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J C Williams

Publications and source records attributed to J C Williams.

At least 109 records · Page 6Linked to original sources
PubMed1996

The nursing triage process: a video review and a proposed audit tool.

OBJECTIVE: To review the activity of the nurse triage process. SETTING: The triage room for adults attending the accident and emergency department of the Cardiff Royal Infirmary. METHODS: 226 triage processes were videotaped over 31 h during July 1994. Activities were subsequently analysed using a specially designed chart. RESULTS: Areas for improvement in staff communication skills and patient privacy were identified. CONCLUSIONS: The use of video in the triage room allows assessment of the triage process and is a valuable aid to training. Additionally, a potential visual audit tool has been identified.

Adult↗
PubMed1996

Apical membrane permeability of MDCK cells.

The osmotic water permeability (Pf) and permeability to nonelectrolytes were determined for the apical membrane of clonal strain Madin-Darby canine kidney (MDCK) C12 cells cultured as cysts with the apical membrane facing the surrounding medium. Pf and solute permeabilities were calculated from the rate of volume change of cysts by digitizing images at 1-s intervals after instantaneous osmotic challenge. Image measurement was fully automated with the use of a program that separated the image of the cyst from the background by using adaptive intensity thresholding and shape analysis. Pf, calculated by curve fitting to the volume loss data, averaged 2.4 +/- 0.1 micron/s and was increased by addition of amphotericin B. The energy of activation for Pf was high (16.3 kcal/mol), and forskolin (50 microM) had no effect on Pf. Two populations of MDCK cysts were studied: those with two to three cells and those that appeared to be composed of only one cell. The Pf of multicell cysts was the same as single cell cysts, suggesting that paracellular water flow is not significant. Solute permeability was measured using paired osmotic challenges (sucrose and test solute) on the same cyst. Urea permeability was not different from zero, whereas the permeabilities of acetamide and formamide were consistent with their relative oil-water partition coefficients. Our data are similar to values from studies on the permeability properties of vesicles of water-tight epithelial apical membrane. The combination of the unique model of MDCK apical-out cysts and fully automated data analysis enabled determination of apical membrane permeability in intact epithelial cells with high precision.

Amphotericin B↗
PubMed1996

Effect of cross-linking on matrix permeability. A model for AGE-modified basement membranes.

There is much evidence that basement membranes, such as in the renal glomerulus, act as macromolecular sieves, restricting the passage of proteins. Cross-linking of matrix proteins, as occurs because of advanced glycosylation end products (AGEs) in diabetes, may have an effect on the sieving properties of the basement membrane. To test this hypothesis, Matrigel, a basement membrane-like matrix, was cross-linked with glycolaldehyde and control and cross-linked matrices compared. Control matrices allowed less bovine serum albumin to pass through than did cross-linked matrices, with sieving coefficients (SCs) of 0.38 +/- 0.02 and 0.52 +/- 0.02, respectively (P < 0.0005). The control matrices also allowed less cross-linked albumin through than did the cross-linked matrices: 0.13 +/- 0.01 vs. 0.17 +/- 0.02 (P < 0.002). The SCs of a series of fluorescein isothiocyanate dextrans (four sizes, Mr 16,000- 168,000) were lower for the control matrix than for the cross-linked matrix (P < 0.03). In addition, the SC for glycated albumin (incubated with glucose-6-phosphate) was higher than that of normal albumin for both the control (P < 0.04) and cross-linked matrices (P < 0.001). These data indicate that cross-linking of the matrix increases permeability to macromolecules. Analysis of the data using fiber-matrix theory suggests that the mean fiber radius was increased in the cross-linked matrix. The data also indicate that glycated albumin filters through the matrices more easily than does normal albumin. In relation to the situation seen in vivo, it is possible that glycation of circulating proteins and AGE modification of glomerular basement membrane proteins may both contribute to the proteinuria seen in diabetes.

Basement Membrane↗
PubMed1996

Differential effects of diabetes and glomerulonephritis on glomerular basement membrane composition.

The hallmark of renal diseases involving the glomerulus is the presence of proteinuria. While the routes of pathogenesis of proteinuria have not been established, alterations in the barrier function of the glomerular basement membrane (GBM) have been implicated. We evaluated the effect of streptozotocin diabetes and passive Heymann nephritis (PHN) over time on the macromolecular composition of rat GBM to determine if changes in composition correlate with proteinuria. Six to twelve rats from each group (control, diabetic, and PHN) were sacrificed 1, 5, 28, 56, or 84 days after induction of disease. Identical amounts of GBM were subjected to a sequential extraction procedure, and type IV collagen, entactin, laminin, fibronectin, and anionic charge content were quantitated in the extracts. Type IV collagen and entactin content did not change with time or disease. Both laminin and fibronectin contents increased with time in GBM in all groups, but this increase was significantly greater in diabetic GBM. A significant decrease in anionic charge content of GBM coincided with the onset of albuminuria at Day 28 in diabetes, but no change was seen in PHN. In diabetic rats, the increase in laminin content over control preceded the onset of albuminuria, while the increase in fibronectin was not apparent until after albuminuria was present. In PHN, no differences in type IV collagen, entactin, laminin, fibronectin, or anionic charge content of GBM were found compared with control, even though profound albuminuria was evident from Day 5 through 84. Thus, while alterations in laminin and fibronectin content may contribute to the loss of glomerular permselectivity in streptozotocin diabetes, such changes apparently are not involved in PHN.

Albuminuria↗
PubMed1996

Changes in spleen and thymus cell phenotypes in mice vaccinated with the Coxiella burnetii phase I whole-cell vaccine or the chloroform-methanol residue subunit vaccine.

Lymphoid cell phenotypes within the spleen and thymus were analyzed to determine whether numerical or proportional changes in cell populations could account for the immunosuppression seen after vaccination of mice with inactivated phase I Coxiella burnetii whole-cell vaccine (WCI). Within 21 days of vaccination with WCI, there was a reduction in the percentage of splenic T cells and B cells while the numbers of thymic T cells and B cells increased. A substantial percentage of spleen cells did not bear typical T cell or B cell surface markers. In contrast, except for an early rise (by day 3) in the numbers of T and B cells, injecting the chloroform-methanol residue subunit-vaccine (CMR) caused no significant phenotypic changes of lymphoid cells in the spleen or thymus. The percentage of thymus cells bearing T cell phenotypes was similar in mice vaccinated with WCI or CMR. However, the total number of T cells in the thymus dramatically decreased in mice vaccinated with WCI. There was no correlation between the lymphocyte hyporesponsiveness to mitogens and WCI in vitro and the increased numbers of CD8-positive splenocytes. These results suggest that WCI vaccination caused dramatic changes in splenocyte and thymocyte lymphocyte populations and provide evidence for the more benign nature of the CMR vaccine.

Animals↗
PubMed1996

Interstitial laser coagulation of the prostate.

Interstitial laser coagulation (ILC), is the interstitial application of laser energy to achieve tissue coagulation by a thermal process. This is achieved by implanting the laser delivery fiber directly into the target tissue and firing the laser. As a treatment for benign prostatic hyperplasia, ILC has been investigated and used clinically. ILC is efficacious, can be used under local anesthesia, and can be performed in the clinic. In the future, there may be a role for ILC of the prostate as firstline therapy in the treatment of symptoms of prostatism and bladder outlet obstruction.

Animals↗
PubMed1996

Deflation techniques for faulty Foley catheter balloons: presentation of a cystoscopic technique.

The Foley catheter is used for drainage of the urinary bladder in < or = 15% of hospitalized patients and is self-retained by an inflatable balloon mechanism. Faulty balloon deflation, which leads to a retained catheter, is a condition treated by the urologist. In this article we describe a cystoscopic approach to deflation, evaluation, and recovery of retained fragments; review the techniques for deflation; and provide an algorithm to approach the retained Foley catheter.

Algorithms↗
PubMed1995

Dynamics of the flexible loop of triosephosphate isomerase: the loop motion is not ligand gated.

Using solid-state deuterium NMR, we have measured the motion of the flexible loop of triosephosphate isomerase (TIM) with and without substrate and transition-state analogs. The measurements were carried out on a catalytically competent mutant of TIM W90Y W157F containing a single tryptophan (W168) in the flexible loop; W168 is the only strictly conserved tryptophan in the currently available TIM sequences. The solid-state NMR samples were prepared by precipitation using polyethylene glycol, and kinetic analysis of the PEG-precipitated TIM gave values for kcat, Km, and KI similar to those measured in solution for the substrate and substrate and transition-state analogs. Deuterium NMR spectra of samples prepared with tryptophan labeled at the indole positions with and without any substrate or analogs indicate that the loop jumps between two conformations at a rate of 3 x 10(4) s-1 (from the predominant to the less populated form) with a population ratio of 10:1. Surprisingly, spectra of TIM ligated with a substrate analog, glycerol 3-phosphate (G3P), or with a tight-binding transition-state analog, phosphoglycolate (PGA), show that the loop moves with a rate similar to the rate in the empty enzyme and also has a similar population ratio for the two conformers. This observation indicates that loop closure is not ligand gated but is a natural motion of the protein. Furthermore, the measured rate is approximately matched to the turnover time. We did not observe a signal for TIM labeled with alpha-deuteriotryptophan, although it was prepared in a fashion analogous to the ring-labeled sample and had a specific activity and protein concentration comparable to the latter. For this deuterium concentration, we would expect to observe the NMR signal unless the deuterium relaxation were very slow. The hypothesis that the spin-lattice relaxation of the alpha-deuteron is very slow would be consistent with the observed dynamics of the ring-deuterated TIM.

Amino Acid Sequence↗
PubMed1995

ENDOR studies of the primary donor cation radical in mutant reaction centers of Rhodobacter sphaeroides with altered hydrogen-bond interactions.

The electronic structure of the cation radical of the primary electron donor was investigated in genetically modified reaction centers of Rhodobacter sphaeroides. The site-directed mutations were designed to add or remove hydrogen bonds between the conjugated carbonyl groups of the primary donor, a bacteriochlorophyll dimer, and histidine residues of the protein and were introduced at the symmetry-related sites L168 His-->Phe, HF(L168), and M197 Phe-->His, FH(M197), near the 2-acetyl groups of the dimer and at sites M160 Leu-->His, LH(M160), and L131 Leu-->His, LH(L131), in the vicinity of the 9-keto carbonyls of the dimer. The single mutants and a complete set of double mutants were studied using EPR, ENDOR, and TRIPLE resonance spectroscopy. The changes in the hydrogen bond situation of the primary donor were accompanied by changes in the dimer oxidation midpoint potential, ranging from 410 to 710 mV in the investigated mutants [Lin, X., Murchison, H. A., Nagarajan, V., Parson, W. W., Williams, J. C. & Allen, J. P. (1994) Proc. Natl. Acad. Sci. U.S.A. 91, 10265-10269]. It was found that the addition or removal of a hydrogen bond causes large shifts of the spin density between the two halves of the dimer. Measurements on double mutants showed that the unpaired electron can be gradually shifted from a localization on the L-half of the dimer to a localization on the M-half, depending on the hydrogen bond situation. As a control, the effects of the different hydrogen bonds on P.+ in the mutant HL(M202), which contains a BChlL-BPheM heterodimer as the primary donor with localized spin on the BChl aL [Bylina, E. J., & Youvan, D. C. (1988) Proc. Natl. Acad. Sci. U.S.A. 85, 7226-7230; Schenck, C. C., Gaul, D., Steffen M., Boxer S. G., McDowell L., Kirmaier C., & Holten D. (1990) in Reaction Centers of Photosynthetic Bacteria (Michel-Beyerle M. E., Ed.) pp 229-238, Springer, Berlin] were studied. In this mutant only small local changes of the spin densities (< or = 10%) in the vicinity of the hydrogen bonds were observed. The effects of the introduced hydrogen bonds on the spin density distribution of the dimer in the mutants are discussed in terms of different orbital energies of the two BChl a moieties which are directly influenced by hydrogen bond formation. The observed changes of the spin density distribution for the double mutants are additive with respect to the single mutations.(ABSTRACT TRUNCATED AT 400 WORDS)

Cations↗
PubMed1995

Correlation between multiple hydrogen bonding and alteration of the oxidation potential of the bacteriochlorophyll dimer of reaction centers from Rhodobacter sphaeroides.

The electronic absorption and vibrational Raman spectra of mutant reaction centers from Rhodobacter sphaeroides bearing multiple site-specific mutations near the primary electron donor (P), a bacteriochlorophyll dimer, are reported. These mutations bear double and triple combinations of single-point mutations that alter the H-bonding interactions between histidine residues and the C2- and C9-conjugated carbonyl groups of the primary donor [Mattioli, T.A., Williams, J.C., Allen, J.P., & Robert, B. (1994) Biochemistry 33, 1636-1643] and change the donor redox midpoint potential from 410 to 765 mV compared to 505 mV for wild type [Lin, X., Murchison, H.A., Nagarajan, V., Parson, W.W., Williams, J.C., & Allen, J.P. (1994) Proc. Natl. Acad. Sci. U.S.A. 91, 10265-10269]. Near-infrared Fourier transform Raman spectroscopy was used to determine the changes in H-bonding interactions of the primary donor in these multiple mutants. The Fourier transform Raman spectra of the mutants exhibit the predicted changes in hydrogen bond interactions of the P carbonyl groups with the protein, and they are consistent with the designed mutations. Moreover, the Raman data verify that the H-bonds formed or broken in the multiple mutants are similar in strength to those observed in the corresponding single mutants. A correlation was observed between the change in P/P.+ redox midpoint potential and the total change in H-bonding interaction energy (from -207 to 364 meV relative to wild type) as gauged by the estimated enthalpy of each H-bond formed or broken on the four conjugated carbonyls of the primary donor. Only minor changes were observed in the optical spectra of the mutant reaction centers, indicating that the addition of H-bonds from histidines has little effect in destabilizing the first electronic excited state of the dimer relative to the ground state. However a blue shift in the dimer absorption band at ca. 890 nm at 20 K was associated with the removal of the H-bond to the C2 acetyl carbonyl group via His L168. A red shift of the oxidized dimer band at ca. 1250 nm was associated with the formation of each H-bond to the C9 keto carbonyl groups.

Hydrogen Bonding↗
PubMed1995

Nonpeptidic inhibitors of human leukocyte elastase. 6. Design of a potent, intratracheally active, pyridone-based trifluoromethyl ketone.

Further modification of the 3-amino substituent in a trifluoromethyl ketone-based series of 3-amino-6-phenylpyridin-2-ones that had been optimized for oral activity led to analogs that were potent intratracheal inhibitors in a model of HLE-induced lung damage in the hamster. The best 3-amino substituent for intratracheal activity is [4-[N-[(4-chlorophenyl)sulfonyl]-carbamoyl]phenyl]sulfonyl. At a 30 min prechallenge interval, compound 9, which incorporates this substituent, had an ED50 of approximately 2 nmol/animal and, qualitatively, afforded a very similar dose-response relationship to that found with a peptidic trifluoromethyl ketone inhibitor, ICI 200,355.

Administration, Inhalation↗
PubMed1995

Relationship between the oxidation potential of the bacteriochlorophyll dimer and electron transfer in photosynthetic reaction centers.

The primary electron donor in the photosynthetic reaction center from purple bacteria is a bacteriochlorophyll dimer containing four conjugated carbonyl groups that may form hydrogen bonds with amino acid residues. Spectroscopic analyses of a set of mutant reaction centers confirm that hydrogen bonds can be formed between each of these carbonyl groups and histidine residues in the reaction center subunits. The addition of each hydrogen bond is correlated with an increase in the oxidation potential of the dimer, resulting in a 355-mV range in the midpoint potential. The resulting changes in the free-energy differences for several reactions involving the dimer are related to the electron transfer rates using the Marcus theory. These reactions include electron transfer from cytochrome c2 to the oxidized dimer, charge recombination from the primary electron acceptor quinone, and the initial forward electron transfer.

Bacteriochlorophylls↗
PubMed1995

Efficacy of Coxiella burnetii and its chloroform-methanol residue (CMR) fraction against Rift Valley fever virus infection in mice.

Strains of Coxiella burnetii phase I and II whole cells (WC-I and WC-II) or whole cell fractions were assessed for their potential to induce long-lasting protection in endotoxin-non-responder C3H/HeJ or CD-1 mice against Rift Valley fever (RVF) virus challenge. Among the whole cell fractions, only the chloroform-methanol residue (CMR), administered as a single dose (100 micrograms per mouse) 24 h before viral challenge, effectively protected 100% of the mice from RVF virus; the CMR of the Ohio strain of C. burnetii was not protective. Most of the RVF virus-infected mice treated with other C. burnetii cell fractions died, although their times to death varied. Lipopolysaccharide (LPS) associated with CMR preparations used in these studies, did not protect against RVF virus challenge. A single dose of 100 micrograms of CMR given 24 h before viral challenge completely eradicated 4-5 logs of RVF virus in the serum, liver, spleen, and central nervous system. Compared to several other immunomodulators, CMR was an equally effective antiviral agent. Efficacy of CMR of both Henzerling and Ohio strains disappeared or was marginal when treatment was initiated 2-3 days before RVF viral challenge, even when a second or a third dose of CMR was administered after challenge. A single dose of liposome-encapsulated CMR to RVF virus-infected mice extended the range of therapeutic efficacy of this biologically active component of C. burnetii to 4 days before infection.

Adjuvants, Immunologic↗
PubMed1995

Characterization of the non-specific humoral and cellular antiviral immunity stimulated by the chloroform-methanol residue (CMR) fraction of Coxiella burnetii.

Modulation of the immune response by the chloroform-methanol residue (CMR) of phase I Coxiella burnetii whole cell was studied in Rift Valley fever virus-infected, or in naive endotoxin-non-responder C3H/HeJ mice. A single dose of CMR completely protected the mice from viral infection. Treating virus-infected mice with antibodies directed against interferons alpha/beta (IFN-alpha beta) and gamma (IFN-gamma) eliminated the CMR-induced protection. CMR stimulated the production of high levels of IFN-alpha/beta and 2'-5'-oligoadenylate synthetase activities in sera of the CMR-treated mice. IFN-gamma was present in supernatants of cultured spleen cells of CMR-treated, virus-infected mice, but not in their serum. Priming mice with CMR optimized the release of INF-gamma, interleukin-1 alpha (IL-1 alpha) and IL-6 from splenocytes in vitro. When stimulated in vitro, IL-2 and granulocyte-macrophage stimulating factor (GM-CSF) did not require in vivo priming for release from cultured spleen cells. Fluorescence-assisted cytometry of CMR-treated mouse spleen cells showed there was a CMR-dependent increase in the percentage of T-cells and Ia-positive T-cells. There also was a biphasic increase in the ratio between Th (L3T4) and Ts (Lyt2) cells. Biological activities stimulated by CMR indicate that CMR is a potent immunostimulant, which may modulate specific and non-specific antiviral responses.

2',5'-Oligoadenylate Synthetase↗
PubMed1995

Comparative efficacy of levamisole, thiabendazole and fenbendazole against cattle gastrointestinal nematodes.

Efficacy of two older anthelmintics, levamisole and thiabendazole, was compared with a newer benzimidazole, fenbendazole, against naturally acquired gastrointestinal nematode infections in cattle superimposed with experimental infections of Bunostomum phlebotomum and Dictyocaulus viviparus. Twenty-four crossbred beef heifers of 7-9 months of age and 152 kg in average weight were randomly allocated to four groups of six calves. The cattle grazed on pastures contaminated with larvae of gastrointestinal nematodes and the lungworm for 2 months prior to Day 0. Treatment groups were as follows: Group 1--levamisole, topical at 10 mg kg-1; Group 2--thiabendazole paste at 110 mg kg-1; Group 3--fenbendazole paste at 10 mg kg-1; Group 4--untreated controls. All calves were necropsied for worm recovery between 8 and 10 days after treatment. Fecal egg/larval per gram counts at 18 and 42 h post-treatment indicated greatest reductions in Groups 1 and 2. By 7 days post-treatment, reduction in counts for all treated groups ranged from 99.1 to 100%, except for the 66.7% reduction of B. phlebotomum in Group 2. Seven nematode species were present in a sufficient number of untreated controls for valid efficacy assessment at necropsy. Efficacy of fenbendazole was 100% against all species, including Cooperia spp. L4 and immature (E5) D. viviparus. The overall efficacy of levamisole and thiabendazole was generally high (93.0-100% against Haemonchus placei adults, Cooperia punctata and C. spatulata adult males, Cooperia spp. adult females, Oesophogastomum radiatum, B. phlebotomum, and D. viviparus adults).(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗