Search PubMed⌕ Search

Biomedical subjects

R Morris

Publications and source records attributed to R Morris.

At least 235 records · Page 13Linked to original sources

An ultrastructural study of the binding of an alpha-D-galactose specific lectin from Griffonia simplicifolia to trigeminal ganglion neurons and the trigeminal nucleus caudalis in the rat.

The pattern of binding by the isolectin I-B4 from Griffonia simplicifolia to trigeminal ganglion neurons and the trigeminal nucleus caudalis has been investigated at the ultrastructural level in the rat. This lectin bound to small ganglion neurons with two different binding patterns. The majority of the ganglion cells labelled had reaction product throughout their cytoplasm and this was associated with the Golgi apparatus and endoplasmic reticulum. In a second group of small ganglion neurons the binding was only found on the surface plasma membrane of the cells. In the trigeminal tract the cytoplasm of many unmyelinated axons and a few small myelinated axons was found to bind this lectin. A very thin band of staining was also found on the inner and outer edges of the myelin sheaths of other myelinated axons. Staining of synapses was found throughout laminae I and II with the highest frequency in the inner part of laminae II. These synapses made both simple and complex connections with one or more dendrites, contained clear round vesicles and had asymmetric synaptic densities. Some of the glomerular synapses stained were observed to receive presynaptic synapses containing small clear flattened vesicles. Synapses containing both clear round and large dense core vesicles were unstained. Some staining was also found in dendrites. In weakly fixed tissue, staining was also found around some glial cells and on the luminal membranes of capillary endothelial cells. This lectin is a valuable tool for studies of the "non-peptide" group of C-fibre primary afferents.

Animals↗

Clinical and research congruence in identifying children with specific language impairment.

This paper reports on the results of a large multicenter project designed to develop an empirically based classification of preschool children with language impairments. A clinically selected population of 252 children with specific language impairments (SLI) was used to evaluate the reliability, coverage, and usefulness of both standard clinical and research definitions of such children. Varying degrees of congruence were found between the clinically identified children with SLI and those identified as SLI using discrepancy, deficit, and standardized operational criteria. Such mismatch between the original clinical identification and more standardized operational criteria may be related to different clinical perspectives, professional training, and limited assessment measures. These results suggest that there is a significant gulf between the clinical diagnosis of children with specific language impairment and more standardized operational criteria. It is suggested that the global concept of a "specific language impairment" may not be a useful concept for either clinical or research activities.

Age Factors↗

NADPH-diaphorase staining in autonomic and somatic cranial ganglia of the rat.

Using NADPH-diaphorase staining as a marker for the enzyme nitric oxide synthase (NOS) we have investigated the possible sites of nitric oxide (NO) synthesis in a number of cranial ganglia in the rat. Intense staining was found in the majority of neurones in the sphenopalatine ganglion, suggesting a major role for NO in postganglionic parasympathetic systems in the head. In contrast the neurones of the superior cervical ganglion were not stained by this histochemical procedure but were enveloped by a mesh of intensely staining fibres. As preganglionic sympathetic neurones in the intermediolateral horn of the spinal cord stain for NADPH-diaphorase, our results would suggest that NO acts as a neurotransmitter between pre- and post-ganglionic sympathetic neurones.

Animals↗

The effects of cholinoceptor agonists and antagonists on C-fibre evoked responses in the substantia gelatinosa of neonatal rat spinal cord slices.

1. The effects of cholinoceptor agonists and antagonists were studied on neurones in the substantia gelatinosa (SG) of an in vitro spinal cord slice and nerve preparation from neonatal rats. 2. Bath application of carbachol (1-50 microM) reduced, in a dose-related manner, the amplitude and duration of the excitatory postsynaptic potentials (e.p.s.ps) evoked in response to nerve stimulation. 3. The latencies and stimulation thresholds required to evoke these e.p.s.ps suggested that the majority were due to C-fibre activation. 4. The reduction in e.p.s.p. amplitude and duration produced by carbachol was reversed by the muscarinic antagonists, atropine (in 8 out of 11 cells), pirenzepine (in 7 out of 9 cells) and methoctramine (in 8 out of 9 cells) and by the nicotinic antagonist mecamylamine (in 3 out of 7 cells). 5. Injection of small hyperpolarizing or depolarizing pulses was associated with no change in conductance in 19 out of 26 (73%) of cells tested, suggesting that an action at a site presynaptic to the neurone studied could account for part of the effect of carbachol. 6. It is proposed that some of the cholinoceptors associated with the e.p.s.p. depression are located on C-fibres.

Animals↗

Long-term outcome of treatment-resistant depression in older adults.

Seventeen elderly patients with treatment-resistant depression were reassessed 15 months and 4 years after treatment with an antidepressant agent or ECT. At 15 months 47% (seven of 15) were clinically improved, and at the 4-year follow-up 71% (10 of 14) were improved. These results indicate that treatment-resistant depression may improve over time because of either the natural course of the illness or persistent treatment efforts.

Age Factors↗

Long-term affective and cognitive outcome in depressed older adults.

OBJECTIVE: The purpose of this naturalistic study was to examine the long-term (15 months and 4 years) cognitive and affective outcome following treatment with either cyclic antidepressants or ECT in depressed older adults. METHOD: Fifty-five patients meeting criteria for major depression were rated as to cognitive impairment and were treated as clinically indicated with either a cyclic antidepressant or ECT. Long-term outcome was determined through psychometric retesting 15 months (N = 47) and approximately 4 years (N = 44) after treatment. RESULTS: Analysis of 15-month and 4-year outcome evaluations revealed that the majority of patients improved over time with respect to their depression, regardless of whether they exhibited pretreatment cognitive impairment or were treated with cyclic antidepressants or ECT. Fifteen months and 4 years after treatment, 72.3% and 83.7% of patients, respectively, exhibited clinically meaningful improvement. However, patients given both cyclic antidepressants and ECT demonstrated a relatively high rate of rehospitalization (50%) over the course of the 4 years. Except for patients who developed dementia, cognitive functioning remained stable or improved for the majority of patients. In patients who received ECT, those with normal pretreatment cognition had stable cognitive functioning over time and those who had pretreatment cognitive dysfunction showed improvement over the 4-year follow-up period. CONCLUSIONS: Results of this study indicate that the long-term prognosis of depression in older adults is generally favorable, although they may be prone to relapse and recurrence, which points to the need for rigorous monitoring and follow-up care.

Age Factors↗

Similarities and differences in memory deficits in patients with primary dementia and depression-related cognitive dysfunction.

The authors examined differences between the verbal memory performance of older patients with major depression (MD) alone; major depression with reversible depression-related cognitive dysfunction (MD/DRCD); and primary dementia and major depression (DEM/MD). Patients were evaluated before antidepressant treatment and 6 and 15 months after treatment. Of the three groups, patients with MD alone acquired significantly more information on the California Verbal Learning Test and showed a more pronounced primacy effect. Patients with DEM/MD were more likely to commit errors of intrusion. Although older depressed patients with MD/DRCD may resemble patients with DEM/MD on some aspects of verbal memory performance, differences may be observed in the types of learning errors they commit. Diagnostic implications are discussed.

Adult↗

Histologic and immunohistochemical evidence for considering ovarian myxoma as a variant of the thecoma-fibroma group of ovarian stromal tumors.

Ovarian myxomas recently have been reported as new, distinct pathologic entities that show a myxoid, moderately cellular proliferation of spindle and stellate cells interspersed with areas of fibrosis, hemorrhage, and delicate vascular spaces. These histologic features are frequently seen in the thecoma-fibroma group of ovarian stromal tumors. For this reason, we propose that ovarian myxomas are part of the spectrum of differentiation in thecomas-fibromas of the ovary. To provide histologic and immunohistochemical evidence for this proposal, four ovarian myxomas were compared with 48 primary ovarian stromal tumors in the thecoma-fibroma group from 46 patients. The thecoma-fibroma group of stromal tumors included 23 thecomas, 23 fibromas, and two sclerosing stromal tumors. We found significant (> 25% of histologic appearance) myxoid change in six thecomas and one sclerosing stromal tumor. This myxoid change resembled the histologic appearance of an ovarian myxoma. Immunohistochemical studies on paraffin-embedded material showed vimentin immunostaining in all tumors. Smooth-muscle actin was present in all of the myxomas, in two of the two sclerosing stromal tumors, and in 20 (90%) of the 23 thecomas, but it was present in only 11 (48%) of the 23 fibromas. Desmin staining was not present in any of the four ovarian myxomas or in the two sclerosing stromal tumors, and only three (13%) of the 23 thecomas showed focal staining for desmin. Nine (39%) of the 23 fibromas expressed desmin. S100 protein was expressed in one fibroma and one thecoma, weakly. None of the ovarian myxomas or the thecoma-fibroma group of stromal tumors expressed cytokeratins as detected by three different monoclonal antibody cocktails, ie, cytokeratin AE1/AE3, cytokeratin CAM 5.2, or cytokeratin MAK-6. The ovarian thecoma-fibroma group of stromal tumors form a histologic spectrum of lesions in which clear-cut distinguishing points between various entities are difficult to define. The myxoid change, present in the thecoma-fibroma group of tumors, was indistinguishable histologically and immunohistochemically from ovarian myxoma. For this reason, we propose that ovarian myxomas may be at one end of the spectrum of differentiation in the thecoma-fibroma group of tumors, in which no remaining stromal tumor is detectable.

Actins↗

The effect of a 6-month cardiac rehabilitation programme on serum lipoproteins and apoproteins A1 and B and lipoprotein a.

One hundred and forty-two cardiac rehabilitation patients were followed up over a period of 6 months and the percentage change over time was recorded for various lipid fractions including apoprotein AI (apo AI), apoprotein B (apo B) and lipoprotein a (Lp(a)). Data were analysed to see if improvement in peak oxygen consumption (VO2) or changes in body weight were related to any of the above. A significant percentage change was found for peak VO2, ventilatory threshold, high-density lipoprotein cholesterol (HDLC) and triglyceride levels, total cholesterol (TC)/HDL ratio, apo AI, apo A/apo B ratio and Lp(a). Multiple regression analysis showed that alterations in the lipid fractions were not related to changes in physical fitness except in the case of TC levels which dropped independently of other measures. On multivariate analysis, Lp(a) correlated positively with both the Broca index and the use of drugs of the fibrate series.

Adult↗

Intraperitoneal bupivacaine for effective pain relief after laparoscopic cholecystectomy.

Laparoscopic cholecystectomy is now widely practised. There are various methods of pain relief used but none has been assessed or compared following this procedure. We have assessed the analgesic effect of intraperitoneal bupivacaine in laparoscopic cholecystectomy. Sixty consecutive patients were randomly assigned to one of two groups. Patients in group 1 were given 20 ml of saline injected under vision into the region of the gallbladder bed. Patients in group 2 were given 20 ml of 0.25% bupivacaine in a similar fashion. Postoperative pain was assessed with a visual analogue pain scale and the site of pain was recorded. Patients in the bupivacaine group had less pain in the early postoperative period and a lower incidence of pain in the right hypochondrium. Intraperitoneal bupivacaine is a simple and effective treatment for postoperative pain after laparoscopic cholecystectomy.

Bupivacaine↗

Digestion of Histoplasma capsulatum yeasts by human macrophages.

The strategies used by Histoplasma capsulatum yeasts to survive and multiply within human macrophages (M phi) are unknown. To better understand these strategies we studied the intracellular fate of viable vs heat-killed (HK) yeasts in human monocyte-derived M phi. Initial studies demonstrated that phagolysosome fusion was present in M phi ingesting either viable or HK yeasts. Viable yeasts multiplied within M phi phagolysosomes, whereas M phi completely digested intracellular FITC-labeled HK yeasts within 24 h after ingestion. This observation was confirmed by electron microscopy. M phi that had ingested colloidal gold-labeled HK yeasts contained gold particles but no visible yeasts at 24 h. Digestion of HK yeasts was evident as early as 4 h after phagocytosis, and was complete by 24 h. M phi digestion of HK yeasts was blocked completely when M phi were cultured for 24 h in the presence of chloroquine. In M phi simultaneously ingesting both viable and HK yeasts, viable yeasts multiplied, but HK yeasts were digested within the same cell. M phi that had ingested viable yeasts digested them completely when M phi were cultured for 24 h in the presence of cycloheximide or amphotericin B. Coculture of infected M phi with nystatin or ketoconazole resulted in inhibition of growth, but the yeasts were not digested. These data indicate that: 1), HK Hc yeasts are easily digested by preformed M phi lysosomal hydrolases; 2), viable Hc yeasts survive and multiply within M phi phagolysosomes, but the yeasts do not secrete a factor(s) that affects the ability of other phagolysosomes within the same M phi to digest killed yeasts; and 3), inhibition of yeast protein synthesis or cell wall biosynthesis is sufficient to render viable yeasts susceptible to digestion by human M phi.

Cells, Cultured↗