Search PubMed⌕ Search

Biomedical subjects

D Elliott

Publications and source records attributed to D Elliott.

At least 91 records · Page 5Linked to original sources
PubMed1995

The influence of target perturbation on manual aiming asymmetries in right-handers.

Ten right-handed subjects performed 100 target-aiming movements with each hand. These movements were directed toward a small target on the midline. On 60% of the trials, the target remained stationary. On other randomly placed trials, the target "jumped" to a location 3 cm to the right (20%) or left (20%) of its original position when the cursor had travelled 6.5 cm. Although no hand differences were evident in the control condition, the right hand acquired the new target location more quickly than the left hand when the target was perturbed in either direction. Kinematic data revealed that this advantage was not due to initiating an adjustment to the initial movement more rapidly, but rather less time decelerating the corrective movement. Movement adjustments on perturbed trials were implemented more rapidly in left space than right space independent of the hand doing the aiming. These asymmetries may reflect the differential role of the two cerebral hemispheres in the control of goal-directed movements.

Female↗
PubMed1995

Product evaluation: theoretical and practical considerations.

Products and equipment consume a substantial proportion of hospital or health service budgets. This is particularly the case in areas which use a high volume of consumables and technology, such as critical care. With cost containment strategies widely in force, the issue of using cost effective, quality products is becoming increasingly important. Hence, the evaluation of products should follow an objective and scientific process. This paper initially examines the theoretical basis of the cost/quality model, and compares product evaluation to the problem-solving and quantitative research processes. A flow diagram is then presented along with some practical considerations for achieving optimal quality and cost effectiveness in the evaluation of products.

Cost-Benefit Analysis↗
PubMed1995

Optimizing the use of vision in manual aiming: the role of practice.

The purpose of this study was to determine how subjects learn to adjust the characteristics of their manual aiming movements in order to make optimal use of the visual information and reduce movement error. Subjects practised aiming (120 trials) with visual information available for either 400 msec or 600 msec. Following acquisition, they were transferred to conditions in which visual information was available for either more or less time. Over acquisition, subjects appeared to reduce target-aiming error by moving to the target area more quickly in order to make greater use of vision when in the vicinity of the target. With practice, there was also a reduction in the number of modifications in the movement. After transfer, both performance and kinematic data indicated that the time for which visual information was available was a more important predictor of aiming error than the similarity between training and transfer conditions. These findings are not consistent with a strong "specificity of learning" position. They also suggest that, if some sort of general representation or motor programme develops with practice, that representation includes rules or procedures for the utilization of visual feedback to allow for the on-line adjustment of the goal-directed movement.

Adult↗
PubMed1995

Intermittent vision and discrete manual aiming.

This study was designed to assess how the precision requirements of discrete aiming movements affect the utility of brief visual samples provided during execution of movement. Subjects pointed with a hand-held stylus to targets with indices of difficulty of 3, 4, 5, and 6 bits with full vision, no vision, and in conditions in which 20-msec. visual samples were provided every 80, 140, or 200 msec. While intermittent vision required slightly longer movement times for targets with a high index of difficulty, subjects' accuracy was similar to the full-vision situation. Moreover, with intermittent vision, the movement trajectories resembled the full-vision and not the no-vision situation. It would appear that brief visual samples of the movement environment are sufficient for reasonably precise closed-loop control.

Adult↗
PubMed1995

Cerebral specialization for spatial processing in adults with Down syndrome.

Cerebral specialization for spatial processing in adults with Down syndrome was examined. In the first experiment, both control and right-handed subjects with Down syndrome exhibited no lateral advantage in a dihaptic shape-matching task, whereas left-handed subjects with Down syndrome displayed an expected left-hand advantage. In a visual field dot enumeration task in the second experiment, all groups exhibited left-field superiority. Thus, atypical cerebral organization of function in adults with Down syndrome appears to be confined to speech perception (Elliott & Weeks, 1993).

Brain↗
PubMed1994

Molecular evidence that granuloma T lymphocytes in murine schistosomiasis mansoni express an authentic substance P (NK-1) receptor.

Murine Schistosomiasis mansoni is a parasitic disease in which granulomas develop around the schistosome ova that lodge in the liver and intestines of the host. The granuloma eosinophils make substance P (SP), a cytokine with immunoregulatory properties. Within the granuloma SP can modulate IFN-gamma production through interaction with a substance P-like receptor. SP belongs to a family of hormones called tachykinins. Three mammalian tachykinins are SP, neurokinin A (substance K), and neurokinin B (neuromedin K). In humans and rats, there are at least three distinct tachykinin receptors designated NK-1, NK-2, and NK-3. The NK-1 receptor binds only SP with high affinity. Using reverse transcription-PCR, cDNA cloning, and sequence analysis, we showed that granulomas isolated from the liver of infected mice express an authentic SP (NK-1) receptor but have no detectable neurokinin A (NK-2) and neurokinin B (NK-3) receptor mRNA, as determined by PCR. CD4+ granuloma T lymphocytes, purified by FACS, express NK-1 receptor mRNA. Normal liver devoid of granulomas exhibited none of the three tachykinin receptor subclasses.

Amino Acid Sequence↗
PubMed1994

Kinematic analyses of manual asymmetries in visual aiming movements.

The right hand advantage has been thought to arise from the greater efficiency of the right hand/left hemisphere system in processing visual feedback information. This hypothesis was examined using kinematic analyses of aiming performance, focusing particularly on time after peak velocity which has been shown to be sensitive to visual feedback processing demands. Eight right-handed subjects pointed at two targets with their left and right hands with or without vision available and either as accurately or as fast as possible. Pointing errors and movement time were found to be smaller with the right hand. Analyses of the temporal components of movement time revealed that the hands differed only in time after peak velocity (in deceleration), with the right hand spending significantly less time. This advantage for the right hand, however, was apparent whether or not vision was available and only when accuracy was emphasized in performance. These findings suggest that the right hand system may be more efficient at processing feedback information whether this be visual or nonvisual (e.g., proprioceptive).

Acceleration↗
PubMed1994

Anomalous cerebral lateralization and Down syndrome.

Contrary to Bryden, McManus, and Bulman-Fleming's claim, the dichotic listening and handedness literature indicate that persons with Down syndrome exhibit a unique pattern of cerebral specialization. This pattern creates difficulty for any model of laterality that proposes random specialization of function in the absence of a predisposition toward left hemisphere lateralization for language and motor control.

Dominance, Cerebral↗
PubMed1994

The influence of intermittent vision on manual aiming.

Two experiments were conducted to examine the influence of intermittent vision on right and left hand aiming. In Experiment 1, increased visual occlusion times led to a steady deterioration in performance that was most pronounced for high index of difficulty targets. Longer visual sample times only partially compensated for this effect (Experiment 2). It is suggested that a short-lived visual representation of the movement environment may in some cases provide a reasonable, although not perfect, substitute for direct visual pickup. In Experiment 2, there was some indication that the right hand system may be faster at using visual information than the left hand system.

Female↗
PubMed1994

The effects of periodic visual occlusion on ball catching.

Four experiments were conducted to examine the effects of periodic visual occlusion on one-handed ball catching. Tennis balls were projected one at a time over distances of 8-12 m, and liquid-crystal visual occlusion spectacles provided intermittent vision by opening and closing the lens shutters at different frequencies. As well as frequency, we manipulated duty cycle, or the proportion of time that the lenses were open. Generally, catching performance deteriorated as frequency was reduced. Although longer visual samples (i.e., increased duty cycle) mediated this effect to some extent, the most potent variable was the time between visual samples; performance deteriorated rapidly when this interval was greater than 80 ms (i.e., 10 Hz with 20-ms lens open times). Presumably this occurred because subjects had difficulty integrating visual information separated by longer temporal intervals.

Journal Article↗
PubMed1994

Effects of schizophrenia and prefrontal leukotomy on movement preparation and generation.

The purpose of this study was to investigate the ability of leukotomized and unleukotomized schizophrenic patients to use advance information in the process of movement preparation. Subjects participated in an aiming task in which movements could be defined on the basis of hand used to perform the task, and distance travelled to the target. Subjects were provided with full, partial, or no prior information about the upcoming movement by either precueing hand, distance, both hand and distance, or by providing no precue. The leukotomized and unleukotomized schizophrenic patients were able to use this advance information to facilitate the speed of their responses in much the same way as did subjects in a normal control group. These results are discussed in terms of models of movement preparation, and the role of the frontal lobes in schizophrenia and movement planning.

Aged↗
PubMed1994

Flail chest as a marker for significant injuries.

The records of 92 patients with flail chest injury treated at a Level I trauma center were analyzed retrospectively. Associated intrathoracic injuries included pulmonary contusion (46 percent) and pneumothorax or hemothorax, or both (70 percent). The incidence of great vessel, tracheobronchial and diaphragmatic injuries was no different from that of a control population with simple rib fractures. Adult respiratory distress syndrome developed in 27 percent of patients with flail chest; 69 percent of all patients required ventilation (mean duration, 22 days). Mean length of hospital stay was 24 days. The mortality rate was 33 percent. We conclude that flail chest serves as a marker of significant intrathoracic injury, highly associated with pulmonary contusion, but even more so with pneumothorax or hemothorax. Flail chest does not seem to be a marker for great vessel, tracheobronchial, or diaphragmatic injuries. The majority of patients (more than two-thirds) will require mechanical ventilation for prolonged periods. Of paramount importance is the recognition of flail chest as a marker of high kinetic energy absorption, resulting in life-threatening thoracic as well as nonthoracic injuries.

Adult↗
PubMed1993

Substance P and somatostatin can modulate the amount of IgG2a secreted in response to schistosome egg antigens in murine schistosomiasis mansoni.

Substance P (SP) and somatostatin 1-14 (SOM) have immunoregulatory properties. Cells within the granulomas of murine schistosomiasis mansoni make both. SP enhances, whereas SOM inhibits soluble egg Ag (SEA)-induced, IFN-gamma production. IFN-gamma is important during IgG2a isotype switching. Thus, we investigated whether SP or SOM could affect IgG2a production in murine schistosomiasis. Our results show that SEA and rIFN-gamma stimulate splenic IgG2a secretion in murine schistosomiasis. Moreover, SP at > or = to 10(-10) M substantially increased both polyclonal as well as SEA-specific, IgG2a secretion from spleen cells challenged with SEA. However, cells exposed to SOM at > or = 10(-10)M showed strong inhibition. Also, both SP and SOM modulated the frequency of IgG2a-producing cells. Splenic IgG2a production in response to SEA, SP, and SOM required the presence of Thy 1.2+ cells, whereas, rIFN-gamma- induced IgG2a synthesis did not. Also, experiments using irradiation lymphocytes showed that SP, SOM, or rIFN-gamma modulation of IgG2a release was not dependent on cell proliferation. The highly specific SP receptor antagonist, CP-96,345, completely inhibited the effect of SP but not SOM on IgG2a release. This suggests that SP acted through an authentic NK-1 receptor and that SOM required a different receptor interaction. Granuloma cells secreted IgG2a constitutively. Yet, neither SEA, SP, SOM, rIFN-gamma, nor blocking anti-IFN-gamma mAb could modulate this constitutive IgG2a release during short term culture conditions. Moreover, the IgG2a secretion also continued in the absence of Thy 1.2+ lymphocytes. However, mice treated with CP-96,345 or octreotide (SOM agonist) in vivo produced granulomas that made little or no IgG2a. Spleen cell experiments showed that SEA, SP, SOM, and rIFN-gamma could only affect SEA-induced, IgG2a production during early stages of Ag stimulation. Thus, unlike the spleen, it is probable that the granulomas contain mostly activated B cells that have completed switch recombination.

Animals↗
PubMed1993

Granuloma eosinophils enhance IL-5 production by lymphocytes from mice infected with Schistosoma mansoni.

IL-5 is essential for granuloma eosinophilia in mice infection with schistosomiasis. The granulomas constitutively make IL-5 that originates from granuloma CD4+ T lymphocytes. This observation prompted us to learn whether non-T cell elements in the granuloma can promote constitutive IL-5 production. Neither granuloma eosinophils nor spleen cells from infected mice constitutively produced detectable levels of IL-5. Yet, mixing spleen cells with granuloma eosinophils resulted in spontaneous IL-5 secretion without promoting IL-4 production. Moreover, the admixed cultures were more responsive to anti-CD3 or soluble egg Ag than were cultures containing spleen cells alone. IL-5 ELISPOT assays in Transwell chambers showed that the cellular origin of IL-5 in the admixed cultures was the spleen cells, and that the phenomenon did not require cell-to-cell contact with granuloma eosinophils. Also, admixed cultures of granuloma eosinophils and spleen cells released less IL-5 in the presence of mAb that specifically blocked the biologic activity of either IL-2, IL-2R, or IAk. However, adding rIL-2 to spleen cell cultures at concentrations up to 100 U/ml could not stimulate secretion of IL-5. Because eosinophil supernatants contained no IL-2 as assessed by CTLL-2 bioassay, the release of IL-5 in response to eosinophils was not likely secondary to eosinophil secretion of IL-2. Thus, it appears that eosinophils produce a soluble substance that, with IL-2 and ongoing class II MHC/TCR interaction, enhances lymphocyte IL-5 output.

Animals↗
PubMed1993

Substance P modulates antigen-induced, IFN-gamma production in murine Schistosomiasis mansoni.

In murine Schistosomiasis mansoni, granuloma eosinophils make SP. We investigated whether SP affects lymphokine secretion in murine schistosomiasis. SP at > or = 10(-10) M, and other tachykinins at much higher concentrations, substantially increased IFN-gamma secretion from spleen or granuloma inflammatory cells primed in vitro by suboptimal stimulatory concentrations of egg Ag or mitogen. Cells receiving maximal antigenic or mitogenic stimulation were affected marginally. Also, tachykinins induced no IFN-gamma from resting cells receiving no Ag or mitogen stimulation. There are three distinct tachykinin receptors, called NK-1, NK-2 and NK-3. SP binds the NK-1 receptor with highest affinity. Specific NK-1 receptor antagonists blocked all tachykinin-induced, IFN-gamma secretion. An NK-2 receptor inhibitor had no effect. Thus, SP and other tachykinins were acting through an NK-1 receptor. Inflammatory cells from 4-day-old granulomas cultured in vitro secrete IFN-gamma. Yet, there was no measurable IFN-gamma when SP receptor antagonists were added to the cultures. Moreover, animals treated in vivo with the NK-1 receptor antagonist CP-96,345 produced smaller granulomas. This suggested that endogenous SP may be necessary for normal induction of granuloma IFN-gamma secretion and a normal granulomatous response. Granuloma macrophages make somatostatin (SOM) that can decrease IFN-gamma secretion. Yet, IFN-gamma secretion was unaffected when both SP and SOM were in the cell cultures. In conclusion, SP modulates Ag-driven IFN-gamma secretion through a NK-1 receptor. Also, SP and SOM may be components of a natural circuit within inflammation that regulates IFN-gamma production.

Animals↗
PubMed1993

IL-2 contributes to the IL-5 response in granulomas from mice infected with Schistosoma mansoni.

Th cells within the granulomas of murine schistosomiasis mansoni produce IL-5, which is essential for granuloma eosinophil growth and development. The mechanisms regulating granuloma IL-5 production are unknown. The granulomas also make IL-2 in small quantities. rIL-2 therapy stimulates eosinophilia and IL-5 synthesis. Therefore, we studied the effect of IL-2 on IL-5 production within the liver granulomas of murine Schistosoma mansoni. Dispersed granuloma cells and intact granulomas cultured in vitro released IL-5. Adding anti-IL-2 or anti-IL-2R to the cultures, to block IL-2 activity, significantly inhibited IL-5 production. However, supplementing the cultures with small quantities of rIL-2 markedly stimulated IL-5 release in a dose-dependent fashion. Blocking anti-IL-4 mAb had no effect. Also, granuloma T cells were isolated by FACS. These highly purified T cells produced IL-5 both in the presence and absence of plate-bound anti-CD3. Once again, the IL-5 production was dependent on IL-2. The requirement of IL-2 for normal IL-5 production was not dependent on an IL-2-induced expansion of the IL-5-producing, T lymphocyte population. Thus, IL-2 mediates T cell interactions within the granuloma that regulate granuloma IL-5 secretion.

Animals↗
PubMed1993

Comparison of three instruments for measuring patient anxiety in a coronary care unit.

This paper compares the State-Trait Anxiety Inventory (STAI), Hospital Anxiety and Depression Scale (HAD Scale) and a Linear Analogue Anxiety Scale (LAAS) for evaluating anxiety in patients with acute ischaemic heart disease. The instruments were examined for correlation, reliability and internal consistency. Strong associations were demonstrated at pre-test between the STAI and the other scales. Moderate coefficients between HAD-A and HAD-D/LAAS were also apparent. Lower correlations were found at post-test than at pre-test. At post-test, strong inter-correlations occurred for STAI/LAAS. The HAD Scale demonstrated high test-retest reliability, while the STAI and LAAS were moderate in their reliability in this sample. The adequate correlation between the instruments suggest that each is a valid and appropriate measure of anxiety in this clinical sample.

Anxiety↗