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Biomedical subjects

J E Rose

Publications and source records attributed to J E Rose.

At least 109 records · Page 6Linked to original sources

Regulation of tobacco smoke intake with paced cigarette presentation.

Smoking behavior in response to an increased presentation of cigarettes was investigated to determine whether compensatory changes occurred in order to maintain a constant intake of tobacco smoke. The lighting of each cigarette was paced at both twice and four times that of subjects' baseline smoking rates in a three condition repeated measures design for eight smokers. Puff topography--number of puffs per cigarette, puff duration, volume, peak flow and interpuff interval--was monitored continuously. Results showed that subjects titrated smoke intake, as summarized by three smoke compensation indices based on number of puffs, puff volume and puff duration. Compensation was virtually complete in the double rate condition, and substantial in the quadruple rate condition. Results of this experiment do not support the view of a bimodal distribution of smokers, "compensators" and "noncompensators," since a continuous range of compensation ratios was obtained. The measures of individual puff topography were only modestly correlated, and were generally highest for volume x duration. Volume would appear to be the most accurate measure of tobacco product consumed.

Adaptation, Psychological↗

Cigarette smoking during anxiety-provoking and monotonous tasks.

Cigarette smokers were exposed to three conditions within a single session: stagefright anxiety, monotonous concentration, and a relaxation control. One cigarette was lit during the second 10-minute half of each condition, and smoking topography (number of puffs and cumulative volume smoked) was continuously recorded. Subjects smoked significantly more in the two task conditions than during relaxation, supporting the hypothesis that anxiety-provoking and attention-demanding situations elicit smoking. Younger subjects increased their smoking more than older subjects during stagefright , and females responded more than males to the concentration task.

Adult↗

Cigarette smoking behavior in conjoined twins.

A study of cigarette smoking was undertaken in a pair of craniopagus twins to determine how a transfer of products of smoking is occurring between the twins. Alternately and independently, one twin smoked a nicotine-free cigarette, then the second twin smoked a nicotine-containing cigarette. The procedure enabled the investigators to study the migration of nicotine and carbon monoxide from one twin to the other. Salivary determination provided a noninvasive method of measuring cross circulation in conjoined twins. Measurements of salivary nicotine, however, indicated that, although the nicotine levels rose following smoking, there was relatively little transfer from one twin to the other through the circulation.

Adult↗

Controlled release of contraceptive steroids from biodegradable poly (ortho esters).

The synthesis of poly (ortho esters) by the condensation of diols and diketene acetals and the in vitro drug release from devices containing norethindrone or levonorgestrel and either Na2C03 or Na2S04 is described. Drug release kinetics are rationalized in terms of an osmotically driven water imbibition and release of the steroid from the swollen polymer. No polymer erosion occurs when Na2C03 is used. When Na2S04 is used, polymer erosion does take place but lags drug release. As expected from the known acid lability of ortho ester linkages, drug release is strongly dependent on the pH of the external environment and a dramatic increase occurs between pH 5.5 and 5.0. The glass transition temperature of the poly (ortho esters) can be continuously and predictably varied between 115 and 20 degrees Celsius by using an appropriate ratio of 1,6-hexanediol, and trans-cyclohexanedimethanol in the condensation reaction with the diketene acetal. Polymer hydrophilicity can be varied by the incorporation of varying amounts of the hydrophilic diol diethylene glycol into the polymer. Molecular weight control can be readily achieved by skewing the stoichiometry, and polymers with weight average molecular weights between 20,000 and in excess of 100,000 have been produced. Hydrolytic degradation of the poly (ortho esters) produces the expected products.

Clinical Laboratory Techniques↗

Diagnosis and treatment of spontaneous cerebrospinal fluid otorrhea.

Two consecutively operated-on adult cases with spontaneous cerebrospinal fluid otorrhea were reviewed. Three meningoencephaloceles through tegmental defects were found. Each cele was peduculated through a small dural dehiscence partially obstructed by herniated brain. The otic capsule was normal in both cases. Bipolar cautery was used to reduce the size of the meningoencephalocele and to allow this tissue to assist in the closure of the defect. Conchal cartilage was placed through the tegmental defect to act as a self maintaining intracranial repair of the bony dehiscence. These cases and the literature suggest that fistulization of dura is more frequently the cause of spontaneous cerebrospinal fluid otorrhea in adults than is a defect in the otic capsule. Thus, direct surgical inspection of these areas is required.

Adult↗

Ribbon synapses in the developing intact and cultured organ of Corti in the mouse.

Over 100 synaptic ribbons were studied in the intact animal from birth to the 23rd day and over 500 were studied in the isolated organ up to 24 days in culture. Our findings suggest that synaptogenesis in the cochlea of the mouse occurs mainly postnatally and lasts at least 14 days. Afferent synapses of young cochleas are characterized by round ribbons which are attached to the presynaptic membrane by two rodlets, each surrounded by a discrete triangular density. The postsynaptic density is continuous and coextends with the presynaptic complex. The single layer of vesicles surrounding the dense body of the ribbon is disrupted by the presynaptic densities. In an afferent synapse of the adolescent animal, the predominant organelle is a plate ribbon--often laminated--which measures on the average approximately 1000 A wide, 2000 A tall, and 1500 A long (one section = 700 A). The ribbon is attached to a presynaptic density, arcuate in form; a row of synaptic vesicles is aligned along each side of the arcuate density. The presynaptic membrane forms a trough accommodating the ribbon. The postsynaptic density exceeds the territory of the ribbon. Similar development of the synapse also may be observed in culture. Structural variability of ribbons (seen especially in culture), clustering of ribbons, multiribbon synapses, and ribbon families seem to be characteristic of early development. The occurrence of ring-like or fenestrated ribbons in the intact adolescent animal suggests a limited life span of the organelle. A decrease in the ribbon population of the outer hair cells, to about 20% of the total number, occurs postnatally in the intact animal. A similar decrease occurs also in culture. This implies that the ribbon population is not affected by the efferent influx. The mature cochlear ribbon appears comparable to those of the retina and some ampullary organs of electric fishes.

Afferent Pathways↗

Solid-phase selection of human T lymphocyte subpopulations using monoclonal antibodies.

This report describes a novel solid-phase technique for the positive selection of human T lymphocyte subsets labeled by indirect immunofluorescence with monoclonal anti-bodies. Fluorescein labeled normal human T cells or a T cell line were fractionated on plastic culture dishes precoated with affinity chromatography purified anti-fluorescein antibodies. Cell binding was specific for fluorescein, and was both time and temperature dependent. Bound cells were eluted at 37 degrees C with fluorescein-L-lysine. The eluted cells were enriched with highly viable and functional human T cell subsets. Thus Leu3 monoclonal antibody selected cells were shown to provide helper activity in the pokeweed mitogen induced IgM and IgG immunoglobulin secretory response of autologous B cells. The Leu2 antibody selected T cells suppressed both IgM and IgG secretory responses. In addition, studies with the monoclonal antibody 1G11, which binds to an antigen expressed on acute lymphocytic leukemia (T-ALL) cells and the T-ALL derived cell line RPMI-8402, demonstrated that this solid-phase technique can be used to select for cells which are present at low frequencies in a mixed population. It thus provides a simple and reproducible means for the preparative isolation of lymphocyte subsets associated with autoimmune and neoplastic disease for functional and biochemical analysis.

Animals↗

Fractionation of human lymphocyte subpopulations on immunoglobulin coated Petri dishes.

This report describes a simple solid-phase technique for the positive selection of lymphocytes labeled with fluoresceinated antibodies. B lymphocytes were labeled with fluoresceinated anti-human Ig or monoclonal anti-human Ia (L243), and then were bound to plastic culture dishes coated with affinity purified goat anti-fluorescein specific antibody. Bound cells were eluted at 37 degrees C with 1 mM fluorescein-L-lysine phosphate-buffered saline. Functionally the eluted Ig positive cells responded to pokeweed mitogen (PWM) by in vitro secretion of IgM, as measured by radioimmunoassay of culture supernatants. The secretion of IgM was dependent on the addition of T lymphocytes. Moreover, the isolated B cells were functionally receptive to 'help' and 'suppression' by T cells with and without Fc receptors for IgG respectively. T cell subsets were fractionated on plastic culture dishes coated with heat aggregated rabbit or human IgG. the non-bound cells (enriched T(gamma-)) provided collaborative 'help' in the PWM induced IgM secretion response by human B lymphocytes. The bound cells (enriched T(gamma+)) eluted with 0.01 M EDTA in phosphate-buffered saline, suppressed IgM secretion. This method can be adapted to fractionate subsets of lymphocytes for which a fluoresceinated antibody is available. For routine functional studies, the isolation of cell types with conventional or monoclonal antibodies does not require the use of a fluorescence activated cell sorter, but only an antifluorescein labeled Petri dish. In conclusion, a rapid solid-phase technique enables us to prepare enriched populations of functionally active lymphocytes.

Animals↗

Comparative titration of Anaplasma marginale antibodies by card agglutination and complement-fixation tests.

The card agglutination test for anaplasmosis was improved so that bovine serum could be titrated for Anaplasma antibodies. The modified test was validated when its results on 1 set of serum samples were compared with the results furnished by the complement-fixation test on the same set. The samples tested were from cows inoculated with an Anaplasma vaccine or with either 1 of 2 virulent strains of Anaplasma marginale. A correlation coefficient of 0.60 was calculated between the values of the titers furnished by the 2 tests, and regression equations were calculated and used to estimate the serum titer in 1 test from a titer measured in the other. The results indicate that the simple card agglutination test can yield titers comparable with those of the complement-fixation test.

Agglutination Tests↗

Metastatic extradural malignancy of the spine.

One hundred and twenty cases of malignant extradural spinal compression have been reviewed. It is essential to treat such patients early whilst their neurological defects are minimal. When useful function has been lost, it is rarely regained postoperatively, irrespective of the rate of onset, and particularly if the duration of the fixed deficit exceeds 24 hours.

Adolescent↗

The effect of sodium salicylate on cerebral blood flow and metabolism.

1 The effect of intravenous sodium salicylate on cerebral oxygen consumption and cerebral blood flow and its response to hypercapnia was measured by the 133Xenon intracarotid injection technique in ten baboons. 2 After an initial peak, the plasma salicylate level maintained a stable value for 2 h of 1 mmol/l with 50 mg/kg sodium salicylate and 2.5 mmol/l with 200 mg/kg sodium salicylate. 3 Sodium salicylate (50 mg/kg) produced no change in baseline cerebral blood flow (CBF) or cerebral oxygen consumption (CMRO2) but the CBF response to hypercapnia was reduced by 41% during the first hour. During the second hour after salicylate administration, CMRO2 increased by 26%, CBF at normocapnia increased by 31% and the CBF response to hypercapnia was 67% of the baseline value. 4 Sodium salicylate (200 mg/kg) increased CMRO2 by 65%. There was no significant change in CBF at normocapnia or hypercapnia. 5 These results confirm that inhibitors of prostaglandin synthesis, which can cross the blood brain barrier in sufficient quantity, reduce the response of the cerebral circulation to hypercapnia. The difficulties in interpreting changes in the CBF CO2 response in the presence of increases in CMRO2 are discussed. It is suggested that the respiratory stimulation seen in salicylate intoxication is the result of a central metabolic stimulation.

Animals↗

Variability in generation of anti-sheep erythrocyte plaque-forming cells from cultures of human peripheral blood. Influence of monocytes.

We have encountered two types of variability in the numbers of cells making antibodies in vitro to sheep erythrocytes (PFC) in pokeweed-stimulated human peripheral blood mononuclear lymphocytes (PBM). One is a variation in number of PFC generated by the PBM of one individual compared -o that of another, which is probably an in vitro counterpart to the well known individual variation in in vivo antibody responsiveness and presumed to be T cell controlled. The other variability is in numbers of PFC found in replicate tubes from a given individual. This variation is not T cell controlled, but rather is releated to the relative number of monocytes in the system. Enhancement by monocytes of the numbers of PFC generated is also demonstrated.

Animals↗

Effects of phenol on card-agglutination and complement-fixation tests for bovine anaplasmosis.

Effects of adding phenol to sera used for the card-agglutination test (CAT) and for the micro-complement-fixation test (CFT) for bovine anaplasmosis were studied. Sera were obtained from 14 recently infected cattle, 17 cattle vaccinated with a killed anaplasmosis vaccine, 5 cattle in the carrier phase of the disease, and 45 cattle of unknown anaplasmosis status. Aliquots of sera were tested with and without phenol (0.25% final concentration). Phenol adversely affected the CAT by causing false-negative results. The CAT reactions of nonphenolized sera from recently infected cattle were all positive 4 weeks after inoculation, whereas CAT reactions of phenolized sera were not all positive until 10 weeks after inoculation. Nine non-phenolized sera from vaccinated cattle that were CAT-positive were CAT-negative after being phenolized. Phenolized sera from carrier cattle and from cattle of unknown anaplasmosis status were less reactive on the CAT than were nonphenolized sera. Effects of phenol on the CFT were not so obvious. Although phenol had little effect on end-titer results, it eliminated most prozones that cause false-negative CFT results at the 1:5 dilution. Without phenol, 30 of 215 sera would have been CFT-negative at this dilution because of prozones; with phenol, 6 would have been CFT-negative.

Agglutination Tests↗

Metabolic inhibition of plaque-forming cells: comparison of human rheumatoid-factor-producing cells with mouse anti-sheep erythrocyte-producing cells.

While rheumatoid-factor-producing haemolytic plaque-forming cells (RF--PFC) of the human peripheral blood were easily inhibited by cycloheximide, mouse spleen cells immune to sheep red cells (anti-SRC PFC) were inhibited only after prolonged preincubation in the drug. The RF--PFC were easily inhibited by propranolol, while the anti-SRC PFC were not at all inhibited. Vinblastine inhibited both systems equally. These differences are taken to suggest that the RF--PFC have very little preformed antibody in them and therefore depend upon active protein synthesis for their demonstration. In contrast, anti-SRC PFC, which may be predominantly mature plasma cells, generally need no new protein synthesis for their demonstration because of increased quantities of preformed antibody. A possible mechanism is that RF--PFC may represent primarily RF-specific B cells, the RF of which is released by surface immunoglobulin shedding and therefore susceptible to membrane stabilising agents such as propranolol.

Animals↗

Alexia without agraphia in a musician after transcallosal removal of a left intraventricular meningioma.

After a meningioma situated in the trigone of the left lateral ventricle was excised by the transcallosal approach of Kempe and Blaylock, a right-handed musician with a right hemianopsia developed alexia without agraphia. In contrast to previously reported cases of this syndrome arising from other etiologies, he was unable to read single letters or numbers. Neuropsychological studies at 42 and 126 days after operation also disclosed an inability to associate auditory or tactile stimuli with visually perceived material, whereas speech and verbal comprehension were intact. Although the alexia extended to musical notes, he could interpret other musical symbols (e.g., treble clef). Appreciation of rhythm and expressive musical ability were relatively preserved, although judgment of other musical features (including discrimination of pitch, duration, and loudness) was compromised. The findings suggest that alexia may occur as a consequence of the transcallosal procedure when a right hemianopsia is present. However, other linguistic abilities may be better preserved by the transcallosal approach to the ventricle than by a transcortical operation.

Agraphia↗

Radionuclide cerebral angiography and the timing of aneurysm surgery.

Forty-five patients with subarachnoid hemorrhage due to verified intracranial aneurysms were studied prospectively to determine whether delaying operations in those patients with abnormal cerebral perfusion, assessed by radionuclide dynamic scanning, would lower case management mortality. Twenty-nine patients had intracranial operations when their radionuclide dynamic scans demonstrated normal perfusion. The one death in this group occurred in a patient who suffered a massive hemorrhage during operation as the bone flap was elevated. There were no instances of delayed spasm after operation. Of the 16 remaining patients who were treated without operation, 5 died. Only 1 of these deaths resulted from recurrent hemorrhage. This patient had normal cerebral perfusion but was not operated upon because of severe associated medical problems. Cerebral infarction occurred in 10 of the 16 unoperated patients, all of whom had persistently decreased cerebral perfusion. Four of these patients died of their infarctions or related causes. Although a trend related vessel caliber as seen on arteriograms and perfusion delay seen on dynamic scanning, individual exceptions were numerous. This study shows that radionuclide scanning, a safe procedure, is useful for identifying two types of patients: those with normal perfusion prone to rebleeding in whom an early operation is safe and those in whom perfusion is decreased. The latter group is prone to cerebral infarction, but rebleeding from the aneurysm is unlikely. Operation should be delayed in these patients until cerebral perfusion returns to normal or for several weeks if cerebral perfusion remains diminished.

Adult↗