this question is to create a situation where unexpected changes occur at the input level of one of the visuomotor channels, and to observe how the movement reorganizes. If transport and grasp are independent components, then changing the object location, for example, should affect only the transport, not the grasp component. Subjects were requested to reach, grasp and lift as accurately as possible one of three dowels using the distal pads of the thumb and index finger. On certain trials, upon movement initiation towards the middle dowel, the dowel was made to instantaneously change its location to one of the two other positions, requiring the subject to reorient the hand to the new dowel location. Results consisted of comparing the movement characteristics of the transport and grasp components of these perturbed movements with appropriate control movements. Kinematics of the wrist trajectory showed fast adjustments, within 100 ms, to the change of dowel position. This duration seems to correspond to the minimum delay required within the visuomotor system for visual and/or proprioceptive reafferents to influence the ongoing movement. In addition, these delays are much shorter than has been found for conditions where object location changes before movement initiation (approximately 300 ms). The faster times may relate to the dynamic character of the deviant limb position signals, with the only constraint being the physiological delays for visual and kinaesthetic signals to influence the movement. A spatiotemporal variability analysis of the movement trajectories for non-perturbed trials showed variability to be greatest during the acceleration part of the movement, interpreted as due to control by a relatively inaccurate directional coding mechanism. Control during the deceleration phase, marked by low trajectory variability, was seen to be due to a sensorimotor process, using motor output signals, and resulting in an optimized trajectory supporting a successful grasp. Analysis of the grasp component of prehension showed that perturbing object location influenced the movement of the fingers suggesting a kinematic coupling of the two components. However, forthcoming work shows that, when object size changes, and location remains constant, there is a clear temporal dissociation of the two components of prehension.(ABSTRACT TRUNCATED AT 400 WORDS)

Fingers↗
PubMed1991

Selective perturbation of visual input during prehension movements. 2. The effects of changing object size.

1. Subjects were instructed to reach and grasp cylindrical objects, using a precision grip. The objects were two concentric dowels made of translucent material placed at 35 cm from the subject. The inner ("small") dowel was 10 cm high and 1.5 cm in diameter. The outer ("large") dowel was 6 cm high and 6 cm in diameter. Prehension movements were monitored using a Selspot system. The displacement of a marker placed at the wrist level was used as an index for the transport of the hand at the location of the object. Markers placed at the tips of the thumb and the index finger were used for measuring the size of aperture of the finger grip. 2. Kinematics of transport and grasp components were computed from the filtered displacement signals. Movement time (MT), time to peak velocity (TPV) and time to peak deceleration (TPD) of the wrist, time to peak velocity of grip aperture (TGV), time to maximum grip aperture (TGA) were the main parameters used for comparing the movements in different conditions. Spatial paths of the wrist, thumb and index markers were reconstructed in two dimensions. Variability of the spatial paths over repeated trials was computed as the surface of the ellipses defined by X and Y standard deviations from the mean path. 3. Computer controlled illumination of one of the dowels was the signal for reaching toward that dowel. Blocks of trials were made to the small dowel and to the large dowel. Mean MT during blocked trials was 550 ms. The acceleration phase of the movements (measured by parameter TPV) represented 33% of MT. About half of MT (52%) was spent after TPD in a low velocity phase while the hand was approaching the object. This kinematic pattern was not influenced by whether movements were directed at small or large dowels. 4. Grip aperture progressively increased during transport of the hand. TGA corresponded to about 60% of MT, that is, maximum grip aperture was reached during the low velocity phase of transport. Following TGA, fingers closed around the object until contact was made. This pattern of grip formation differed whether the movement was directed at the large or the small dowel: TGA occurred often earlier for the small dowel, and the size of the maximum grip aperture was larger for the large dowel. Variability of both the wrist and finger spatial paths was larger during the first half of MT, and tended to become very low as the hand approached the dowels.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗
PubMed1990

The coupling of arm and finger movements during prehension.

The experiments reported here were aimed at testing the degree of coupling of motor components during the act of prehension. Hand movements were recorded bidimensionnally by a Selspot system which monitored the displacement of IREDS placed at the thumb and index finger tips, at the metacarpophalangeal joint of the index and at the radial styloid. Targets were three-dimensional translucent dowels placed concentrically at 30 cm from the subject. The dowels were 10 degrees apart from each other. In blocked and control trials, one dowel was illuminated and served as a target for the movement. In the perturbed trials (20% of cases) one dowel was illuminated first and the light was unexpectedly shifted to another dowel at the onset of the subject's movements. Kinematic analysis of the movement revealed the following: 1. In blocked and control trials, the wrist moved with a single acceleration to the target dowel. Meanwhile, the finger grip (computed as the distance between thumb and index IREDS) increased up to a maximum size, located in time at about 60% of movement time and then decreased until contact with the dowel. 2. In perturbed trials the initial wrist acceleration was aborted. A new acceleration started about 180 ms after the first, in order to reorient the hand to the new target. Similarly, the initial grip aperture also aborted and reincreased in synchrony with the second wrist acceleration. 3. Perturbations increased movement time by only 95 ms on average. The first peak in acceleration indicating abortion of the initial movement occurred 100 ms after the movement onset, i.e., 30 ms earlier than in non perturbed trials.(ABSTRACT TRUNCATED AT 250 WORDS)

Arm↗
PubMed1988

Cloning and nucleotide sequence analysis of the genes determining verocytotoxin production in a porcine edema disease isolate of Escherichia coli.

The structural genes determining the edema disease principle were cloned from the total cellular DNA of Escherichia coli strain 412 (O139:K82) isolated from a case of porcine edema disease. An assay for cytotoxicity in Vero cells was used to detect the edema disease principle. A 7.5 kb EcoRI-SalI fragment specifying cytotoxin production was subcloned in pUC18. Sequences which specified production of cytotoxin were localized to a 0.9 kb region by transposon Tn5 mutagenesis. A 2.4 kb EcoRI-BglII fragment encompassing this region was subcloned into pUC18. Using nucleotide sequence analysis, two open reading frames separated by 12 bp were identified. They encoded proteins of 319 (A subunit) and 87 (B subunit) amino acids which both had N-terminal sequences typical of E. coli signal peptides. Comparison of these with the published sequence for the Shiga-like toxin II (SLT-II) showed 91% overall nucleotide sequence similarity. The nucleotide sequence similarity extended to 200 base pairs upstream of the putative A subunit translational start site suggesting a common regulatory mechanism. The deduced amino acid sequences of the processed A and B subunits had 94% and 84% similarity, respectively. These findings confirm the close genetic relationship between SLT-II and edema disease principle.

Amino Acid Sequence↗
PubMed1978

Handedness effects in kinesthetic spatial location judgements.

This experiment examines hemispheric assymetry in reproduction of spatial location in the kinesthetic modality. Using a dichotomous presentation technique, blindfolded, right-handed subjects moved both arms (arm positioning task) or the thumb (thumb positioning task) of each hand simultaneously to predetermined spatial locations and were subsequently asked to reproduce these locations. The results showed a marked left hand advantage only in the thumb positioning task suggesting that the right hemisphere was superior in performing this task. These data were discussed as they relate to other evidence pertaining to cerebral hemispheric specialization in motor activities.

Dominance, Cerebral↗
PubMed1977

Clinical, laboratory, and epidemiologic features of a viral gastroenteritis in infants and children.

We studied 27 infants admitted to the hospital with acute diarrhea caused by human rotavirus (HRV) and obtained additional data on fecal excretion from ten outpatients with the same infection. The disease was characterized by watery diarrhea with fever and vomiting at the onset, isotonic dehydration, compensated metabolic acidosis, and increased concentrations of sodium and chloride but low concentrations of sugar in stools. Diarrhea usually ceased in three to four days when oral feedings were reduced or stopped but recurred mildly in four patients. Of 57 household contacts, 12 were symptomatic, 6 had HRV in their stools, and 19 had significantly increased serum HRV antibody titers. These features of the disease accord with available information on the pathogenesis of HRV infection. Knowledge of the clinical pattern of this newly diagnosable infection should help physicians to recognize and treat quickly this highly infectious, potentially dangerous illness.

Adult↗
PubMedDate not supplied

An educational support group.

This article describes an educational support group (ESG) for a cohort of RMN student nurses and two of their teachers. The group, which ran for about one year, had a double task. Its educational task was for members to learn experientially about group theory and practice. The other task was for the group to provide support for members in their educational endeavours generally. Evaluation during and after the group's term demonstrated that the members had moved through the classical stages of group theory, and had emerged with stronger peer relationships and better communication between students and teachers.

Education, Nursing↗