Biomedical subjects
G Burton
Publications and source records attributed to G Burton.
Role of the inertia tensor in perceiving object orientation by dynamic touch.
Ss wielded an occluded L-shaped rod and attempted to perceive the direction in which the rod was pointing with respect to the hand. The pattern of the rod's different resistances to rotation in different directions, quantified by the inertia tensor, changes systematically with the rod's orientation. Perception of orientation by wielding is possible if the tissue deformation consequences of the rod's inertia tensor are detectable. It was shown that perceived orientation was a linear function of actual orientation for both free and restricted wielding and for rods of different-size branches. The eigenvectors of the inertia tensor were implicated as the basis for this haptic perceptual capability. Results were discussed in reference to information-perception specificity and its implications for effortful or dynamic touch.
Comparison of attitudes of donors and recipients to oocyte donation.
The attitudes of volunteer donors and recipients undergoing treatment in an ovum donation programme were studied in order to assess both the psychological and psycho-social aspects of the procedure. A questionnaire was sent to 35 donors and 60 recipients. All donations were unpaid. Fifty-eight were anonymous donations and three were known. Eighty-six per cent of recipients and 74% of donors had told at least one person other than their partner. Eighty per cent of donors and 66% of recipients agreed that donors should not be paid. Sixty-three per cent of donors would donate if the recipient was told their name but only 26% of recipients would accept if the donor was given their name. Seventy per cent of the donors would donate to someone they knew but would rather donate anonymously. Ninety per cent of recipients were strongly against the donor contacting the child later in life but 54% of donors had no objection to the child contacting them. Eighty-six per cent of recipients and 56% of donors felt that if they had been born from a donated oocyte, they would not want to know.
The role of oocyte donation in women who are unsuccessful with in-vitro fertilization treatment.
Oocyte donation improves the chances of becoming pregnant in some women who are unsuccessful with in-vitro fertilization (IVF) treatment. A total of 119 IVF cycles achieved a pregnancy rate per cycle of 2.5% whereas the same women, when treated with 45 cycles of oocyte donation, achieved a 24.5% pregnancy rate per cycle. To ascertain which women may be helped by oocyte donation, IVF data were analysed according to the outcome of oocyte donation. There was a difference in the number of previous natural conceptions and live births, and in the IVF fertilization rate. There was no difference in the age of the women and the numbers of oocytes collected per cycle of IVF. New criteria are therefore suggested for recommending oocyte donation to women who have previously failed to become pregnant with IVF treatment.
Effect of vaginal ultrasound probe on lower urinary tract function.
Vaginal ultrasonography has been advocated as an alternative to videocystourethrography. Ultrasound avoids the potential risks of X-rays and reduces the cost of equipment. We have investigated the effect of the vaginal probe on the physiology of the bladder and urethra. A series of 24 women underwent urethral pressure profilometry, with and without a vaginal probe in situ. There was a significant increase in maximum urethral pressure, functional urethral length and area under the profile curve both at rest and during stress in the presence of the device. This was due to stretching and compression of the urethra by the probe. Transmission pressure ratios were significantly increased for the first 3 quartiles of the urethra. Twenty women underwent lateral bead chain urethrocystography with and without a vaginal probe. At rest, the probe resulted in elevation of the bladder neck and apposition to the symphysis pubis, and during a Valsalva manoeuvre the descent of the bladder neck was restricted by the presence of the probe. These results indicate that a vaginal probe alters the position and function of the lower urinary tract. We postulate that incontinence is reduced as a result of the probe. The use of vaginal ultrasonography in the assessment of women with urinary incontinence is therefore not recommended.
Nonvisual judgment of the crossability of path gaps.
The ability of persons to locomote without vision with the aid of a hand-held probe was investigated in 4 experiments focusing on the negotiation of gaps in a pathway. In Experiment 1, Ss of extreme heights judged under sighted and blindfolded conditions whether gaps of different sizes could be crossed by walking. Crossability boundaries were lower for shorter Ss, but the height effect disappeared under normalization by leg length. Experiments 2-4 altered mechanical aspects of the probe (length and mass distribution) in the nonvisual case. Ss' performance was still reliable in each experiment, and their performances were constrained by parameters of the gap and of their action systems. Probe variables, however, had surprisingly little influence on the judgments of crossability. Results were discussed in terms of potential roles for information in different perceptual modalities.
Attentionally splitting the mass distribution of hand-held rods.
Two experiments on the length-perception capabilities of effortful or dynamic touch differed only in terms of what the subject intended to perceive, while experimental conditions and apparatus were held constant. In each trial, a visually occluded rod was held as still as possible by the subject at an intermediate position. For two thirds of the trials, a weight was attached to the rod above or below the hand. In Experiment 1, in which the subject's task was to perceive the distance reachable with the portion of the rod forward of the hand, perceived extent was a function of the first moment of the mass distribution associated with the forward portion of the rod, and indifferent to the first moment of the entire rod. In Experiment 2, in which the task was to perceive the distance reachable with the entire rod if it was held at an end, the pattern of results was reversed. These results indicate the capability of selective sensitivity to different aspects of a hand-held object's mass distribution, without the possibility of differential exploration specific to these two tasks. Results are discussed in relation to possible roles of differential information, intention, and self-organization in the explanations of selective perceptual abilities.
Can shape be perceived by dynamic touch?
The possibility that some aspects of the shapes of solid objects can be perceived through dynamic touch, even when the objects are not touched, but simply wielded with a handle, was investigated in four experiments. Wooden solids were constructed of three sizes and five shapes: hemisphere, cylinder, parallelepiped, cone, and pyramid. Experiments 1 and 2 involved comparisons (judgments of same or different) between and among wielded objects of the same mass. In Experiments 3 and 4, subjects were required to wield an object and to select a match from a visible arrangement of objects of the five shapes; the wielded objects were of two sizes, each different from that of the visible objects. The success of subjects at these tasks, and the patternings of errors, are seen to involve the characteristic moment of inertia profiles of each shape, and a ratio of the object's resistances to rotation around orthogonal axes is shown to be a strong predictor of performance in the identification experiments. The results are discussed with reference to dynamic touch and to the notion of shape invariants that do not reduce to aspects of object surface.
Structure-activity relationships of some arylglycine analogues and catechol isosteres of BRL 36650, a 6 alpha-formamido penicillin.
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Problems of recruiting ovum donors.
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Perceiving extents of rods by wielding: haptic diagonalization and decomposition of the inertia tensor.
We report two experiments on the length-perception capabilities of the hand-related haptic subsystem. On each trial, a visually occluded rod was wielded by the subject at a position intermediate between its two ends. The position was either 1/2 or 3/4 of the rod's length. On two-thirds of the trials, a weight was attached to the rod at a point either above or below its center of gravity and not coincident with the hand's position. In Experiment 1, the subject's task was to perceive the distance reachable with the portion of the rod extending beyond the position of the grasp. In the second experiment, the subject's task was to perceive the distance reachable with the entire rod if it were held at its proximal end. In Experiment 1, perceived reaching distance was a function of the moment of inertia of the amount of rod forward of the grasp about an axis through the proximal end of the rod segment. In Experiment 2, perceived reaching distance was a function of the moment of inertia of the entire rod about the given axis of rotation intermediate between the rod's ends. The results are discussed in terms of (a) the notion of smart perceptual instruments capitalizing on invariant properties of the inertia tensor and (b) how the haptic decomposition of moments of inertia follows the principle of equivalence of forces.
An ecological analysis of knowing by wielding.
The ecological approach to perception, as developed by James Gibson, is described and applied to how one knows, by means of the haptic perceptual system, various properties of hand-held objects. Four sets of experiments are reviewed in which subjects reported on the extent, orientation, shape, and fractional components of unseen objects wielded freely. For each task, an invariant specific to the object property in question is identified in the structured arrays of rotational moments and strains produced by the act of wielding. Results are discussed in relation to the concepts of attention and stimulation, as reformulated by the ecological approach, and the general theory of perception as information pickup.
Diabetic autonomic neuropathy--Part I. Autonomic nervous system data analysis by a computerized central unit in a multicenter trial.
To determine the feasibility of utilizing a central, computerized unit to analyze autonomic nervous system function tests for a 10-year, multicenter, clinical trial, the Autonomic Nervous System Reading Center was established. The Reading Center selected and standardized testing methods, designed the testing protocol, developed testing equipment, computerized data analysis, and instituted measures to monitor data quality. Three cardiovascular testing methods, RR-variation, Valsalva maneuver, and postural testing, were selected because each is a simple, non-invasive, quantitative, sensitive, and reproducible test. Furthermore, a hierarchy of sensitivity has been established with these cardiovascular autonomic nervous system measurements: RR-variation, Valsalva maneuver, and finally postural testing. Confounding variables were minimized by prescribing eligibility criteria. Testing equipment, designed to record time between RR intervals in a form easily read into a computer, has been in 21 clinics for three years and a total of 54 technicians have been trained. Over 85 percent of the autonomic nervous system tests performed have been usable at initial testing. A central reading center is an efficient and necessary means of collecting and analyzing data for a multicenter clinical trial.
Thyroid autoregulation. Inhibition of goiter growth and of cyclic AMP formation in rat thyroid by iodinated derivatives of arachidonic acid.
Thyroid autoregulation has been related to intraglandular content of an unknown putative iodocompund. Data from different laboratories have shown that the thyroid is capable of producing different iodolipids, including iodinated derivatives of arachidonic acid; such as 5-hydroxy-6-iodo-8, 11, 14-eicosatrienoic-delta-lactone (IL-delta). Previous results from our laboratory showed that a semi-purified preparation of iodinated arachidonic acid exerts an inhibitory action in vitro on calf thyroid. In the present studies three purified iodinated derivatives of arachidonic acid were synthesized: IL-delta; 14-iodo-15-hydroxy-5, 8, 11-eicosatrienoic acid (I-OH-A) and its corresponding omega-lactone (IL-omega). Their action on MMI-induced goiter was studied in rats. Administration of MMI to rats during 10 days increased thyroid weight by 124%. This effect was significantly inhibited by the simultaneous injection of 5 micrograms/day of I-OH-A (57% inhibition of MMI action), IL-W (39%), IL-delta (33%) and T3 (95%), while arachidonic acid was without action. No inhibition was found with 1.25 micrograms/day Kl, a dose equivalent to that which could be originated from total dehalogenation of the iodocompounds. These results support the idea that these iodocompounds have an intrinsic biologic activity and that there is a correlation between action and chemical structure. Serum TSH was increased around 15-20 fold after MMI administration. Chronic or acute injection of I-OH-A failed to alter TSH levels, indicating that this iodocompound exerts its action directly on the gland, without altering TSH concentration.(ABSTRACT TRUNCATED AT 250 WORDS)
Thyroid autoregulation. Inhibitory effects of iodinated derivatives of arachidonic acid on iodine metabolism.
Thyroid autoregulation has been linked to an organified iodocompound. Since several iodolipids are produced by the gland their possible role in thyroid autoregulation was examined. The following pure synthetic compounds were prepared: 1) 14-iodo-15-hydroxy-5,8,11-eicosatrienoic acid (I-OH-A); 2) its omega lactone (IL-omega); 3) 5-hydroxy-6-iodo-8,11,14-eicosatrienoic acid delta lactone (IL-delta). Their action on iodine metabolism was studied. Iodine uptake was measured in calf thyroid slices. At 10(-4)M I-OH-A caused a 64% decrease in the T/M ratio, while IL-omega inhibited it by 36% and IL-delta was without effect. At 10(-5)M the inhibition was 44% for I-OH-A and 19% for IL-omega, while T3 was without action. A possible isotopic dilution effect was excluded, and no change in iodine efflux was observed. The inhibition by I-OH-A of iodide uptake was observed after only 15 min preincubation. This compound also decreased 125I accumulation in rats. In calf thyroid slices, I-OH-A at 10(-4)M, inhibited PB125I formation by 80%, IL-omega by 62% and IL-delta by 37%. T3 and arachidonic acid were without action. I-OH-A also caused a dose-dependent inhibition of TSH-stimulated iodide organification. The present results demonstrate, for the first time, that iodinated derivatives of arachidonic acid inhibit thyroid function and mimic the effect of iodide on thyroid autoregulation.
Effect of inhaled methacholine on gas mixing efficiency.
1. Pulmonary function tests, including alveolar mixing efficiency by the single-breath and multi-breath methods, and ventilation scans were performed on 16 volunteer subjects. The tests were repeated after the inhalation of a methacholine aerosol in sufficient dosage to increase airways resistance. 2. After inhalation of methacholine there was a significant fall in mean series dead space of 31 ml (P less than 0.05), and mean multi-breath alveolar mixing efficiency fell from 68% to 36% (P less than 0.001), a fall occurring in all subjects. Mean single-breath alveolar mixing efficiency measured on the first breath of the nitrogen washout fell from 76% to 70%, but this change did not reach statistical significance (0.1 greater than P greater than 0.05). 3. In eight of the subjects, technically adequate lung scans and pulmonary function tests were obtained both before and not more than 30 min after methacholine inhalation. In seven there were obvious visible defects on the ventilation scans, and in five of these the computer-calculated underventilation score became abnormal. 4. Thus inhalation of methacholine causes maldistribution of ventilation, a fall in alveolar mixing efficiency and a fall in series dead space, presumably brought about by bronchoconstriction. The parallel component of this maldistribution of ventilation, as judged by 81mKr ventilation scanning, does not of itself seem to be sufficient to explain the fall in alveolar mixing efficiency, and therefore a degree of diffusion limitation is probably involved as well.
The inhibition of PB125I formation in calf thyroid caused by 14-iodo-15-hydroxy-eicosatrienoic acid is due to decreased H2O2 availability.
Previous work from our laboratory has shown that 14-iodo-15-hydroxy-5,8,11-eicosatrienoic acid (I-HO-A) is a potent inhibitor of iodine organification in calf thyroid slices. The present studies were performed in order to clarify the mechanism of this action. Incubation of thyroid slices with 10(-4)M I-HO-A caused a 47 and 53% decrease in PB125I formation after 30 and 60 min incubation, respectively. In a series of experiments an inverse relationship between the degree of inhibition caused by I-HO-A and total iodine content and basal iodoprotein formation was observed. Chromatographic analysis of the labeled compounds showed a significant decrease in 125I incorporation into MIT, DIT, T3 and total iodolipid. The site of the inhibitory effect of I-HO-A was then sought. TPO was measured by three different methods. When TPO was solubilized from I-HO-A treated slices, no change in enzymatic activity was observed. Moreover, the same lack of action was found when solubilized TPO was incubated with I-HO-A. The production and release of H2O2 into the incubation medium was measured by chemiluminiscence technique. In control slices the values increased during the first 10 min and reached a plateau. Pretreatment of the slices with 10(-4)M KI caused a 51% inhibition, while the same concentration of I-HO-A produced a 59% inhibition. The possibility that I-HO-A might exert its action through a putative protein inhibitor was also explored. Incubation of slices with 10(-5)M I-HO-A caused a 46% decrease in PB125I formation and addition of actinomycin D or puromycin failed to alter this effect.(ABSTRACT TRUNCATED AT 250 WORDS)
Vasa praevia: another cause for concern in in vitro fertilization pregnancies.
A case is reported of the velamentous insertion of the umbilical cord into the membranes of the placenta, unsuspected until delivery, in an in vitro fertilization pregnancy. Abnormal placental development adds a new dimension of risk to these pregnancies. The Australian Register of in vitro fertilization (IVF) pregnancies has shown (1) an increase in perinatal mortality rates but there are many possible causes for such an increase. A recent report (2) has suggested a higher incidence of velamentous and marginal insertions of the umbilical cord in IVF pregnancies. We wish to report a case of marked velamentous insertion of the cord which was associated with an uncomplicated vaginal delivery, but highlights the possible increased risks of vasa praevia in IVF pregnancies.