Search PubMed⌕ Search

Biomedical subjects

M Walker

Publications and source records attributed to M Walker.

At least 325 records · Page 18Linked to original sources

A nuclear mutation in maize blocks the processing and translation of several chloroplast mRNAs and provides evidence for the differential translation of alternative mRNA forms.

A mutant designated crp1 (chloroplast RNA processing 1) was identified in a screen for transposon-induced maize mutants with defects in chloroplast gene expression. crp1 is a recessive, nuclear mutation that causes the loss of the cytochrome f/b6 complex and a reduction in photosystem I. The molecular basis for these protein losses is unique relative to previously described mutants with defects in organelle gene expression; it involves defects in the metabolism of two organellar mRNAs and in the translation of two organellar proteins. Mutants lack the monocistronic forms of the petB and petD mRNAs (encoding cytochrome f/b6 subunits), but contain normal levels of their polycistronic precursors. Pulse-labeling experiments revealed normal synthesis of the petB gene product, but a large decrease in synthesis of the petD gene product. These results suggest that petD sequences are more efficiently translated in a monocistronic than in a polycistronic context, thereby providing evidence that the elaborate RNA processing typical of chloroplast transcripts can play a role in controlling gene expression. Structural predictions suggest that the petD start codon lies in a stable hairpin in the polycistronic RNA, but remains unpaired in the monocistronic transcript. Thus, processing to a monocistronic form may increase translational efficiency by releasing the translation initiation region from inhibitory interactions with upstream RNA sequences. Synthesis of a third cytochrome f/b6 subunit, encoded by the petA gene, was undetectable in crp1, although its mRNA appeared unaltered. Two mechanisms are consistent with the simultaneous loss of both petA and petD protein synthesis: the translation of the petA and petD mRNAs might be coupled via a mechanism independent of crp1, or the crp1 gene may function to coordinate the expression of the two genes, which encode subunits of the same complex.

Alternative Splicing↗

Development and validation of the Stirling Eating Disorder Scales.

The development and reliability/validity check of an 80-item, 8-scale measure for use with eating disorder patients is presented. The Stirling Eating Disorder Scales (SEDS) assess anorexic dietary behavior, anorexic dietary cognitions, bulimic dietary behavior, bulimic dietary cognitions, high perceived external control, low assertiveness, low self-esteem, and self-directed hostility. The SEDS were administered to 82 eating disorder patients and 85 controls. Results indicate that the SEDS are acceptable in terms of internal consistency, reliability, group validity, and concurrent validity.

Adult↗

Electron cryomicroscopy of acto-myosin-S1 during steady-state ATP hydrolysis.

The structure of the complex of actin and myosin subfragment-1 (S1) during steady-state ATP hydrolysis has been examined by electron microscopy. This complex is normally dissociated by ATP in vitro but was stabilized here by low ionic strength. Optimal conditions for attachment were established by light-scattering experiments that showed that approximately 70% of S1 could be bound in the presence of ATP. Micrographs of the unstained complex in vitreous water suggest that S1 attaches to actin in a variety of configurations in ATP; this contrasts with the single attached configuration seen in the presence of ADP. The data are therefore compatible with the idea that a change in attached configuration of the myosin cross-bridge is the origin of muscle force. In control experiments where ATP was allowed to hydrolyze completely the binding of the S1 seemed cooperative.

Adenosine Diphosphate↗

Open-mouth posture and maxillary arch width in young children: a three-year evaluation.

A large biracial sample of children were assessed for open mouth posture and maxillary arch width once a year for 3 years. Analyses revealed that although the youngsters exhibited open-mouth posture at high levels, over time, there was a significant decrease in this behavior. Racial and gender differences, as well as a race-by-time interaction, were also evidenced. The children displayed a significant increase in maxillary arch width across time, with gender and racial differences seen in this growth pattern. Finally, when the youngsters were classified as exhibiting primarily open-mouth or closed-mouth posture, it was observed that children with open-mouth posture displayed a significantly slower pattern of maxillary growth compared with children who display anterior lip seal posture. The implications of the findings were discussed.

Analysis of Variance↗

A longitudinal evaluation of open mouth posture and maxillary arch width in children.

Open mouth posture and maxillary arch width were assessed annually for 4 years in a group of children. While younger children exhibited high levels of open mouth posture, this behavior decreased significantly over time. Racial and sex differences, as well as a race-by-time interaction were also evident. The children displayed a significant increase in maxillary arch width across time with sex and racial differences in this growth pattern. Subjects were classified as exhibiting primarily open mouth or closed mouth posture. Although both groups showed increased maxillary arch widths over time, the closed mouth subjects showed significantly greater maxillary arch growth.

Analysis of Variance↗

Concepts in nurse education.

This paper reports a case study of student and senior nurses at the Royal Free Hospital, London, England. Qualitative methods were used to investigate the perceptions of nursing upon which students and senior nurses based their activities on the wards. Differences were identified between the ways in which students and senior nurses 'saw' their day-to-day tasks. Analysis showed that these differences were based upon differing levels of conceptualization. Student nurses were found to operate with low levels of conceptualization and were thus unable to categorize or group the patients, procedures or problems confronting them. Senior nurses, on the other hand, operated with a high level of conceptualization and were able to perceive similarities in objects, events and processes and to differentiate these into categories, classes or patterns. This allowed them to prioritize lines of action and to respond to situations in a rational and effective way. The problem for nurse education, then, is how best to enable students to develop a professional level of conceptualization. Strategies are identified by which senior nurses might enable student nurses to develop concepts in relation to their nursing activities on the wards.

Attitude of Health Personnel↗

Relapse of medically treated insulinoma following the development of thyrotoxicosis: an assessment of potential mechanisms.

Increased thyroid hormone concentrations have been reported to have disparate effects on insulin sensitivity in man. We describe a 72-year-old lady who initially presented with episodic hypoglycemia secondary to an insulinoma that was controlled by diazoxide. She re-presented 12 months later with a recurrence of the hypoglycemia following the development of thyrotoxicosis. The diazoxide treatment was maintained and propranolol was introduced, which prevented further episodes of hypoglycemia. This appeared to be due to a direct effect of propranolol on endogenous insulin secretion, while whole body insulin sensitivity remained unchanged as assessed using the hyperinsulinemic-euglycemic clamp technique. She was later rendered biochemically euthyroid with a combination of blocking carbimazole therapy and thyroxine replacement, and this was associated with a marked decrease in insulin sensitivity. Thus, the principal effect of thyroid hormone excess in this patient was an increase in insulin sensitivity that led to the clinical relapse of the insulinoma.

Aged↗

Alcohol and coronary heart disease: a perspective from the British Regional Heart Study.

BACKGROUND: A number of studies have shown that light or moderate alcohol intake is associated with a reduced incidence of coronary heart disease (CHD) compared with non-drinkers. There is controversy as to whether this is due to a specific protective effect of alcohol or whether the increased risk of CHD in non-drinkers is due to selective migration of high-risk subjects from drinking into non-drinking categories. METHODS: A prospective study of men aged 40-59 years drawn at random from one general practice in each of 24 British towns, and followed for cardiovascular morbidity and all-cause mortality over a 9.5-year period. RESULTS: There was a shallow U-shaped relationship between alcohol intake and all major CHD events and a strong inverse association with fatal CHD events. In men with no evidence of CHD at screening, despite a 28% (non-significant) reduction in the relative risk of fatal CHD events in men drinking 2-6 drinks/day, the difference in absolute rates of CHD between the drinking categories was small. Men with symptomatic CHD showed a strong inverse association between alcohol and all major CHD events and fatal CHD events. In men without a doctor diagnosis of cardiovascular disorder, those drinking 2-6 drinks/day showed a 34% (non-significant) reduction in relative risk of CHD death compared to occasional drinkers but little reduction in total cardiovascular mortality and no reduction in all-cause mortality. CONCLUSION: These findings provide weak support for the protective effect of alcohol on CHD and no encouragement for regular moderate drinking on the grounds of benefit to health.

Adult↗

Effect of hyperinsulinaemia on the function of the pituitary-adrenal axis in healthy man.

OBJECTIVE: Circulating insulin levels in themselves have been reported to influence the counter-regulatory hormone response to hypoglycaemia in man. The effect of insulin on a specific aspect of this response was examined during euglycaemia by stimulating the pituitary-adrenal axis with human corticotrophin-releasing hormone (CRH). SUBJECTS: Eight healthy males. DESIGN: Following an overnight fast, insulin was infused at 15 (low) and 60 (high) mU/kg/h from 0900 h for 180 minutes on separate occasions in random order. On each occasion, blood glucose was clamped at euglycaemia, and 1 microgram/kg (i.v. bolus) human CRH was administered at 120 minutes. MEASUREMENTS: Circulating hormone concentrations were determined by radioimmunoassay. Peak cortisol and ACTH responses were compared for the two study conditions. RESULTS: Mean serum insulin levels were threefold higher during the high compared with the low insulin infusion (mean difference 320 pmol/l, 95% confidence interval (CI) 150-490, P < 0.001). Blood glucose levels during the clamps were comparable (mean difference 0.15 mmol/l, 95% CI 0-0.63). Plasma cortisol levels increased following CRH, although the peak concentration was significantly lower during the high insulin infusion (mean difference 36 nmol/l, CI 0-110, P < 0.02). However, peak ACTH levels were comparable for the two insulin levels (mean difference 8 ng/l (1.8 pmol/l), CI 0-50). CONCLUSIONS: The peak cortisol response to CRH was diminished at the higher circulating insulin levels. This was not dependent upon concurrent hypoglycaemia and did not appear to be mediated at the level of the pituitary gland.

Adrenocorticotropic Hormone↗

Nipple pain.

Explore the source record for details and available documents.

Breast Feeding↗

Correlation of regional cerebral blood flow equivalents measured by single photon emission computerized tomography with P300 latency and eye movement abnormality in schizophrenia.

Single photon emission tomography with the intravenous blood flow marker 99mTc-exametazime was carried out in 14 acutely ill drug-free schizophrenic patients from whom P300 event-related potential, smooth eye pursuit eye tracking and verbal fluency were measured within a few days of scanning. Smooth pursuit eye movement abnormality correlated significantly with abnormal tracer uptake in superior pre-frontal cortex on the right and left and inferior pre-frontal cortex on the left. Abnormal eye movement was also associated with higher tracer uptake in left anterior cingulate and left posterior cingulate. P300 latency was significantly correlated with higher tracer uptake in left superior pre-frontal and left parietal regions. Verbal fluency performance was negatively correlated with tracer uptake in left frontal region. Eye tracking abnormality in schizophrenia is associated with bilateral frontal lobe disturbance and P300 latency increase with left-sided frontal and temporoparietal dysfunction. There was, however, a significant inverse relation between eye tracking abnormalities and abnormal perfusion in the left anterior cingulate region.

Adult↗

Intrinsic pumping of mesenteric lymphatics is increased after hemorrhage in awake sheep.

Lymphatic vessels have the ability to contract and transport liquid and protein from tissue spaces to the intravascular space. The purpose of this investigation was to test whether this lymph pump is stimulated following a fixed volume hemorrhage in awake sheep. To quantitate lymphatic pumping in vivo, a mesenteric lymphatic was isolated from all lymph input and provided with Krebs solution at a fixed transmural pressure. A branch of the mesenteric duct was cannulated to provide a measure of lymph flow rate. Each animal was either bled 25% of blood volume over 5 min or was observed. Systemic arterial blood pressure declined in all bled sheep (P < 0.05). Hemorrhage had no effect on lymph flow from mesenteric ducts. However, hemorrhage significantly enhanced lymphatic pumping, approximately 200% of control values 3 hr after hemorrhage (P < 0.01). Increased lymphatic pumping after hemorrhage may play an important role in blood volume and protein restitution.

Animals↗

When the mother of a premature infant uses a breast pump: what every NICU nurse needs to know.

Although pumps may seem readily available in the community, their effectiveness, as measured by the amount of negative pressure they generate and their cycling pattern of pressure and release, must be considered when recommending a particular model to the breast feeding mother of a premature infant. The neonatal nurse needs to assist the mother as she selects a breast pump by helping her pick the one that works best for her and by instructing her in its appropriate use. Such use needs to be oriented to obtaining maximum milk volume with minimal expenditure of energy without incurring breast or nipple pain or trauma. Sound breast pump recommendations and pumping instructions based on a clear understanding of the anatomy and physiology of the breast and knowledge of the lactation process will enable many women to give their infants the best possible nutritional and emotional start in life even before direct breast feeding begins.

Adult↗