Shigellosis-associated encephalopathy.
Explore the source record for details and available documents.
Adolescent↗
Biomedical subjects
K Mulligan
Publications and source records attributed to K Mulligan.
Measurement of de novo hepatic lipogenesis in humans using stable isotopes.
Direct measurement of de novo lipogenesis has not previously been possible in humans. We measured de novo hepatic lipogenesis in normal men by means of stable isotopes and by combining the acetylated-xenobiotic probe technique with mass isotopomer analysis of secreted very low density lipoprotein-fatty acids (VLDL-FA). Sulfamethoxazole (SMX) was administered with [13C]acetate during an overnight fast followed by refeeding with intravenous glucose (7-10 mg/kg of weight per min), oral Ensure (7-10 mg of carbohydrate/kg of weight per min), or a high-carbohydrate mixed-meal breakfast (3.5 g of carbohydrate/kg of weight). Respiratory quotients remained less than 1.0. High-performance liquid chromatography/mass spectrometry-determined enrichments in SMX-acetate attained stable plateau values, and hepatic acetyl-coenzyme A (CoA) dilution rate did not increase with refeeding (approximately 0.024 mmol/kg per min). The fraction of VLDL-palmitate derived from de novo lipogenesis was only 0.91 +/- 0.27% (fasted) and 1.64-1.97% (fed). For stearate, this was 0.37 +/- 0.08% and 0.47-0.64%. Precursor enrichments predicted from isotopomer ratios were close to measured SMX-acetate enrichments, indicating that SMX-acetate samples the true lipogenic acetyl-CoA pool. Stearate synthesis was less than palmitate and the two did not move in parallel. Estimated total VLDL-FA synthesis is less than 500 mg/day. Thus, de novo hepatic lipogenesis is a quantitatively minor pathway, consistent with gas exchange estimates; fatty acid futile cycling (oxidation/resynthesis) is not thermogenically significant; and synthesis rates of different nonessential fatty acids by human liver are not identical in nonoverfed normal men. The contribution and regulation of de novo lipogenesis in other settings can be studied using this technique.
Acetyl Coenzyme A↗
Discrepancies between energy intake and expenditure in physically active women.
Energy intake and expenditure in women runners and non-runners were assessed by weighed food records, evaluation of minute-by-minute activity diaries, and indirect calorimetry. All participants were adapted to their stated activity levels for at least 6 months and maintained a constant body-weight throughout their participation. Calculated daily energy intake equalled calculated expenditure in non-runners (7300 (SD 1536) v. 7476 (SD 872) kJ/d), but calculated energy expenditure in women running about 54 km/week was found to exceed intake by more than 2700 kJ/d (8259 (SD 1466) v. 10963 (SD 1367), P less than 0.01). The runners showed no evidence of compensating for the increased energy expenditure associated with running by engaging in lower-intensity activities during non-running time. Further, runners did not decrease energy expended at various activities. The findings suggest that women adapted to high levels of activity may possess mechanisms to maintain body-weight without significantly increasing energy intake.
Activities of Daily Living↗
Aging or disease? Periodontal changes and treatment considerations in the older dental patient.
The segment of our society over age 65 is growing, and many more of these people are keeping their teeth for a longer period of time. This suggests that there will be additional need for periodontal therapy in the future, but it also implies that disease-related events must be distinguished from age-related changes. Changes in the periodontium with aging are reviewed, and periodontal disease management strategies in the older patient are discussed.
Aged↗
Studies of the relationship between oral health and psychological well-being.
Explore the source record for details and available documents.
Aged↗
Predictors of root caries in the elderly.
In an attempt to determine the association between overall health status, medication history, and oral hygiene status and root caries, 24 older persons residing independently in the community and 23 residents of a nursing home were interviewed and received oral examinations, using the Oral Hygiene Index and the Root Caries Index. The mean age of this population was 80 yr, with the nursing home subjects somewhat older than community-dwelling subjects. Only six persons had no root surface caries; three subjects had caries on all tooth surfaces with gingival recession. Mandibular teeth, particularly molars and premolars, showed the greatest attack rate. The best predictors of root caries were number of teeth remaining, calculus, plaque, and the use of medications with xerostomic effects. Medications were most predictive of maxillary root caries. The results point to the need to provide interceptive dental therapeutics for high risk geriatric populations such as those using multiple medications and with a poor history of oral care.
Aged↗
Sarcophagid larval proteins: partial sequence homologies among three cuticle proteins and related structures of drosophilids.
Three structural proteins from the larval cuticle of Sarcophaga bullata have been sequenced at the amino terminus for 30-40 residues. We observed a high degree of homology with related proteins of Drosophila melanogaster, based on the previous findings of M. Snyder, J. Hirsh, and N. Davidson [(1981) Cell 25:165-177]. S. bullata protein SC1 had 65% homology with Drosophila isolate CP1, and SC6 showed 49% homology with CPX and 54% with CP2a. The three sarcophagid polypeptides also resembled each other with respect to mapped products of tryptic cleavage. The sites of posttranslational arylation required for puparium formation, namely histidyl and lysyl residues, were asymmetrically distributed in the sarcophagid samples. In SC1 the bulk of the loci of putative crosslinks lay beyond the 43-residue fragment. In SC6 half the histidines fell within the first 25% of the primary chain.
Amino Acid Sequence↗
Chitin-bound protein of sarcophagid larvae: metabolism of covalently linked aromatic constituents.
The borate-insoluble chitin-protein complex, CB-I, from prepupal sarcophagid larvae was cleaved with chymotrypsin and trifluoromethanesulfonic acid releasing a polypeptide fragment of Mr 68 000. The intact glycoprotein was blocked at the C terminus; the N-terminal sequence of Asp-Val-Ala-His-Tyr was not homologous with seven of the borate-soluble nonglycosylated structural proteins. Bityrosine was identified as a component of the primary chain, both half-residues occupied in peptide linkages. Sclerotization initiated a decline in bityrosine coincident with the addition of soluble proteins to the tanned matrix. The chitin-protein complex also included bound peroxidase, propolyphenol oxidase, and an o-diphenol subject to oxidation on activation of the zymogen. In the course of the oxidation N termini declined in accordance with the formation of 1,4 quinonoid cross-links.
Amino Acid Sequence↗
Are the preferred directions of neurons in cat extrastriate cortex related to optic flow?
It has been proposed that one area of extrastriate cortex in the cat, the lateral suprasylvian area (LS), plays an important role in visual analysis during locomotion (Rauschecker et al., 1987). Cells in LS reportedly tend to prefer directions along a trajectory originating at the center of gaze, and passing outward through the receptive-field center. Such directions coincide with the directions of image motion in an optic flow field, the pattern seen by locomoting observers when they fixate the point towards which they are heading (Gibson, 1950). We re-examined this issue for cells in LS with receptive fields in the lower visual field. Cells recorded posterior to Horsley-Clarke A2 showed a clear correlation between preferred direction and receptive-field location, but not that predicted: preferred directions were generally orthogonal to "optic flow" directions. Since these cells were all located posterior to those in studies showing a bias for "optic flow" directions, we hypothesized that there are two cell populations within LS, an anterior population that tends to prefer radial-outward directions, and a posterior population that tends to prefer directions orthogonal to radial. Data from earlier mapping experiments (Sherk & Mulligan, 1993) supported this idea.
Animals↗
Neuronal responses in extrastriate cortex to objects in optic flow fields.
During locomotion, observers respond to objects in the environment that may represent obstacles to avoid or landmarks for navigation. Although much is known about how visual cortical neurons respond to stimulus objects moving against a blank background, nothing is known about their responses when objects are embedded in optic flow fields (the patterns of motion seen during locomotion). We recorded from cells in the lateral suprasylvian visual area (LS) of the cat, an area probably analogous to area MT. In our first experiments, optic flow simulations mimicked the view of a cat trotting across a plain covered with small balls; a black bar lying on the balls served as a target object. In subsequent experiments, optic flow simulations were composed of natural elements, with target objects representing bushes, rocks, and variants of these. Cells did not respond to the target bar in the presence of optic flow backgrounds, although they did respond to it in the absence of a background. However, 273/423 cells responded to at least one of the taller, naturalistic objects embedded in optic flow simulations. These responses might represent a form of image segmentation, in that cells detected objects against a complex background. Surprisingly, the responsiveness of cells to objects in optic flow fields was not correlated with preferred direction as measured with a moving bar or whole-field texture. Because the direction of object motion was determined solely by receptive-field location, it often differed considerably from a cell's preferred direction. About a quarter of the cells responded well to objects in optic flow movies but more weakly or not at all to bars moving in the same direction as the object, suggesting that the optic flow background modified or suppressed direction selectivity.
Animals↗
Use of growth hormone and other anabolic agents in AIDS wasting.
Body wasting and loss of lean body mass (LBM) have been associated with increased mortality and disease progression, and reduced quality of life, in patients with human immunodeficiency virus (HIV) infection. The failure of nutritional therapies and, more recently, of effective viral suppression, to consistently restore LBM has prompted investigation of the pharmacologic use of a number of specific protein anabolic agents, including recombinant human growth hormone (rhGH), insulin-like growth factor I (rhIGF-I), and synthetic testosterone derivatives, such as nandrolone decanoate, oxandrolone, and oxymetholone. In a placebo-controlled trial, treatment with rhGH resulted in a significant and sustained increase in weight that was accompanied by an even greater increase in LBM and a decrease in fat, and improvement in treadmill work output. Preliminary data suggest that short-term rhGH treatment may be effective in mitigating weight loss in patients with secondary infections. Open-label studies of nandrolone decanoate suggest that this injectable agent also can increase weight and LBM. Two oral agents, oxandrolone and oxymetholone, can increase weight, but their effects on LBM in placebo-controlled trials have not been reported. Taken together, these studies demonstrate that HIV-infected individuals can regain weight and LBM under the proper therapeutic circumstances. The effects of reversal of wasting on survival and disease progression, long-term safety, and the potential value of these therapies in the treatment of fat redistribution remain to be determined.
HIV Wasting Syndrome↗
TNA "gun safe" campaign unites community with common goal.
Explore the source record for details and available documents.
Community Networks↗
Nevada nurses secure patient protections.
Explore the source record for details and available documents.
Health Maintenance Organizations↗
A convertible perinatal database.
This is a description of the process and outcome in the development of a large perinatal database. The database is relatively unique, as it utilizes a convenient paper format for initial data entry that can easily serve, in the absence of a computer, as a very complete obstetric and neonatal medical record. With the addition of a moderately priced microcomputer, the database is converted into a computerized medical record that provides admission notes for the labor suite and the nursery, and discharge summaries for abortion, non-delivery, delivery, newborn nursery, and intensive care nursery admissions. The development of the paper forms, the choice of data-entry clerks over health-care providers for computer input, the design of the software to ease use and economize on storage requirements, and the use of the database in research projects are described.
Female↗