Search PubMed⌕ Search

Biomedical subjects

E Kaplan

Publications and source records attributed to E Kaplan.

At least 145 records · Page 8Linked to original sources
PubMed1987

Blood pressure and cognitive performance. The Framingham Study.

In 1976-1978, a battery of eight neuropsychologic tests were administered to 2,123 participants in the Framingham Study who were aged 55-89 years. Performance on each test was examined in relation to concurrently measured systolic and diastolic blood pressure while controlling for age, sex, education, antihypertensive medication, alcohol consumption, and smoking. Those with a diagnosis of stroke were excluded from the analysis. In the remaining sample of 2,032, neither blood pressure nor antihypertensive treatment was significantly associated with cognitive performance. Even after excluding persons on antihypertensive medication, blood pressure was still unrelated to cognitive performance. In contrast to other studies, the authors found no consistent relation between blood pressure and cognitive performance.

Aged↗
PubMed1987

Visualization of metastatic liver disease on technetium-99m bone scintigraphy.

To determine the frequency with which liver metastases are visualized on bone scintigraphy, 425 pairs of liver and bone scans, performed within one month of each other, were reviewed. Sixty-three of the 425 liver scans showed metastases. Of these 63, five cases of carcinoma of the colon and six cases of carcinoma of the lung also visualized by Tc-99m MDP scintigraphy. This represented 46% of colon metastases and 15% of lung metastases detected on liver scan. Liver metastases from other primary tumors were not detected on bone scan, but the numbers for these tumors were small. The liver metastases which were detected on bone scan were significantly larger than those which were not. The literature was reviewed and the primary and secondary tumors of liver with uptake of Tc-99m phosphate compounds listed.

Bone and Bones↗
PubMed1987

Malignant fibrous histiocytoma metastatic to the thyroid gland.

Despite frequent cancer metastases to the thyroid gland demonstrated at autopsy, finding of thyroid metastasis in clinical practice is rare. Malignancies most commonly metastasizing to the thyroid are malignant melanoma and carcinoma of the breast, kidney, and lung. Very little is known about thyroid metastases caused by sarcomas. Of these, malignant fibrous histiocytoma (MFH) is one of the most common in adults, with a high rate of metastases. A case of clinically significant thyroid metastasis from primary MFH involving the thigh visualized on I-123 thyroid imaging is reported.

Combined Modality Therapy↗
PubMed1987

Incidence of familial dysautonomia in Israel 1977-1981.

The incidence of all diagnosed cases of familial dysautonomia in Israel among Ashkenazi Jews from 1977-1981 was 27/100,000 or 1/3703. This incidence is higher than that previously reported in Israel in 1967 or 8.3/100,000 (1/12,048) (Moses et al. 1967). It is also higher than that of North American Ashkenazi Jews in 1970, when the rate was 5-10/100,000 (1/10,000-20,000) (Brunt & McKusick 1970). This higher incidence could be explained by current awareness of the diagnosis, or by the emergence of more cases.

Dysautonomia, Familial↗
PubMed1987

Contrast affects the transmission of visual information through the mammalian lateral geniculate nucleus.

1. We recorded with one electrode action potentials of single principal cells in the lateral geniculate nucleus (l.g.n.) of cats and monkeys, together with their retinal inputs, recorded as synaptic potentials (S potentials; Bishop, Burke & Davis, 1958; Cleland, Dubin & Levick, 1971; Kaplan & Shapley, 1984). 2. We studied the effect of stimulus contrast on the transmission of visual information from the retina to the l.g.n., compared the spontaneous discharge of l.g.n. cells with that of their retinal inputs, and studied the driven (modulated) and maintained (unmodulated) discharge of l.g.n. neurones and their retinal drives. 3. The spontaneous discharge of l.g.n. cells was considerably lower than that of their retinal drives. 4. The maintained (unmodulated) discharge of l.g.n. cells during stimulation was lower than that of their retinal drives, and was largely unaffected by the stimulus contrast. 5. The responses of both the retinal input and l.g.n. cells increased with contrast, but at different rates: a given increment of contrast caused a larger increment of response in the retinal input than in the l.g.n. target cells. 6. The transmission ratio (l.g.n. response/retinal response) for most cells depended upon the stimulus contrast. This dependence indicates the presence of a non-linear contrast gain control. 7. The amount by which the l.g.n. attenuated the retinal input depended upon the temporal frequency, and, to a lesser extent, upon the spatial frequency of the stimulus. 8. The effect of contrast on signal transmission between the retina and l.g.n. was essentially the same in the macaque monkey as in the cat. 9. The attenuation of the retinal input by the l.g.n. contrast gain control could serve to prevent saturation and extend the dynamic range of cortical units, which probably receive input from several l.g.n. units.

Action Potentials↗
PubMed1987

Linear mechanism of orientation tuning in the retina and lateral geniculate nucleus of the cat.

1. The orientation tuning of lateral geniculate nucleus (LGN) neurons and retinal ganglion cells (recorded as S potentials in the LGN) was investigated with drifting grating stimuli. 2. Results were compared with a quantitative model, in which receptive fields were constructed from linear, elliptical Gaussian center and surround subunits, and responses could be predicted to gratings of any spatial frequency at any orientation. 3. The orientation tuning of X and Y retinal ganglion cells and LGN neurons was shown to result from the linear mechanism of receptive-field elongation, as data from these cells could be well fit with this model. 4. The responses of LGN neurons and their input retinal ganglion cells were compared. The orientation tuning of LGN neurons was found to be a reflection of the tuning of their retinal inputs, showing that neither intrageniculate neural interactions nor the corticogeniculate projection play any role in LGN orientation selectivity.

Action Potentials↗
PubMed1987

Circadian variations in eleven radioimmunoassay variables in the serum of clinically healthy men.

Radioimmunoassay studies were conducted on 13 clinically healthy male subjects. Ten ranged in age between 23 and 44 years, two were age 51, and one was age 58. Blood samples were collected at 3-hr intervals over a period of 27 hr. Each serum sample was analyzed for the following hormones: insulin, gastrin, melatonin, prolactin, triiodothyronine (uptake), thyroid-stimulating hormone, triiodothyronine, thyroxine, luteinizing hormone, growth hormone, and follicle-stimulating hormone. Group data for each hormone were fitted to a 24-hr cosine curve. A statistically significant fit to this curve was evident in the six italicized variables. Those that did not yield a statistically significant fit frequently revealed a statistically significant variation along the 27-hr span. Chronogram and cosinor plots are presented.

Adult↗
PubMed1987

Regional time-based functional imaging of hepatocyte function.

Hepatocyte function was analyzed following the injection of 5 mCi of Tc-99m disofenin by the computer generation of three kinds of functional images designed to portray regional rates of hepatic uptake. Nineteen patients were analyzed, of whom eight had no overt liver disease, five had active hepatitis, five had cirrhosis, and one had acute cholecystitis. Functional images were graded according to lack of regional homogeneity of accumulation. Uptake kinetics were found to be significantly more homogeneous in normal subjects, becoming increasingly heterogeneous in hepatitis and cirrhosis patients, respectively. Thus functional imaging may provide a tool for the quantitative analysis of parenchymal disruption in liver disease.

Adult↗
PubMed1987

Demonstration of focal hyperemia in acute cerebral infarction with iodine-123 iodoamphetamine.

Focal hyperemia is known to occur in regions of acute cerebral infarction. Presented here are two cases in which SPECT images with 125I-labeled iodoamphetamine demonstrated focal areas of increased tracer concentration associated with cerebral infarction. These results may have important implications regarding the physiology of iodoamphetamine in cerebral infarction and, in particular, whether the distribution of this tracer is related to regional blood flow in this setting. In addition, interpretation of iodoamphetamine images in cerebral infarction should include consideration of this finding.

Aged↗
PubMed1987

Clinical and histologic features of nevi with emphasis on treatment approaches.

A nevus is a cutaneous lesion characterized histologically by clustering and disorganization of a variety of cell types in the skin including the epidermis, appendages, melanocytes, and their precursor cells. Commonly, a nevus is congenital but it may be acquired. Owing to the prevalence and variations of melanocytic nevi and their association with malignancy, this article discusses the development, classification, histology, and clinical characteristics of nevi with an emphasis on the relationship to malignancy. Recommendations are provided for treatment of these benign lesions.

Adult↗
PubMed1986

Effect of acute postinfusion lipemia and free fatty acids on myocardial contractility: assessment with radionuclide ventriculography.

Equilibrium gated radionuclide ventriculography was used to evaluate the effect of intravenous fat-emulsion overload and excess of free fatty acids (FFA) on left ventricular ejection fraction (LVEF) in 20 patients with and without coronary artery disease (CAD). Fifteen of these patients had normal (greater than 50%) baseline LVEF and 5 had low (less than 50%) baseline LVEF. From 100 to 150 ml of 20% artificial fat emulsion (Liposyn) was infused over 20-25 min. At the end of the infusion, triglyceridemia reached 820 +/- 220 mg% and left ventricular ejection fraction decreased from baseline 62 +/- 19% (mean +/- SD) to 58 +/- 16% (P less than 0.05, paired t-test). After completion of Liposyn infusion, 5,000 U of heparin was administered intravenously and monitoring of LVEF was continued. One and one-half hours following heparin administration, plasma FFA levels reached 3.7 + 2.0 mmol/l and LVEF rose to 69 +/- 19% (P less than 0.001, paired t-test). Our data indicate that acute intravenous fat overload can suppress and high pathophysiologic levels of FFA can increase LVEF. This effect is more uniform and statistically more reliable in patients with normal LVEF. The study failed to demonstrate any significant difference in the effect of this pharmacologic intervention between patients with and without CAD.

Aged↗
PubMed1986

Methodological issues in screening for dementia: the problem of education adjustment.

The methodological problems of developing efficient and unbiased screening methods for population-based studies of dementia have received scant attention. The potential advantages of education-adjusted screening methods are discussed. The implications for adjustment techniques of a negative correlation of educational attainment with age are emphasized. Two education adjustment methods, a stratified regression method and a nonparametric method, which take the age-education correlation into account are described, compared, and illustrated.

Age Factors↗
PubMed1986

Fourth ventricle effects of nicotine, 2-methylpiperidine and cytisine in dogs.

Four distinguishable nicotinic binding sites have been identified as well as four nicotinic ligands with different specificities: (+/-)-2-methylpiperidine which binds to a very high affinity site (Site 1) and produces up-regulation of the high affinity site (Site 2); (-)-nicotine which binds to Site 1 and Site 2 as well as to a low affinity site (Site 4); (+)-nicotine which binds to Site 1, Site 4 and Site 3 which is also a high affinity site; and (-)-cytisine which binds to Sites 1 and 2. These drugs were injected into the 4th ventricle of 5 dogs in graded concentrations (12.5 to 400 micrograms) and their effects on the EEG, skin twitch reflex latency, heart rate, rectal temperature, pupillary diameter, blood pressure and the amplitude of the flexor reflex were measured. Drugs which act predominantly on Site 1 [(+/-)-2-methylpiperidine and (+)-nicotine] produced EEG synchronization and hyperalgesia while drugs which interact with Sites 2 and 4 produce EEG desynchronization, analgesia and tachycardia. These data indicate that nicotinic ligands which have different binding specificities have different actions in medullary function and support the hypothesis that the different binding sites have different pharmacologic significance.

Alkaloids↗
PubMed1986

Communicative gestures in aphasia.

Gestural communications of 10 mild and moderate aphasics and five controls were examined in two conditions: Face-to-face informal dyadic conversation and restricted visual access between speaker and listener. Gestural production was significantly reduced with restriction of visual access, supporting the posited communicative function of the hand and arm gestures investigated in this study. No differences were found between aphasic and control subjects in the rate of gestural communication in the natural condition of face-to-face interaction. Moderate aphasics, however, were found to produce proportionally fewer of the complex semantic modifying and relational communicative gestures and more nonspecific, nonconsensually shared, unclear gestures. Gestural complexity was significantly negatively correlated with measures of linguistic impairment for the aphasics. The relationship between the frequency and complexity of communicative gestures and concurrent verbalizations was also examined. The findings of this study provide confirmation for the view that there is an identifiable class of gestures utilized by aphasics for communication, aphasics are impaired in their gestural communicative competence in natural conditions of communication, and the quality of aphasics' gestural communications parallels changes in their verbal communication patterns.

Adult↗
PubMed1986

The primate retina contains two types of ganglion cells, with high and low contrast sensitivity.

Previously, we discovered that the broadband cells in the two magnocellular (large cell) layers of the monkey lateral geniculate nucleus (LGN) are much more sensitive to luminance contrast than are the color-sensitive cells in the four parvocellular (small cell) layers. We now report that this large difference in contrast sensitivity is due not to LGN circuitry but to differences in sensitivity of the retinal ganglion cells that provide excitatory synaptic input to the LGN neurons. This means that the parallel analysis of color and luminance in the visual scene begins in the retina, probably at a retinal site distal to the ganglion cells.

Action Potentials↗
PubMed1986

Hyperbaric oxygenation and erythrocyte antioxidant enzymes in multiple sclerosis patients.

Erythrocyte glutathione peroxidase, catalase, and superoxide dismutase activities were measured in 18 patients with clinically definite MS, and results compared with those from neurological controls. These studies indicated that glutathione peroxidase activity in erythrocytes of MS patients was not different from that of the neurological controls. However, superoxide dismutase was lower in the MS patients compared to neurological controls. The effect of hyperbaric oxygenation on these erythrocyte enzymes in MS patient's was also investigated. Exposure of MS patients to 2 ata with either 10% O2 or 100% O2 had no effect on glutathione peroxidase activity. Comparison of each individual MS patient's pre- and post-treatment superoxide dismutase values indicated a significant increase after 100% O2. Similar examination of each individual's catalase activity indicated an increase after exposure to both 10% O2 and 100% O2 at 2 ata. These data suggest that erythrocyte enzyme response to oxygen stress does not involve changes in activity of all the antioxidant enzymes. Instead, only specific enzymes appear to be affected by HBO.

Adult↗