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Biomedical subjects

M Stone

Publications and source records attributed to M Stone.

At least 73 records · Page 4Linked to original sources
PubMed1998

Lingual action in normal sequential swallowing.

Current knowledge about the flexibility in lingual motor control and performance during swallowing is incomplete. The present study aimed at gaining a better understanding of the tongue's motor flexibility and at identifying variable versus invariant lingual motor program parameters in light of changing swallowing task demands (discrete vs. sequential). Specifically, the timing and patterns of tongue-palate contact and the associated changes in tongue shape and action were examined in 5 normal adults using simultaneous electropalatography and ultrasound. Tasks for discrete swallowing included 5 and 30 cc of water; tasks for sequential swallowing involved drinking 200 cc of water at normal and fast rates. Results showed little variation in propulsive contact pattern as a function of task or subject. However, the tongue demonstrated shorter movement duration and overlapping gestures during sequential swallowing. Thus, continuous drinking was performed without changes in motor strategies per se but with changes in the timing coordination of the "drink" and "swallow" action sequences. These findings support the theory that the deglutitive lingual motor program has both invariant and variant parameters, and that movement pattern and action sequence reflect fixed elements within the structure of the motor program, but movement timing can be modified according to the demands of the task at hand.

Adult↗
PubMed1998

Effects of 14 d of covert substitution of olestra for conventional fat on spontaneous food intake.

We conducted a double-blind, placebo-controlled, within-subject crossover study to investigate the effects of covert substitution of olestra, a non-energy-containing fat replacer, for conventional fat on food selection and energy intake in lean and obese men and women. Fifty-one subjects [BMI (kg/m2): 19-36; age: 25-63 y] were studied during two 14-d treatment periods (olestra and placebo), with a 7-d washout between feeding periods. During the intervention periods all foods were provided to the subjects. The aim was to produce a 10% dilution of total energy intake by replacing conventional triacylglycerol with olestra. To accomplish this, subjects were required to consume core foods providing 20-35 g olestra (depending on estimated energy needs) or the same foods containing placebo triacylglycerol. Additional items could be selected from foods that varied in macronutrient composition. When the two treatment periods were compared, total energy intake was 8% lower and fat intake 11% lower during the olestra period than during the placebo treatment period (P < 0.0001). Overall, subjects compensated for 15% of the fat and 20% of the total energy replaced by olestra. In absolute terms, subjects consumed 32% of total energy from fat during the placebo period and 27% of total energy from fat during the olestra period. Neither carbohydrate nor protein intake (g/d) differed between periods. The results did not differ as a function of BMI (lean compared with obese) or sex. Over a 2-wk period, covert substitution of olestra for conventional fat led to reductions in dietary fat intake and total energy intake in all subjects.

Adult↗
PubMed1998

Prognostic value of K-ras mutations, ras oncoprotein, and c-erb B-2 oncoprotein expression in adenocarcinoma of the lung.

This trial was undertaken to determine the prognostic role of K-ras (p21), c-erb B-2 (p185) protein expression, and the presence or nonpresence of a K-ras gene mutation in patients with adenocarcinoma of the lung. This was a retrospective study of 103 patients with adeno- or large-cell carcinoma of the lung who had available paraffin-stored tumor material. The relation of several clinical variables to survival was analyzed. Immunohistochemical techniques were used to determine expression of p21 and p185. Polymerase chain reaction (PCR) and sequencing were used to determine K-ras mutation status. Tumor stage was the only nonmolecular clinical variable predictive of survival (p=0.0001). A combination of K-ras mutation and p 185 expression (p=0.0144), ras mutation and strong p21 expression (p=0.0137), and K-ras mutation and the combined expression of p21 and p185 were predictive of poor survival (p=0.0415) in univariate analysis of all patients. The sole presence of K-ras mutation was predictive of survival. Additionally, when combined with elevated p21 or p185 expression in a subset of patients with 4 or more years of follow-up, negative correlation with survival was observed.

Adenocarcinoma↗
PubMed1997

A role for the Pkc1 MAP kinase pathway of Saccharomyces cerevisiae in bud emergence and identification of a putative upstream regulator.

The protein kinase C of Saccharomyces cerevisiae, Pkc1, regulates a MAP kinase, Mpk1, whose activity is stimulated at the G1-S transition of the cell cycle and by perturbations to the cell surface, e.g. induced by heat shock. The activity of the Pkc1 pathway is partially dependent on Cdc28 activity. Swi4 activates transcription of many genes at the G1-S transition, including CLN1 and CLN2. We find that swi4 mutants are defective specifically in bud emergence. The growth and budding defects of swi4 mutants are suppressed by overexpression of PKC1. This suppression requires CLN1 and CLN2. Inhibition of the Pkc1 pathway exacerbates the growth and bud emergence defects of swi4 mutants. We find that another dose-dependent suppressor of swi4 mutants, the novel gene HCS77, encodes a putative integral membrane protein. Hcs77 may regulate the Pkc1 pathway; hcs77 mutants exhibit phenotypes like those of mpk1 mutants, are partially suppressed by overexpression of PKC1 and are defective in heat shock induction of Mpk1 activity. We propose that the Pkc1 pathway promotes bud emergence and organized surface growth and is activated by Cdc28-Cln1/Cln2 at the G1-S transition and by Hcs77 upon heat shock. Hcs77 may monitor the state of the cell surface.

Calcium-Calmodulin-Dependent Protein Kinases↗
PubMed1997

A study of the combined effects of shelf ageing following irradiation in air and counterface roughness on the wear of UHMWPE.

Damage to polished femoral heads in vivo can cause increased wear of acetabular cups. Oxidation and ageing after sterilisation by gamma irradiation in air, can also change the mechanical properties and wear resistance of ultra high molecular weight polyethylene (UHMWPE). This study investigated the combined effect of these changes in material properties on the wear of UHMWPE for different counterface roughnesses, representative of new femoral heads and those damaged in vivo. Wear rates were studied on a tri-pin-on-disc tribometer in a protein-containing solution. A comparison was made of the wear, using three different counterface roughnesses, of specimens that were manufactured from polyethylene acetabular cups of different shelf ages (3-120 months) after gamma irradiation in air but never implanted. These were compared to the wear of control specimens that were manufactured from cups that had not been sterilised. The wear surfaces were tested 1 mm below the initial articulating surface of the cup, the position of high degradation. The wear rate of UHMWPE which had been sterilised by gamma irradiation in air was shown to increase significantly with ageing time on the shelf for all counterface conditions. The wear rate of all materials increased markedly as the counterface roughness increased, but to different extents depending on the age of the material. The combined effect of ageing and increase in counterface roughness had a dramatic effect (as high as 2000 fold increase) on the wear rate. Both ageing of the polymer and damage to the femoral head have been cited as causing increased wear in vivo. The results of this study demonstrate that these variables can act synergistically to markedly effect UHMWPE wear rate.

Air↗
PubMed1996

A new application for electropalatography: swallowing.

Electropalatography (EPG) has been applied to linguistic research and speech pathology. This study evaluated whether EPG could provide useful information on swallow-related tongue action. Specifically, the investigation focused on the quantification of tongue-palate contact patterns for swallowing and on the effects of bolus volume and consistency. Five normal subjects were tested during swallows of 5 and 30 ml of water, 5 and 30 ml of gelatin, and saliva. By segmenting the EPG time-motion sequences into four stages (prepropulsion, propulsion, full contact, withdrawal) and compartmentalizing the palate into six bins (front, central, back, lateral, medial, midline), temporal and spatial characteristics of deglutitive tongue-palate contact were revealed. Significant differences (p < 0.01) were found in contact timing across bolus sizes and consistencies for the propulsion and full contact stages. Water was propelled faster than gelatin. and 30-ml gelatin faster than 5-ml gelatin. Dry swallows had a longer full contact stage than water. Contact patterns, though not statistically analyzed at this time, appeared to vary little as a function of bolus properties. Our findings suggest potential value in using EPG to investigate the timing and patterning of abnormal tongue movements associated with disordered swallowing.

Adult↗
PubMed1996

Distribution of lead, copper and zinc in size-fractionated river bed sediment in two agricultural catchments of southern Ontario, Canada.

Metal (Pb, Cu and Zn) partitioning in six separated sediment size fractions (<8, 8-12, 12-19, 19-31, 31-42, 42-60 microm) of river bed sediment have been analyzed by sequential extraction. The concentrations of some major elements (Si, Al, Ca, Mg, K, Na, Fe, Mn and P), and organic and inorganic C were determined to correlate the elemental composition of the sediment with metal speciation and grain size. Results show that Zn and Pb concentrations increase with decreasing grain size. For Big Creek and Big Otter Creek, respectively, the highest concentrations of Zn (326 and 230 mg kg(-1)) and Pb (158 and 67 mg kg(-1)) were found in the smallest (<8 microm) fraction, whereas the Cu levels (619 and 1281 mg kg(-1)) were most abundant in the second smallest (8-12 microm) fraction. The major accumulative phases for Cu, Zn and Pb were carbonates, Fe/Mn oxides and organic matter, but the relative importance of each phase varied for individual metals and grain sizes. The extraction data show increasing potential bioavailability of metals with decreasing grain size. Estimates of metal yields in the study catchments suggest that over 80% of the metal yield in sediment smaller than 63 microm is associated with solids smaller than 31 microm.

Journal Article↗
PubMed1996

Sigmoidoscopy and rectal biopsy: a survey of current UK practice.

OBJECTIVE: To establish the pattern of practice of sigmoidoscopy and rectal biopsy in the UK, and to estimate the rate of occurrence of important complications. DESIGN: Postal questionnaire enquiring about practice in the previous 2 years. SUBJECTS: Consultant members of the British Society of Gastroenterology. MAIN OUTCOME MEASURES: Bleeding or perforation following sigmoidoscopy and rectal biopsy. RESULTS: Completed replies were received from 277 consultants, giving a response rate of 84%. Of the sigmoidoscopies performed, 71% were rigid and the remainder fibreoptic flexible sigmoidoscopy (FOS). The complication rate after sigmoidoscopy and rectal biopsy was 0.01%. Perforation was significantly more common in FOS than in rigid sigmoidoscopy (eight in 134,482 sigmoidoscopies versus five in 328,815, chi2 = 5.18, P < 0.05). The distance from anal margin and wall of biopsy did not influence perforation rates. Significant bleeding was similar with both techniques (eight in 134,482 versus 35 in 328,815, chi2 = 2.27, NS). CONCLUSION: Rigid sigmoidoscopy is still more widely used than FOS in the UK, and is probably safer. Complications resulting from rectal biopsy are uncommon but perforation occurs more frequently with FOS than with rigid sigmoidoscopy. The site of biopsy appears to be unimportant.

Biopsy↗
PubMed1996

Three-dimensional tongue surface shapes of English consonants and vowels.

This paper presents three-dimensional tongue surfaces reconstructed from multiple coronal cross-sectional slices of the tongue. Surfaces were reconstructed for sustained vocalizations of the American English sounds [symbol: see text]. Electropalatography (EPG) data were also collected for the sounds to compare tongue surface shapes with tongue-palate contact patterns. The study was interested also in whether 3-D surface shapes of the tongue were different for consonants and vowels. Previous research and speculation had found that there were differences in production, acoustics, and linguistic usage between the two groups. The present study found that four classes of tongue shape were adequate to categorize all the sounds measured. These classes were front raising, complete groove, back raising, and two-point displacement. The first and third classes have been documented before in the midsagittal plane [cf. R. Harshman, P. Ladefoged, and L. Goldstein, J. Acoust. Soc. Am. 62, 693-707 (1976)]. The first three classes contained both vowels and consonants, the last only consonants. Electropalatographic patterns of the sounds indicated three categories of tongue-palate contact: bilateral, cross-sectional, and combination of the two. Vowels used only the first pattern, consonants used all three. The EPG data provided an observable distinction in contact pattern between consonants and vowels. The ultrasound tongue surface data did not. The conclusion was that the tongue actually has a limited repertoire of shapes and positions them against the palate in different ways for consonants versus vowels to create narrow channels, divert airflow, and produce sound.

Female↗
PubMed1996

Ultra-high molecular weight polyethylene wear debris generated in vivo and in laboratory tests; the influence of counterface roughness.

The objective of this study was to investigate the effect of counterface roughness and lubricant on the morphology of ultra-high molecular weight polyethylene (UHMWPE) wear debris generated in laboratory wear tests, and to compare this with debris isolated from explanted tissue. Laboratory tests used UHMWPE pins sliding against stainless steel counterfaces. Both water and serum lubricants were used in conjunction with rough and smooth counterfaces. The lubricants and tissue from revision hip surgery were processed to digest the proteins and permit filtration. This involved denaturing the proteins with potassium hydroxide (KOH), sedimentation of any remaining proteins, and further digestion of these proteins with chromic acid. All fractions were then passed through a 0.2 micron membrane, and the debris examined using scanning electron microscopy. The laboratory studies showed that the major variable influencing debris morphology was counterface roughness. The rougher counterfaces produced larger numbers of smaller particles, with a size range extending below 1 micron. For smooth counterfaces there were fewer of these small particles, and evidence of larger platelets, greater than 10 microns in diameter. Analysis of the debris from explanted tissues showed a wide variation in the particle size distribution, ranging from below 1 micron up to several millimetres in size. Of major clinical significance in relation to osteolysis and loosening is roughening of the femoral components, which may lead to greater numbers of the sub-micron-sized particles.

Adult↗
PubMed1996

Bisphosphonates and the treatment of bone disease in the elderly.

Recognition of the way in which naturally occurring pyrophosphate affects bone metabolism has stimulated the development of a whole series of related compounds, the bisphosphonates. Although the precise mechanism of action of these compounds remains incompletely understood, they have been proven profoundly effective in clinical practice and already constitute a major advance in the therapy of conditions characterised by excessive bone resorption. Serious adverse effects are rare; however, mineralisation problems are a concern, particularly with etidronate. The reduction in bone turnover during prolonged treatment for osteoporosis is also a concern but as yet of uncertain clinical importance. The wide variation in potency of different bisphosphonates in inhibiting the resorption, mineralisation and turnover of bone will increasingly determine which agents are used in various clinical situations. Bisphosphonates are the treatment of choice in Paget's disease and hypercalcaemia of malignancy. They also appear to have potential to alter the course of metastatic bony disease, although the magnitude and clinical importance of any such effect remains unclear. Bisphosphonates show promise in the prevention and treatment of osteoporosis and increase bone mass in postmenopausal and steroid-induced osteoporosis. The effects of these drugs in other situations are less clear and the effects on fracture rates are not yet fully characterised. Optimal regimens have yet to be established but the long half-lives of these agents makes intermittent treatment a rational and convenient approach.

Aged↗
PubMed1995

Preliminary study of the effect of aging following irradiation on the wear of ultrahigh-molecular-weight polyethylene.

Several studies have indicated that degradation of ultrahigh-molecular-weight polyethylene following gamma irradiation in air adversely affects the mechanical properties of the material; however, it is not known how this subsequently affects its wear rate. Wear studies have therefore been performed on three groups of ultrahigh-molecular-weight polyethylene; unirradiated material, recently irradiated material (aged for 2 months), and aged irradiated material (aged for 5 years). The aging took place in sterile packaging on the shelf. The wear studies were carried out on a tri-pin-on-disk wear tester, with a pin from each type of material being studied in each test. In each test the wear rate of the nonirradiated material was slightly lower than the 2-month-aged, irradiated material. The 5-year-aged, irradiated material had the highest wear rate, and this was significantly greater than that of the unirradiated material (P < .05).

Acetabulum↗
PubMed1995

Allogeneic transplantation combining mobilized blood and bone marrow in patients with refractory hematologic malignancies.

BACKGROUND: Mobilized blood stem cells have been used successfully in autologous transplant recipients to reduce the complications of pancytopenia due to dose-intensive chemotherapy. Reports of cytokine-mobilized blood progenitor cells in allogeneic transplant recipients are rare. STUDY DESIGN AND METHODS: This is a pilot trial of six patients. Patients with advanced hematologic malignancy received bone marrow (median total 2.6 x 10(8) mononuclear cells/kg) followed by four daily transfusions of blood (median total 9.5 x 10(8) mononuclear cells/kg) from HLA-matched sibling donors who were mobilized with recombinant human granulocyte-colony-stimulating factor (5 micrograms/kg/day subcutaneously for 5 days). All patients received cyclosporine and prednisone for graft-versus-host disease (GVHD) prophylaxis. RESULTS: An absolute neutrophil count greater than 500 per mm3 was achieved on Day 12, and platelet transfusion independence was achieved on Day 16. The median day of hospital discharge was Day 23 after transplant. All patients achieved 100-percent donor cell engraftment. Acute > or = Grade III GVHD did not develop in any patients, but all patients developed Grade I (n = 4) or Grade II (n = 2) acute GVHD. Chronic extensive GVHD developed in four of six patients. One patient died of pneumonia 263 days after transplant while undergoing immune-suppressive therapy for chronic GVHD. CONCLUSION: The transfusion of blood stem cells in patients undergoing allogeneic bone marrow transplant is well tolerated soon after transplant, but the development of chronic GVHD may limit the general usage of unmanipulated blood stem cells.

Adult↗
PubMed1995

A head and transducer support system for making ultrasound images of tongue/jaw movement.

A head and transducer support system (HATS) was developed for use in ultrasound imaging of tongue movement. Ultrasound is an imaging technique that captures tongue motion during speech and thus has great appeal as a tool for speech research. However, because ultrasound systems are designed for clinical use, the transducer is hand-held and it is almost impossible to hold it completely steady under the chin when collecting tongue data. A system was needed to fix the head and support the transducer under the chin in a known position without disturbing speech. The HATS system was designed, constructed, and modified to provide valid, reliable tongue movement data by (1) immobilizing the head and (2) positioning the ultrasound transducer in a known relationship to the head.

Head↗