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Biomedical subjects

S Gilbert

Publications and source records attributed to S Gilbert.

33 records · Page 2Linked to original sources

Neutralization of poliovirus by a monoclonal antibody: kinetics and stoichiometry.

First-order kinetics of neutralization have usually been interpreted as evidence that a single antibody, binding at a critical site, neutralizes the infectivity of a virus particle. In such a case, if all the binding sites were critical, an average of one antibody bound per virion would be required to reduce the infectivity of a virus sample to 37% (1/e) of its initial infectivity. However, in the work reported here using a monoclonal antibody to poliovirus which inactivated with first-order kinetics, an average of four bound antibodies were required. These results are consistent with two different models: one in which only one-fourth of the antibody binding sites on the virion are critical for neutralization; the other, in which none of the sites is critical, but neutralization takes place instead in a stepwise fashion in which each bound antibody reduces the infectivity by a factor of 3/4. The maximum binding capacity of the virion for this monoclonal antibody was approximately 30 molecules. Since the 60 protein subunits of the poliovirus capsid are related by 30 twofold axes of symmetry, it is proposed that each monoclonal antibody binds bivalently to two protein subunits related by a twofold axis. Such a binding mode would crosslink pentamers, the basic structures in picornaviral assembly and dissociation. It is proposed that pentamer crosslinking is an important element in neutralization by this monoclonal antibody. Another antibody, which may neutralize by a different mechanism, is also discussed briefly.

Antibodies, Monoclonal

Effects of preschool screening for vision and hearing on prevalence of vision and hearing problems 6-12 months later.

In order to determine whether children screened 6-12 months previously for vision and hearing had fewer vision and hearing problems than a non-screened cohort, a trained nurse-tester examined 763 screened and 743 non-screened kindergarten children matched for age, sex, and socioeconomic status. The screened cohort had significantly fewer vision problems (10%) than the unscreened (15%). The difference for moderately severe problems (visual activity 20/50 or worse) was also significant. 58% more screened than unscreened children were wearing glasses. The screened cohort had more hearing problems (16.8%) than the non-screened group (14%), but the difference was not statistically significant. There was a marked seasonal variation in prevalence of hearing problems, the frequency in November and December being twice that in April, presumably a result of increased frequency of upper respiratory problems in those months. Preschool hearing screening, unlike vision screening, is not associated with improved end results.

Child, Preschool

Assessment of past results and current practice in the treatment of rheumatoid metacarpophalangeal joints. Five year review.

A new design of prosthetic finger joint for the rheumatoid patient, and the technique for its insertion is described, which has now been in use for five years. The technique includes the soft tissue correction of the ulnar deviation. Results are reported for all the cases performed in one year giving a two year follow up, assessing flexion strength, pinch strength and the degree of recurrence of ulnar drift associated with loss of pinch strength.

Arthritis, Rheumatoid

Problems in the behavioural treatment of self-injury in the Lesch-Nyhan syndrome.

The results are described of a behavioural programme designed to modify self-injurious behaviour of a child with Lesch-Nyhan syndrome. The treatment combined extinction of the injurious behaviour and reinforcement of alternative behaviour, and was successful in the controlled hospital environment. However, an attempt to teach the parents to continue the treatment at home failed. The results are discussed in terms of the possible relationship between organic and environmental factors in maintaining the injurious behaviour, and the importance of analysing both the behaviour itself and the factors (including familial) maintaining it. It is suggested that parents should be advised about management of behavioural problems at an early age.

Behavior Therapy

A computer program to support patient assessment and clinical decision-making in nursing education.

This article reports on the development of a computer program for the recording of patient assessments performed by graduate nursing students. This program is part of a larger effort called Computer-Aided Research in Nursing (CARIN) that will also be used for data collection and retrieval. This article describes two phases of the current project. Other nursing diagnosis programs in existence are briefly reviewed, and formulation of the two initial steps of the nursing process, assessment and nursing diagnosis, are described.

Decision Making, Computer-Assisted