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Biomedical subjects

N J Dawson

Publications and source records attributed to N J Dawson.

At least 19 recordsLinked to original sources
PubMed1995

Sacroiliac joint manipulation decreases the H-reflex.

Joint manipulation is widely utilized clinically to decrease pain and increase the range of motion of joints displaying limited mobility. Evidence of efficacy is based on subjective reports of symptom improvement as well as on the results of clinical trials. Experiments were designed to determine whether or not sacroiliac joint manipulation affects the amplitude of the Hoffman (H) reflex. Surface EMG recordings of the reflex response to electrical stimulation of the tibial nerve in the popliteal fossa were made from the soleus muscle. The averaged amplitudes of H-reflexes were compared on both legs before and after either sacroiliac joint manipulation or a sham procedure. H-reflex amplitude was significantly decreased (12.9%) in the ipsilateral leg (p < 0.001) following a sacroiliac joint manipulation while there was no significant alteration following the sham intervention. There was no significant alteration in reflex excitability in the contralateral leg to the sacroiliac joint manipulation. To further investigate the mechanism of these reflex alterations, the local anaesthetic cream EMLA (Astra Pharmaceuticals) was applied to the skin overlying the sacroiliac joint and the experiments were repeated on a different group of subjects. This was intended to determine if excitation of cutaneous afferents was responsible for the reflex excitability changes. There was still a significant decrease in reflex excitability (10.6%) following sacroiliac joint manipulation (p < 0.001). These findings indicate that joint manipulation exerts physiological effects on the central nervous system, probably at the segmental level. The fact that the changes persisted in the presence of cutaneous anaesthesia suggests that the reflex changes are likely to be mediated by joint and/or muscle afferents.

Adolescent↗
PubMed1994

The effect of therapeutic muscle stretch on neural processing.

Therapeutic muscle stretch is a commonly used procedure despite little evidence in support of efficacy or information about the mechanisms underlying the various methods. The purpose of this work was to compare the sequential application of static and ballistic muscle stretch with static muscle stretch alone, using the electrically elicited Hoffmann reflex (H-reflex) as a measure of excitability of homonymous motoneurons. The foot was passively dorsiflexed and either maintained in this position or rapidly and repeatedly dorsiflexed at a velocity of 1.0 radian/sec. Hoffmann reflexes were taken using established criteria under control conditions and during stretch conditions. An analysis of variance indicated a significant difference (p < 0.05) between condition means, with H-reflex amplitude reducing to 60 and 15% of the control value during static and ballistic stretch, respectively. Since reductions in alpha-motoneuron pool excitability correlate with increased flexibility, ballistic stretch applied following static stretch appears more effective than static stretch alone.

Adult↗
PubMed1994

Discriminability of electrocutaneous stimuli after topical anesthesia: detection-theory measurement of sensitivity to painful stimuli.

In three experiments on the psychophysical measurement of pain, electrocutaneous currents were applied to the volar surface of the forearm. In the first experiment, a conventional category scaling method was compared with the rating method of signal detection. The results of both methods were analyzed in detection-theory terms to derive receiver operating characteristic curves and measures of the discriminability of adjacent currents. The rating method yielded larger discriminability values than the category scale did, and that method was therefore used in the subsequent experiments to examine the effect of a topical anesthetic on discriminability. When the stimuli were applied through surface electrodes, no effect of the topical anesthetic on discriminability was found, but when the stimuli were applied to a more localized area by intradermal needle electrodes, a dose-dependent effect of the anesthetic on discriminability occurred. For this experiment, the slope of the cumulative sensitivity function increased with increasing elapsed time since the removal of the anesthetic. This result is congruent with the theory that discriminability can serve as a measure of sensitivity to painful stimuli.

Anesthesia↗
PubMed1994

Transport of latex microspheres by peripheral nerves of the rat.

The usefulness of rhodamine-labelled latex microspheres (RLM) as a marker for studying intracellular transport in peripheral nerves has been investigated in the intercostal and sciatic nerves of the rat. Suspensions of microspheres were injected into peripheral nerves, and after periods of survival ranging from 24 to 240 h, the nerves and dorsal root ganglia were fixed, frozen sections cut, and sections examined by fluorescence microscopy. It was found that RLM were transported in both anterograde and retrograde directions, but that dorsal root ganglion cells were poorly labelled. Horseradish peroxidase histochemistry did not affect the fluorescence of RLM. Features of the uptake and transport of RLM are discussed and possible applications suggested.

Animals↗
PubMed1993

The behaviour of different factor VIII concentrates in a chromogenic factor X-activating system.

A chromogenic factor Xa generation method has been developed for comparing the co-factor activity of factor VIII concentrates at physiological factor VIII concentrations (1 iu/ml). In the presence of thrombin all concentrates gave similar rapid rates of factor Xa generation, but in the absence of thrombin there were major differences between the rates of Xa generation between different products. High purity products, particularly those prepared by monoclonal antibody purification from plasma and recombinant sources, gave more rapid Xa generation than most intermediate-purity products. There was a very strong correlation between the rate of Xa generation and the difference in factor VIII potency by one-stage and two-stage assays. These results suggest the possible presence of small amounts of activated factor VIII in some concentrates, but differences in von Willebrand factor content could also contribute towards the different rates of factor Xa generation observed.

Blood Chemical Analysis↗
PubMed1992

Siamese calves.

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Animals↗
PubMed1992

Pre-spinal convergence between thoracic and visceral nerves of the rat.

Dichotomizing sensory axons have been demonstrated in a number of species and are of significance in understanding the possible mechanisms underlying referred pain. The present study reviews work employing fluorescent dyes as tracers to demonstrate afferent dichotomization in the peripheral nervous system. Dichotomization between the intercostal and splanchnic nerves of the rat was demonstrated by means of intraneural transport of Diamidino yellow or Fast blue. Frequency of pre-spinal somato-visceral convergence averaged 2% (range 0.1-21%). Average frequency of convergence was 8.3% (range 2-23.1%) between internal and external intercostal nerves. Control experiments in which axoplasmic transport was inhibited by vinblastine ruled out the possibility of errors from non-axoplasmic transport of the markers. Thoraco-visceral pre-spinal convergence occurs in the rat and is variable in extent.

Afferent Pathways↗
PubMed1991

Need satisfaction in terminal care settings.

Research comparing hospice and conventional programs of care for the terminally ill has identified few measurable differences in the care provided to patients and their families. Nonetheless, hospice recipients frequently express a higher level of satisfaction with their program of care. This study compared the ability of hospice and conventional care settings to meet the basic emotional needs of families during a member's dying and death from cancer. In addition, the relationship of basic needs satisfaction, perceptions about the nurse, and overall satisfaction with the program of care were explored. One hundred bereaved familial care givers completed a mail questionnaire concerning their perceptions of care at the site of a family member's death. The sites were (1) the home, with care provided by a Medicare certified, community-based hospice program: (2) a hospital affiliated with a Medicare certified, community-based hospice program; (3) a hospital with its own hospice program; and (4) a conventional (non-hospice) hospital. Analyses of quantitative data supported two hypotheses about significant differences between hospice and conventional care. The conventional care group demonstrated the lowest levels of basic needs satisfaction, satisfaction with the psycho-social support of the nurse, and overall program satisfaction. As predicted, overall satisfaction with care was consistent across hospice groups. However, home hospice care provided the highest quality of basic needs satisfaction and the highest level of satisfaction with the nurse. Significant Pearson correlations supported the hypothesis that overall satisfaction is negatively related to unmet basic needs (r = -0.69) and positively related to the psycho-social support received from nurses (r = 0.73).(ABSTRACT TRUNCATED AT 250 WORDS)

Consumer Behavior↗
PubMed1990

High molecular weight aggregate content of heated and unheated factor VIII products determined by fast-protein liquid chromatography.

The molecular-weight distribution of proteins in factor VIII concentrates has been analysed by fast-protein liquid chromatography. The proportion of high-molecular-weight (HMW) aggregates in one product increased on freeze-drying and heating, with fibrinogen and fibronectin being the main protein components of the HMW peak. In all other concentrates, the HMW peak was less than or equal to 5% of the total protein content and there were no differences in HMW content according to purity or method of viral inactivation.

Chromatography, Liquid↗
PubMed1989

Inhibition of interleukin-2 secretion by factor VIII concentrates: a possible cause of immunosuppression in haemophiliacs.

The inhibitory effect of factor VIII concentrate products on IL-2 secretion by human T-cells was investigated. The six products used widely in the U.K. showed very different activities varying from almost total inhibition to no significant effect. There appeared to be no obvious relationship between inhibitory activity and protein composition but factor VIII itself was not responsible for the effect as affinity purified products were entirely non-inhibitory. The two wet-heated products were most inhibitory whereas dry-heated products were less inhibitory or non-inhibitory. However, a wet-heated version of a non-inhibitory dry-heated product was also non-inhibitory, suggesting that the composition of the concentrate rather than anti-viral treatment is important for immunosuppressive activity. A product treated by the solvent/detergent procedure showed considerable inhibitory activity. Immunoglobulin and albumin products did not inhibit IL-2 secretion to any significant extent, but factor IX concentrates were inhibitory. We suggest that inhibition of IL-2 secretion by factor VIII concentrates may be related to the immunosuppression observed in haemophiliacs treated with high dose factor VIII products and that our results should be considered by clinicians and manufacturers of factor VIII products.

Antibodies, Monoclonal↗
PubMed1989

Assay discrepancies with highly purified factor VIII concentrates.

We have assayed two different monoclonal-antibody-purified concentrates (A and B) and one conventional concentrate (C), against the 3rd International Standard for factor VIII concentrate, using one-stage, two-stage and chromogenic methods. One-stage assays performed with immunodepleted plasmas gave lower potencies than with haemophilic plasma for all concentrates, though the discrepancies were most marked for the two highly purified products. The absence of von Willebrand factor in one of the immunodepleted plasmas appeared to contribute towards the low potencies observed. In addition, potencies of product A were 50% higher by one-stage assays (haemophilic plasma) than by two-stage or chromogenic methods. These results indicate the need for careful evaluation of assay methodologies for assessment of factor VIII:C activity in highly purified concentrates.

Blood Proteins↗
PubMed1988

Effects of environmental temperature on the development of a noradrenergic thermoregulatory mechanism in the rat.

Rats reared at 30 degrees C do not exhibit the same thermoregulatory competence during cold exposure as do rats reared at 20 degrees C. They are even more clearly distinguished by the absence of an hypothermic response to intrahypothalamic noradrenaline (IH-NA). In one series of experiments, different groups of rats all received 120 days 30 degrees C-exposure and 20 days 20 degrees C-exposure. The 20 degrees C-exposure occurred at different ages in different treatment groups. At 140 days of age, bilateral IH-NA injections (each 10 micrograms/1 microliter CSF) were administered in conscious rats and the body temperature response observed. An hypothermic response to IH-NA was observed in groups whose exposure to 20 degrees C terminated between 20 and 80 days of age. In a second series of experiments, duration of rearing at 20 degrees C varied but always started at 40 days of age. Responses to IH-NA in 140-day-old adults indicated that the exposure required to induce 50% of the hypothermic response of control (20 degrees C-reared) rats was approximately 17 days. These data suggest that there is an hypothalamic noradrenergic mechanism implicated in the control of body temperature whose development is affected by environmental temperature in a duration-dependent manner. The period during which this effect may be exerted extends into adulthood.

Animals↗
PubMed1987

Contralateral intramuscular acupuncture-like electrical stimulation differentially changes the short-latency responses to muscle stretch.

Measurements were made from the human first dorsal interosseous and extensor digitorum communis muscles of the surface electromyographic activity reflexly produced by brief stretch of the muscle. For the first dorsal interosseous muscle, reflex EMG activity was also produced by electrical stimulation of the ulnar nerve at the wrist. The procedures were carried out before, during, and after 25 min of nonspecific, low-frequency electrical stimulation to the contralateral arm delivered through intramuscular electrodes. Control stimulation was delivered subcutaneously. The EMG recorded during a maintained contraction was rectified, filtered, and averaged. Two reflex components (M1 and M2) of the EMG response to muscle stretch or ulnar nerve stimulation were investigated. During nonspecific intramuscular stimulation to the contralateral arm, M1 responses of the extensor digitorum communis were depressed, initially by 37%. The effect began to fade during stimulation but extended beyond it. Reflex responses were elicited alternately by brief stretch of the first dorsal interosseus muscle and by electrical stimulation of the ulnar nerve in the same experiment. Nonspecific intramuscular stimulation to the contralateral arm depressed the M1 response to stretch, but had no effect on the M1 response to electrical stimulation. It is concluded that nonspecific intramuscular electrical stimulation reduces the amplitude of the M1 component of the response to brief stretch of contralateral muscle, either through depression of fusimotor activity or inhibition of oligosynaptic pathways that contribute to the early reflex response.

Acupuncture Therapy↗
PubMed1987

Brain stem projections of the glossopharyngeal nerve and its carotid sinus branch in the rat.

Transganglionic transport of horseradish peroxidase or lectin-conjugated horseradish peroxidase from an application site in the cervical trunk of the glossopharyngeal (IXth cranial) nerve of the rat produced extraperikaryal reaction product characteristic of axon terminal processes in three regions of the brain stem: (1) the nucleus of the tractus solitarius, from approximately 2.5 mm rostral to the obex to approximately 3 mm caudal to the obex; (2) the spinal trigeminal nucleus at the level of obex; (3) the cuneate fasciculus, approximately 3 mm caudal to the obex. In contrast, labelling of the carotid sinus nerve, a branch of the glossopharyngeal nerve which conveys chemoreceptor and baroreceptor afferent fibers from the carotid bifurcation, revealed a restricted central projection to within 1 mm of the obex and corresponding to the intermediate region of the glossopharyngeal nerve projection to the nucleus of the tractus solitarius. Two distinct aggregations of label were observed: (1) rostral to the obex, within the lateral and dorsomedial subnuclei of the nucleus of the tractus solitarius; (2) caudal to the obex, within the commissural and ventrolateral subnuclei of the nucleus of the tractus solitarius. Between these two sites the density of labelling was reduced. Retrogradely labelled neurons were demonstrated in the inferior salivatory nucleus and in the nucleus ambiguus after application of lectin-conjugated horseradish peroxidase to the glossopharyngeal nerve. Of the labelled neurons in the nucleus ambiguus (approximately 100), 25% contributed fibers to the carotid sinus nerve. The concentration of extraperikaryal reaction product located rostral to the obex after labelling of the carotid sinus nerve closely matches descriptions of the region of afferent terminations from carotid and aortic baroreceptors in the cat. The concentration of label caudal to the obex may therefore correspond to the region of afferent terminations from carotid chemoreceptors. This study may therefore provide some basis for a separation of the central synapses of primary afferent fibers from the carotid baroreceptors and chemoreceptors in the rat. The labelled neurons of the nucleus ambiguus provide the anatomical substrate for centrifugal control of carotid chemoreceptor activity.

Afferent Pathways↗
PubMed1987

Static and dynamic response characteristics, receptive fields, and interaction with noxious input of midline medullary thermoresponsive neurons in the rat.

Thermal clamping of deep-body temperature and 16 fields covering the total truncal skin surface enabled characterization of thermal transmission neurons distributed in a midline medullary location. The total data set comprised 136 neurons from 54 female rats. Relative abundance of neuronal types was 27 to 34 to 75 for cold-responsive, warm-responsive, and thermally unresponsive neurons. Response maxima of thermoresponsive neurons to static thermal stimulation of the total truncal surface were 55 +/- 4 ips (mean +/- SE) at 5 degrees C for cold-responsive neurons and 6.0 +/- 1.6 ips at 35 degrees C for warm-responsive neurons. Dynamic thermal stimulation of the total truncal surface at rates up to +/- 1.6 degrees C/s failed to reveal a clear dynamic thermosensitivity in either cold- or warm-responsive neuronal pools. Instead, the data suggest a preferential passing of the static response relative to the dynamic response. Cutaneous thermal receptive fields were diffuse, occupying most of the truncal surface. Subparts of these fields drove thermoresponsive neurons to variable extents, suggesting convergence from unequally represented multiple cutaneous sources. Noxious stimulation at widely distributed body sites consistently augmented activity in cold-responsive neurons. A thermoregulatory rather than somatesthetic role is proposed for the midline medullary neurons studied here.

Animals↗
PubMed1986

Rearing rats (Rattus norvegicus) at 30 degrees C does not alter sensitivity to noradrenaline.

Rats reared from birth at 30 degrees C show a permanent deficit in body temperature regulation. To test the ability of heat-reared rats to respond to an adrenergic drive, carbon dioxide production was measured at five doses of noradrenaline in rats reared at either 20 or 30 degrees C. Noradrenaline-induced carbon dioxide production was greater at all doses in 20 degrees C rats, but sensitivity to noradrenaline was the same in heat-reared and control animals. These findings support the conclusion that the thermoregulatory deficit induced by heat rearing is due to a change induced in the nervous system.

Acclimatization↗
PubMed1986

Reflex origin for the slowing of motoneurone firing rates in fatigue of human voluntary contractions.

During fatigue from a sustained maximal voluntary contraction (m.v.c.) the mean motoneurone discharge rates decline. In the present experiments we found no recovery of firing rates after 3 min of rest if the fatigued muscle was kept ischaemic, but near full recovery 3 min after the blood supply was restored. Since 3 min is thus sufficient time for recovery of any central changes in excitability, the results support the hypothesis that, during fatigue, motoneurone firing rates may be regulated by a peripheral reflex originating in response to fatigue-induced changes within the muscle.

Biomechanical Phenomena↗