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Biomedical subjects

J Birch

Publications and source records attributed to J Birch.

At least 55 records · Page 3Linked to original sources

Use of the Farnsworth-Munsell 100-Hue test in the examination of congenital colour vision defects.

Results for the Farnsworth-Munsell 100-Hue test are reported for 238 male subjects with congenital colour vision defects (47 protanopes, 17 protanomalous trichromats, 57 deuteranopes and 117 deuteranomalous trichromats). The results are analysed in terms of the error score and the presence of an axis of confusion. A wide range of results is obtained in each diagnostic group and the error score cannot be used to distinguish between dichromats and anomalous trichromats. Approximately 50% of subjects with anomalous trichromatism obtain error scores less than 100 without an axis of confusion. These subjects could be mistakenly identified as having normal colour vision if pseudoisochromatic and colour matching tests are not employed. The prime use of the F-M 100 Hue test is in vocational guidance.

Adolescent↗

Anorexia nervosa and food avoidance emotional disorder.

A retrospective and longitudinal study was carried out on all children and adolescents who presented to a child psychiatry service over a period of 26 years to identify the nature, course, and outcome of cases meeting criteria for anorexia nervosa (n = 27). Two groups of the same age were identified for comparison, firstly those with food avoidance and emotional disorders (n = 23), and secondly those with emotional disorders but no symptoms associated with eating (n = 22). The results confirm previous reports that early onset anorexia nervosa shows a similar nature, course, and outcome to the adult disease. Being tall at presentation seems to be associated with a poor outcome. Self starvation of early onset may result in short stature in some cases. There seem to be more boys among the group in whom the disease was of early onset than would be predicted from the sex ratio among adult patients. In addition boys with anorexia nervosa may have a better prognosis than girls. Children with food avoidance emotional disorders seem to have a worse prognosis than expected for childhood emotional disorders. They may represent a middle group between those with anorexia nervosa and those with emotional disorders but no symptoms associated with eating.

Adolescent↗

Identification of polarity in FM 100-Hue plots: a comparison of methods.

Several methods which have been proposed to aid the identification of polarity in Farnsworth-Munsell (FM) 100-Hue test plots are described. The assumptions which underlie one type of method are discussed and problems identified. Two methods are taken as representative of the two types of analysis and their performance compared on plots from congenital and acquired color defectives. The key difference between the two methods and the types of method which they represent lies in the imposition of symmetry on the plot. From the performance of 200 diabetic subjects, the problems created by the presence of monopolar plots, plots with unequal magnitudes of errors in the two poles of bipolar plots, and plots in which the two poles are not diametrically opposite are highlighted. It is concluded that the simpler type of analysis is sufficient and retains more information.

Color Perception↗

Studies in the guinea-pig with ICI 185,282: a thromboxane A2 receptor antagonist.

The effects of ICI 185,282 (5(Z)-7-([ 2,4,5-cis]-4-O-hydroxyphenyl-2-trifluoromethyl-1, 3-dioxan-5-yl)heptenoic acid) have been studied on guinea-pig platelets and pulmonary smooth muscle in-vitro and in-vivo. When tested on guinea-pig lung parenchyma in-vitro. ICI 185,282 (1 x 10(-7) M) produced a significant shift in U-46619 response curves (concentration ratio of 13:3); the antagonist (1 x 10(-5) M) did not modify histamine responses. When tested on guinea-pig trachea in-vitro ICI 185,282 (1 x 10(-7) M) caused significant inhibition of U-46619 and PGD2 responses (concentration ratios of 8.3 and 14.1, respectively); the antagonist (1 x 10(-5) M proved less effective against contractions of PGF2 alpha, LTD4 and histamine (concentration ratios of 7.0, 1.5 and 1.6). When added to guinea-pig platelet rich plasma in-vitro, ICI 185,282 (x 10(-6), 1 x 10(-5) M) caused concentration-dependent parallel shifts to the right of U-46619 aggregation curves, yielding concentration ratios of 13.6 and 141.9, respectively. In-vitro, addition of ICI 185,282 (x 10(-5) M) to indomethacin-treated pulmonary smooth muscle did not modify resting tone, neither did it induce aggregation or swelling in platelet-rich plasma preparations. When administered orally to guinea-pigs ICI 185,282 (0.1, 0.5 mg kg-1) caused a significant inhibition of U-46619-induced platelet aggregation ex-vivo which persisted greater than or equal to 8 h. In-vivo, a single oral dose of ICI 185,282 (1 mg kg-1) inhibited bronchospasm induced by U-46619, PGD2, PGF2 alpha, arachidonic acid, LTD4 and PAF; responses to histamine were unaffected.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Evaluation of desmin as a diagnostic and prognostic marker of childhood rhabdomyosarcomas and embryonal sarcomas.

The diagnostic and prognostic relevance of desmin expression in 80 rhabdomyosarcomas (RMS) and 5 embryonal sarcomas (ES) was examined using a peroxidase anti-peroxidase staining procedure. Fifty-nine RMS but only one ES stained for desmin (P less than 0.05). The maximum percentage of desmin containing cells was 49 in RMS compared with only 1% in ES. Desmin positivity correlated inversely with survival (P less than 0.02) in that RMS with high proportions of desmin positive cells were associated with poorer prognoses than those containing fewer desmin positive cells. If the degree of expression of desmin is related to myogenic differentiation, then our results indicate that poorly differentiated RMS tend to have a better prognosis than the well differentiated tumours. One possible explanation is that the poorly differentiated RMS respond better to chemotherapy than to well differentiated RMS. A multivariant analysis incorporating desmin staining, treatment, histology, age and gender revealed that the two most significant independent prognostic factors were treatment and histology.

Desmin↗

Leukemia after therapy with alkylating agents for childhood cancer.

The risk of leukemia was evaluated in 9,170 2-or-more-year survivors of childhood cancer in the 13 institutions of the Late Effects Study Group. Secondary leukemia occurred in 22 nonreferred individuals compared to 1.52 expected, based on general population rates [relative risk (RR) = 14; 95% confidence interval (CI), 9-22]. The influence of therapy for the first cancer on subsequent leukemia risk was determined by a case-control study conducted on 25 cases and 90 matched controls. Treatment with alkylating agents was associated with a significantly elevated risk of leukemia (RR = 4.8; 95% CI, 1.2-18.9). A strong dose-response relationship was also observed between leukemia risk and total dose of alkylating agents, estimated by an alkylator score. The RR of leukemia reached 23 in the highest dose category. Radiation therapy, however, did not increase risk. Although doxorubicin was also identified as a possible risk factor, the excess risk of leukemia following treatment for childhood cancer appears almost entirely due to alkylating agents.

Alkylating Agents↗

An averaging method for the interpretation of the Farnsworth-Munsell 100-Hue Test--I. Congenital colour vision defects.

A method is described for identifying polarity in Farnsworth-Munsell 100-Hue test data. The method is facilitated by the use of a micro-computer and involves the plotting of "averaged" scores for each cap of the test. Results are presented for 30 protanopes, 30 deuteranopes, 1 tritanope and 2 typical rod monochromats. Analysis of the results shows that the proposed technique is compatible with standard methods of interpreting 100-Hue plots and is suitable to use when error scores are high and when polarity is difficult to interpret.

Adolescent↗

An averaging method for the interpretation of the Farnsworth-Munsell 100-Hue Test--II. Colour vision defects acquired in diabetic retinopathy.

The Farnsworth-Munsell 100-Hue test is frequently used to assess acquired colour vision defects. In diabetic retinopathy the acquired defect is a mild or severe type III (Tritan) defect which may be coupled with poor overall hue discrimination. In consequence, error scores are often high and the 100-Hue polar diagram is difficult to interpret. In this study the averaging method of analysis proposed by Dain and Birch is used to examine 120 100-Hue plots obtained by patients with proliferative diabetic retinopathy. These plots have either moderate (150-300) or high error scores (greater than 300). The method of analysis is found to be effective in determining whether a Tritan defect is present or not.

Adult↗

Prolonged bleeding time, reduced platelet aggregation, altered PAF-acether sensitivity and increased platelet mass are a trait of asthma and hay fever.

In a case control study 31 asymptomatic patients with asthma and/or hay fever and 31 normal controls had their bleeding time measured using the Simplate II device and venostasis. Mean bleeding time in the atopic group (527 s) was significantly prolonged compared to the controls (393 s) (p less than 0.0005). Platelet aggregation to collagen and ADP (but not to PAF-acether) was significantly depressed in the atopics. Mean circulating platelet mass was significantly greater in atopics than in the controls (p = 0.006). Stepwise multiple regression analysis showed that within the control group bleeding time was best predicted by platelet mass (p = 0.007). No such relationship was found in the atopics. However stepwise multiple regression analysis showed that bleeding time in the atopics (but not in the controls) was best predicted by PAF-acether induced platelet aggregability (p less than 0.05). In neither group was bleeding time related to collagen induced platelet thromboxane B2 production. It is hypothesised that in respiratory atopy the depressed aggregatory function of platelets is not compensated for sufficiently by an increase in platelet mass, leading to prolongation of the bleeding time. This haemostatic imbalance, whose cause remains to be established, appears to constitute a trait of atopy.

Adenosine Diphosphate↗

Cell kinetic studies in the epidermis of mouse. III. The percent labelled mitosis (PLM) technique.

Full PLM curves have been obtained for four sites in the mouse. The first peaks have been analysed by computer and the duration of the G2 + M and S phases determined together with their standard deviations. The full curves showed a general similarity for all four sites with no clear second peak. The data are compared with the published data for mouse and human epidermis using the in vivo PLM technique. The timing and shape of the first peak can vary considerably even for one site in mice. Hence, both G2 + M and S can vary in their durations. Cells labelled at one time of day exhibit different kinetic properties to those labelled at another time of day. The duration of G2 + M is shortest in dorsum labelled at 03.00 hours (3 X 2 hr) and longest in tail (up to 7 X 5 hr). The S-phase is shortest in dorsum (6 X 3-7 X 2 hr) and longest in tail or ear (13 X 3-14 X 1 hr). There is also a very large standard deviation in tail and foot. There is little general variability when the psoriatic human data are considered, which is surprising. The general variability amongst the data from experimental mice might also be expected amongst humans which might make comparisons between the cell kinetics of normal and diseased skin difficult.

Animals↗

A practical guide for colour-vision examination: report of the Standardization Committee of the International Research Group on Colour-Vision Deficiencies.

There are different types and degrees of colour deficiency and some types of defect occur more frequently than others. Several different techniques are used for examining colour vision and many different tests are available commercially. Clinical tests have three aims: to screen for colour deficiency, to diagnose or classify the type of defect and to grade the severity of the defect. Individual tests do not fulfil all three aims and a test battery is recommended for any detailed colour-vision examination or for giving occupational advice. This paper provides information about congenital and acquired colour-vision defects and lists the principal colour-vision tests. Standardized test methods and viewing conditions are described. The efficiency of each test, for screening, diagnosis and grading is indicated and appropriate test batteries are recommended for different testing requirements.

Color Perception Tests↗

Xenon arc and argon laser photocoagulation in the treatment of diabetic disc neovascularization. Part 2. Effect on colour vision.

Patients with long-standing diabetes develop acquired colour vision defects in parallel with retinal vascular changes. This may take the form of an overall loss of hue discrimination or a specific tritan (blue) defect. A battery of colour vision tests can be used to monitor the different features of diabetic retinopathy and to assess the effects of treatment. Diabetic disc new vessels form when approximately a quarter of the retina is ischaemic. The colour vision defect in these patients is usually severe and is frequently tritanopic. The effect of both argon laser and xenon arc panretinal photocoagulation is to increase the severity of the colour defect. All the eyes examined were tritanopic after treatment and did not recover during the 12-month follow-up period. The severity of this acquired colour vision defect can result in practical difficulties for the patient.

Adult↗