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Biomedical subjects

R Davis

Publications and source records attributed to R Davis.

At least 361 records · Page 20Linked to original sources

The perception of time in scale model environments.

It has been claimed that when subjects observe differently-scaled model environments their experience of temporal duration is compressed relative to standard clock time in the same proportion as the scale of the model being observed. A series of experiments is reported in which subjects made judgements of duration while observing model environments of different scale. In each experiment, two similar model environments of different scale were presented. Three different kinds of model were used: scale model railways, sitting-room models, and abstract nonrepresentional models. Despite considerable individual variability, significant effects were obtained. Smaller scale was, up to a point, related to a compression of subjective time relative to clock time, although the effect was nowhere near as great as that previously reported. Also, when scale was reduced beyond a certain point the effect on judgements of duration was eliminated, or even reversed. It is suggested that the effect of time compression is related to differences in the density of the information to be processed in environments of different scale, and that there may be an optimum value for information density related both to the scale and to the type of environment.

Adolescent↗

Cerebellar stimulation for spastic cerebral palsy: preliminary report; on-going double blind study.

To date, June 1, 1986, 33 spastic cerebral palsy (CP) patients have taken part in a double blind study testing the safety and efficacy of chronic cerebellar stimulation (CCS) for reduction of spasticity and improvement in function. Seven U.S. surgical centers involving ten neurosurgeons have implanted the Neurolith 601 cerebellar stimulator supplied by Pacesetter Systems Inc. (Sylmar, CA). A pilot study was run with three patients at Stanford University (Stanford, CA) using taped-on real (strong) and dummy (weak) magnets to control the ON-OFF status. Following the pilot study, a magnetically controllable switch was placed in line between the Neurolith stimulator and the cerebellar lead to allow more reliable switching sequences for the study. The test battery included joint angle measurements (passive and active), motor performance testing, reaction time, hand dynamometry, grooved peg board placement, hand/foot tapping, and rotary pursuit testing. Testing only was done at presurgery. Testing and ON-OFF switching was performed following recovery from surgery and at one, two, and four months. After four months, the switch was left turned ON. Of the 30 patients using the implanted switch, 11 were dropped from the study and seven are still in progress. Of the 11 dropped from the study, four were due to switch problems and three were due to double blind protocol violations, i.e., the participants discovered the stimulus status. The remaining four were removed because of a broken lead, infection, or unrelated medical problems, or refusal to participate after implant. A preliminary analysis indicated that three-quarters of the patients have a demonstrable quantitative improvement during the time the stimulation was "ON." Three patients showed no significant change.

Adolescent↗

Computerized 22-channel stimulator for limb movement.

The Nucleus 22-channel implantable hearing prosthesis (Cochlear Pty. Ltd., Lane Cove, Sydney, Australia) has been modified by computer programming (MOCO, Inc., Scituate, Mass. USA) into a functional electrical stimulator. Individual or multiple channels can be sequenced and adjusted for their amplitude, width and frequency of the pulse so that activation of single and multiple nerves can be achieved. Sciatic nerve branches (lateral and medial) of anesthetized rabbits were stimulated to produce single contractions or co-contraction at the ankle and simultaneous bilateral joint movements. The spiral (Helix) electrode was also found suitable in these experiments. The external equipment is being re-designed for a wearable ambulation unit to be used in paraplegic subjects.

Animals↗

Cerebellar stimulation for spastic cerebral palsy--double-blind quantitative study.

Thirty spastic cerebral palsy (CP) patients were involved in a double-blind quantitative study to determine the effectiveness of chronic cerebellar stimulation, (CCS) and 19 patients completed the testing. Of the 12 patients undergoing the five motor performance tests, 8 (66%) showed improvements with the stimulation. Of the 16 patients tested for active motion in seven bilateral joints, 10 (63%) showed increases with CCS. Profiles of six mood states were tested in 15 patients, and CCS produced an overall 15% improvement.

Cerebellum↗

Automatic respiratory failure: sleep studies and Leigh's disease (case report).

A 34-year-old woman with a history of chronic nephropathy, kidney transplant rejections, and repeated hemodialysis developed symptoms of automatic respiratory failure during all states of sleep. The neuropathologic examination revealed symmetric brainstem lesions, explaining the sleep-related respiratory failure. Histology affirmed the diagnosis of Leigh's disease.

Adult↗

Middle fossa facial schwannoma removed via the intracranial extradural approach: case report and review of the literature.

A case of an intracranial facial schwannoma originating from the geniculate ganglion in a patient without neurofibromatosis is presented. Preoperative diagnosis and determination of site of origin along the facial nerve course is stressed through analysis of radiographic and clinical features. The tumor was completely removed using an intracranial, extradural approach.

Adult↗

Cerebellar stimulation for cerebral palsy--double blind study.

Twenty spastic cerebral palsy (CP) patients undergoing chronic cerebellar stimulation (CCS) for reduction of spasticity and improvement in function have participated in a double-blind study. Seven US centers involving 9 neurosurgeons (1984-6) have replaced the depleted Neurolith 601 fully implantable pulse generator (Pacesetter Systems Incorp.-Neurodyne Corp., Sylmar, CA) with new units in 19 CP patients, 1 patient entered the study following his initial implant. A magnetically controllable switch was placed in line between the Neurolith stimulator and the cerebellar lead, so allowing switching sequences for the study. Physical therapists, living in the vicinity of the patient's home, carried out two quantitative evaluations: 1. Joint angle motion measurements (passive and active). 2. Motor performance testing was done when possible and included: reaction time, hand dynamonetry, grooved peg board placement, hand/foot tapping, and rotary pursuit testing. Testing was done presurgery, at 2 weeks postimplant, then the switch was activated either "on" or "off" to a schedule, with testing and reswitching at 1, 2 and 4 months, then the switch was left turned "on". Of the 20 patients, 16 finished the tests, 2 patients failed to finish and 2 had switch problems and were deleted from the study. Two of the 16 patients were "off" through the entire testing. Of the 14 that had periods of the stimulator being "on", 10 patients (72%) had quantitative improvements of over 20%, (1 pt: 50+% improvements; 4 pts: 30-50%, 5 pts: 20-30%); while 1 patient (7%) had improvements in the 10-20% level, whereas 3 patients (21%) showed no improvement.

Adolescent↗

Histopathologic changes in condylomata acuminata after application of podophyllum.

The histologic changes of podophyllin-treated condylomata acuminata were studied at 24-hour, 48-hour, and 7-day intervals. The 24-hour specimens had scattered individual atypical cells, whereas 48-hour specimens demonstrated small focal areas of atypia. Seven-day specimens exhibited very mild atypia of cells. All treated specimens had inflammation-necrosis ranging from scattered inflammatory cells to degeneration of the squamous epithelium.

Administration, Topical↗

11-Deoxy-11 alpha,12 alpha-methanoprostaglandin E2, a potent, short-acting bronchodilator.

11-Deoxy-11 alpha,12 alpha-methanoprostaglandin E2 (1b) and the corresponding methyl ester 7a were highly potent, but short acting, bronchodilators both by the intravenous (80 and 10 times PGE2, respectively) and aerosol (2 and approximately 1 times PGE2) routes, as measured by the Konzett-Rössler assay. The 11 beta,12 beta-methano compound 15a was two orders of magnitude less active than 7a. In rhesus monkeys anesthetized by aerosol administration, 1b was 10-50% as potent as, and had a duration of action similar to, PGE1 in the inhibition of methacholine-induced increases in airway resistance. At doses effective in preventing the methacholine response, 1b increased the heart rate (less than or equal to 30%) and precipitated mild upper airway irritation.

Aerosols↗

Traumatic hematocele: association with rupture of the testicle.

Ten patients with hematoceles associated with blunt trauma have been seen during the last 4 years. In 80 per cent of the cases the hematocele was caused by rupture of the testicle. Prompt early exploration, adequate débridement, primary repair of the tunical laceration and Penrose drainage resulted in a salvage rate of 75 per cent.

Hematocele↗

Changes in antipyrine and indocyanine green kinetics during nifedipine, verapamil, and diltiazem therapy.

Ten healthy subjects received oral antipyrine and intravenous indocyanine green (ICG) alone and after 5 days of oral nifedipine, diltiazem, and verapamil. Antipyrine clearance decreased during verapamil (range 4% to 26%) and diltiazem (6% to 24%) therapy (P less than 0.001) but did not change during nifedipine treatment. Antipyrine t1/2 also increased during verapamil and diltiazem treatment (P less than 0.001). ICG clearance did not change during diltiazem therapy but increased during dosing with nifedipine and verapamil (P less than 0.05). Estimated liver blood flow (derived from ICG clearance and hematocrit) also increased during verapamil (mean 33%) and nifedipine (mean 27%) treatment (P less than 0.05). Drug interactions with other liver-metabolized drugs may occur during therapy with these calcium antagonists. Nifedipine appears to increase liver blood flow whereas diltiazem inhibits oxidative drug metabolism. Drug interactions with verapamil could involve both mechanisms.

Adult↗

Relationship between HLA-DR expression by normal myeloid progenitor cells and inhibition of colony growth by prostaglandin E. Implications for prostaglandin E resistance in chronic myeloid leukemia.

The expression of HLA-DR antigens by normal myeloid progenitor cells (CFU-GM) has been linked to inhibition of colony growth by prostaglandin E (PGE), while resistance to the inhibitory effects of PGE in chronic myeloid leukemia (CML) has been attributed to a lower fraction of HLA-DR+ CFU-GM in this disease. However, we have previously shown that virtually all CFU-GM in normal bone marrow (NBM) as well as CML peripheral blood express HLA-DR antigens, which raises the possibility that these surface molecules may not be the sole determinants of a progenitor cell's sensitivity to PGE. In order to evaluate the relationship between HLA-DR expression and prostaglandin inhibition, we partially purified NBM progenitor cells using fluorescence-activated cell sorting to prepare cell fractions with high and low HLA-DR antigen density. Normal progenitor cells with high DR density tended to form monocyte colonies in agar culture, whereas the low DR density fraction was enriched for granulocyte colony-forming cells. Inhibition by PGE was greatest in the high DR+ fraction and was largely restricted to monocyte progenitor cells. Inhibition of CFU-GM by PGE was less in CML than in NBM, but this decreased inhibition correlated with a significantly lower number of monocyte-CFU in CML. These data suggest that high HLA-DR antigen density may select for normal progenitor cells that are committed to monocyte differentiation and are, therefore, more likely to be inhibited by PGE. The relative deficit of monocyte progenitor cells in CML may partially explain the phenomenon of PGE resistance in this disease.

Alprostadil↗

Distribution and form of uranium-containing deposits in chickens treated with uranyl nitrate.

The kidneys of chicks treated with uranyl nitrate were examined by electron microscopy. Most deposits of electron-dense material containing uranium were found in the lumina of distal tubules and collecting ducts of kidneys collected 12-24 hours post-treatment. Some deposits were present in extracellular spaces between adjacent cells. Only occasionally were deposits found intracellularly where they were associated with localized cellular degeneration. A generalized cellular degeneration over the whole kidney was seen 72-96 hours post-treatment, but this was not directly associated with the deposits of electron-dense material.

Animals↗