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Biomedical subjects

John Spencer

Publications and source records attributed to John Spencer.

30 records · Page 2Linked to original sources

Chemotactic response of Helicobacter pylori to human plasma and bile.

To clarify further the role of chemotaxis in Helicobacter pylori colonization, the in vitro bacterium response to human plasma and bile (secretions containing chemoeffector compounds that are present in the gastric mucus layer) was examined. Human plasma, after dilution to 1 % (v/v) with buffer, was found to be a chemoattractant for the motile bacillus. Human gall-bladder bile, after dilution to 2 % (v/v) with buffer, was found to be a chemorepellent, but did not cause the motility of the bacillus to be diminished after prolonged exposure. The basis of the chemoattractant effect of plasma was explored by examining how urea and 12 amino acids found in plasma affected the taxis of H. pylori. Urea and the amino acids histidine, glutamine, glycine and arginine were the strongest chemoattractants. Other amino acids were chemoattractants, with the exceptions of aspartic and glutamic acids, which were chemorepellents. The basis of the chemorepellent effect of bile was explored by examining how the six most abundant conjugated bile acids in human bile affected the taxis of H. pylori. All the bile acids were chemorepellents, with the greatest effects being demonstrated by taurocholic and taurodeoxycholic acids. The implications of these findings for H. pylori colonization of gastric epithelium are discussed.

Adaptation, Physiological↗

Generation of ligand conformations in continuum solvent consistent with protein active site topology: application to thrombin.

Using the crystal structure of an inhibitor complexed with the serine protease thrombin (PDB code ) and the functional group definitions contained within the Catalyst software, a representation of the enzyme's active site was produced (structure-based pharmacophore model). A training set of 16 homologous non-peptide inhibitors whose conformations had been generated in continuum solvent (MacroModel) and clustered into conformational families (XCluster) was regressed against this pharmacophore so as to obtain a 3D-QSAR model. To test the robustness of the resulting QSAR model, the synthesis of a series of non-peptide thrombin inhibitors based on arylsuphonyl derivatives of an aminophenol ring linked to a pyridyl-based S1 binding group was undertaken. These compounds served as a test set (20-24). The crystal structure for the novel symmetrical disulfonyl compound 24, in complex with thrombin, has been solved. Its calculated binding mode is in general agreement with the crystallographically observed one, and the predicted K(i) value is in close accord with the experimental value.

Benzene Derivatives↗

Assessment of the predictive value of a bowel symptom questionnaire in identifying perianal and anal sphincter trauma after vaginal delivery.

PURPOSE: The purpose of this study was to determine whether a postpartum bowel-habit questionnaire could reliably identify females who had sustained perineal and anal sphincter trauma after vaginal delivery. METHODS: A prospective cohort design was used to recruit 156 consecutive primigravid females, of whom 134 delivered vaginally without clinical evidence of a third-degree tear. These 134 females completed a specific anal continence questionnaire and underwent anal endosonography before and after delivery to identify those with postpartum deterioration in anal continence and to relate this to sonographic evidence of anoperineal trauma. RESULTS: Anal continence deteriorated in 37 females (27.6 percent) after delivery, 16 of whom (43.2 percent) had sonographic evidence of trauma. There was no postpartum deterioration of continence in the remaining 97 females, 17 (17.5 percent) of whom had sonographic evidence of trauma. Sensitivity, specificity, positive predictive value, and negative predictive value of the questionnaire for sonographic trauma were 48.5, 79.2, 43.2, and 82.5 percent, respectively, with corresponding values of 57.1, 75.8, 21.6, and 93.8 percent for external anal sphincter disruption. CONCLUSION: A bowel-habit questionnaire will detect approximately 60 percent of females who sustain external sphincter tears after vaginal delivery.

Adult↗

Health, mental well-being, and musculoskeletal disorders: a comparison between Swedish and Australian dental hygienist.

PURPOSE: This study was conducted to compare Swedish and Australian dental hygienist in regards to working conditions, health, and mental well being and to further develop a health model for this profession. METHODS: Questionnaires (a 275-item instrument) were sent to all 376 Australian dental hygienist and a random sample of 26% (n=575) of Swedish dental hygienist. Country-specific factors--such as work characteristics and life style--and their relationships to self-related health and mental well being were analyzed. Interaction effects of age times country were studied by two-factor ANOVA. Discriminant functions were used to predict country and age group memberships, and multiple logistic regression modeling for a health model was tested. RESULTS: The response rate was 86% (N=495) in Sweden and 71% (N=254) in Australia. Work-related musculoskeletal disorders, professional ambition, and demands from difficult patients were the factors most different for the two countries--generally the values were higher for Australia than Sweden. Arthritic hands/loss of sensitivity in the arm-hand and intellectual job satisfaction were found more often in dental hygienist more than 42 years old. than in dental hygienist ages under 42 years old. Professional ambition was higher for those under 42. Working 25 hours or more per week with clinical work, engaging in active leisure, being under age 42, and high management support at work, relate to good general health. Work-family overload was associated with lower general health, while higher mental well-being was related to high perception of personal mastery and high management support. There also was a correlation between lower mental well-being was and high work-family overload, work efficiency, and practicing in Australia. Work-family overload, scaling procedures, work relations, practicing in Australia, and being under 42 years of age were associated with more musculoskeletal disorders. CONCLUSION: An earlier hypothetical work and health model, on which this study was based, was expanded with these factors: country-specific work setting, age, and work relations. Australian dental hygienist and more musculoskeletal disorders and experienced lower mental well being related to organizational work factors than did Swedish dental hygienist. The results suggest a need to consider sociodemographic, occupational, and cultural aspects in future studies of work, health, and well being.

Adult↗