Search PubMed⌕ Search

Biomedical subjects

K L Smith

Publications and source records attributed to K L Smith.

At least 91 records · Page 5Linked to original sources
PubMed1998

The correlation of comorbidity with function of the shoulder and health status of patients who have glenohumeral degenerative joint disease.

We studied the effect of comorbidities on function of the shoulder and health status in a group of eighty-five consecutive patients who had glenohumeral degenerative joint disease of sufficient severity to meet one surgeon's criteria for the performance of shoulder arthroplasty. A questionnaire was used to identify the comorbidities, such as other diseases, social factors, or a work-related injury, for each patient. The number of functions on the Simple Shoulder Test that the patient could perform had a significant negative correlation with the number of comorbidities (r = -0.32, intercept = 4.6 per cent, slope = -0.6, and p = 0.0031). Each parameter on the Short Form-36 (except for physical role function) had a significant negative correlation with the number of comorbidities (p < 0.05). This negative relationship was strongest for general health perception (r = -0.42) and vitality (r = -0.35). We concluded that the number of comorbidities has a quantitative effect on function of the shoulder. In the evaluation of the functional status of patients and the effectiveness of treatment, the effects of comorbidity must be controlled. The results of the present study demonstrate that the scores on the Short Form-36 are quantitatively related to the number of comorbidities. The six parameters that are unrelated to function of the shoulder (physical function, social function, emotional role function, mental health, vitality, and general health perception) may provide a practical way to integrate the effects of all potential comorbidities on individual patients. Future clinical research will be strengthened by efforts to measure the impact of comorbidities and by strategies to control for their effects.

Adult↗
PubMed1998

Inhibition of in vitro growth of coliform bacteria by a monoclonal antibody directed against ferric enterobactin receptor FepA.

The ability of a murine monoclonal antibody that blocks the enterobactin ligand-binding site of the ferric enterobactin receptor FepA to inhibit the growth of coliform bacteria derived from a bovine intramammary infection (IMI) was determined in an iron-restricted medium. Bacterial isolates from bovine IMI in five herds were tested by the chrome azurol sulfonate assay to detect siderophore production. Each of the isolates of Escherichia coli (n = 25) and Klebsiella pneumoniae (n = 25) were positive for siderophore production. Each isolate expressed iron-regulated outer membrane proteins when grown in trypticase soy broth plus the iron chelator alpha-alpha'-dipyridyl. Immunoblots revealed that the monoclonal antibody recognized FepA that was expressed by each of the E. coli isolates (n = 25). Only 4 of 25 K. pneumoniae isolates produced FepA that reacted with the monoclonal antibody. This result coincided with the results of an in vitro growth assay. Growth of all E. coli isolates was significantly inhibited by the addition of monoclonal antibody to synthetic medium containing apolactoferrin. Antigenic variation in the enterobactin-binding site resulted in a low percentage of K. pneumoniae isolates that were inhibited by the monoclonal antibody. Inhibition of bacterial growth by the monoclonal antibody was dose-dependent. As little as 50 micrograms/ml of purified antibody had an inhibitory effect on bacterial growth in the synthetic iron-restricted medium. Monoclonal antibody specific for the enterobactin ligand-binding site of FepA inhibited the growth of E. coli that was isolated from bovine IMI.

Animals↗
PubMed1998

Immunization of cows with ferric enterobactin receptor from coliform bacteria.

The serum and milk immunoglobulin (Ig) G responses of lactating dairy cows were determined following immunization with ferric enterobactin receptor FepA. Escherichia coli 471 was cultured in iron-depleted medium, and outer membrane proteins were extracted by 2% N-lauroylsarcosine sodium salt and 2% Triton X-100. The FepA was isolated from the outer membrane proteins by ion-exchange chromatography. Twenty cows were assigned to four treatment groups of 5 cows blocked by breed and days in milk. Treatment groups were vaccinated with 100 micrograms of FepA, 500 micrograms of FepA, Escherichia coli J5 bacterin, or sterile phosphate-buffered saline. Primary immunization was at approximately 200 d in milk, and booster immunizations were given 14 and 28 d later. Serum and whey IgG titers to FepA in cows vaccinated with FepA were significantly higher than those from cows vaccinated with either E. coli J5 bacterin or phosphate-buffered saline. Serum and whey IgG titers to FepA were elevated by 14 d in cows vaccinated with FepA. Significant differences were not observed between doses of FepA. The degree of cross-reactivity of purified IgG from cows vaccinated with FepA to E. coli and Klebsiella pneumoniae isolates was significantly higher than that to a control isolate that lacked FepA production. Immunization with FepA elicited an immunological response in serum and milk.

Ammonium Sulfate↗
PubMed1998

What is learned about nontarget items in simple visual search?

Human sensitivity to correlational structure between nontargets and likelihood of target presence in a visual letter-search task were studied in two experiments. In each of these experiments, the performance of subjects for whom the nontarget information was altered in the final trial block was compared with the performance of subjects for whom the nontarget information did not change. When stimulus strings were presented individually on a computer screen and subjects were required to make a yes-no decision about target presence (Experiment 1), the change in nontarget structure resulted in increased reaction times for target-absent trials. When subjects searched simultaneously for three possible targets (Experiment 2), the change in nontarget structure produced increased error rates and increased reaction times for both target-absent and target-present trials. Correlations between the amount of predictive information in individual stimulus strings and reaction times also showed that both switching and nonswitching subjects were sensitive to the nontarget context. However, neither self-reports of strategy nor postexperiment choices between context-consistent and-inconsistent letter strings indicated any explicit knowledge of the predictive information in the nontarget stimuli. Subjects can thus acquire and benefit from, apparently without awareness, information about subtle correlational structure in nontarget elements in simple visual search.

Discrimination Learning↗
PubMed1998

Bereavement and loss in childhood.

This article examines the process of bereavement, its clinical presentation, and developmental influences. Family bereavement issues are outlined, pathologic and traumatic bereavement are described, and treatment strategies are suggested.

Adaptation, Psychological↗
PubMed1997

Axonal remodeling during postnatal maturation of CA3 hippocampal pyramidal neurons.

Anatomical substrates were investigated for local circuit hyperexcitability that occurs in the CA3 subfield of the rat hippocampus during postnatal week 2. A transient excess of excitatory local circuit connectivity was hypothesized to underlie this hyperexcitability. To test this hypothesis, recurrent excitatory axon arbors from single biocytin-filled CA3 pyramidal cells were reconstructed. Arbors were analyzed in segments of area CA3 comparable in size to in vitro minislice preparations, which were shown to reproduce the developmental hyperexcitability seen in intact slices during postnatal week 2. Segments were then adjusted for hippocampal growth, based on age-dependent changes in neuron density in stratum pyramidale. Axon arbors were found to be short and possessed very few branches during the first postnatal week. By the second postnatal week, arbors had undergone dramatic growth and were much longer and more complex in their branching patterns. By adulthood, a significant decrease in all measures of arbor length and complexity was observed. Following growth adjustment, measures of axon length and varicosity number during week 2 were not significantly different from that of adulthood. However, the number of axon branches decreased by 50%. These results suggest that, during early postnatal life, there is exuberant outgrowth of local CA3 recurrent axons, and with maturation these recurrent collaterals are remodeled. Short-ranging, profusely branched axons appear to be replaced by longer-ranging arbors that possess fewer branches. Maturational changes in the dendritic location rather than the number of early-formed recurrent excitatory synapses may explain developmental hyperexcitability of the hippocampal CA3 subfield.

Animals↗
PubMed1997

Sex or gender?

Explore the source record for details and available documents.

Canada↗
PubMed1997

A comparison of patients with late-stage rheumatoid arthritis and osteoarthritis of the shoulder using self-assessed shoulder function and health status.

OBJECTIVE: To compare the function and health status of individuals with advanced rheumatoid arthritis (RA) and osteoarthritis (OA) of the shoulder using standardized patient self-assessment tools. METHODS: A group of patients with late-stage arthritic involvement of the shoulder was evaluated at the time of initial presentation using 2 questionnaires, one focusing on shoulder function and other on overall health status. RESULTS: There was substantial variability in the shoulder function and health status within each diagnostic group; however, both groups demonstrated significant deficits in their Simple Shoulder Test responses and in many of their Health Status Questionnaire-Short Form 36 scores. While the patients with RA tended to have somewhat greater impairment of shoulder function, many of the differences were not statistically significant. By contrast, most health status parameters were significantly more impaired in the patients with RA. CONCLUSIONS: Among patients with late-stage shoulder arthritis, the overall health status of those with RA is significantly worse than those with OA. Differences in health status may be important in selecting the optimal management for individual patients with late-stage shoulder arthritis. Self-assessment questionnaires are effective in characterizing these differences.

Activities of Daily Living↗
PubMed1997

Dietary vitamin E and selenium affect mastitis and milk quality.

Vitamin E and selenium (SE) are essential nutrients that are integral components of the antioxidant defense of tissues and cells. Soils in many of the important dairy regions of the world are Se-deficient, and feedstuffs grown on these soils will not provide adequate dietary Se. Cattle consuming stored forages are likely to be low in vitamin E unless supplemented, and vitamin E deficiencies are frequently observed in peripartum dairy cows. Many new intramammary infections (IMI) occur in the 2 wk before and after calving. Deficiencies of either vitamin E or Se have been associated with increased incidence and severity of IMI, increased clinical mastitis cases, and higher somatic cell counts (SCC) in individual cows and bulk tank milk. Somatic cell counts are a primary indicator of mastitis and milk quality in dairy herds. The polymorphonuclear neutrophil (PMN) is a major defensive mechanism against infection in the bovine mammary gland. A know consequence of vitamin E and Se deficiency is impaired PMN activity and postpartum vitamin E deficiencies are frequently observed in dairy cows. Dietary supplementation of cows with Se and vitamin E results in a more rapid PMN influx into milk following intramammary bacterial challenge and increased intracellular kill of ingested bacteria by PMN. Subcutaneous injections of vitamin E approximately 10 and 5 d before calving successfully elevated PMN alpha-tocopherol concentrations during the periparturient period and negated the suppressed intracellular kill of bacteria by PMN that commonly is observed around calving.

Animals↗
PubMed1997

Bacteria counts in sawdust bedding.

Bacteria counts in untreated sawdust bedding were compared with those in sawdust bedding after the addition of lime and after daily replacement of bedding in the back one-third of the stalls. Addition of 1 kg of lime to 10 kg of sawdust reduced Gram-negative bacteria, coliforms, Klebsiella spp., and streptococci prior to use as bedding. Sawdust treated with lime also showed decreased bacteria counts compared with bacteria counts for sawdust that was replaced daily and compared with bacteria counts for control bedding after 1 d in the stall. The decrease in bacterial populations was related to an increase in bedding pH. Mean pH in the sawdust treated with lime was greater prior to use and after 1 d in the stall than the pH of other treatments. After 2 and 6 d in stalls, however, bacteria counts and pH were similar among treatments. Dry matter content of bedding did not differ among bedding treatments. Bacteria counts in bedding were positively correlated with teat skin swabs. Gram-negative bacteria and Klebsiella spp. counts on teat swabs were lower for cows housed on bedding treated with lime on d 2 compared with those for cows housed on control bedding and bedding that was replaced daily. Addition of lime to sawdust in the back one-third of tie stalls caused a decrease in exposure of teats to environmental mastitis pathogens in bedding for 1 d. Daily replacement of bedding had a minimal effect on bacteria counts in bedding and on teat skin.

Animals↗
PubMed1997

Effect of vitamin E supplementation in diets with a low concentration of selenium on mammary gland health of dairy cows.

Sixty-six cows and heifers (Holsteins and Jerseys) were assigned to one of three treatments at 60 d before anticipated calving. Treatment 1 consisted of 100 IU/d of supplemental vitamin E during the dry period and 100 IU/d during the first 30 d of lactation. Treatment 2 was 1000 IU/d of vitamin E during the dry period and 500 IU/d during lactation. Treatment 3 was 1000 IU/d of vitamin E during the first 46 d of the dry period, 4000 IU/d during the last 14 d of the dry period, and 2000 IU/d during lactation. Plasma concentrations of alpha-tocopherol decreased at calving for cows fed dietary treatments with low or intermediate concentrations of vitamin E, but not for cows fed the high vitamin E treatment. High dietary vitamin E increased concentrations of alpha-tocopherol in blood neutrophils at parturition, but no difference was found for the other two treatments. The percentage of quarters with new infections at calving was not different (32.0%) between cows receiving treatments that contained low and intermediate concentrations of vitamin E but was reduced (11.8%) in cows receiving the high vitamin E treatment. Clinical mastitis affected 25.0, 16.7, and 2.6% of quarters during the first 7 d of lactation for cows receiving the low, intermediate, and high vitamin E treatments, respectively. Cows with plasma concentrations of alpha-tocopherol < 3.0 micrograms/ml at calving were 9.4 times more likely to have clinical mastitis during the first 7 d of lactation than were cows with plasma concentrations of alpha-tocopherol > 3.0 micrograms/ml.

Animal Feed↗
PubMed1997

Responses of antibody titers to intramammary immunization with Escherichia coli J5 bacterin.

The effect of an immunization schedule on responses of antibody titers was tested following vaccination with an Escherichia coli J5 bacterin. Eighteen cows were equally distributed among three immunization schedules: 1) subcutaneous injection at 14 d prior to the end of lactation, intramammary immunization at 7 d after drying off, and subcutaneous injection at 30 d into the dry period; 2) subcutaneous injections at drying off, at 30 d into the dry period, and within 12 h after calving; and 3) unimmunized controls. The E. coli J5 bacterin consisted of 5 ml of 10(9) boiled cells/ml of 0.9% NaCl plus 0.005% phenol emulsified with 5 ml of Freund's incomplete adjuvant. Subcutaneous injections were administered on the upper part of the rib cage, posterior to the scapula. Intramammary immunizations of 2.5 ml of bacterin were infused via the teat canal into each of the four mammary glands. Intramammary immunization increased rectal temperatures at 12 h after infusion, but subcutaneous injections did not induce febrile responses. Intramammary immunization enhanced immunoglobulin G titers in serum and whey on d 0 of lactation compared with subcutaneous immunizations. Immunoglobulin G titers in serum also were greater at d 30 of the dry period and at d 14 and 21 of lactation for cows that received intramammary immunization than for cows that were vaccinated by subcutaneous injections only. Immunoglobulin M titers in whey and serum on d 21 of lactation were greater for cows that received intramammary immunizations than for cows that were immunized by subcutaneous injections only.

Animals↗
PubMed1997

Concentrations of alpha-Tocopherol after intramammary infusion of Escherichia coli or lipopolysaccharide.

Fifteen Holstein cows were used in a trial involving intramammary challenge to determine the effects of acute clinical mastitis on the concentrations of alpha-tocopherol in milk and plasma and the concentrations of neutrophils in milk and blood. Cows were assigned to one of three experimental groups challenged by intramammary infusion of lipopolysaccharide, Escherichia coli, or sterile phosphate-buffered saline. All quarters infused with lipopolysaccharide or E. coli were diagnosed with clinical mastitis on d 1 and 2 after challenge. Acute inflammation caused by intramammary infusion of lipopolysaccharide or E. coli resulted in increased concentrations of alpha-tocopherol in milk in challenged quarters but had no effect on concentrations of alpha-tocopherol in plasma. Concentrations of alpha-tocopherol in milk and blood neutrophils did not differ among treatment groups. Concentrations of alpha-tocopherol did not differ between milk and blood neutrophils. Approximately 25% of the alpha-tocopherol in milk from glands with clinical mastitis was associated with neutrophils, and < 10% of the alpha-tocopherol in milk from nonmastitic glands was associated with neutrophils. A shift toward sources of alpha-tocopherol other than synthesized milk fat occurred during acute inflammation in the mammary gland.

Animals↗
PubMed1996

Adenovirus-mediated gene transfer into dissociated and explant cultures of rat hippocampal neurons.

Genetic manipulation offers great potential for studying the molecular and cellular processes which control or regulate the complex developmental properties of neurons. Gene transfer into neurons, however, is notoriously difficult. In this study we have used a replication-defective adenovirus (Adv/RSV beta gal), expressing beta-galactosidase (beta-gal) as a reporter gene, to infect dissociated cultures of rat hippocampal neurons and hippocampal slice cultures. Because future studies will require either long-term (e.g., developmental) or short-term (e.g., electrophysiological) expression of recombinant genes in neuronal cultures, we have optimized infection conditions for each situation. The Adv/RSV beta gal construct infects neurons and glial cells equally well, with no apparent alterations in cellular morphology. In slice cultures, the same efficiency and temporal control of beta-gal expression following Adv/RSV beta gal infection was achieved. Focal application of the adenoviruses, by microinjection, permitted infection of discrete subregions within the hippocampal explants. Whole cell recordings of dissociated hippocampal neurons and field recordings from the explant cultures, infected with Adv/RSV beta gal at low multiplicities of infection, indicated no significant alteration in the electrophysiological profiles of neurons in these cultures. The results demonstrate the utility of adenoviruses as gene transfer vectors for primary cultures of neurons. Adenovirus-mediated gene transfer into slice cultures also provides an opportunity to study development or plasticity in an environment where the circuitry and cytoarchitecture of the tissue are preserved and the areas of genetic manipulation can be spatially isolated.

Adenoviridae↗
PubMed1996

Differential recovery from impairment to the phonological lexicon.

Word production was examined in four aphasics diagnosed acutely with neologistic jargon and who displayed impairment to the lexical stage of phonological production (Kohn & Smith, 1993, 1994a). To investigate the major source of their nonword errors (i.e., neologisms, phonemic paraphasias), single word production was tested at three different times over the first 6 months postonset, with one subject receiving additional testing at 14 months postonset. Two subjects showed signs of recovery to the phonological output system with respect to: (1) improved word production scores, (2) increased frequency of phonemic paraphasias versus neologisms, and (3) increased production of target phonemes. These subjects also displayed above-chance production of target phonemes and no significant tendency to perseverate phonemes across picture-naming trials. It was argued that this pattern reflects a resolving disturbance in retrieving entries from the phonological lexicon. The other two subjects showed no improvement in word production. They also consistently produced target phonemes at chance levels and had a tendency to perseverate phonemes across picture-naming trials. This static pattern of performance was considered to reflect loss of information from the phonological lexicon. The neuroanatomical damage sustained by each case was consistent with these two recovery patterns.

Aged↗
PubMed1996

Anatomical properties of fast spiking cells that initiate synchronized population discharges in immature hippocampus.

Minislices of the CA3 hippocampal subfield were prepared from 10- to 15-day-old rats and exposed to penicillin, a GABAA receptor antagonist. Synchronized population discharges occurred spontaneously but could also be entrained by action potentials in single, fast spiking cells. This was unexpected, since fast spiking cells in the hippocampus are normally thought to be inhibitory interneurons. Experiments were thus undertaken to determine the anatomical identity of these cells. Biocytin injections showed that these cells had the anatomical feature of inhibitory interneurons. Two classes of cells were identified: basket cells (including cells with pyramidal or multipolar dendritic arbors) and bistratified cells. Basket cells had characteristic dense axonal arbors in the stratum pyramidale. They also possessed wide ranging axons in strata radiatum and oriens. The axons of bistratified cells avoided the cell body layer and produced a web-like plexus of axons in strata radiatum and oriens. In the majority of minislices, dye coupling was also observed. Interneurons were preferentially dye-coupled to other interneurons. We speculate that, in early life, hippocampal interneurons may have dualistic synaptic properties. Normally, they inhibit nearby pyramidal cells; however, when GABAA receptors are suppressed a secondary excitatory property of these cells is uncovered.

Action Potentials↗