Search PubMed⌕ Search

Biomedical subjects

S J Thorpe

Publications and source records attributed to S J Thorpe.

At least 37 records · Page 2Linked to original sources

Detection of animals in natural images using far peripheral vision.

It is generally believed that the acuity of the peripheral visual field is too poor to allow accurate object recognition and, that to be identified, most objects need to be brought into foveal vision by using saccadic eye movements. However, most measures of form vision in the periphery have been done at eccentricities below 10 degrees and have used relatively artificial stimuli such as letters, digits and compound Gabor patterns. Little is known about how such data would apply in the case of more naturalistic stimuli. Here humans were required to categorize briefly flashed (28 ms) unmasked photographs of natural scenes (39 degrees high, and 26 degrees across) on the basis of whether or not they contained an animal. The photographs appeared randomly in nine locations across virtually the entire extent of the horizontal visual field. Accuracy was 93.3% for central vision and decreased almost linearly with increasing eccentricity (89.8% at 13 degrees, 76.1% at 44.5 degrees and 71.2% at 57.5 degrees ). Even at the most extreme eccentricity, where the images were centred at 70.5 degrees, subjects scored 60.5% correct. No evidence was found for hemispheric specialization. This level of performance was achieved despite the fact that the position of the image was unpredictable, ruling out the use of precued attention to target locations. The results demonstrate that even high-level visual tasks involving object vision can be performed using the relatively coarse information provided by the peripheral retina.

Adult↗

Is it a bird? Is it a plane? Ultra-rapid visual categorisation of natural and artifactual objects.

Visual processing is known to be very fast in ultra-rapid categorisation tasks where the subject has to decide whether a briefly flashed image belongs to a target category or not. Human subjects can respond in under 400 ms, and event-related-potential studies have shown that the underlying processing can be done in less than 150 ms. Monkeys trained to perform the same task have proved even faster. However, most of these experiments have only been done with biologically relevant target categories such as animals or food. Here we performed the same study on human subjects, alternating between a task in which the target category was 'animal', and a task in which the target category was 'means of transport'. These natural images of clearly artificial objects contained targets as varied as cars, trucks, trains, boats, aircraft, and hot-air balloons. However, the subjects performed almost identically in both tasks, with reaction times not significantly longer in the 'means of transport' task. These reaction times were much shorter than in any previous study on natural-image processing. We conclude that, at least for these two superordinate categories, the speed of ultra-rapid visual categorisation of natural scenes does not depend on the target category, and that this processing could rely primarily on feed-forward, automatic mechanisms.

Adult↗

Rate coding versus temporal order coding: what the retinal ganglion cells tell the visual cortex.

It is often supposed that the messages sent to the visual cortex by the retinal ganglion cells are encoded by the mean firing rates observed on spike trains generated with a Poisson process. Using an information transmission approach, we evaluate the performances of two such codes, one based on the spike count and the other on the mean interspike interval, and compare the results with a rank order code, where the first ganglion cells to emit a spike are given a maximal weight. Our results show that the rate codes are far from optimal for fast information transmission and that the temporal structure of the spike train can be efficiently used to maximize the information transfer rate under conditions where each cell needs to fire only one spike.

Animals↗

A competitive enzyme-linked immunoassay using erythrocytes fixed to microtitre plates for anti-D quantitation in immunoglobulin products.

BACKGROUND AND OBJECTIVES: The batch control of anti-D immunoglobulin for prevention of haemolytic disease of the newborn necessitates assessment of its potency. Anti-D quantitation is usually performed using automated haemagglutination methodology although this can only be carried out in specialist centres. The aim of this study was to develop a simple and robust assay for anti-D quantitation. METHODS: We developed a competitive enzyme-linked immunoassay (EIA) in which unlabelled anti-D immunoglobulin and a biotinylated monoclonal anti-D compete for red cell binding. Binding of biotinylated anti-D is detected using an alkaline-phosphatase-labelled avidin preparation. The assay is conveniently carried out using erythrocytes fixed to microtitre plates. RESULTS: The competitive EIA was specific for anti-D activity, highly reproducible and showed good correlation with manufacturers' potency estimates using automated haemagglutination. The assay was quick and simple to perform using freshly prepared or stored plates, and the biotinylated monoclonal anti-D could be lyophilized in ampoules for distribution as a standardized reagent. CONCLUSIONS: The competitive EIA described can be used for the specific quantitation of anti-D and provides a robust alternative method to automated haemagglutination.

Antibodies, Monoclonal↗

National pathfinder survey of dental caries prevalence and treatment needs in The Gambia.

OBJECTIVE: The aim of this study was to assess dental caries status and treatment needs in The Gambia for the purpose of national planning. MATERIALS AND METHODS: 1,235 subjects were obtained with a multi-stage stratified random sampling technique. Clinical examinations were carried out using the criteria suggested in WHO Basic Methods (WHO 1987). The WHO J2 software programme was used for data analysis. RESULTS: More than half of the subjects had caries. Mean DMFT increased from 1.7 in the 7-year-old group to 8.8 in 65-99-year-olds. Mean DT peaked at 5.1 in the 30-34-year-old group before declining to 3.2 among the 65-99-year-olds. Mean filled teeth (FT) was zero in all ages. Missing teeth (MT) increased from 0.1 in 13-year-olds to 5.6 among the 65-99-year group. Mean DMFT was 2.3, 2.8, and 6.6 in 12-year-olds, 15-year-olds and 35-44-year-olds respectively. Unmet treatment need (DT/DMFT) was 90-100% in subjects below 25 years. Need for dental extraction increased from 15% to 63% in 65-99-year-olds. Between 0.3 and 2.8 teeth required extraction, and 46-79% of subjects needed conservative treatment. Dental auxiliaries should be trained to carry out extractions and fillings using the atraumatic restorative treatment (ART).

Adolescent↗

National pathfinder survey of periodontal status and treatment needs in The Gambia.

OBJECTIVE: The aim of the pathfinder survey was to assess the periodontal status and treatment needs in The Gambia. METHODS: A multistage stratified random sampling technique was used to obtain a sample of 1,235 (or 0.1% of the national population). The study was conducted according to the World Health Organisation's criteria (WHO, 1987). The WHO J2 software programme was used to analyse the data. RESULTS: Not more than 12% of subjects in any age group had healthy periodontal tissues. Two to three sextants were healthy among those under the age of 35 years. Shallow (4-5 mm) pockets were present in all ages. However, less than one sextant was involved among subjects younger than 25 years. Despite the high prevalence of pockets, few sextants were edentulous. The majority of subjects needed oral hygiene instructions and oral prophylaxis. Of the subjects between the ages of 8 and 29 years, 5-28% needed complex treatment in only half of a sextant. Similarly, 38% and 80% of older subjects needed complex treatment in 0.8-1.9 sextants. CONCLUSION: A national oral health plan in The Gambia should focus on health education and provision of oral prophylaxis by trained auxiliary health care workers. In conclusion, there is a need to develop a functional district oral health services system in The Gambia.

Adolescent↗

A single cleavage assay for T5 5'-->3' exonuclease: determination of the catalytic parameters forwild-type and mutant proteins.

Bacteriophage T5 5'-->3' exonuclease is a member of a family of sequence related 5'-nucleases which play an essential role in DNA replication. The 5'-nucleases have both exonucleolytic and structure-specific endo-nucleolytic DNA cleavage activity and are conserved in organisms as diverse as bacteriophage and mammals. Here, we report the development of a structure-specific single cleavage assay for this enzyme which uses a 5'-overhanging hairpin substrate. The products of DNA hydrolysis are characterised by mass spectrometry. The steady-state catalytic parameters of the enzyme are reported and it is concluded that T5 5'-->3' exonuclease accelerates the cleavage of a specific phosphodiester bond by a factor of at least 10(15). The catalytic assay has been extended to three mutants of T5 5'-->3' exonuclease, K83A, K196A and K215A. Mutation of any of these three lysine residues to alanine is detrimental to catalytic efficiency. All three lysines contribute to ground state binding of the substrate. In addition, K83 plays a significant role in the chemical reaction catalysed by this enzyme. Possible roles for mutated lysine residues are discussed.

Amino Acid Substitution↗

Patient-controlled sedation using propofol: randomized, double-blind dose refinement.

This double-blind, randomized trial compared the onset of sedation with two patient-controlled sedation regimens, allowing a maximum of 16 or 25 mg min-1 propofol. Forty fit young patients presenting for elective surgery were asked to try to put themselves to sleep using the system. Onset times of sedative effect, slurred speech and amnesia were recorded. All patients achieved satisfactory sedation, and none became oversedated. Patients receiving 16 mg min-1 propofol were not reliably sedated within 5 min and took significantly longer to develop slurred speech and amnesia (P < 0.01 for both). We conclude that this maximum infusion rate does not produce amnesia or sedation rapidly enough to be clinically useful. A maximum infusion rate of 25 mg min-1 allowed rapid sedation in all patients without oversedation and may be an acceptable compromise between efficacy and safety.

Adolescent↗

Evaluation of a panel of human monoclonal antibodies to D and exploration of the synergistic effects of blending IgG1 and IgG3 antibodies on their in vitro biologic function.

BACKGROUND: The D immunoprophylaxis program has successfully reduced the incidence of Rh hemolytic disease of the newborn (HDN), but it has also reduced the availability of plasma-derived polyclonal anti-D, which constitutes the current therapeutic product. Human monoclonal anti-D from hybridoma cell lines may be an acceptable alternative, and clinical efficacy of each anti-D is being evaluated in several centers. STUDY DESIGN AND METHODS: This study represents the largest assessment (outside of the International Workshops) of human D monoclonal antibodies for potential therapeutic use. The in vitro biologic activity and immunologic and serologic reactivity of a coded panel of 20 D antibodies (THERAD) was investigated. The bioassays used were lymphocyte (K-cell) antibody-dependent cell-mediated cytotoxicity (ADCC), monocyte ADCC, and monocyte chemiluminescence, which together reflect the processes involved in antibody-coated red cell destruction in vivo. From this panel, six antibodies (THERADs 14, 19, 22, 23, 27, and 28, comprising 3 IgG1 and 3 IgG3 D monoclonal antibodies) were further selected to investigate the effects of blending in the three bioassays. RESULTS: Several THERAD blends displayed greater activity than their component parts, in the range of 6 to 124 percent. There was no evidence to suggest functional blocking effects with this restricted panel of antibodies. CONCLUSION: The THERAD blends containing both IgG1 and IgG3 anti-D appeared to be the most functionally active, as did blends containing antibodies to two distinct D epitopes. This in vitro evidence has important implications for the future formulation of an effective monoclonal preparation for the prevention of Rh HDN.

Antibodies, Anti-Idiotypic↗

Anti-Rh D activity of commercial intravenous immunoglobulin preparations.

BACKGROUND AND OBJECTIVES: The presence of antibodies against Rh D in intravenous immunoglobulin (IVIG) products has been proposed as causing adverse reactions and blood grouping problems, although data on the incidence and titre of such antibodies is sketchy. This study was conducted to investigate methodology for carrying out haemagglutination tests on IVIG products, and to examine in retrospect 200 IVIG batches for the presence of anti-D and other haemagglutinins. MATERIALS AND METHODS: Batches of commercial IVIG products were tested using the low-ionic-strength indirect antiglobulin test (LIAT). Positive batches were further investigated using a typed red cell panel and direct haemagglutination tests. RESULTS: 44 batches of IVIG gave positive LIAT. Of these, 12 contained specific anti-D. 11 batches had LIAT anti-D titres of 2-8; a further batch contained anti-D with a LIAT titre of 64. The remaining 32 batches agglutinated all erythrocyte phenotypes tested with LIAT titres </=4; 14 of these batches showed positive direct haemagglutination and the presence of rouleaux. CONCLUSION: 6% of commercial IVIG batches contained specific anti-D, including one batch (0.5%) showing unusually high titre. 16% of batches contained haemagglutinins of unknown/non-specificity.

Agglutination Tests↗

Rapid categorization of natural images by rhesus monkeys.

Two rhesus macaques were tested on a categorization task in which they had to classify previously unseen photographs flashed for only 80 ms. One monkey was trained to respond to the presence of an animal, the second to the presence of food. Although the monkeys were not quite as accurate as humans tested on the same material, they nevertheless performed this very challenging visual task remarkably well. Furthermore, their reaction times were considerably shorter than even the fastest human subject. Such data, combined with the detailed knowledge of the monkey's visual system, provide a severe challenge to current theories of visual processing. They also argue that this form of rapid visual categorization is fundamentally similar in both monkeys and humans.

Animals↗

Selective attention to real phobic and safety stimuli.

Many previous information processing studies have noted that people with severe anxiety selectively attend to threat stimuli. The experiment reported here tests the hypothesis that, when real threat stimuli are used instead of semantic stimuli, attention may be divided between threat and safety. Spider phobics and controls participated in a reaction time experiment, in which the target stimulus (a light) was programmed to randomly occur either by the only door to the room or by the wall opposite that door. They were asked to press a response button as soon as they detected the light coming on by the wall or by the door. Next, for half the participants, a live Zebra Tarantula was placed next to the stimulus light, either by the door (threat and safety/escape coincide) or by the wall (threat and safety/escape divided), and the experiment repeated. The rest of the participants repeated the baseline condition to control for practice effects. Response latencies to the light stimuli were analysed. Results suggest that spider phobics (but not controls) were faster to respond to the light when it occurred in the location where the threat and the escape stimuli coincided, (when the spider was by the door), than when it occurred in the location where the threat and the escape stimuli were divided (when the spider was by the wall). These results suggest that phobics may allocate attention not only to threat but also to safety. It is proposed that such effects may be less detectable, or absent, when the threat stimuli are semantic or symbolic because participants discriminate between threat and its symbolic representation.

Adult↗

Studies on the role of disgust in the acquisition and maintenance of specific phobias.

Disgust has been proposed as a possible factor in phobic acquisition and maintenance, particularly in spider phobia. Cognitions and processes concerning disgust were examined in a series of studies with spider phobics, other specific phobics and nonphobic controls. Beliefs about the disgusting nature of their phobic objects were present in phobics but did not contribute to an attentional bias. Measures of global disgust sensitivity were not closely linked to the phobic fear response. The disgust associated with phobic objects appears to have different constituents to the disgust associated with objects that do not evoke the phobic response. In the light of evidence presented here, it seems unlikely that disgust plays a central role in the aetiology or maintenance of spider phobia in particular and specific phobias in general. It is proposed that when stimuli normally associated with disgust become the focus of phobic anxiety the disgust response may be amplified.

Adult↗

Human monoclonal antibodies encoded by the V4-34 gene segment show cold agglutinin activity and variable multireactivity which correlates with the predicted charge of the heavy-chain variable region.

We have characterized the reactivities of a panel of V4-34-encoded human IgM monoclonal antibodies (mAb) which bind the erythrocyte Rh D antigen, derived from an immunized individual. These were compared with the specificities of V4-34-encoded autoantibodies with I/i reactivity produced from patients with cold agglutinin disease (CAD), and other V4-34-encoded autoantibodies. The antibodies were evaluated for cold agglutinin activity using haemagglutination tests, immunofluorescence microscopy for reactivity with tissue components, and in solid phase radiobinding assays with purified antigens. We found that (i) cold agglutinin activity was a property of all the V4-34-encoded mAb (ii) the cold agglutinins from CAD patients were generally monospecific for I/i whereas most of the anti-D and the other V4-34-encoded mAb displayed multireactive properties, frequently binding to strongly acidic antigens (iii) computation of the net charge of the heavy-chain V regions showed that the multireactive mAb were generally more positively charged than the monospecific cold agglutinins, which could contribute to their multireactive phenotype. The involvement of charge interactions was further indicated by the effects of pH and ionic strength on the immunofluorescence staining patterns.

Adult↗

Information processing in spider phobics: the Stroop colour naming task may indicate strategic but not automatic attentional bias.

Recent research suggests that it is possible to differentiate preconscious and strategic processing of threat stimuli using the Stroop colour naming task. masked and unmasked versions of the Stroop were administered to spider phobics, non-phobic controls and phobics whose fears did not include that of spiders. Colour naming times were recorded to neutral words, spider words and words whose emotionality was comparable to spider words. Results indicated that, in the unmasked condition only, the colour naming of spider words was slower in the spider phobics relative to both the other words types. Further analysis of the data indicated that this result was unlikely to be an effect of word emotionality and was specific to threat. Although the results are broadly consistent with information processing approaches to the understanding of anxiety, the value of this type of paradigm to the understanding of clinical anxiety is questionable.

Adult↗

Immunochemical characterization of the Rh CW antigen using human monoclonal antibodies.

BACKGROUND AND OBJECTIVES: Human monoclonal antibodies have been produced against various Rh antigens. We report here the production of another one against Rh C and the first such antibody against Rh CW. MATERIALS AND METHODS: Two heterohybridomas secreting IgG human monoclonal antibodies against Rh CW and Rh C (MS-353 and MS-242 respectively) were produced from alloimmunized donors. Their specificity was confirmed by serological testing. RESULTS: MS-353 reacted with all CW-positive phenotypes but not with any CW-negative phenotypes, whereas MS-242 reacted with all CW-positive and C-positive phenotypes. Using 125I-labelled antibodies, the average number of CW sites/red cell was 32,000 (R1WR1W, 15,200 (R1WR1), 19,800 (R1WR2), 15,300 (R1Wr), 26,200 (r'Wr), and the average number of C sites per red cell on equivalent CW/C-positive phenotypes was similar: 22,400 (R1R1), 21,800 (R1WR1), 12,300 (R1R2), 11,700 (R1WR2), 13,400 (R1r), 15,100 (R1Wr), 21,100 (r'r), 18,700 (r'Wr). MS-353 and MS-242 were mutually inhibitory. Both antibodies specifically immunoprecipitated a 33- to 34-kD polypeptide from 125I-surface-labelled cells. CONCLUSION: MS-353 is suitable for the serological detection of CW-positive cells, and the immunochemical data are entirely consistent with the report that the CW antigen is associated with a point mutation in the RHCE gene [Blood, 1995;86:1196-1201].

Antibodies, Monoclonal↗

The safety of patient-controlled sedation.

We have investigated the safety of a previously described method of patient-controlled sedation in 100 healthy patients presenting for elective surgery. The device used 0.33-ml boluses of propofol (10 mg.ml-1) infused over 6 s with no lockout. All patients attempted to put themselves to sleep by pressing a button on the hand-held device. The oxygen saturation, heart rate, sedation score and airway patency were noted every minute. When the patient stopped pressing the button, the anaesthetist took over the handset and continued pressing the button until the patient became unresponsive. The system allowed rapid sedation. Only five patients were still anxious after 2 min. After 3 min, no patient was still anxious and more than 70 patients had slurred speech. When they stopped pressing the button, 11 patients were judged oversedated, of whom two were unresponsive. One patient's oxygen saturation decreased transiently to 84%: no other patient's oxygen saturation decreased below 90%. There were no other significant changes. We conclude that the system studied works well but carries too high a risk of oversedation for unsupervised use.

Adolescent↗

The effect of one-session treatment for spider phobia on attentional bias and beliefs.

Spider phobics were tested before and after one-session treatment for spider phobia, or a comparable waiting period, using a spider-word Stroop test and questionnaires in which they rated spider-relevant threat beliefs. Compared with untreated spider phobic controls, the treated phobics changed significantly in their negative beliefs about spiders after treatment. Controls and treated phobics showed the same change in their reaction time latencies to spider stimuli in the Stroop test. These data are consistent with the hypothesis that the modification of threat beliefs is crucial in changing the response to phobic stimuli. It is concluded that the threat-specific Stroop test is an ambiguous measure of fear-related cognitive processes.

Adult↗