Regarding "The incidence of deep venous thrombosis in patients undergoing abdominal aortic aneurysm resection".
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to J Duncan.
Explore the source record for details and available documents.
IgM and IgG anti-hepatitis E virus (HEV) patterns were determined in sera collected during a hepatitis outbreak in Pakistan. HEV infection was detected serologically in 122 patients. IgM anti-HEV was detected in specimens collected up to 2 weeks before and 5-7 weeks after hospitalization in 91% and 100%, respectively, of 122 HEV-infected patients. IgG followed a similar pattern. Peak antibody titers appeared 2-4 weeks after hospitalization. At 20 months after hospitalization, IgM anti-HEV was not detected in any of 33 patients; IgG was found in all. IgG anti-HEV appeared to be protective in contracts of patients. This study confirms HEV as the cause of the outbreak, quantifies IgM and IgG anti-HEV responses, provides evidence that IgG anti-HEV protects against hepatitis E, and demonstrates that IgG anti-HEV persists, but at diminished titer, after infection. Hepatitis E in young adults is the result of primary infection with HEV and, if reinfection occurs, it does not commonly cause serious illness.
Portions of the 16S RNA from a urease-positive Bilophila wadsworthia strain were sequenced, and a probe was constructed. The probe was end labeled with [32P]ATP and polynucleotide kinase and hybridized on a nylon filter (by dot blot hybridization) to the immobilized rRNA of 12 B. wadsworthia strains and eight other anaerobic isolates. The probe efficiently hybridized only to the Bilophila strains. Cross-reactivity at high RNA levels (2,000 ng) was observed with one strain of Bacteroides thetaiotamicron and one strain of Bacteroides fragilis (with 10x SET buffer [20x SET buffer is 0.5 M NaCl, 0.03 M Tris, and 2 mM EDTA]) but was not seen at lower RNA levels or with 5x SET buffer. When tested against mixed cultures of aerobic and anaerobic isolates representative of appendiceal abscess flora, the probe did not react with mixed cultures containing no Bilophila cells and could detect > or = 10(5) Bilophila CFU/ml when the mixture was seeded with Bilophila cells. This probe is of potential use in the rapid identification of pure isolates and in the direct identification of B. wadsworthia in clinical specimens.
We often search for a face in a crowd or for a particular object in a cluttered environment. In this type of visual search, memory interacts with attention: the mediating neural mechanisms should include a stored representation of the object and a means for selecting that object from among others in the scene. Here we test whether neurons in inferior temporal cortex, an area known to be important for high-level visual processing, might provide these components. Monkeys were presented with a complex picture (the cue) to hold in memory during a delay period. The cue initiated activity that persisted through the delay among the neurons that were tuned to its features. The monkeys were then given 2-5 choice pictures and were required to make an eye movement to the one (the target) that matched the cue. About 90-120 milliseconds before the onset of the eye movement to the target, responses to non-targets were suppressed and the neuronal response was dominated by the target. The results suggest that inferior temporal cortex is involved in selecting the objects to which we attend and foveate.
Epidemiological evidence and laboratory studies indicate that human immunodeficiency virus type 1 (HIV 1) is rarely, if ever, transmitted in saliva or urine. In that both specimens are easy to collect, each may be a useful alternative to serum specimens for anti-HIV screening. A rapid, simple, and robust IgG-capture enzyme-linked immunosorbent assay (GACELISA) suitable for the detection of anti-HIV 1 and 2 in saliva and urine was developed. Following optimisation of the assay, 177 salivary and 568 urine specimens collected from individuals of known serostatus were investigated. The assay was 100% sensitive on 50 salivary (median OD/CO = 8.9) and 126 urinary (median OD/CO = 8.6) specimens collected from anti-HIV-positive patients. The specificity was 100% on 127 salivary specimens (median OD/CO = 0.37) and 422 urinary specimens (median OD/CO = 0.39) collected from anti-HIV-negative individuals. These findings demonstrate that GACELISA HIV 1 + 2 tests on saliva or on urine are an accurate alternative to a conventional anti-HIV test of blood. This assay is satisfactory for surveillance purposes and, with appropriate precautions, could be used clinically.
Explore the source record for details and available documents.
Performance often suffers when two visual discriminations must be made concurrently ('divided attention'). In the modular primate visual system, different cortical areas analyse different kinds of visual information. Especially important is a distinction between an occipitoparietal 'where?' system, analysing spatial relations, and an occipitotemporal 'what?' system responsible for object recognition. Though such visual subsystems are anatomically parallel, their functional relationship when 'what?' and 'where?' discriminations are made concurrently is unknown. In the present experiments, human subjects made concurrent discriminations concerning a brief visual display. Discriminations were either similar (two 'what?' or two 'where?' discriminations) or dissimilar (one of each), and concerned the same or different objects. When discriminations concerned different objects, there was strong interference between them. This was equally severe whether discriminations were similar--and therefore dependent on the same cortical system--or dissimilar. When concurrent 'what?' and 'where?' discriminations concerned the same object, however, all interference disappeared. Such results suggest that 'what?' and 'where?' systems are coordinated in visual attention: their separate outputs can be used simultaneously without cost, but only when they concern one object.
Explore the source record for details and available documents.
We examined the ability of binding sites for the herpes simplex virus immediate-early protein ICP4 to alter the regulation of closely linked promoters by placing strong ICP4 binding sites upstream or downstream of simple TATA promoters in the intact viral genome. We found that binding sites strongly reduced the levels of expression at early times postinfection and that this effect was partially overcome after the onset of viral DNA replication. These data confirm that DNA-bound ICP4 can inhibit the activity of a closely linked promoter and raise the possibility that ICP4 binding sites contribute to temporal regulation during infection.
Accuracy is often reduced when two visual discriminations must be made concurrently ("divided attention"). According to a hypothesis originally proposed by Treisman (1969) and Allport (1971), this result should depend on the similarity of required discriminations. When discriminations concern different visual dimensions, they should be made in somewhat separate visual subsystems, reducing interference between them. This prediction was tested in two experiments, involving discriminations of shape, size, orientation, and spatial frequency. In different conditions of divided attention, concurrent discriminations concerned either the same or different dimensions, and either one or two objects. The results showed that performance depends only on the number of relevant objects, not on the number or similarity of required discriminations. They suggest that selective attention to an object is a coordinated state in which the outputs of multiple visual subsystems are made concurrently available for control of behavior.
Ambrosia maritima (Damsissa), a proven molluscicide, was investigated in a seven year epidemiological trial in four villages in the northern Egyptian Nile Delta. Schistosoma mansoni prevalence and other measures of infection were initially high in the four villages before the trial began. Two villages were used to test the impact of A. maritima application both on snail populations and on infection in the village population. Two villages were held as controls and not treated with A. maritima. The entire population of all four villages was included in the study. Prevalence and other measures of infection fell dramatically following treatment with praziquantel 40 mg kg-1 body weight. On annual follow ups, the prevalence of infection and geometric mean egg counts began to increase back to original levels in both test and control villages; age adjusted incidence rates were lower in one test village, but higher in the other when compared to the control villages. Snail populations were destroyed in the treated canals and drains located near the test villages. The lack of a clear epidemiologic impact is discussed.
We infected Vero cells with ICP4-deficient herpes simplex virus recombinants bearing the rabbit beta-globin and human alpha 2-globin genes under the control of their own promoters and found that globin gene expression occurred only when ICP4 was provided in trans. These results demonstrate that ICP4 is required for the activity of globin promoters located in the viral genome and support the hypothesis that these cellular promoters are functionally equivalent to HSV early regulatory regions.
A panel of fourteen neutralizing anti-HN monoclonal antibodies (mAbs) to the prototype Greer strain of human parainfluenza virus type 2 (PI2) was used to determine the extent of antigenic variation in recent virus isolates. Competitive binding analysis with the mAbs indicated the presence of at least five distinct antigenic sites (I to V) on the HN glycoprotein molecule. MAbs recognizing different antigenic sites were found to be associated with the hemagglutinin (sites I, IV and V), hemagglutinin and neuraminidase (site II), or neuraminidase (site III) activities. The location of two distinct epitopes identifying the neuraminidase sites (II and III) was further verified from the generation of escape mutants. Antibodies directed to sites I and III failed to show any detectable binding or neutralizing activity against a number of natural PI2 virus isolates collected in Texas between 1986 and 1987. Interestingly, these natural variants, unlike the prototype virus, did not show any detectable neuraminidase activity with fetuin as a substrate and the enzyme activity was only detected with N-acetylneuramin-lactose as an alternative substrate. Despite the observed variation in the antigenic sites, primary infection with the prototype virus or the natural variants generated a protective immune response against challenge infection with the other virus strains.
Treisman (1991) described a series of visual search studies testing feature integration theory against an alternative (Duncan & Humphreys, 1989) in which feature and conjunction search are basically similar. Here the latter account is noted to have 2 distinct levels: (a) a summary of search findings in terms of stimulus similarities, and (b) a theory of how visual attention is brought to bear on relevant objects. Working at the 1st level, Treisman found that even when similarities were calibrated and controlled, conjunction search was much harder than feature search. The theory, however, can only really be tested at the 2nd level, because the 1st is an approximation. An account of the findings is developed at the 2nd level, based on the 2 processes of input-template matching and spreading suppression. New data show that, when both of these factors are controlled, feature and conjunction search are equally difficult. Possibilities for unification of the alternative views are considered.
A briefly presented visual stimulus engenders an available-information function that lags behind the physical stimulus. We report two experiments that focus on the iconic-decay portion of this function, which falls to 0 over a 200-300 ms period following stimulus offset. In each experiment, to-be-reported digit strings were shown for varying durations followed by a noise mask at varying poststimulus intervals. We found the shape of the performance curve relating digit-report probability to stimulus exposure duration to be independent of stimulus-mask interstimulus interval. This finding is consistent with the proposition that the iconic-decay function's shape is independent of stimulus duration and allows us to identify this shape. We rejected exponential iconic decay for 6 of 8 observers; however, all observers' decay functions could be adequately fit by gamma decay, a generalization of exponential decay.
Explore the source record for details and available documents.
The true late genes of herpes simplex virus type 1 (HSV-1) are expressed only after the onset of viral DNA replication. Previous studies demonstrated that late promoters lack elements upstream of the TATA box and suggested that only a subset of TATA elements can function in the context of true late promoters. We determined which structural features of true late promoters are responsible for the stringent requirement for viral DNA replication by inserting a series of simple model constructs into the HSV-1 genome in place of one of the two promoters of the UL24 gene. An oligonucleotide consisting of 19 nucleotides spanning the TATA box of the HSV-1 true late US11 gene drove barely detectable levels of expression; by contrast, the corresponding regions of the Adenovirus type 2 major late promoter and the HSV-1 true late glycoprotein C promoter were much more active. Transcripts driven from all of these minimal TATA box promoters accumulated without viral DNA replication. The activity of the US11 TATA box was stimulated by adding upstream Sp1-binding sites or placing the US11 or rabbit beta-globin cap/leader region (-11 to +39) downstream. The Sp1-TATA and TATA-beta-globin cap/leader constructs remained replication independent, while the TATA-US11 cap/leader promoter displayed true late regulation. These results demonstrate that sequences located within the US11 cap/leader region impose a strict requirement for viral DNA replication on a minimal TATA box promoter.
Explore the source record for details and available documents.