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Biomedical subjects

R Ulrich

Publications and source records attributed to R Ulrich.

At least 19 recordsLinked to original sources

Personal therapy: a disorder-relevant psychotherapy for schizophrenia.

While the long-term care of ambulatory schizophrenia patients requires highly effective interpersonal treatment skills among clinicians, there is little evidence to support an empirically validated individual psychotherapy of schizophrenia. Personal therapy (PT) attempts to address the apparent limitations of traditional psychotherapy by modifying the "model of the person" to accommodate an underlying pathophysiology, minimizing potential iatrogenic effects of maintenance antipsychotic medication, controlling sources of environmental provocation, and extending therapy to a time when crisis management has lessened and stabilization is better ensured. By means of graduated, internal coping strategies, PT attempts to provide a growing awareness of personal vulnerability, including the "internal cues" of affect dysregulation. The goals are to increase foresight through the accurate appraisal of emotional states, their appropriate expression, and assessment of the reciprocal response of others. The strategies are supplemented by phase-specific psychoeducation and behavior therapy techniques. Practical issues in the application of this new intervention are discussed. Preliminary observations from two samples of patients, one living with and the other living independent of family, suggest differential improvement over time among PT recipients.

Activities of Daily Living

New Nocardia taxon among isolates of Nocardia brasiliensis associated with invasive disease.

Nocardia brasiliensis, the second most frequently isolated aerobic actinomycete in the clinical laboratory, is usually associated with localized cutaneous infections. However, 22% of 238 N. brasiliensis isolates from the United States and 12% of 66 isolates from Queensland, Australia, which had been collected over a 17-year period, were associated with extracutaneous and/or disseminated diseases. Of the 62 invasive isolates, 37 (60%) were susceptible to ciprofloxacin and/or were susceptible to clarithromycin and resistant to minocycline, compared with only 6 (3%) of 242 localized cutaneous isolates. The 43 isolates with this susceptibility pattern appeared to define a new taxon. They were similar to Nocardia asteroides complex isolates clinically in proportions from persons with pulmonary (70%), central nervous system (23%), and/or disseminated diseases (37%) in the setting of corticosteroids (74%) or AIDS (14%). This putative new taxon differed from N. brasiliensis in the hydrolysis of adenine (92 versus 4%), beta-lactamase patterns on isoelectric focusing, and the presence of two early mycolic acid-ester peaks by high-performance liquid chromatography. Restriction analysis of a 439-bp fragment of the 65-kDa heat shock protein gene revealed that N. brasiliensis and the new taxon had different restriction patterns with 8 of the 11 enzymes tested. Screening of invasive isolates of N. brasiliensis for susceptibility to ciprofloxacin will identify most isolates of the new taxon, which likely represents a new Nocardia species.

Base Sequence

Fine mapping of HIV-1 Nef-epitopes by monoclonal antibodies.

A panel of newly isolated murine monoclonal antibodies is described which are specific for the Nef protein of the human immunodeficiency virus type 1 (HIV-1). Epitope mapping using recombinant Nef-related proteins, synthetic peptides and lipopeptides showed 3 independent antigenic determinants located within the regions of amino acids 83-93, 175-190 and 86-166 of the Nef protein. None of the monoclonal antibodies reacted with recombinant Nef proteins of HIV-2.

Amino Acid Sequence

The prevalence of autoantibodies among right and left handed schizophrenic patients and control subjects.

Sera from schizophrenic patients (n = 186) and healthy control subjects (n = 346) were tested for the presence of seven common autoantibodies by standard immunological methods. The association between handedness and autoantibodies was tested in a multi-way contingency table using a log-linear model. For men, but not women, nondextrals (patients and controls) were twice as likely to test positive for autoantibodies than dextrals (p = 0.0002). Although more women (33%) than men (24%) tested positive for autoantibodies, handedness was not a distinguishing factor among women. These data suggest that sinistrality and gender are associated with autoantibodies in a subgroup of schizophrenic patients and healthy control subjects.

Adult

A digitized-fluorescence-imaging study of mitochondrial Ca2+ increase by doxorubicin in cardiac myocytes.

The objective of the present study was to investigate the role of mitochondrial Ca2+ in doxorubicin-induced cell injury. The effect of doxorubicin on cultured cells was investigated by digitized fluorescence imaging. The Ca2+ sensitive fluorescent dye fura-2 was used to estimate cytosolic, mitochondrial and total cellular Ca2+. Rhodamine 123 was used to estimate the mitochondrial membrane potential, and cellular ATP was determined by h.p.l.c. The data showed that doxorubicin induced greater-than-2-fold increases in mitochondrial Ca2+ before changes in cytosolic Ca2+ could be detected. An increase in mitochondrial Ca2+ paralleled the observed dissipation in mitochondrial membrane potential. Cellular ATP levels appeared to decrease as a result of mitochondrial dysfunction, which in turn produced greater-than-2-fold increases in cytosolic Ca2+. The data suggest that doxorubicin-induced alterations in mitochondrial Ca2+ homoeostasis are associated with a dissipation in energy conservation, which may result in cell injury.

Adenosine Triphosphate

Immunogenicity of recombinant core particles of hepatitis B virus containing epitopes of human immunodeficiency virus 1 core antigen.

A Gag protein segment of human immunodeficiency virus 1 (HIV-1) has been fused to a C terminally truncated core antigen of hepatitis B virus (HBcAg) using an E. coli expression system. Fusion of 90 amino acids of HIV-1 Gag protein to HBcAg still allowed the formation of capsids presenting on their surface epitopes of HIV-1 core protein, whereas fusion of 317, 189, or 100 amino acids of Gag prevented self-assembly of chimeric particles. Mice immunized with recombinant particles emulsified with Freund's complete adjuvant (CFA) or aluminium hydroxide developed high anti-HBcAg titers. However, anti-HIVp24 antibodies were detected only in mice inoculated with immunogen emulsified with CFA.

AIDS Vaccines

Ultrastructural alterations in ileal M cells of rats after chronic ethanol ingestion: reversal after cessation of ethanol.

Membranous (M) cells within the dome epithelium of ileal Peyer's patches have been shown to provide selective antigen entry for mucosa-associated lymphoid tissue. This study produced morphologic evidence of ethanol-induced disruption of the architecture in follicle-associated epithelium. The adherens type junctions of the lateral plasma membranes between M cells and columnar absorptive cells were disrupted. A 45-day exposure by ingestion of ethanol also produced marked changes in the ultrastructure of M cells. All experimental animals showed mitochondrial swelling with loss of matrix density, dilation of the endoplasmic reticulum and cytoplasmic vacuolization. The ethanol content of serum and chyme samples were 180 mg/dl and 160 mg/dl, respectively. This was well below the 4,280 mg/dl of the diet therefore a systemic mechanism was implicated for the changes observed. Membranous cells from the recovery group were normal 15 days after withdrawal from ethanol. We concluded that the ethanol-induced cytopathology in ileal M cells is reversible when ethanol exposure is discontinued.

Animals

[Chronic urticaria in enterobiasis vermicularis (oxyuriasis)].

We report on a patient with chronic urticaria associated with enterobiasis vermicularis (oxyuriasis). The current distribution of Enterobius vermicularis and its importance concerning chronic urticaria of endogenous origin is evaluated and discussed.

Adult

[Use of polychlorinated biphenyl congener analysis for monitoring food and raw material of animal origin].

Occurrence of individual polychlorinated biphenyl (PCB) congeners in the environment, foodstuffs and other biological materials was assessed. Analysis of specific PCB congeners (28, 52, 101, 138, 153, 180), occurring in animal raw materials and foodstuffs most frequently, has been implemented. Sample processing, isolation of fat from milk, meat, organs, fat tissue and eggs, and separation of PCB from fats using the sorbents Florisil or Ekosorb (a new Czechoslovak sorbent based on modified silica gel, Kavalier Glassworks, Votice) are described in detail. Individual PCB congeners were determined by capillary gas chromatography (gas chromatograph Varian VISTA 6,000, equipped with a 63Ni ECD; silica capillary column SPB-5, 30 m x 0.32 mm I.D., 0.25 micron film; column temperature programme: 60 degrees C for 2 min, then to 250 degrees C at 20 degrees C/min and held for 13 min; splitless injection). Chromatograms of commercial chemicals Delor 103 and Delor 106 (corresponding to Aroclor 1242 and 1260, respectively), of a mixture of six specific PCB congener standards and of a PCB--containing milk sample are presented in Fig. 1-3. Methods of PCBs estimation, currently used in Czechoslovakia, and benefits of congeneric analysis of PCBs (reproducibility of results, quantification of individual congeners) are discussed. Analysis of specific PCB congeners is used for the assay of PCBs in foodstuffs and investigations of PCBs dynamics in food chains and distribution and accumulation of PCBs in animal organisms. Contents of specific PCB congeners in milk, pork and pig liver and kidney samples are given in Tab. II.(ABSTRACT TRUNCATED AT 250 WORDS)

Dairy Products

[Treatment of acute episodes of atopic dermatitis. Double-blind comparative study with 0.05% halometasone cream versus 0.25% prednicarbate cream].

In a double-blind, randomized multicenter study in patients with acute episodes of atopic dermatitis, the efficacy and tolerance of 0.5% halometasone (Sicorten) cream were compared with those of 0.25% prednicarbate cream. A total of 165 patients (88 men, 77 women) were admitted to the study. The halometasone group contained 9% more cases with severe disease than did the prednicarbate group. Two daily nonocclusive applications were permitted, and treatment lasted 14 days. No difference in the onset of the effect was observed between the two groups. With respect to clinical efficacy, higher healing rates were found in the halometasone group: 50.6% versus 34.5% in the patients as a whole, and 39.5% vs. 16.2% in the subgroup of clinically severe cases. Applying stratification, a statistical difference was found in the clinically severe cases. Both creams were well tolerated; undesired side effects were observed neither with halometasone cream nor with prednicarbate cream. Cosmetic acceptance was assessed as very good by 50.6% of patients treated with halometasone cream, and 46.0% of patients treated with prednicarbate cream. Summarizing, it may be noted that halometasone cream is more effective than prednicarbate cream, and is equally well tolerated.

Acute Disease

Use of random-sequence riboflavin as a marker of medication compliance in chronic schizophrenics.

Adherence to prescribed medications is believed to be a major problem in medicine. However, actual medication taking behaviour is rarely measured as no reliable objective measures of adherence are available. 50 mg of riboflavin administered at night could be reliably detected in urine, under UV light, for the next 18-24 h. The ability of 20 schizophrenic outpatients to adhere to a once-a-night dosage was studied by dispensing riboflavin or placebo in a random sequence and testing the urine for UV fluorescence the next day. The majority of patients (80%) had errors between 40-80% of the times tested. Only age and sex predicted the level of adherence. Clinicians were very poor predictors of the error rates in their patients.

Adult

A recruitment theory of force-time relations in the production of brief force pulses: the parallel force unit model.

A theory, the parallel force unit model, is advanced in which the buildup and decline of force in rapid responses of short duration are assumed to reflect variability in timing of several parallel force units. Response force is conceived of as being a summation of a large number of force units, each acting independently of one another. Force is controlled by either the number of recruited force units or the duration each unit contributes its force. Several predictions are derived on the basis of this theory and are shown to be in qualitative agreement with empirical findings about both the mean and variability of brief force impulses. The model also has consequences for the temporal properties of a response. For example, under certain circumstances, it predicts a reciprocal relation between reaction time and response force. Although the theory is proposed as a psychological account, relations between the assumptions and basic principles in neurophysiology are considered. Possible future applications and generalizations of the theory are discussed.

Animals

The processing of temporal intervals reflected by CNV-like brain potentials.

The present study employed event-related potentials (ERPs) of the brain to improve the understanding of temporal processing. A reproduction paradigm was realized by presenting a visual stimulus (illuminated screen) for intervals of varying length. A few seconds after presentation of such standard intervals the visual stimulus was switched on again and subjects were asked to reproduce the duration of the standard interval by turning off the illumination after a corresponding interval had elapsed. The length of standard intervals varied randomly with each of the following lengths being presented 20 times: 1, 2, 3, 4, 6, and 8 s. Reproduction was accurate for standard intervals up to 3 s but deteriorated with increasing interval length. Brain potentials during reproduction intervals of 1-3 s differed from those recorded during the longer intervals. A CNV-like slow negative shift developed during the shorter reproduction intervals. Negatively was reduced or even absent, when subjects had to reproduce standard intervals of 4 s or longer. The ERP results suggest that intervals shorter than 3-4 s may evoke a processing mode that is qualitatively different from the one dominating when periods in the range of several seconds have to be processed.

Adult

Expression of bovine leukaemia virus antigens fused to MS2 polymerase in E. coli.

The main core protein and segments of envelope proteins of bovine leukaemia virus fused to MS2 polymerase were expressed in E. coli. The synthesis rate varied between 3 and 25% of the total cellular proteins. BLV-MS2 polymerase fusion proteins were detected immunologically using rabbit anti-BLV sera, monoclonal antibodies and a serum of a BLV-infected cow.

Antigens, Viral

Lack of changes in cytosolic ionized calcium in primary cultures of rat kidney cortical cells exposed to cytotoxic concentrations of gentamicin.

Gentamicin nephrotoxicity in vivo has a delayed onset. Our assessment of gentamicin-induced cell death in vitro, by measuring the release of cytosolic lactate dehydrogenase (LDH), indicated a prolonged onset as well. A recent study, which showed that gentamicin caused an abrupt increase in the concentration of cytosolic free calcium ([Ca2+]i) in a trypsin-harvested kidney cell line, suggested that immediate changes in calcium homeostasis may initiate the pathogenesis of gentamicin nephrotoxicity. To study the immediate effect of gentamicin on [Ca2+]i, gentamicin was perfused for 1 hr over primary monolayer cultures of renal cortical epithelial cells, and suspensions of trypsin-harvested renal cells (from primary cultures and a cell line) were treated with gentamicin for 30 min. [Ca2+]i was determined using the fluorescent probe fura-2. Positive controls (ionomycin and mercury) reliably increased [Ca2+]i in each experimental model, but no increase in [Ca2+]i was observed with gentamicin. Because enzyme release data indicated that significant cytotoxicity did not occur until 48 hr of exposure to 2 mM gentamicin, primary cultures were exposed to gentamicin (1-2 mM) for 24-48 hr and [Ca2+]i was measured. No gentamicin-induced increase in [Ca2+]i was observed in these longer exposures, whether or not significant LDH release occurred. These results do not support a role for elevated [Ca2+]i in the cytotoxicity of gentamicin in cultured kidney cells, either immediately after exposure or following prolonged exposures.

Animals