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Biomedical subjects

J Cooper

Publications and source records attributed to J Cooper.

At least 415 records · Page 23Linked to original sources

An evolutionary link for developing mammalian lungs.

Lungs of the human infant and those of other mammals are filled with fluid immediately prior to birth. Studies of the ionic composition of this fluid indicate that active ionic transport processes occur in the epithelial cells of the potential airspaces. The purpose of this study was to see if these active ion pumps were present in developing species other than mammals thus providing a possible evolutionary link to mammals. A series of samples of lung liquid, amniotic fluid, and plasma were taken from embryonic marine turtles gathered from clutches incubating in the beach at Mon Repos, Queensland, Australia during the summer of 1986-87. The concentrations of sodium, potassium and chloride ions and protein measured in these liquids indicated that active pumping processes similar to that seen in the mammalian lung were present in the developing lungs of these marine reptiles and further, circumstantial evidence was gathered to suggest that this liquid was partially reabsorbed prior to hatching. The results support the notion that processes responsible for the normal development of the human lung and lungs of other mammals are also present in the hollow lungs of marine turtles. Thus there is an evolutionary counterpart controlling lung development in more ancient species. It may be possible to generalize this observation to the development of hollow lungs of other species.

Animals↗

Why are so many critical care nurses unable to recognize ventricular tachycardia in the 12-lead electrocardiogram?

We submitted the 12-lead electrocardiogram of an easily recognized ventricular tachycardia to more than 2500 critical care nurses for diagnosis. Seventy-eight percent of these failed to diagnose ventricular tachycardia, opting for supraventricular tachycardia with ventricular aberration. It was clear that only 0.5% of 2500 experienced nurses knew the three clues available for diagnosing ventricular tachycardia.

Critical Care↗

Optical assessment of dental pulp vitality.

The assessment of dental pulp vitality is an important part of oral diagnosis. Conventional tests stimulate the nerves in the pulp and rely on a subjective response from the patient. The use of an optical method for assessment of pulp vitality has been investigated. Fibre optic light guides were used to transmit light to and from the tooth and signal processing was employed to enhance the resulting signal. Valid pulse signals were differentiated from artefactual signals by analysis of signal parameters. Artefactual signals were found to have coefficients of variability that are greater than 40% for amplitude and greater than 25% for phase. With this technique it has been possible to recognize a pulse signal from over 70% of healthy teeth. Further work is in progress to develop the technique to a state where it can be used as a routine clinical tool.

Algorithms↗

Use of fibre-optic endoscopes in studies of gastric digestion in carnivorous vertebrates.

1. Two methods of assessing gastric digestion rates of three prey types fed to Sooty albatrosses Phoebetria fusca were compared: removal of stomach contents, using a water-flushing stomach pump (a technique used commonly in diet studies), and inspection using a fibre-optic gastroscope (a previously unused technique). 2. The stomach pump yielded quantitative information, but proved stressful and resulted in incomplete recovery of meals ingested 3-6 hr before pumping. Gastric morphology of the animals studied and digestion state of their stomach contents may influence the effectiveness of this technique. 3. Inspection using the gastroscope yielded qualitative information only but permitted serial inspection of the same animal, and was less stressful than the stomach pump. Times for total evacuation of the stomach were 6-12 hr less when estimated using the gastroscope than when using the stomach pump. 4. The specifications of endoscopes relevant to their use by biologists are given. 5. Previous non-medical biological uses of endoscopes are given. Potential uses include underwater observations, sampling of digestive juices and stomach linings for enzyme analyses, observations of ingested prey, and assessment of parasite infestation.

Animals↗

Preoperative radiation and chemotherapy for localized squamous cell carcinoma of the esophagus: a RTOG Study.

Forty-one evaluable patients with localized squamous cell carcinoma of the thoracic esophagus were treated by a course of radiation therapy (3000 cGy in 3 weeks), 5-Fluorouracil (5-FU) and Cis-platinum (Pt). This was followed by an esophagectomy in medically eligible patients who agreed to the procedure and who had no evidence of extrathoracic tumor. If tumor was found in the specimen, an added 2000 cGy of radiation therapy and additional 5-FU and Pt were given. One-year survival was 44%, 2-year survival 15%, and 3-year survival 8%. All 3-year survivors had tumor-free specimens, but one patient with tumor in the thorax and subdiaphragmatic metastasis survived 2 years.

Aged↗

Review of computerized orthoptics with specific regard to convergence insufficiency.

Traditional vision training or orthoptics has used line or contour targets to eliminate suppression and improve vergence performance. Manipulation of these stimuli is slow and arduous. Line stimuli require an experienced doctor/technician to interpret responses. Recently, automated vision training using microprocessor anaglyph stimuli, i.e., random dot stereograms (RDS), has been used in an operant conditioning paradigm. This technique has improved motivation of the patient, improved reliability, and provided standardization of therapy. In addition, the utilization of RDS associated with operant conditioning has been shown to improve vergence performance and to reduce asthenopia in the convergence insufficiency patient.

Accommodation, Ocular↗

Orbital inflammatory pseudotumor associated with multifocal systemic neoplastic immunoincompetence.

A 52-year-old man developed proptosis from an orbital mass which was documented histopathologically to be an inflammatory orbital pseudotumor. When the lesion failed to resolve after six months of adrenocorticosteroid treatment, a second biopsy showed an inflammatory mass with nests of eosinophilic granuloma. The patient soon developed a lymphoma of the soft palate and a glioblastoma multiforme which led to the patient's rapid demise. Eosinophilic granuloma is known to represent the more benign end of the spectrum of histiocytic disorders in which a proliferation of Langerhans' cells and an abnormality of T-suppressor cells occur. Our case represents the first report of multifocal tumor immunoincompetence occurring with eosinophilic granuloma in an orbital inflammatory pseudotumor.

Adrenal Cortex Hormones↗

Orthoptic treatment of vertical deviations.

Four patients with large vertical deviations were treated with a combination of prismatic glasses and orthoptics. The least amount of prism which eliminated diplopia, followed by horizontal fusional range extension, was prescribed. After vergences were normalized the prism was further reduced by two prism diopters and horizontal fusional range extension was repeated. This process was repeated until either a plateau was achieved or the prism was eliminated. All four patients completed therapy with almost total alleviation of symptoms and elimination of full-time prismatic correction.

Adult↗

The structure of a synthetic pepsin inhibitor complexed with endothiapepsin.

The conformation of a synthetic polypeptide inhibitor, bound to the active site of the fungal aspartic proteinase endothiapepsin (EC 3.4.23.6), has been determined by X-ray diffraction at 0.20-nm resolution and refined to an agreement factor of 0.20. The inhibitor: Pro Thr Glu Phe-R-Phe Arg Glu (R = -CH2NH-) is based on a chromogenic substrate of pepsin (EC 3.4.23.1). It has, in place of the scissile bond, a reduced peptide group which is resistant to hydrolysis and mimics the tetrahedral transition state. The inhibitor binds in an extended conformation with the reduced bond close to the essential aspartate side-chains of the enzyme. The hydrogen bonds and hydrophobic interactions between the enzyme and the inhibitor do not induce large conformational changes.

Aspartic Acid Endopeptidases↗