Biomedical subjects

M Sutherland

Publications and source records attributed to M Sutherland.

At least 19 recordsLinked to original sources

PubMed2006

Nonvanishing energy scales at the quantum critical point of CeCoIn5.

Heat and charge transport were used to probe the magnetic field-tuned quantum critical point in the heavy-fermion metal CeCoIn5. A comparison of electrical and thermal resistivities reveals three characteristic energy scales. A Fermi-liquid regime is observed below T(FL), with both transport coefficients diverging in parallel and T(FL) -->0 as H --> Hc, the critical field. The characteristic temperature of antiferromagnetic spin fluctuations, T(SF), is tuned to a minimum but finite value at Hc, which coincides with the end of the T-linear regime in the electrical resistivity. A third temperature scale, T(QP), signals the formation of quasiparticles, as fermions of charge e obeying the Wiedemann-Franz law. Unlike T(FL), it remains finite at Hc, so that the integrity of quasiparticles is preserved, even though the standard signature of Fermi-liquid theory fails.

Journal Article↗

PubMed2006

Thermal conductivity in the vicinity of the quantum critical end point in Sr3Ru2O7.

Thermal conductivity of Sr3Ru2O7 was measured down to 40 mK and at magnetic fields through the quantum critical end point at Hc=7.85 T. A peak in the electrical resistivity as a function of the field was mimicked by the thermal resistivity. In the limit as T-->0 K, we find that the Wiedemann-Franz law is satisfied to within 5% at all fields, implying that there is no breakdown of the electron despite the destruction of the Fermi liquid state at quantum criticality. A significant change in disorder [from rho0(H=0 T)=2.1 to 0.5 microOmega cm] does not influence our conclusions. At finite temperatures, the temperature dependence of the Lorenz number is consistent with ferromagnetic fluctuations causing the non-Fermi liquid behavior as one would expect at a metamagnetic quantum critical end point.

Journal Article↗

PubMed2006

Improved diagnosis of virulent ovine footrot using the intA gene.

Footrot is a mixed bacterial infection of the hooves of sheep. The gram-negative anaerobic bacterium Dichelobacter nodosus is the principal causative agent, with different strains causing diseases of different severity, ranging from benign to virulent. In Australia, in the state of New South Wales (NSW), only virulent footrot is subject to regulatory action, including quarantine. However, it is often difficult to distinguish benign footrot from virulent footrot in the initial stages of infection, or under adverse climatic conditions. The gelatin gel test, which measures the thermostability of secreted bacterial proteases, is the laboratory test most widely used in Australia to aid in the differential diagnosis of footrot. The proteases of virulent strains are, in general, more thermostable than the proteases of benign strains. However, there are some false positives in the gelatin gel test, which may lead to unnecessary quarantine procedures. We used Southern blot analysis on 595 isolates of D. nodosus from 124 farms on which sheep had benign or virulent footrot to test for the presence of the intA gene. We found that for D. nodosus strains which are stable in the gelatin gel test, there is a high correlation between the presence of the intA gene and the ability of the strain to cause virulent footrot. We also developed a PCR-based assay for the rapid detection of intA, which can be used to test DNA extracted from colonies grown on plates, or DNA extracted from cotton swabs of culture plates.

Animals↗

PubMed2005

A QTL located on chromosome 4A associated with dormancy in white- and red-grained wheats of diverse origin.

Improved resistance to preharvest sprouting in modern bread wheat (Triticum aestivum. L.) can be achieved via the introgression of grain dormancy and would reduce both the incidence and severity of damage due to unfavourable weather at harvest. The dormancy phenotype is strongly influenced by environmental factors making selection difficult and time consuming and this trait an obvious candidate for marker assisted selection. A highly significant Quantitative Trait Locus (QTL) associated with grain dormancy and located on chromosome 4A was identified in three bread wheat genotypes, two white- and one red-grained, of diverse origin. Flanking SSR markers on either side of the putative dormancy gene were identified and validated in an additional population involving one of the dormant genotypes. Genotypes containing the 4A QTL varied in dormancy phenotype from dormant to intermediate dormant. Based on a comparison between dormant red- and white-grained genotypes, together with a white-grained mutant derived from the red-grained genotype, it is concluded that the 4A QTL is a critical component of dormancy; associated with at least an intermediate dormancy on its own and a dormant phenotype when combined with the R gene in the red-grained genotype and as yet unidentified gene(s) in the white-grained genotypes. These additional genes appeared to be different in AUS1408 and SW95-50213.

Australia↗

PubMed2005

Unpaired electrons in the heavy-fermion superconductor CeCoIn5.

Thermal conductivity and specific heat were measured in the superconducting state of the heavy-fermion material Ce(1-x)La(x)CoIn5. With increasing impurity concentration x, the suppression of T(c) is accompanied by the increase in residual electronic specific heat expected of a d-wave superconductor, but it occurs in parallel with a decrease in residual electronic thermal conductivity. This contrasting behavior reveals the presence of uncondensed electrons coexisting with nodal quasiparticles. An extreme multiband scenario is proposed, with a d-wave superconducting gap on the heavy-electron sheets of the Fermi surface and a negligible gap on the light, three-dimensional pockets.

Journal Article↗

PubMed2005

Heat transport as a probe of electron scattering by spin fluctuations: the case of antiferromagnetic CeRhIn(5).

Heat and charge conduction were measured in the heavy-fermion metal CeRhIn(5), an antiferromagnet with T(N)=3.8 K. The thermal resistivity is found to be proportional to the magnetic entropy, revealing that spin fluctuations are as effective in scattering electrons as they are in disordering local moments. The electrical resistivity, governed by a q(2) weighting of fluctuations, increases monotonically with temperature. In contrast, the difference between thermal and electrical resistivities, characterized by a omega(2) weighting, peaks sharply at T(N) and eventually goes to zero at a temperature T(*) approximately = 8 K. T(*) thus emerges as a measure of the characteristic energy of magnetic fluctuations.

Journal Article↗

PubMed2005

Improving secondary prevention in coronary bypass patients: closing the audit loop.

OBJECTIVES: To complete the audit loop assessing secondary preventative care of patients who had had coronary artery bypass graft (CABG) surgery. DESIGN: Two separate surveys of 1000 patients who had had CABG at the regional centre between 1988 and 1997, selected in 1998 and 2001. A single page questionnaire was sent to the patient's general practitioner. INTERVENTIONS: A list was sent to each general practice in Lothian, Scotland, of their patients on the CABG database and the results of the original survey. Lothian Health organised a project to contact and recall patients with cardiac disease in each practice. Sixty five (of 128) practices participated. MAIN OUTCOME MEASURES: Blood pressure, smoking status, serum cholesterol concentrations, and prescription of lipid lowering drugs and aspirin. RESULTS: 918 questionnaires (92%) in the second survey were returned describing 875 patients: 151 (17%) patients smoked and 752 patients (86%) took aspirin. Mean (SD) systolic blood pressure was lower in the second survey (142.5 (19.2) mm Hg in the first survey v 139.4 (19.1) mm Hg, p < 0.005). In our first survey 34% of patients had cholesterol concentrations less than target (5.2 mmol/l). This increased from 12% of patients operated on in 1988 to 50% of patients operated on in 1997 (Spearman rank correlation 0.77, p < 0.01). In the second survey this proportion had risen to 65% and the correlation with year of operation was abolished. CONCLUSIONS: By closing the audit loop, substantial improvements were shown in the management of risk factors in patients who have had coronary artery surgery in Lothian.

Aspirin↗

PubMed2004

Dwell time and functional failure in percutaneous endoscopic gastrostomy tubes: a prospective randomized-controlled comparison between silicon polymer and polyurethane percutaneous endoscopic gastrostomy tubes.

BACKGROUND: Silicone percutaneous endoscopic gastros-tomy (PEG) tubes are associated with more short-term complications and possibly fail sooner than those made of polyurethane. Understanding the deterioration and long-term complications leading to tube failure has important clinical and cost implications. AIM: To compare dwell time and patterns of failure ofsilicone polymer and polyurethane PEG tubes. METHODS: Participants randomized to receive a siliconepolymer (n = 76) or polyurethane (n = 62) PEG werevisited monthly for 540 days, until death or tube removal. Tube and exit site characteristics and reasons for removal were recorded. RESULTS: Tube failure occurred in 25% of silicone PEGs and 12.9% of polyurethane PEGs. Mean tube survival for silicone PEGs was 377.2 days (CI: 326-428) and for polyurethane 436.8 days (CI: 383-490; P = 0.13). A greater proportion of silicone PEGs developed intralumenal colonization and altered tube integrity than polyurethane (P < 0.001). Silicone PEGs blocked more frequently (P < 0.005) and were removed because of irreversible blockage more often than polyurethane PEGs (P < 0.05). Silicone PEGs with reversible blockage and tube integrity changes had a significantly greater probability of failure than silicone tubes without these changes (P < 0.005 and P < 0.05, respectively). CONCLUSIONS: Observations over time indicate that sili-cone PEGs are more susceptible than polyurethane PEGs to tube deterioration, resulting in substantially increased management demands to sustain patients' feeding and medication schedules.

Adult↗

PubMed2004

Giant electron-electron scattering in the Fermi-liquid state of Na0.7CoO2.

The in-plane resistivity rho and thermal conductivity kappa of single crystal Na0.7CoO2 were measured down to 40 mK. Verification of the Wiedemann-Franz law, kappa/T=L(0)/rho as T-->0, and observation of a T2 dependence of rho at low temperature establish the existence of a well-defined Fermi-liquid state. The measured value of coefficient A reveals enormous electron-electron scattering, characterized by the largest Kadowaki-Woods ratio A/gamma(2) encountered in any material. The rapid suppression of A with magnetic field suggests a possible proximity to a magnetic quantum critical point. We also speculate on the possible role of magnetic frustration and proximity to a Mott insulator.

Journal Article↗

PubMed2004

Transport in ultraclean YBa2Cu3O7: neither unitary nor born impurity scattering.

The thermal conductivity of ultraclean YBa2Cu3O7 was measured at very low temperature in magnetic fields up to 13 T. The temperature and field dependence of the electronic heat conductivity show that two widespread assumptions of transport theory applied to unconventional superconductors fail for clean cuprates: impurity scattering cannot be treated in the usual unitary limit (nor indeed in the Born limit), and scattering of quasiparticles off vortices cannot be neglected. Our study also sheds light on the long-standing puzzle of a sudden onset of a "plateau" in the thermal conductivity of Bi-2212 versus field.

Journal Article↗

PubMed2004

Direct access ambulatory BP monitoring--the Edinburgh experience.

The use of electronic measurement of blood pressure and, in particular, ambulatory blood pressure monitoring offers the opportunity to determine which patients with apparent hypertension have truly sustained elevation of their blood pressure levels. Given the high prevalence of hypertension and the even larger number of individuals who appear to be hypertensive but may not be so, it is difficult to deliver ambulatory blood pressure monitoring to all individuals who might benefit from it. In Edinburgh, Scotland, we have piloted a system of direct access ambulatory blood pressure monitoring whereby physicians in primary care can request of the hospital service, an ambulatory monitor on their patient without the patients attending a formal hospital clinic. In the 7 years since the service was first instituted, almost 6,000 monitors have been performed with referrals running at approximately 100 per month in recent times. The present study was set up to assess the impact of the ambulatory monitor result on clinical decision making in primary care. The referral form invited primary care physicians to indicate their planned management if an ambulatory monitor had not been available and we thereafter audited patient records to determine what ultimately happened following the advice given on the basis of the ambulatory monitoring record.A random sample of results was obtained on untreated patients and approximately 500 were analysed. It was clear that if the advice to the primary care physician based upon the ABPM was not to treat, that this was largely followed with some 94% of patients not receiving treatment within 3 months of the monitor. If, however, the advice given was to start treatment, this was less reliably followed and in only 76% of patients treatment was started within 3 months. At the time of the audit this figure had increased to 82%. Primary care physicians had indicated that they would have treated 60% of the individuals referred and in reality only treated 40%. The potential saving in drug costs from the reduction by 20% of those treated would have significant impact on health care budgets.

Blood Pressure Monitoring, Ambulatory↗

PubMed2003

Field-induced quantum critical point in CeCoIn5.

The resistivity of the heavy-fermion superconductor CeCoIn5 was measured as a function of temperature, down to 25 mK and in magnetic fields of up to 16 T applied perpendicular to the basal plane. With increasing field, we observe a suppression of the non-Fermi liquid behavior, rho approximately T, and the development of a Fermi liquid state, with its characteristic rho=rho(0)+AT2 dependence. The field dependence of the T2 coefficient shows critical behavior with an exponent of 1.37. This is evidence for a field-induced quantum critical point (QCP), occurring at a critical field which coincides, within experimental accuracy, with the superconducting critical field H(c2). We discuss the relation of this field-tuned QCP to a change in the magnetic state, seen as a change in magnetoresistance from positive to negative, at a crossover line that has a common border with the superconducting region below approximately 1 K.

Journal Article↗

PubMed2003

Heat conduction in the vortex state of NbSe2: evidence for multiband superconductivity.

The thermal conductivity kappa of the layered s-wave superconductor NbSe2 was measured down to T(c)/100 throughout the vortex state. With increasing field, we identify two regimes: one with localized states at fields very near H(c1) and one with highly delocalized quasiparticle excitations at higher fields. The two associated length scales are naturally explained as multiband superconductivity, with distinct small and large superconducting gaps on different sheets of the Fermi surface. This behavior is compared to that of the multiband superconductor MgB2 and the conventional superconductor V3Si.

Journal Article↗

PubMed2003

Utility of rapid staining of fine needle aspiration smears at the University Hospital of the West Indies.

In a prospective study at the University Hospital of the West Indies, 187 fine needle aspiration cytology (FNAC) specimens, comprising 100 breast, 75 head and neck, and 12 miscellaneous specimens, were subjected to rapid Papanicolaou staining and immediate assessment. Inadequate aspirates were repeated, and all cases were also evaluated after routine Papanicolaou staining. Histologic and clinical follow-up data were obtained. The overall concordance between rapid and routine cytologic diagnoses ranged from 79% to 87% for the three specimen cohorts. Sensitivity and specificity values were similar for rapid and routine-stained slides and ranged from 80% to 100%. There were no false positive or false negative diagnoses in the cases for which the outcome was known. Rapid staining of cytologic smears is a useful adjunct to the evaluation of aspirated material, improving adequacy rates and overall performance of the FNAC service, and should also result in significant savings in time and cost to patients.

Biopsy, Needle↗

PubMed2001

Evidence for the presence of phospholipid hydroperoxide glutathione peroxidase in human platelets: implications for its involvement in the regulatory network of the 12-lipoxygenase pathway of arachidonic acid metabolism.

The 12-lipoxygenase pathway of arachidonic acid metabolism in platelets and other cells is bifurcated into a reduction route yielding 12-hydroxyeicosatetraenoic acid (12-HETE) and an isomerization route forming hepoxilins. Here we show for the first time the presence of phospholipid hydroperoxide glutathione peroxidase (PHGPx) protein and its activity in platelets. The ratio of the activity of PHGPx to that of cytosolic glutathione peroxidase (GPx-1) was consistently found to be approx. 1:60 in platelets and UT7 megakaryoblasts. Moreover, short-lived PHGPx mRNA was detected in megakaryocytes but not in platelets. Carboxymethylation of selenium-containing glutathione peroxidases by iodoacetate, which results in the inactivation of PHGPx and GPx-1 without inhibition of 12-lipoxygenase, markedly altered the pattern of arachidonic acid metabolism in human platelets. Whereas the formation of 12-HETE was inhibited by 80%, a concomitant accumulation of 12-hydroperoxyeicosatetraenoic acid (12-HpETE) by two orders of magnitude as well as the formation of hepoxilins A(3) and B(3) were observed. The formation of hepoxilins also occurred when 12-HpETE was added to untreated platelets. In selenium-deficient UT7 cells, which were devoid of GPx-1 but not of PHGPx, the reduction of 12-HPETE was retained, albeit with a lower rate than in control cells containing GPx-1. We therefore believe that both GPx-1 and PHGPx are involved in the regulatory network of the 12-lipoxygenase pathway in platelets and other mammalian cells. Moreover, the diminution of hydroperoxide tone in platelets incubated with arachidonic acid leads primarily to the formation of 12-HETE, whereas the increase in hydroperoxide tone (a situation found under oxidative stress or selenium deficiency or on incubation with 12-HPETE) partly diverts the 12-lipoxygenase pathway from the reduction route to the isomerization route, thus resulting in the formation of hepoxilins.

8,11,14-Eicosatrienoic Acid↗

PubMed2001

Development of teratocytes associated with Microctonus aethiopoides Loan (Hymenoptera: Braconidae) in natural and novel host species.

A laboratory study investigated development of teratocytes derived from the parasitoid Microctonus aethiopoides Loan in the natural host, Sitona discoideus Gyllenhal, and in three novel hosts, the introduced weed biological control agent Rhinocyllus conicus (Froehlich), and two New Zealand native species Nicaeana cervina Broun and Irenimus stolidus Broun. Weevils were exposed to parasitoids and then examined 6, 10 and 15 days post-parasitism for parasitoid stage and size, and teratocyte number and size. In all hosts, teratocyte numbers decreased and size increased as parasitoid development progressed, although 6 days after parasitism, fewer, larger teratocytes were found in I. stolidus than S. discoideus or N. cervina. In weevils containing second-third instar parasitoid larvae, the most permissive hosts, S. discoideus and N. cervina contained more teratocytes than the least permissive hosts I. stolidus and R. conicus. Host gender influenced some aspects of parasitoid and teratocyte development. Total teratocyte volume was greater in female than male S. discoideus at all sampling times, and at 10 days post-parasitism in N. cervina. A possible relationship between host suitability and teratocyte development is discussed.

Journal Article↗

PubMed2001

A unitary patient record improves admission documentation in a medical assessment unit in a major teaching hospital.

OBJECTIVE: To ascertain the impact of the introduction of a unitary patient record (UPR) on clerking documentation of emergency medical admissions. DESIGN: Retrospective casenote audit. SUBJECTS AND SETTING: Random sample of 100 unselected admissions to the medical assessment unit of a major teaching hospital, comprising two groups pre- and post-introduction of the UPR. RESULTS: Statistically significant improvements in the documentation of several items were achieved; function before episode, ethnic origin, chest pain, breathlessness, ankle oedema, cough, bowel habit and locomotor symptoms and recording of blood pressure and peripheral pulses. There were trends towards improvement in other areas and there were no areas in which the UPR performed less well than standard documentation. CONCLUSIONS: Introduction of the UPR represents the successful application of multidisciplinary principles to over 10,000 acute general medical admissions. It has improved some, but not all, aspects of documentation. Revision of the design of the UPR should lead to further progress, as part of an ongoing process of development and re-audit.

Acute Disease↗

PubMed2000

Biological actions of the free acid of hepoxilin A3 on human neutrophils.

In earlier reports and reviews, it was suggested that unlike its methyl ester, the free acid form of the 12-lipoxygenase-derived eicosanoid hepoxilin A3 (HXA3) does not enter neutrophils and other cells. Therefore, in the past, most studies on the biological activities of HXA3 on human neutrophils were conducted with its methyl ester. Here, we present evidence that free HXA3 is biologically active towards human neutrophils at submicromolar concentrations, which may occur under certain circumstances in vivo. Thus, HXA3 caused chemotaxis at concentrations as low as 30-40 nM, an effect which was attenuated at higher concentrations of this eicosanoid. Its chemotactic potency proved to be comparable to that of leukotriene B4, but higher than that of the chemotactic peptide formyl-methionyl-leucyl-phenylalanine (fMLP), and greatly exceeded that of the other 12-lipoxygenase metabolite, 12(S)-hydroxy-5,8,10,14-eicosatetraenoic acid, which was inactive at comparable concentrations. The chemotactic activity of HXA3 was not abolished by serum albumin, but it was suppressed by pertussis toxin. Unlike fMLP, at this concentration range HXA3 did not cause respiratory burst or aggregation of the neutrophils or activation of protein kinase C. These observations suggest a remarkably selective and specific receptor-mediated process. At concentrations higher than 1 microM, HXA3 gives rise to an instantaneous release of calcium from intracellular stores which causes, however, only a slight, if any, liberation of arachidonic acid. On the other hand, pretreatment of the neutrophils with submicromolar concentrations of HXA3 significantly blunts the liberation of arachidonic acid caused by fMLP.

8,11,14-Eicosatrienoic Acid↗