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Biomedical subjects

J Baker

Publications and source records attributed to J Baker.

At least 289 records · Page 16Linked to original sources
PubMed1979

Some limits to post-antigen generation of diversity: failure to detect variants in clones of hapten-specific antibody-forming cells (AFC) developing in culture from direct AFC-progenitor B cells.

A search was made for variants in clones of hapten-specific antibody-forming cells (AFC) arising by stimulation of mature B cells with either thymus-independent hapten-POL (polymerized bacterial flagellin) conjugates, or the polyclonal activator lipopolysaccharides. Enriched, hapten-binding B cells or unfractionated spleen cells were cultivated for 3-4 days at limiting dilution in the presence of thymus filler cells, and the AFC in each microculture well were then assayed for plaque formation on various hapten-sheep red cell monolayers. No variants were found from (4-hydroxy-3-iodo-5-nitrophenyl) acetyl (NIP) to 2,4-dinitrophenyl specificity, nor from fluorescein (FLU) to NIP specificity. No variants were found in avidity for FLU hapten. All 374 clones examined, including clones of up to 300 AFC, appeared to be homogeneous in antibody specificity and plaque morphology under our conditions. These results differ from published findings using erythrocytes as antigens. Reasons for this discrepancy are discussed, including differences in sensitivity differences in immunological similarity between the test antigens, and in the particular B cell subsets involved.

Animals↗
PubMed1979

Toward a metacommunicational framework of couple interactions.

A multi-level, metacommunicational framework to understand couple interactions is presented. Five interactional levels are defined following a mode of abstraction that parallels the theory of logical types; case examples are offered of couples interacting at each of the levels. The clinical implications of the framework, as a metaphor for understanding transactional processes, are discussed with an emphasis on the pragmatics of working with punctuational diffferences, developing therapeutic strategies, measuring progress, and setting goals for therapy with couples.

Communication↗
PubMed1979

Individual differences in visual imaging and the voluntary control of heart rate.

The role of visual imagery in the bidirectional control of heart rate (HR) was explored in 24 subjects. While voluntary HR increases were reliably demonstrated with and without HR feedback, appropriate HR decreases were modest and inconsistent. Changes in respiration rate (RR) generally paralleled the alterations in HR. Eighteen of the subjects reported conventionally using visual imagery to effect HR changes. For these subjects, vividness of visual imagery scores and the extent of HR change showed indications of a direct relationship in the HR increase condition. However, in the HR decrease condition, it was concomitant RR changes which were associated with the vividness and the control of imagery production. The remaining six subjects, who reported not employing visual imagery, demonstrated superior HR acceleration to the imaging subjects. Further, while the imaging subjects did not benefit from the introduction of feedback, the six non-imaging subjects showed reliably greater HR acceleration as a result of feedback introduction.

Adolescent↗
PubMed1978

Prediction of in vivo red cell/plasma Li+ ratios by in vitro methods.

Two incubation procedures were used for the determination, in vitro, of the steady-state Li+ ratio between red cells and external media. The Li+ ratio in vitro determined prior to Li+ therapy correlates significantly with the subsequent ratio in vivo between red cells and plasma in patients treated with Li+. The Li+ ratio determined in vitro in patients during Li+ therapy was significantly higher than the value determined during the pretreatment, drug-free period that correlated significantly with Li+ ratios in vivo. The in vitro procedure used thus could be applied in the prediction of the in vivo Li+ ratio, and possibly of the response to Li+, in patients before treatment is begun. It also could be used for studies on abnormalities and on the genetics of Li+ transport in affective illness.

Bicarbonates↗
PubMed1978

Disappearance of chlorpromazine from plasma following drug withdrawal.

Plasma chlorpromazine measured by a gas chromatographic procedure was found to disappear rapidly during the first week after withdrawal of chlorpromazine treatment in a group of 17 chronically hospitalized patients. The drug or its metabolites were no longer measurable in plasma after 8 days.

Adult↗
PubMed1978

Side-effects of antihypertensive treatment: a placebo-controlled study.

1. A questionnaire, modified from Bulpitt & Dollery (1973), inquired about 20 symptoms commonly associated with hypertension or its drug therapy in 1017 subjects (age 30--69 years). Groups consisted of (a) active therapy, (b) placebo, (c) no tablets, and (d) a non-study control group. The response rate was 96% in the first three groups and 92% in group (d). 2. The subjects in groups (a), (b) and (c) constituted part of a placebo-controlled, patient-blind intervention study in the treatment of mild hypertension (The Australian National Blood Pressure Study). 3. After age/sex adjustment of the data, only sleepiness and self-assessed depression were found to be more common in the actively treated group. Impotence, failure of ejaculation and nocturia were age-related symptoms. Generally, complaint rate was higher in females. 4. The knowledge of a mild hypertensive condition or its modern drug therapy lead to very few symptoms in a non-hospital population who already have a fairly high 'complaint level'.

Adult↗
PubMed1978

Characteristics of inspiratory inhibition by phasic volume feedback in cats.

The dependence of phrenic efferent discharge on vagal-volume feedback was examined in barbiturate-anesthetized, paralyzed cats ventilated by a phrenic-driven servo respirator. The characteristics of the respiratory were altered for a single breath, and the resulting change in phrenic activity was quantitated by comparison with phrenic activity without phasic volume feedback. The relation between volume feedback and phrenic inhibition was determined both when inspiratory termination occurred during the rising phase of phrenic discharge and during the plateau observed with barbiturate-induced apneusis. Inhibition of inspiratory activity occurred only when lung volume exceeded a time-dependent threshold. Above this threshold, andextending over a substantial volume range, volume feedback caused graded and reversible inhibition of phrenic discharge. The threshold for graded inhibition declined progressively during the inspiratory phase, showing no obvious relation to the level of inspiratory activity. At any particular time, the relation between volume and phrenic inhibition was convex to the volume axis, and the slope of the relationship increased with inspiratory time. The results indicate that a) volume feedback inhibits inspiration in a graded manner, b) partial inhibition of phrenic activity renders it more susceptible to additional inhibition, and c) inhibitory effectiveness of volume feedback increases with time.

Animals↗
PubMed1978

Corticopontine cells in area 18 of the cat.

1. Area 18 projects to the rostral pontine nuclei. The visual response properties of rostral pontine cells differ greatly from those that have been reported for area 18 cells. We identified and studied corticopontine cells in area 18 and compared their receptive-field properties to those of other area 18 cells and to pontine visual cells. 2. We first located the visual area in the rostral pons by microelectrode recording and placed stimulating electrodes at the same site. Anti-dromically invaded cells were then recorded in area 18. The antidromic invasion of each cell was verified by orthodromic-antidromic spike collision. 3. Fifty-seven well-isolated corticopontine cells were studied in detail. We also recorded 466 unitary antidromic potentials with a mean invasion latency of 3.5 ms and recorded from 40 additional area 18 units to serve as a comparison group for the corticopontine cells. The comparison group cells were located in the same area in the visual field as the corticopontine cells. 4. The average receptive-field area for corticopontine cells (485 deg2) was much larger than the comparison cells (59 deg2). Forty percent of the corticopontine cells responded preferentially to multiple-spot target. Properly oriented gratings, slits, or edges were the most effective stimuli for the comparison cells. Eighty-two percent of the corticopontine cells showed clear directional preferences to moving-spot stimuli, and downward movements were most commonly preferred. Fifty-five percent of the area 18 comparison cells showed some directional preference, but no particular direction was preferred. The optimal stimulus speeds for corticopontine cells were higher than those for the comparison cells. 5. The response properties of the area 18 corticopontine cells are similar to the response properties of rostral pontine visual cells, except for a somewhat higher selectivity for orientation in the corticopontine cells. 6. We conclude that most response properties of rostral pontine visual cells are already present in a subset of area 18 cortical cells which project to the pons. The corticopontine cells are sensitive to multiple-spot targets moving in particular directions over large portions of the visual field, such properties are consistent with a visuomotor function for the corticopontocerebellar pathway.

Anesthesia↗
PubMed1978

Bone marrow granulomas and neutropenia associated with procainamide. Report of a case.

Bone marrow granulomas and neutropenia occurred in a 77-year-old man following the ingestion of procainamide hydrochloride for 50 days. Although neutropenia has occasionally occurred following procainamide therapy, granulomas in the bone marrow have not previously been associated with the use of this drug. There was no other apparent agent that could have been responsible for the granulomas. Eighteen days after administration of the drug had been discontinued, the WBC count returned to normal and there were no granulomas present in the bone marrow.

Aged↗
PubMed1977

The management of acute coronary insufficiency.

1. Coronary insufficiency is a pathophysiologic state that can initiate lethal cardiac arrhythmias in the absence of myocardial necrosis. Patients with suspected coronary insufficiency should be monitored until they are stabilized and a diagnosis is confirmed. 2. Early and adequate intravenous antiarrhythmic prophylaxis with lidocaine to raise the fibrillation threshold in the setting of coronary insufficiency can prevent primary ventricular fibrillation. Classic "warning arrhythmias" are not predictive of ventricular fibrillation. Their persistence during adequate antifibrillatory prophylaxis does not indicate therapeutic failure. 3. The isoenzyme of creatine phosphokinase, CPK-MB, is an extremely sensitive and specific indicator of myocardial necrosis if measured serially during the 24 hours following the onset of symptoms suggesting coronary insufficiency. It may prove most useful in eliminating the false positive diagnosis of myocardial infarction in difficult clinical cases. 4. The management of heart failure in myocardial infarction requires an understanding of the relationship between ventricular preload and the cardiac output. The treatment of clinical manifestations of an elevated ventricular preload in asymptomatic patients is not justified and may be detrimental. In symptomatic patients, however, judicious manipulation of ventricular preload should be the first therapeutic consideration, and an optimal filling pressure should be achieved and maintained when other determinants of the cardiac output are manipulated. 5. Indications for the prophylactic insertion of a temporary transvenous pacing electrode for heart block associated with myocardial infarction must be individualized. Most authorities agree that prophylactic pacing may be justified in patients with evidence of new infranodal block involving two of the three fascicles. Patients with bifascicular block who progress to complete heart block transiently may benefit from permanent transvenous pacemaker insertion before discharge. 6. Hospitalized patients with persistent pain of suspected cardiac origin but without evidence of myocardial infarction can be studied safely with coronary angiography. A small percentage will be normal or have diffuse disease that is inoperable. Of those with operable disease, short-term mortality appears to be similar for medical and surgical therapy. 7. Patients with an uncomplicated myocardial infarction may be safely discharged from thehospital by day 7-10. 8. Experimental evidence indicates that modification of infarct size is possible. Application of these concepts to human subjects presently is limited by the absence of a proved method of measuring infarct size in vivo in humans.

Acute Disease↗