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Biomedical subjects

R Porter

Publications and source records attributed to R Porter.

At least 127 records · Page 7Linked to original sources

International scientific meetings: relation between structure and function.

Increasing pressure is being placed on the scientific community to evaluate research activities. Scientific meetings consume a small but important fraction of the research budget. Audit of a well established series of scientific meetings showed that they met their immediate objectives in that they were international and multidisciplinary and provided a forum in which all participants actively contributed to discussion. The meetings had a positive outcome for the participants, leading in many cases to the subsequent exchange of research material (60% of participants) and to the establishment of collaborative research projects (31%). The impact of the meetings on the scientific community at large was assessed by citation analysis, which showed that the proceedings were cited early, often, and over a substantial period.

Australia↗

Corticomotoneuronal synapses in the monkey: light microscopic localization upon motoneurons of intrinsic muscles of the hand.

Some corticospinal neurons give rise to axons which terminate directly upon motoneurons, thereby establishing corticomotoneuronal connections. The location of corticomotoneuronal synapses upon motoneurons innervating intrinsic muscles of the hand in the monkey was demonstrated by the use of intra-axonal and intracellular horseradish peroxidase (HRP). After a number of corticospinal axons originating from the "hand" area of the precentral gyrus had been injected with HRP in the lateral funiculus at C7-C8, a number of nearby identified intrinsic hand muscle motoneurons were also injected. Connections between corticomotoneuronal fibres and motoneurons were reconstructed from longitudinal parasagittal sections treated by the cobalt-enhanced diaminobenzidine method. Corticospinal axons in the lateral funiculus gave rise to main collaterals which provided an extensive arborization in lamina IX, where it was predominantly longitudinal, and in the adjacent intermediate zone. En passant and single or clustered groups of terminal boutons arose from preterminal branches of these arbors. Seven light-microscopically identified corticomotoneuronal synapses were found. They were located upon the dendrites of recipient motoneurons at 40 micron to 750 micron from the soma and ranged in size from 0.6 X 3.0 micron to 2.4 X 3.6 micron. The results suggest that each main collateral of a corticomotoneuronal axon establishes very few synaptic contacts, and possibly only one, with the dendrites of recipient motoneurons. This small number of contracts per motoneuron is consistent with the small amplitudes of minimal and unitary corticomotoneuronal EPSPs recorded from forelimb and hand motoneurons.

Animals↗

The corticomotoneuronal component of the pyramidal tract: corticomotoneuronal connections and functions in primates.

Corticomotoneuronal fibers make up a functional component of the pyramidal tract-corticospinal system which is characteristic of primates. The corticomotoneuronal fibers include large, rapidly conducting axons. They arise from somatotopically arranged areas of precentral cortex and the largest concentration of pyramidal cells of origin in the deep part of lamina V is in area 4. Their influence is exerted contralaterally on the spinal cord, where monosynaptic excitation of spinal motoneurons occurs. Motoneurons innervating distally acting muscles are preferentially excited and marked convergence of corticomotoneuronal influences occurs on these. The excitatory post-synaptic potentials in these motoneurons are characterized by the property of temporal facilitation. Intraspinal divergence of the terminal arborizations of individual corticomotoneuronal fibers could permit the engagement of large populations of motoneurons and also the activation of excitatory and inhibitory interneurons and propriospinal neurons for that region of the spinal cord. Corticomotoneuronal synapses may be located more distally on the dendrites of motoneurons than are the monosynaptic connections from group Ia afferents. The corticomotoneuronal excitation has been demonstrated to be effective in natural functional states when the conscious animal is performing learned movement tasks. Abolition of corticomotoneuronal influences causes a permanent deficit in the fractionation of use of distal muscles and an inability to carry out independent movements of the fingers.

Animals↗

Inappropriate emergency department visits.

Guidelines adopted in 1982 by the American College of Emergency Physicians were used to determine appropriate and inappropriate emergency department (ED) utilization patterns at three community hospitals during a two-week period in August 1983. In all, 3,130 visits were examined. There was an overall inappropriate visit rate of 10.8%, although considerable variation was observed among the three hospitals. Subgroups with the highest inappropriate visit rates included the following: 1) persons with Medicaid as the primary payment source (17.3%); 2) children aged 5 years or younger (15.2%); 3) those unable to identify a personal physician (14.1%); 4) unemployed persons (13.1%); 5) patients making visits during regular office hours (12.6%); and 6) those failing to attempt to contact their personal physicians (12.4%). These variations in inappropriate usage were all statistically significant at the P less than .05 level or better. Inability to identify a personal physician emerged as the most pervasive influence on inappropriate ED visit rates (P less than .001).

Adolescent↗

Responses of precentral cells during cooling of post-central cortex in conscious monkeys.

A cooling plate was implanted over the forelimb representation in area 2 of the post-central region of cerebral cortex in two monkeys. Recordings were made of the discharges of thirty-seven movement-related neurones (thirty-four precentral and three post-central) in the forelimb motor representation of the cerebral cortex during active and passively imposed limb movements before, during and after cooling area 2 and local surrounding regions. Perfusion of the cooling plate with ice-cooled water for 3-5 min caused marked clumsiness of the conscious animal's forelimb movement and anaesthesia of the contralateral hand. Cooling of area 2 did not reduce the responses of area 4 cells to passive joint movements, nor did it alter the over-all pattern of activity of these cells during self-initiated lever pulling while that could still be performed. Cooling of area 2 did cause a significant increase in background cellular discharge in area 4 while the animal was at rest. Afferent impulses which are generated by passive joint movement and which have been shown to influence cells in area 4 of the conscious monkey at short latencies are probably not transmitted through cortico-cortical connexions from area 2.

Animals↗

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History, Modern 1601-↗

Circulating and tissue concentrations of pregnancy-associated plasma protein-A (PAPP-A) in tubal ectopic gestation.

Concentrations of pregnancy-associated plasma protein-A (PAPP-A), human chorionic gonadotrophin (hCG) and pregnancy specific beta 1-glycoprotein (SP1) were measured by radioimmunoassay in 164 serum and 29 tissue samples obtained from 87 non-pregnant and 29 pregnant women with either tubal (n = 16) or intrauterine (n = 13) pregnancies. Of the 47 serum samples obtained from patients with a tubal pregnancy only two were positive for PAPP-A, whereas in excess of 94% of the samples were positive for both hCG and SP1. Serial measurements of hCG, and SP1, demonstrated an apparently normal growth rate for the tubally implanted trophoblast for the first 6 weeks of pregnancy. Thereafter, the tubal trophoblast is compromised since the tissue content of PAPP-A and hCG was significantly lower than that in intra-uterine derived trophoblastic tissue. By contrast, the content of both PAPP-A and hCG was significantly greater in the trophoblastic, both intra or extra-uterine derived, than in the endometrial/decidual, tissue. Furthermore, the absence of immunoreactive PAPP-A and the severely depressed circulating levels of PAPP-A in women with tubal pregnancies can be attributed to diminished secretion of PAPP-A into the maternal circulation. Therefore, in conjunction with a positive pregnancy test and the patient's clinical history, a severely depressed or absent serum PAPP-A level may aid in the diagnosis of extrauterine pregnancy.

Chorionic Gonadotropin↗