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Biomedical subjects

J Goldberg

Publications and source records attributed to J Goldberg.

At least 271 records · Page 15Linked to original sources
PubMed1987

The Vietnam Era Twin (VET) Registry: ascertainment bias.

An examination of ascertainment bias in identification of twin pairs in the Vietnam Era Twin Registry has been conducted. A complete listing of all male-male Vietnam era veteran twin pairs born in Connecticut between 1939 and 1955 was obtained (N = 150). An attempt was made to match these pairs with a listing of Vietnam era veteran twin pairs derived from the United States Department of Defense's Defense Manpower Data Center (DMDC) computer files. The results indicate that the DMDC files identified only 46.7% of the 150 Connecticut born Vietnam era veteran pairs. Statistically significant differences (P less than 0.05) between pairs found on the DMDC files and Connecticut veteran pairs missing from the DMDC files are observed for the following variables: a) year of discharge from military service, b) total length of active military service, c) branch of service, and d) foreign service. No consistent pattern of bias is observed for factors related to the physical and psychosocial health of veteran pairs. The implications of the ascertainment biases in the Vietnam Era Twin Registry are discussed.

Adult↗
PubMed1987

Replication of human hepatitis delta virus in primary cultures of woodchuck hepatocytes.

We obtained two lines of evidence that monolayer cultures of primary woodchuck hepatocytes support replication of the genome of human hepatitis delta virus (HDV). (i) From a Northern (RNA blot) analysis of the HDV-related RNA in infected cultures, both genomic and antigenomic 1.7-kilobase RNA species were detected at 11 days after infection. The ratio of genomic RNA to antigenomic RNA was 2:1 to 10:1, comparable to that previously reported in studies of experimentally infected chimpanzees and woodchucks. (ii) Replication in culture was also demonstrated by in situ hybridization with a strand-specific probe. Such studies showed that only a small fraction of the cultured cells supported replication and that in such cells the relative and absolute levels of the HDV RNAs were comparable to those in liver cells infected in vivo. Furthermore, as with the in vivo studies, the HDV RNAs were predominantly localized to the nucleus. In summary, we demonstrated that cultured cells supported both the early events of HDV adsorption and penetration and the intermediate events of genome replication.

Animals↗
PubMed1987

Suppression of sensory to motor synaptic transmission and narrowing of the sensory neurone action potential by arginine vasotocin in Aplysia californica.

The vertebrate neurohypophysial peptide arginine vasotocin (AVT), which may be endogenous to the Aplysia central nervous system, was tested for its effect on sensory to motor neurone synaptic transmission. In the semi-intact preparation, superfusion of AVT (10(-6) moll-1) over the abdominal ganglion decreased the amplitude of both the gill withdrawal reflex and the short-latency excitatory postsynaptic potentials (EPSPs) evoked in gill and siphon motor neurones by single action potentials elicited in sensory neurones. AVT slowed the rate of rise of the EPSP, enhanced the rate of homosynaptic depression, and reversibly decreased the duration of the action potential of mechanosensory neurones in isolated, perfused abdominal and pleural ganglia. Frequency-dependent prolongation of action potentials of pleural sensory cells was also decreased by application of AVT. Because this peptide has been shown to modulate the gill withdrawal reflex and its subsequent habituation, the hypothesis that AVT plays a physiological role in the expression of the suppressed behavioural state is proposed. In addition, it is proposed that modulation of the reflex by AVT occurs in part by shortening the duration of the sensory neurone action potential.

Animals↗
PubMed1987

Vestibulo-ocular reflex during magnified vision: adaptation to reduce visual-vestibular conflict.

This report describes the short-term effect of 2.2X telescopic spectacles on the vestibulo-ocular reflex (VOR) in seven volunteers. VOR gain was initially measured in darkness and light during passive sinusoidal rotations. Subjects were then rotated in light for 15 min while wearing telescopic spectacles. Dynamic visual acuity (DVA), vision during head rotation, was measured with telescopic spectacles. Initial VOR gain in darkness was 0.74 +/- 0.10 (mean +/- S.D.); VOR gain with unmagnified vision was 1.07 +/- 0.04. Initial VOR gain with magnified vision was 1.37 +/- 0.53. DVA was poorer than static acuity in three of four subjects. After adaptation, VOR gain in darkness increased to 0.83 +/- 0.12, with six of seven subjects exhibiting a gain increase of 7-23% (p less than 0.05 for 5). Adapted VOR gain with magnified vision was 1.54 +/- 0.25. Adapted performance was more consistent and oscillopsia was reduced. Adapted DVA improved 30-100% in four subjects. These changes indicate VOR adaptation to telescopic spectacles decreases visual-vestibular conflict.

Adaptation, Physiological↗
PubMed1986

Prognostic significance of mean cell volume in non-Hodgkin's lymphomas.

Cell volumes of neoplastic lymphocytes collected from lymph nodes of 53 patients with non-Hodgkin's lymphoma were compared to lymphocytes from 18 patients with reactive hyperplasia. The mean cell volume (MCV) and the modal volume (MV) of neoplastic lymphocytes were larger than the MCV and MV of lymphocytes from reactive hyperplasia. The cell volumes of neoplastic lymphocytes from patients with non-Hodgkin's lymphoma were more heterogeneous within and among cases than observed in volumes from lymphocytes of patients with reactive hyperplasia. The cell volumes of neoplastic lymphocytes corresponded to subgroups within the Rappaport Classification and the Working Formulation. Cell volumes of neoplastic cells from low-grade lymphomas were smaller than intermediate grade lymphomas which in turn were smaller than high-grade lymphomas. When cases of NHL were placed into three subtypes based on the MCV, large cell lymphomas had a significantly shorter survival then small and intermediate cell lymphomas at 12 months. However, a stepwise multiple regression analysis failed to demonstrate any independent value of cell volume in the prediction of survival.

Adult↗
PubMed1986

Compliance with topical pilocarpine treatment.

Using an unobtrusive eyedrop medication monitor, we measured compliance with topical pilocarpine treatment in a sample of 184 patients. The eyedrop monitor recorded electronically the date and time of each pilocarpine administration over a four- to six-week period. The subjects administered a mean +/- S.D. of 76.0% +/- 24.3% of the prescribed pilocarpine doses. Eleven patients (6%) took less than one quarter and 28 patients (15.2%) took less than one half of the prescribed administrations. In contrast, when the subjects were interviewed they reported taking a mean +/- S.D. of 97.1% +/- 5.9% of the prescribed pilocarpine doses. As determined by the monitor, 45 patients (24.5%) had at least one day per month with no administrations of pilocarpine; 56 subjects (30.4%) compressed the doses during the daytime hours, leaving an interval between the night dose and the morning dose the next day of 12 hours or more. The rate of compliance was significantly higher (P less than .0001) in the 24-hour period preceding the return appointment than in the entire observation period.

Aged↗
PubMed1986

Limited efficacy of a four-day course of high-dose cytosine arabinoside in the treatment of poor-risk patients with acute nonlymphocytic leukemia.

High-dose cytosine arabinoside therapy was administered to 29 patients with poor-prognosis acute nonlymphocytic leukemia. In an attempt to reduce toxicity, therapy was divided into an initial 4-day course of therapy, followed by a 3-day course of the marrow aspirate examined 1 week after the end of treatment contained substantial numbers of leukemic cells. Of the 29 patients, 5 entered complete remission, 2 of them after the initial 4-day course of therapy. The toxicity of split-course therapy was the same as that of conventional 6-day high-dose cytosine arabinoside therapy. This study demonstrates that the modification of high-dose cytosine arabinoside therapy used in this study failed to reduce toxicity and produced a lower remission rate than that obtained with the 6-day course of therapy.

Acute Disease↗
PubMed1986

Ectopic gastrinoma and Zollinger-Ellison syndrome.

In Zollinger-Ellison syndrome (ZES), the discovery of gastrinomas in unusual locations, such as a lymph node, poses a diagnostic problem centered on whether the neoplasm is primary or metastatic. The clinical, gross, microscopic, immunocytochemical, and ultrastructural features of ectopic gastrinomas were studied in four patients with ZES, and reports of 14 similar cases were reviewed. These extragastroenteropancreatic (EGEP) gastrinomas have many of the morphologic features of gastrinomas in conventional locations. However, the centrifugal expansile growth pattern, characterized by a thick fibrous capsule, hyalinized fibrous septa, and, frequently, cystic degenerative changes in EGEP gastrinomas should alert the pathologist to the probability that these neoplasms are primary. Additional evidence for the primary nature of these EGEP gastrinomas is derived from the postoperative normalization of high serum gastrin levels and the correction of the abnormal gastrin response to secretin challenge or to calcium infusion tests. Increased awareness of the occurrence and features of these EGEP gastrinomas is crucial for both pathologists and surgeons to ensure proper evaluation and treatment of patients with ZES.

Adolescent↗
PubMed1986

Structure and replication of the genome of the hepatitis delta virus.

The hepatitis delta virus can be found in the serum and liver of some hepatitis B virus patients. We now report that the RNA genome of serum-derived delta virus is single-stranded and circular. Livers of infected chimpanzees or woodchucks contained as many as 300,000 copies of genomic strand RNA per average cell, and at least some of this RNA had a circular conformation. Also present in the livers were RNA species complementary to the virion RNA. The genomic RNA was 5-22 times more abundant than this antigenomic strand. Some of the antigenomic RNA was complexed with genomic RNA, as evidenced by the fact that at least 34% of the antigenomic RNA was resistant to digestion with either RNase A in 0.3 M NaCl or S1 nuclease. Some of the antigenomic RNA was in a circular conformation. These and other findings showed that the structure and replication of hepatitis delta virus are in many ways similar to those of the previously described plant viroids, virusoids, and satellite RNAs.

Animals↗
PubMed1986

Neutropenia and thrombocytopenia: antibodies directed against circulating neutrophils and bone marrow myeloid progenitor cells (CFU-C).

The pathophysiology of a neutropenic disorder was evaluated in a 60-year-old man using myeloid progenitor cell (CFU-C), colony stimulating activity (CSA), and antineutrophil antibody assays. An immunoglobulin, present in the patient's serum at presentation, was directed against peripheral blood neutrophils, and autologous and allogeneic bone marrow CFU-C. A course of prednisone resulted in resolution of the neutropenia and a disappearance of the cytotoxic antibody. This study suggests that the patient's neutropenic disorder resulted from antibody-mediated destruction of circulating neutrophils and a suboptimal bone marrow granulopoietic response.

Agranulocytosis↗
PubMed1986

Culture-negative endocarditis with purpura and arterial emboli.

We have presented a case of culture-negative endocarditis in which purpura and arterial emboli were the major findings, and in which echocardiograms were normal, but angiograms revealed vegetations and unsuspected severe aortic valve insufficiency.

Aortic Valve Insufficiency↗
PubMed1986

Prediction of response of patients with acute nonlymphocytic leukaemia to remission induction therapy: use of clinical measurements.

Two hundred patients with acute nonlymphocytic leukaemia received remission induction therapy consisting of cytosine arabinoside and an anthracycline antibiotic. Analysis of the pretherapy characteristics of the patients demonstrated that patient age was the most important factor in determining whether or not the patient would survive remission induction therapy. Assessment of the characteristics of the bone marrow after 6 d of therapy permitted the recognition of patients who were likely to fail to enter remission because of persistent leukaemia. Taken together, these observations demonstrate that it is possible to identify patients for whom conventional chemotherapy is not likely to be of benefit either because it is too intensive or because it is not intensive enough to produce a complete remission.

Acute Disease↗
PubMed1986

Reflex and mechanical contributions to head stabilization in alert cats.

Five alert cats were tested for their responses to rotation in a device that allowed rotation of the head on the trunk about a vertical axis passing through the C1-C2 vertebral joint. Electrodes were implanted to record the horizontal and vertical electrooculogram and electromyographic (EMG) activity of the dorsal neck muscles splenius, biventer cervicus, and complexus. Head rotation and torque acting on the head were recorded in the horizontal plane during rotations in the 0.05-5.0 Hz frequency range. Responses were interpreted with reference to a closed-loop dynamic model of the head-neck system. Whole-body rotation (WBR) with no neck movement elicited a vestibulocollic reflex (VCR). Neck muscle EMG lagged the sinusoidal platform rotation by approximately 120 degrees at low frequencies, which represents a 60 degrees lead relative to a perfectly compensatory 180 degrees lag. This phase lead was related to the cumulative eye position of the accompanying horizontal vestibular nystagmus as reported by Vidal et al. Horizontal head torque exhibited a similar low-frequency behavior. At high frequencies, EMG exhibited a progressively increasing phase lead and gain increase typical of a second-order lead system as described in decerebrate cats. Torque, however, showed much less lead and gain increase, presumably because of the low-pass filter properties of the process coupling muscle excitation to torque. Head torque did exhibit a steep increase in gain with frequency and a phase approaching that of platform acceleration at high frequencies when weights were attached to the head to increase its moment of inertia. The same +40 dB/decade gain slope and phase approaching 0 degree was observed during WBR rotation of the anesthetized cat in which head inertia is the only factor contributing to the torque. This dynamic behavior was predicted by the inertial component of the model. In the alert unweighted cat, the inertial torque was smaller than VCR-generated torque at frequencies below 4 Hz. Rotation of the neck with the head held fixed in space (HFS rotation) elicited a cervicocollic reflex (CCR). Neck EMG response was very similar to that observed during WBR, both in dynamic behavior and overall gain. Torque, however, was consistently greater than that generated by WBR and showed a steady increase of 8 dB/decade as frequency rose. The added torque can be attributed to the viscoelastic properties of neck muscles. Driven rotation of the head on the fixed body elicited torques that could be closely approximated by a vector sum of torques observed during WBR and HFS rotations.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗