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Biomedical subjects

J M Wild

Publications and source records attributed to J M Wild.

At least 109 records · Page 6Linked to original sources

Projections of the parabrachial nucleus in the pigeon (Columba livia).

The ascending and descending projections of the parabrachial nuclear complex in the pigeon have been charted with autoradiographic and histochemical (WGA-HRP) techniques. The ascending projections originate from a group of subnuclei surrounding various components of the brachium conjunctivum, namely, the superficial lateral, dorsolateral, dorsomedial, and ventromedial subnuclei. The projections are predominantly ipsilateral and travel in the quintofrontal tract. They are primarily to the medial and lateral hypothalamus (including the periventricular nucleus and the strata cellulare internum and externum), certain dorsal thalamic nuclei, the nucleus of the pallial commissure, the bed nucleus of the stria terminalis, the ventral paleostriatum, the olfactory tubercle, the nucleus accumbens, and a dorsolateral nucleus of the posterior archistriatum. There are weaker or more diffuse projections to the rostral locus coeruleus (cell group A8), the compact portion of the pedunculopontine tegmental nucleus, the central grey and intercollicular region, the ventral area of Tsai, the medial spiriform nucleus, the nucleus subrotundus, the anterior preoptic area, and the diagonal band of Broca. The parabrachial subnuclei have partially differential projections to these targets, some of which also receive projections from the nucleus of the solitary tract (Arends, Wild, and Zeigler: J. Comp. Neurol. 278:405-429, '88). Most of the targets, particularly those in the basal forebrain (viz., the periventricular nucleus and the strata cellulare internum and externum of the hypothalamus, the bed nucleus of the stria terminalis, and its lateral extension into the ventral paleostriatum, which may be comparable with the substantia innominata), have reciprocal connections with the parabrachial and solitary tract subnuclei and therefore may be said to compose parts of a "visceral forebrain system" analogous to that described in the rat (Van der Kooy et al: J. Comp. Neurol. 224:1-24, '84). The descending projections to the lower brainstem arise in large part from a ventrolateral subnucleus that may be comparable with the Kölliker-Fuse nucleus of mammals. They are mainly to the ventrolateral medulla, nucleus ambiguus, and massively to the hypoglossal nucleus, particularly its tracheosyringeal portion. These projections are therefore likely to be importantly involved in the control of vocalization and respiration (Wild and Arends: Brain Res. 407:191-194, '87). Some of these results have been presented in abstract form (Wild, Arends, and Zeigler: Soc. Neurosci. Abst. 13:308, '87).

Animals↗

The influence of forward light scatter on the visual field indices in glaucoma.

Light scatter was induced in 15 glaucoma patients, exhibiting clear media and moderate field loss, using cells containing varying concentrations of 0.5 microns diameter latex beads in distilled water. The right eye was examined with program G1 on the Octopus 201, and with a 45 degrees threshold profile on the Dicon AP3000, with and without a given cell. Forward light scatter due to the cell was assessed by measuring the depression of contrast sensitivity, with the Nicolet CS2000, under glare conditions. Perimetric mean sensitivity decreased linearly and loss variance decreased curvilinearly with increase in forward scatter. Threshold values for 26 glaucoma patients, determined in the absence of induced scatter, were then corrected for the effects of naturally occurring intraocular light scatter. The recalculated mean defect decreased linearly while loss variance remained essentially unchanged. Forward light scatter therefore predominantly exaggerates diffuse loss; the apparent underestimation of focal defects caused by induced scatter is partly a computational artefact resulting from inapplicable age-matched normal reference data.

Aged↗

The influence of a social dose of alcohol on the central visual field.

The influence of a socially acceptable dose of alcohol (mean blood alcohol level approximately 90 minutes after ingestion 69.5 mg%; SE 6.20 mg%) on the central visual field as determined by automated static perimetry was investigated in 17 female subjects (17 eyes) trained in automated perimetry (mean age 22.5 years, SE 1.29 years). Central visual field examination was undertaken on the right eye with program 30-2 (stimulus size III) of the Humphrey Field Analyser 630, using a simple cross-over placebo design. Alcohol produced a small (1.0 dB) but statistically significant decrease in the mean deviation (P = 0.002) and small increases (0.6 dB) in the pattern and corrected pattern standard deviations (P = 0.003 and P = 0.046, respectively). The number of stimulus presentations increased by 6% (P = 0.006) and the number of false-negative responses also increased (P = 0.019), indicating impaired patient response. Attenuation of sensitivity as a result of alcohol increased with the increase in eccentricity (P = 0.046) independently of the meridian (P = 0.068) from a mean of 0.8 dB at 3 degrees eccentricity to 1.84 dB at 27 degrees.

Adult↗

Avian somatosensory system: II. Ascending projections of the dorsal column and external cuneate nuclei in the pigeon.

The ascending projections of the dorsal column and external cuneate nuclei (DCN/CuE) in the pigeon were investigated in anterograde tracing experiments by using autoradiography or wheat germ agglutinin conjugated to horseradish peroxidase (WGA-HRP). The results show that the majority of ascending projections decussate via internal arcuate fibers to form a contralateral medial lemniscus which ascends in a ventral position. In the brainstem, terminal fields were observed in the ventral lamella of the inferior olive (OI), the parabrachial nuclei (PB) of the dorsolateral pons, the intercollicular nucleus (ICo) of the midbrain, and the nucleus pretectalis diffusus (PD). In the diencephalon there were terminal fields in the strata cellulare externum and internum (SCE and SCI) of the caudal hypothalamus; in the intercalated (ICT), ventrolateral (VLT), and reticular nuclei of the ventral thalamus; in the nuclei principalis precommissuralis (PPC), spiriform medialis (SpM), and dorsolateralis posterior, pars caudalis (cDLP) of the caudal thalamus; and in the nuclei dorsalis intermedius ventralis anterior (DIVA), dorsolateralis posterior, pars rostralis (rDLP), dorsolateralis anterior (DLA), and dorsolateralis anterior, pars medialis (DLM) of the rostrodorsal thalamus. The origins of these projections within the DCN/CuE complex were verified in retrograde tracing experiments with WGA-HRP and were found to be partly differentiable with respect to their targets. The projections to DIVA, rDLP, DLA, DLM, cDLP, and SpM arise from all rostrocaudal levels of the DCN/CuE complex; those to ICo arise from caudomedial nuclear regions, while those to the hypothalamus and ventral thalamus arise from rostrolateral nuclear regions. Projections to PB arise from lamina I neurons of the dorsal horn of upper cervical spinal cord segments and from CuE. No evidence was found of a projection to the cerebellum. The distribution of the cells of origin of the medial lemniscus (ML) within the DCN/CuE complex was found to be largely coextensive with the areas of termination of primary spinal (Wild: J. Comp. Neurol. 240:377-395, '85) and some trigeminal (Dubbledam and Karten: J. Comp. Neurol. 180:661-678, '78) afferents. Furthermore, the areas of termination of the ML within the rostrodorsal and caudal thalamus are also either coextensive or closely associated with nuclei which provide a somatosensory projection to separate regions of the telencephalon (Wild: Brain Res. 412:205-223, '87). There are thus clear similarities in the overall pattern of somatosensory projections in the pigeon and in many mammalian species.

Amino Acids↗

Pretectal and tectal projections to the homologue of the dorsal lateral geniculate nucleus in the pigeon: an anterograde and retrograde tracing study with cholera toxin conjugated to horseradish peroxidase.

The possibility of a projection from the pretectal nucleus, lentiformis mesencephali (LM), to the principal optic nuclei (OPT) of the dorsolateral thalamus was investigated using cholera toxin conjugated to horseradish peroxidase (CT-HRP). Injections of CT-HRP into LM produced massive anterograde labeling of the pars lateralis of the nucleus dorsolateralis anterior thalami (DLL), and sparse labeling of the pars magnocellularis (DLAmc). Injections of CT-HRP into OPT in turn produced massive retrograde labeling of both parvocellular and magnocellular divisions of LM. These results relate to possible neural mechanisms underlying optokinetic nystagmus. OPT injections also retrogradely labeled small neurons throughout the rostrocaudal extent of the tectum which were confined to superficial laminae.

Animals↗

Alterations in the shape of the automated perimetric profile arising from cataract.

The attenuation of the perimetric response arising from cataract was investigated and related to the degree of cataract quantified by glare sensitivity. Visual fields were measured with the Octopus and Dicon automated perimeters out to an eccentricity of 30 degrees. Nuclear and non-nuclear cataracts differed in their effect on the perimetric profile. Non-nuclear cataracts exhibited the same qualitative characteristics as a model developed in previous studies, whereby the overall pattern of perimetric attenuation was dependent upon target configuration. For these subjects, perimetric sensitivity was depressed to a greater extent at an eccentricity of 30 degrees compared with fixation when measured with the large projected stimuli, whereas the reverse was true when sensitivity was measured with the small LED stimuli. Conversely, nuclear cataracts depressed perimetric sensitivity to a greater extent at the fovea compared with more peripheral regions for both the large projected and small LED stimuli.

Aged↗

The influence of the learning effect on automated perimetry in patients with suspected glaucoma.

The influence of the learning effect on the outcome of automated perimetry was studied as a function of eccentricity. The same comprised 20 patients with suspected glaucoma who were all naive to automated perimetry. Visual field examination of the right eye followed by that of the left eye was undertaken on each of three successive days and after a further interval of 12 days using a customized full-field program of the Humphrey Field Analyser 630 (stimulus size III). The program comprised 60 points out to an eccentricity of 60 degrees with an interstimulus grid of 12 degrees. Global, central, peripheral, superior and inferior mean sensitivity each significantly increased (P less than or equal to 0.01) from the first to the second right eye examinations and from the third to the fourth left eye examinations (P less than or equal to 0.01). The global short-term fluctuation, central mean defect and number of stimulus presentations decreased from the first to the second right eye examination (P 0.01). The order of examination between eyes and the interval between examination sessions influences the response recorded by automated perimetry.

Clinical Competence↗

Projections of the nucleus of the tractus solitarius in the pigeon (Columba livia).

With the aid of autoradiographic and histochemical (WGA-HRP) tracing techniques, the projections of the nucleus of the tractus solitarius (nTS) in the pigeon have been delineated and related to the viscerotopic organization of the nucleus. As in mammals, nTS projects to both brainstem and forebrain structures. At medullary levels, projections were seen to nTS itself, to the dorsal motor nucleus of the vagus and to the subjacent and more ventral reticular formation. There is a substantial projection to the parabrachial nuclear complex with terminations in all its subnuclei and minor projections to locus coeruleus and several mesencephalic areas, including the ventral area of Tsai, the nucleus of the ascending brachium conjunctivum, and the compact portion of the tegmental pedunculopontine nucleus. At diencephalic levels, projections to the hypothalamus (magnocellular periventricular nucleus, stratum cellulare internum and externum) and dorsal thalamus were seen. Terminal fields within the basal telencephalon included the nucleus of the pallial commissure, the bed nucleus of the stria terminalis, and the nucleus accumbens. The organization of nTS projections in pigeons is correlated with the pattern of inputs to specific nTS subnuclei. Lateral tier subnuclei receiving cardiovascular and pulmonary inputs project upon the ventrolateral reticular formation and the ventrolateral parabrachial complex. Medial tier subnuclei receiving gustatory and gastrointestinal inputs project upon dorsal and medial parabrachial nuclei. Transparabrachial projections arise from nTS subnuclei receiving little or no primary input from the viscera.

Animals↗

Referral patterns to an ophthalmic outpatient clinic by general practitioners and ophthalmic opticians and the role of these professionals in screening for ocular disease.

Case notes of 1113 consecutive new patients referred to a consultant ophthalmologist at a district general hospital were reviewed to determine the source and efficacy of referrals and the current screening practices of general practitioners and ophthalmic opticians. General practitioners initiated referral in 546 cases (49%) and ophthalmic opticians referral in 439 (39%). Visual loss or visual disturbance was the most important single reason for referral (345 cases; 31%), followed by suspected glaucoma (145 cases; 13%), abnormalities of binocular vision (140; 12.5%), disorders of eyelids or ocular adnexa (127; 11%), and red eye (86; 8%). General practitioners referred many more patients with disorders of the eyelids and adnexa and ophthalmic opticians many more patients with suspected glaucoma. Ophthalmic opticians were far more likely than general practitioners to refer patients with suspected glaucoma correctly. A total of 180 patients (16%) were referred from ocular screening, in 149 cases by ophthalmic opticians and in 10 by general practitioners. Seventy patients had glaucoma or incomplete features of glaucoma, all of them referred by ophthalmic opticians. Of eight diabetic patients referred by ophthalmic opticians, three had asymptomatic disease and in two diabetes was diagnosed as a result of ocular screening. No patient was referred for asymptomatic diabetic retinopathy from screening by general practitioners. Ophthalmic opticians were more likely than general practitioners to diagnose retinopathy requiring photocoagulation. Use of a community based service to screen for glaucoma could save unnecessary consultant outpatient appointments. A similar service could facilitate detection of diabetic retinopathy at a stage when treatment is most effective.

Adolescent↗

Vestibular projections to the thalamus of the pigeon: an anatomical study.

In a series of retrograde tracing studies involving the injection of WGA-HRP into the thalamus of the pigeon, labeled neurons were consistently observed in anterior regions of the vestibular nuclei. Following small dorsal thalamic injections, labeled neurons were located predominantly in rostroventrolateral regions of the superior vestibular nucleus, less numerously within the ventral part of the lateral vestibular nucleus, and least numerously within the medial vestibular nucleus. Following large dorsal thalamic injections, many more vestibular neurons were labeled, and these were distributed more extensively throughout anterior parts of the superior, lateral, and medial nuclei. No labeled neurons were found in the descending nucleus. Injections of tritiated amino acids into vestibular nuclei revealed a terminal field within the dorsal thalamic nucleus: dorsolateralis posterior, pars rostralis. The location of this field between auditory, somatosensory, and paleostriatally and neostriatally projecting nuclei suggests a general similarity to the organization of vestibulothalamic projections in mammals.

Animals↗

Stimulus configuration and the format of the normal sensitivity gradient.

The study investigated the effect of three distinct types of stimulus configuration on the format of the normal sensitivity gradient derived by computer assisted perimetry namely: projected stimuli; light emitting diodes (LED) with the same luminance as the perimeter bowl; and 'black hole' LED stimuli. The study comprised two separate parts: 22 age matched subjects were examined with the Dicon AP3000 and with the Topcon SBP-1000 along the 15 degrees-195 degrees meridian of the visual field of the right eye; a further 22 subjects matched for age and gender were examined along the same meridian in an identical manner with the Dicon AP2025 and with the Humphrey Field Analyser 620. The various stimulus parameters were chosen in order to provide uniformity as far as possible between the instruments. The Topcon evoked greater relative sensitivity than the Dicon at all eccentricities although the rate of change of sensitivity with increase in peripheral angle varied between the two instruments at different locations. Centrally the Dicon profile followed more closely that of Humphrey stimulus size II and beyond 5 degrees that of stimulus size I. The Topcon profile followed that of the Humphrey stimulus size II both centrally and peripherally in spite of being geometrically closer to the size III stimulus. It is proposed that the variations in the sensitivity gradient are not exclusively related to stimulus size and spatial summation; the accommodative stimulus of the 'black hole' LED stimuli, stimulus colour and thresholding strategy may all be contributing factors.

Adult↗

Techniques and developments in automated perimetry: a review.

The development of automated perimetry represents one of the major opportunities for clinical advancement over the last 30 years. Compared with the data obtained from equivalent manual procedures, the technique now makes feasible a rapid and reliable static threshold investigation of the visual field and, as a result, has revolutionized the potential of the visual field examination in the diagnosis of ocular and neuro-ophthalmic abnormality. Several perimeters are commercially available, each featuring a variety of stimulus parameters for investigating the visual field and a range of data reduction techniques and displays to aid the clinician in the interpretation of abnormality. The choice of stimulus, however, governs the format of the derived field and thus the efficiency of detecting and assessing a given field defect. In addition, patient-specific variables also influence the visual field profile. This review outlines the techniques used in automated perimetry. In particular, the rationale is summarized for the choice of the major stimulus parameters employed by a given perimeter, such a stimulus type, adaptation level and testing strategy. The techniques available for data display and reduction are reviewed and the extraneous factors influencing the format of the normal differential sensitivity gradient are discussed.

Adaptation, Ocular↗

Peripheral refractive correction and automated perimetric profiles.

The effect of peripheral refractive error correction on the automated perimetric sensitivity profile was investigated on a sample of 10 clinically normal, experienced observers. Peripheral refractive error was determined at eccentricities of 0 degree, 20 degrees and 40 degrees along the temporal meridian of the right eye using the Canon Autoref R-1, an infra-red automated refractor, under the parametric conditions of the Octopus automated perimeter. Perimetric sensitivity was then undertaken at these eccentricities (stimulus sizes 0 and III) with and without the appropriate peripheral refractive correction using the Octopus 201 automated perimeter. Within the measurement limits of the experimental procedures employed, perimetric sensitivity was not influenced by peripheral refractive correction.

Adult↗

Factors affecting the normal perimetric profile derived by automated static threshold LED perimetry. I. Pupil size.

The relationship between pupil size and perimetric sensitivity was investigated in a group of clinically normal emmetropic subjects using the Dicon AP3000 computer-assisted perimeter at bowl luminances of 10 asb and 45 asb. Pupil size was modified with the miotic thymoxamine 0.5% and the mydriatic phenylephrine 10%; saline was used as the control. Perimetric sensitivity increased with an increase in pupil size. The effect was greatest for peripheral locations for both bowl luminances. The fluctuations in perimetric sensitivity increased with peripheral angle and with decrease in pupil size for both bowl luminances.

Adult↗

Factors affecting the normal perimetric profile derived by automated static threshold LED perimetry. II. Accommodative microfluctuations.

The relationship between accommodative fluctuations and perimetric sensitivity was investigated in a group of 10 clinically normal emmetropic subjects using the Dicon AP3000 computer-assisted perimeter at a bowl luminance of 10 asb. Accommodative microfluctuations were attenuated with the antimuscarinic drug cyclopentolate HCl 1% and the concomitant mydriasis was matched on a separate trial using the sympathomimetic phenylephrine HCl 10%. Saline 0.9% was used as the control. Accommodative microfluctuations were found to play a minor role in determining the magnitude of sensitivity out to an eccentricity of 5 degrees; between 5 degrees and 27.5 degrees, the effect of microfluctuations was masked by the mydriasis produced by the drugs used in the study. The range of sensitivity values at a given location were reduced when accommodative fluctuations were minimized.

Accommodation, Ocular↗

The avian somatosensory system: connections of regions of body representation in the forebrain of the pigeon.

In order to establish the basic connectivity of physiologically identified somatosensory regions of the thalamus and telencephalon in the pigeon, injections of wheatgerm agglutinin-horseradish peroxidase were made under electrophysiological control and the projections were charted following conventional neurohistochemistry. The physiological recordings generally confirmed the findings of Delius and Bennetto (Brain Research, 37 (1972) 205-221) of somatosensory sites within the dorsal thalamus, anterior hyperstriatum and caudomedial neostriatum, and the anatomical results show that the thalamic cells of origin of the projections to the two telencephalic regions are largely separate: a rostral cell group comprising nucleus dorsalis intermedius ventralis anterior projects to the anterior hyperstriatum accessorium (HA), whilst a caudal cell group comprising caudal regions of nucleus dorsolateralis posterior (DLP) projects to the medial neostriatum intermedium and caudale (NI/NC). Caudal DLP is also the origin of a visual projection to NI/NC, and its terminal field also approximates that of the thalamic auditory nucleus ovoidalis. Since the anterior HA and NI/NC were here shown to be reciprocally connected, there is a possibility of multimodal input to both telencephalic regions. HA was also further defined as the origin of the basal branch of the septomesencephalic tract, and hence potentially provides an outlet for both telencephalic somatosensory regions. The results are discussed within a comparative context.

Animals↗

Assessment of a new prostaglandin E2 gel in labour induction.

Prostaglandin E2 in a new gel form (Prepidil; Upjohn) was found to be as efficient in inducing labour as artificial rupture of membranes combined with intravenous oxytocin administration. There were no side-effects in the 25 patients in the study group. Prepidil gel has the advantage of simplicity and patient acceptance.

Dinoprostone↗

Nuclei of the lateral lemniscus project directly to the thalamic auditory nuclei in the pigeon.

Non-mesencephalic origins of ascending afferents to the thalamic auditory nuclei, nuclei ovoidalis (Ov) and semilunaris parovoidalis (SPO), were identified in the pigeon in retrograde tracing experiments. These origins comprise dorsal and ventral lateral lemniscal nuclei. Injections of anterograde tracers into these nuclei produced terminal labelling in SPO in particular. These experiments show for the first time that the inferior colliculus is not an obligatory relay to the auditory thalamus.

Animals↗