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Biomedical subjects

G Stern

Publications and source records attributed to G Stern.

At least 19 recordsLinked to original sources

Temporal trends of organochlorine pesticides in the Canadian Arctic atmosphere.

Temperature normalization (TN), multiple linear regression (MLR), and digital filtration (DF) were used to analyze the temporal trends of an atmospheric dataset on organochlorine pesticides (OCs) collected at the Canadian high arctic site of Alert, Nunavut. Details of these techniques have been presented before (Environ. Sci. Technol. 2001, 35, 1303-1311). Both the TN and DF methods revealed that the majority of OC pesticides declined over the 5 years of study, except endosulfan I and several of the pesticide metabolites, including dieldrin and p,p'-DDE. In comparison to studies conducted in the Great Lakes, atmospheric levels in the Arctic were less dependent on temperature, although seasonal variations were apparent. Generally, levels in the winter were lower than during the rest of the year. A notable exception was p,p'-DDE. Many compounds also showed a second minimum in concentrations during June/July and possible explanations are presented to account for this. The estimated first order half-lives for the decline in OC concentrations were generally found to be comparable or slightly longer than those obtained at temperate locations, with the exception of alpha-HCH, which displayed a much longer half-life in the Arctic (approximately 17 yrs). Sporadic increases in heptachlor as well as increases in the ratio of trans- to cis-chlordane suggest episodic input of chlordanes between 1995 and 1997, especially during the winter.

Arctic Regions↗

Global distribution of halogenated dimethyl bipyrroles in marine mammal blubber.

Four halogenated dimethyl bipyrroles (HDBPs), hypothesized to be naturally produced, were quantitated in marine mammal blubber from a number of species obtained from various locations worldwide. HDBPs were found in samples from all locations studied. Concentrations of total HDBPs (SigmaHDBPs) ranged from 0.4 ng/g lipid weight in ringed seals (Phoca hispida) from the White Sea to 2,540 ng/g lipid weight in Dall's porpoise (Phocoenoides dalli) from the northwestern North Pacific Ocean. At their highest levels, SigmaHDBPs made up 11% of the total quantitated organohalogen body burden of adult male Dall's porpoises. In two beluga (Delphinapterus leucas) data subsets, it was found that males contained significantly higher concentrations of SigmaHDBPs than females. No significant effects of age or sex on SigmaHDBPs were observed in harbor seal (Phoca vitulina) and bowhead whale (Balaena mysticetus) data subsets. The geographical distribution of concentrations did not resemble that of the ubiquitous anthropogenic organohalogen, polychlorinated biphenyl congener CB-153. Higher concentrations of HDBPs and different patterns of congeners were observed in samples from Pacific as opposed to non-Pacific Ocean influenced environments. Concentrations of HDBPs in beluga from the Arctic and St. Lawrence River were similar. Their high abundance in north Pacific Ocean biota and widespread occurrence suggest that HDBPs undergo extensive transport from a source located primarily in the Pacific Ocean. Evidence from HDBP congener patterns indicates that both ocean currents and atmospheric transport likely play a role in the movement of HDBPs. These results imply that HDBPs and anthropogenic organohalogens have different sources and support the natural production hypothesis.

Adipose Tissue↗

Elevated glial brain-derived neurotrophic factor in Parkinson's diseased nigra.

We show the cellular distribution of immunoreactivity (IR) for brain-derived-neurotrophic-factor (BDNF), neurotrophin-3 (NT-3) and tyrosine kinase receptors TRKB and TRKC in idiopathic Parkinson's disease (IPD) and controls at post-mortem. In both groups, nigral neurons, astrocytes, ramified and amoeboid microglia expressed all antigens. Caudate-putamen neurons expressed all antigens except BDNF with similar distribution between groups. In IPD nigra, increased numbers of BDNF-IR and, less frequently, NT-3-IR ramified glia surrounded fragmented neurons, accompanied by BDNF-IR in surrounding neuropil. Amoeboid microglia were abundant only in IPD nigral scars. In IPD, glia might up-regulate neurotrophins in response to signals released from failing nigral neurons.

Aged↗

Are PCBs in the Canadian Arctic atmosphere declining? Evidence from 5 years of monitoring.

A long-term database of weekly air concentrations was examined to establish temporal trends of PCBs in the Arctic atmosphere. Several methods were employed to reduce the intra-annual variability allowing the elucidation of longterm trends for a selection of congeners at Alert located in the Canadian Arctic. These methods included temperature normalization (TN), multiple linear regression (MLR), and digital filtration (DF). Estimation of the slope (m) resulting from the linear regression between the natural logarithm of the partial pressure in air versus reciprocal temperature (In P = m/T + b), required for TN and MLR, proved difficult due to the poor correlation with temperature experienced forthe majority of congeners. Values of m were considerably lower than those obtained from temperate studies, implying that regional air-surface exchange plays a minor role in supporting the observed air concentrations in the Arctic. The lighter congeners generally showed very low slopes, and some even showed positive correlation with 1/T. This might be a result of their relatively fast reaction rates with OH radicals following the onset of 24-h sunlight in spring. Use of DF (in combination with TN and MLR) revealed declining trends for several of the lower chlorinated congeners in the high Arctic atmosphere, with estimated first-order half-lives, t1/2, ranging from approximately 3 to 20 yr. Declining trends of the lower congeners probably reflect falling levels in source regions, as a result of long-range transport to this Arctic site. There were no apparent trends for the higher chlorinated congeners (penta-substituted and above), exceptfor PCB 180, in marked contrast to temperate studies, indicating a lag time for decline between the Arctic and source regions.

Air Pollutants↗

Needs for mental health care and service provision in single homeless people.

BACKGROUND: Specific problems in sampling methodology, case-finding strategies and a standardised needs assessment in mentally ill homeless people have contributed to their being neglected as a mental health care clientele. METHOD: We assessed a representative sample of homeless people (n=102) in the highly industrialised city of Mannheim (Germany) regarding their prevalence of mental disorders (using the SCID) and their needs for mental health care (using the NCA). RESULTS: We found high prevalences, with 68.6% of all assessed homeless persons having a current mental disorder. Thus, needs for mental health care were very common, with unmet needs predominating in all problem areas, which was supported by a very weak service utilization. Thus, even in a region with a comprehensive community mental health care network, like the study area, mentally ill homeless people are widely under-provided. CONCLUSIONS: Results suggest that the traditional shelter system for homeless people carries most of the mental health care burden for their clientele and must be supported by adequate interventions from community-based mental health care services. A closer connection of both sectors and a better co-ordination of the care offers seems to be a prerequisite for helping to reduce unmet mental health care needs in this specific high-risk group.

Adolescent↗

[How do mentally ill homeless persons evaluate their quality of life].

Besides pronounced deficiencies in psychiatric research concerning homeless mentally ill in Germany, studies concerned with the quality of life of homeless mentally ill were missing until now. This study reveals in a representative sample of 102 homeless people from the City of Mannheim, Germany that--compared to the homeless without psychiatric disorders of the sample--the mentally ill homeless (prevalence 68.6%) have significantly different subjective views of their quality of life regarding the items "state of health", "physical capabilities" and "support from others". The differences were even stronger if the homeless mentally ill were compared to a group of non-homeless mentally ill schizophrenic patients (n = 104), cared for in the City's well-equipped community care services. Community care patients reported a significantly better quality of life in respect of 11 items. These results were seen as a success of the concept of community-based mental health care. The consequences for improving care strategies for homeless mentally ill are discussed.

Activities of Daily Living↗

Inflammatory regulators in Parkinson's disease: iNOS, lipocortin-1, and cyclooxygenases-1 and -2.

Degeneration of dopaminergic neurons and focal gliosis are pathological hallmarks of Parkinson's disease and although the brain is described as immune-privileged focal immune reactions surround failing nigral neurons. We examined the cellular distribution of pro- and anti-inflammatory molecules in human parkinsonian and neurologically normal substantia nigra and caudate-putamen postmortem. An up-regulation of nitric oxide synthase- and cyclo-oxygenase-1- and -2-containing amoeboid microglia was found in parkinsonian but not control nigra. Astroglia contained low levels of these molecules in both groups. Lipocortin-1-immunoreactive amoeboid microglia were present within the astrocytic envelope of neurons adjacent to or within glial scars in parkinsonian nigra only. Lipocortin-1 is known to have neuroprotective and anti-inflammatory properties. Up-regulation of nitric oxide synthase is generally associated with neurodestruction whereas prostaglandin synthesis may be either neurodestructive or protective. The balance of these molecules is likely to be decisive in determining neuronal survival or demise.

Aged↗

Survival of genetically engineered, adult-derived rat astrocytes grafted into the 6-hydroxydopamine lesioned adult rat striatum.

Astrocytes are potentially useful as vehicles for gene transfer into the CNS. As endogenous CNS cells, they possess secretory mechanisms and can be grown in vitro. We have developed an animal model of this system using autologous astrocyte grafts in Fischer 344 rats. Cultured cells were infected with an adenoviral vector containing the reporter gene lacZ in vitro and then grafted into the striatum of adult Fischer 344 rats previously lesioned with 6-OHDA. Survival of the cells and activity of the beta-galactosidase protein were followed for up to 21 days after injection. The grafted cells were shown to survive throughout the experimental period although the expression of transgene was reduced with time. If long-term expression of therapeutically active substances can be achieved, grafts of adult-derived astrocytes genetically engineered using recombinant adenoviral vectors could be employed in the treatment of Parkinson's disease and other neurological disorders.

Adenoviridae↗

Neuroprotection by selegiline and other MAO inhibitors.

A proposal for the nomination of the father of monoamine oxidase inhibitors is presented. A brief history of the human clinical pharmacology of selegiline is considered including the results of two major prospective ongoing clinical trials and recent evidence on the effects of sustained selegiline therapy on postural blood pressures in parkinsonians is discussed.

Animals↗

Correlation between pterygium size and induced corneal astigmatism.

PURPOSE: Before invasion of the visual axis, pterygia typically induce with-the-rule astigmatism, which can be visually significant. In this study, we attempted to assess the quantitative relation between pterygium size and induced corneal astigmatism using corneal topography and digital imaging. METHODS: Thirty-three eyes of 25 patients with primary pterygia were evaluated using corneal topography (TMS), slit-lamp photography, and digital imaging to correlate parameters of pterygium size with induced corneal astigmatism at the 3- and 6-mm optical zones. RESULTS: Pterygia induce asymmetric with-the-rule astigmatism. Lesions extending >45% of the corneal radius or within 3.2 mm of the visual axis produce increasing degrees of induced astigmatism. CONCLUSION: Once pterygia reach a critical size, they induce visually significant central with-the-rule astigmatic changes that may not be apparent by subjective refraction. This finding helps to identify those patients who may benefit from surgical intervention.

Astigmatism↗

Brain-derived neurotrophic factor in human platelets.

A sensitive, capture enzyme-linked immunosorbent assay (CELISA) has been applied to the accurate and reproducible measurement of brain-derived neurotrophic factor (BDNF) protein in normal human blood platelets, a mean concentration of 1.03 +/- 0.04 ng (SEM)/mg of platelet protein being observed. The method, which requires only 10 ml blood, is now suitable for the investigation of a variety of clinical disorders.

Blood Platelets↗

The language of the basal ganglia.

A brief historical account of the evolution of nomenclature frequently used in discussing the structure and function of the basal ganglia in health and disease is presented.

Aged↗

Mapping of Reis-Bücklers' corneal dystrophy to chromosome 5q.

PURPOSE: Recently several autosomal dominant corneal stromal dystrophies have been mapped to chromosome 5q. Therefore, we tested whether Reis-Bücklers' corneal dystrophy, an autosomal dominant trait, was also linked to the same region. METHODS: Five generations of a single family with Reis-Bücklers' corneal dystrophy were ascertained. Twenty-two family members were examined, and 11 were found to be affected. Blood was obtained for genetic linkage analysis. RESULTS: Several genetic markers on chromosome 5q were strongly suggestive of linkage or confirmed linkage (LOD score > 3.0). Multipoint analysis generated a maximum LOD score of 4.25 between D5S414 and IL-9. CONCLUSIONS: Reis-Bücklers', lattice type 1, Avillino, and granular corneal dystrophies all map to the same genetic locus. This suggests that one of the following might be true: (1) that a corneal gene family exists in this region; (2) that these corneal dystrophies represent allelic heterogeneity (that is, different mutations within the same gene manifest as different phenotypes); or (3) that these are all the same disease.

Basement Membrane↗