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Biomedical subjects

M E Moore

Publications and source records attributed to M E Moore.

At least 55 records · Page 3Linked to original sources

Chronic pain: inpatient treatment with small group effects.

Fifty-one patients who completed a multidisciplinary, inpatient, pain control program, in groups of three or four persons, were studied before and after treatment. Like most patients with chronic pain, many were hypochondriacal, depressed, and hysterical, in addition to being severely disabled. There was a significant decrease in scores for pain, disability, and hypochondriasis after treatment. At six-month follow-up, as compared with pretreatment assessments, pain was still significantly improved and more patients were employed or planning for employment. A patient's failure to improve depended in part on whether other members of his inpatient treatment group also failed to respond. Patients who responded to treatment despite being members of groups where others failed to respond, were less hypochondriacal than other responders. As social factors play an important role in the etiology of the chronic pain syndrome, treatment programs should be designed to capitalize on these social influences.

Adult↗

Tuberculous arthritis of the shoulder: delayed diagnosis aided by arthrography.

Tuberculous arthritis of the shoulder was not diagnosed in an 80-year-old man with Addison's disease until the appearance of a draining abscess in his arm. Initially signs, symptoms, x-rays and laboratory studies were consistent with calcific tendonitis and degenerative arthritis. Then an arthrogram demonstrated a connection between the shoulder joint and the abscess. A high level of suspicion for tuberculous arthritis should be maintained in an elderly patient whose past medical history is suspicious for tuberculosis and whose articular complaints are chronic.

Abscess↗

DR framework antigens and 63D3 antigens on human peripheral blood monocytes and alveolar macrophages.

The expression of surface antigens on human peripheral blood monocytes and alveolar macrophages was compared using the monoclonal antibodies 63D3, which react with monocytes, and OKIa, which reacts with DR framework antigens. Fluorescence-activated cell-sorter analysis revealed that 71.5 +/- 4.6% of peripheral blood monocytes reacted with 63D3 and showed a uniform distribution of binding. Alveolar macrophages also reacted with 63D3 and displayed uniform binding. Furthermore, the relative fluorescence intensity was very similar to that of monocytes. These data suggest that 63D3 antigen expression is similar on peripheral blood monocytes and alveolar macrophages and may be a stable marker in the differentiation of monocytes to macrophages. Analysis showed that 45.8 +/- 4.9% of peripheral blood monocytes reacted with OKIa and showed a nonuniform distribution of binding, while 74 +/- 8.4% of alveolar macrophages reacted with OKIa and exhibited uniform binding. The relative fluorescence intensity of alveolar macrophages which were reacted with OKIa was significantly greater than that of blood monocytes (P less than 0.001). Size analysis suggested that alveolar macrophages express approximately five times more DR antigens per unit surface area than do peripheral blood monocytes. The expression of DR antigens on the alveolar macrophage surface suggests an important role for macrophages in antigen presentation in the lung.

Antibodies, Monoclonal↗

Paralumbar muscle activity in chronic low back pain.

Muscle spasm is often considered to be a prominent feature operating in chronic low back spin syndrome (LBP). The present study compared levels of paralumbar muscle activity, determined by an electromyogram (EMG), for LBP patients and normal subjects during periods of rest and voluntary muscular contraction. The resting state EMG measure did not differ in the 2 groups. However, when attempting to relax the low back while contracting other muscle groups, LBP patients exhibited higher mean levels of low back muscle activity as compared to the non-pain group. These results would suggest that such "cocontraction relaxation" procedures may provide a viable behavioral technique for assessing and possibly treating functional backache thought to be symptomatic of muscle spasm. Previous studies employing feedback and progressive relaxation techniques have trained subjects to reduce muscle tension in the resting state. Results of the present study suggest that the acquisition of "resting level" relaxation may be of little benefit to patients who exhibit excessive muscular tension while performing daily tasks. Rather, to maximize the likelihood of beneficial results, training would be better directed at relaxation of the low back during activity of other muscle groups.

Adult↗

One-minute electrochemical enzymic assay for cholesterol in biological materials.

In this rapid and specific micro-scale electrochemical enzymic assay for cholesterol and cholesterol esters, 10 microL of standard or sample is injected directly into a heated (50 degrees C) thermostated, oxystated cuvet containing pH 7.25 buffer, cholesterol oxidase (EC 1.1.3.6), and cholesterol esterase (EC 3.1.1.13). The cholesterol esters are hydrolyzed by the esterase, and the cholesterol is simultaneously oxidized by the oxidase. The hydrogen peroxide produced from oxidation of the unesterified cholesterol is measured by a polarographic anode covered with an acetate/polycarbonate membrane. The membrane allows hydrogen peroxide to diffuse to the platinum anode, where it is oxidized, but prevents the diffusion of ascorbic acid, uric acid, and bilirubin to the electroactive surface. Turbidity does not interfere. The correlation (r) between results by our method and the Abell-Kendall method for 105 samples of serum was 0.9994 and for 105 samples of plasma was 0.9997. Our method is convenient for the analysis of high-density lipoprotein cholesterol in plasma and serum supernates and in many kinds of tissue homogenates. Its limitations are also described.

Cholesterol↗

Effect of antisera to beta and gamma goldfish brain proteins on the retention of a newly acquired behavior.

The metabolism of 3 brain cytoplasmic proteins (alpha, beta, and gamma) increases markedly when goldfish acquire a new pattern of behavior. Antisera specific to beta and beta + gamma proteins were prepared and injected into the fourth ventricle of the brains of trained animals at 8 and 24 h after the initiation of training. When tested 3 days later, such goldfish (N = 98) could not recall the training; whereas trained goldfish (N = 97) receiving non-immunized rabbit serum had complete recall of the behavior. Also no amnesia was obtained in control experiments in which trained goldfish were injected with an antiserum to a neural surface membrane protein NS-6. The fact that antisera to beta + gamma had no toxic effects was demonstrated by injecting them prior to training; no effects on the rate of acquisition and recall of the behavior was found. The antisera to beta + gamma were effective in inhibiting recall of the training when they were injected any time between 3 h up to 48 h after training; no effect was obtained at 72 h post training. These results are consistent with the hypothesis that beta and gamma might have some functional role in the plasticity of the CNS.

Animals↗

Viral oncolysate in the management of malignant melanoma. I. Preparation of the oncolysate and measurement of immunologic responses.

Primary explants of human malignant melanoma were utilized in the preparation of oncolysates by Newcastle disease virus. The concentrated lysate, administered parenterally, was employed in an effort to augment antitumor immunologic responses in patients with metastatic melanoma. Observed cellular changes suggested a benefit, but humoral antibody measurements were not impressive.

Antigens, Neoplasm↗

Viral oncolysate in the management of malignant melanoma. II. Clinical studies.

Melanoma cell oncolysate, prepared with Newcastle disease virus, was administered as an immunostimulant to 13 patients with metastatic melanoma. The oncolysate was well tolerated. Six treated patients evidenced a decrease in the size of skin nodules or diseased lymph nodes. Visceral lesions were not favorably influenced to any marked degree. One case of fulminating disease showed a change to slow progression and survived a year longer than was otherwise expected. Another patient, whose melanoma could not be controlled by surgery or chemotherapy, has been in complete remission for 2 years. It appears that viral oncolysate might be particularly helpful to patients with early disease.

Adult↗

Acupuncture for chronic shoulder pain. An experimental study with attention to the role of placebo and hypnotic susceptibility.

One half of 42 subjects treated for painful shoulders received classic acupuncture, and one half received a placebo in which the needles did not penetrate the skin. Half of each of these groups was treated in a positive setting to encourage the subject, and half in a negative setting designed to keep encouragement at a minimum. All patients were independently rated for susceptibility to hypnosis. Although range of motion did not improve, the majority of patients reported significant improvement in shoulder discomfort to a blind evaluator after treatment; placebo and acupuncture groups did not differ in this respect, however. The positive and negative settings did not affect treatment outcome. In all groups, those who were not rated as highly susceptible to hypnosis tended to fail to achieve the highest levels of relief, but such differences were not statistically significant.

Acupuncture Therapy↗

"Do no harm".

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Chlorpropamide↗