Search PubMed⌕ Search

Biomedical subjects

S L Miller

Publications and source records attributed to S L Miller.

At least 199 records · Page 11Linked to original sources

Serum myoglobin in muscular dystrophy.

Elevated levels of serum myoglobin (MGB) were found in patients with several types of myopathic disorders, namely, Duchenne muscular dystrophy (DMD), Becker muscular dystrophy (BMD), facioscapulohumeral dystrophy, and limb-girdle dystrophy. The frequency of hypermyoglobinemia was greatest in patients with DMD and BMD (91.7% and 100%, respectively). There was no precise direct relationship between serum creatine kinase (CK) and MGB levels, although the disorders with the highest CK levels tended to be the ones with the highest MGB levels. Among the patients with DMD, hypermyoglobinemia was slightly less marked in older children with restricted ability to walk than in the younger ones. Hypermyoglobinemia las noted among 43.8% of the mothers and 41.7% of the sisters of patients with DMD, slightly greater frequencies than for abnormal CK determinations in this group. Multiple serum samples were analyzed from 10 of these women, and the overall frequency of abnormal MGB levels was the same as that of abnormal CK levels; however, levels of CK and MGB were discrepant in some individual serum samples. For this reason, serum MGB determination may be a useful adjunct in the study of possible DMD carriers.

Adolescent↗

Comparative binding of murine and human monoclonal antibodies reacting with myelin-associated glycoprotein to myelin and human lymphocytes.

Human monoclonal IgM antibodies present in the blood of some patients with peripheral neuropathy and murine hybrid IgM antibodies C5 and C6, raised against myelin-associated glycoprotein, and HNK-1, raised against the human T cell line HSB-2, all bind to the carbohydrate moiety of myelin-associated glycoprotein. The relative avidity of the monoclonal antibodies was HNK-1 greater than C5/C6 much greater than human IgM, as determined in a competitive binding radioimmunoassay. HNK-1 bound myelin equally well at incubation temperatures between 4 degrees C and 37 degrees C; the human antibodies bound significantly only at 4 degrees C; and C6 bound best at 4 degrees C, less strongly at 20 degrees C and did not bind at 37 degrees C. All of the antibodies bound to a band corresponding to myelin-associated glycoprotein on immunoblots of human CNS myelin proteins in addition to several other antigens. Flow cytometric studies revealed that the murine but not the human antibodies bind to peripheral blood lymphocytes. Taken together, these data suggest that the antibodies probably recognize the same epitope but bind with different avidity.

Animals↗

The effects of acute stress on ethanol absorption in LS and SS mice.

Previously, our laboratory demonstrated that naive long-sleep (LS) mice absorb ethanol faster than short-sleep (SS) mice when administered 6.0 g/kg ethanol intragastrically (IG). We also demonstrated that the removal of the adrenal glands results in decreased absorption in both lines of mouse. The present study was designed to assess whether acute short-term elevations of corticosterone produced by exposure to a mild stressor could also alter ethanol absorption in LS and SS mice. Because a difference in ethanol absorption rates was observed in LS mice as a function of time of day, all stress experiments were performed in the morning. CCS elevation was induced by exposure to an elevated plus-maze for 45 min. LS mice demonstrated greater CCS release in response to this stressor than SS mice. This exposure to a mild stressor produced an increase in ethanol absorption in both lines of mice receiving a 6.0 g/kg intragastric dose of ethanol. Although this effect of stress on ethanol absorption could be prevented by adrenalectomy in SS mice, adrenalectomy alone did not completely block these effects of stress on ethanol absorption in LS mice. Dexamethasome treatment at the time of adrenalectomy was required to block the effects of stress on ethanol absorption in LS mice. These results suggest that exposure to mild stressors may alter ethanol pharmacokinetic parameters but that genetic factors may play a role in this response via regulation of the hypothalamic-pituitary-adrenal axis.

Absorption↗

Prevalence of CVD risk factors and impact of a two-year education program for premenopausal women.

Indicators of cardiovascular disease risk in premenopausal women before, during, and after a 2-year educational intervention measured prevalence of risk and program effectiveness. Women (n = 277) were assigned to either treatment/education (n = 174) or control (n = 103) group. Many had at least one cardiovascular disease risk factor: high BMI (n = 123); high-fat diet (n = 160); and/or high body fat percent (n = 136). The treatment group was significant for change in calories from fat (P <.01). This study shows that premenopausal women have cardiovascular disease risks that should be addressed, and that nutrition education can successfully change dietary behavior.

Adult↗

A comparison of the efficacy of injectable dexamethasone sodium phosphate versus placebo in postoperative podiatric analgesia.

Forty-two patients undergoing identical bilateral foot surgery were evaluated in a double-blind study designed to evaluate the efficacy of injectable dexamethasone sodium phosphate versus placebo as an analgesic. Patients who had elective foot surgery on an outpatient basis received an injection of dexamethasone sodium phosphate in one foot and an equivalent injection of normal sterile saline in the contralateral foot. Both the patients and the surgeons were unaware of which foot was injected with each agent. The results suggest that there was not a difference in the patient perception of which foot was most painful. Forty-eight to 72 hours after surgery, 18 (44%) patients identified the foot that received steroid as less painful, 18 (44%) patients identified the foot that received placebo as less painful, and 5 (12%) patients did not perceive a difference. In addition, there was not a difference in outcome based on soft-tissue or osseous procedures.

Adult↗

Source apportionment of exposure to toxic volatile organic compounds using positive matrix factorization.

Data from the Total Exposure Assessment Methodology studies, conducted from 1980 to 1987 in New Jersey (NJ) and California (CA), and the 1990 California Indoor Exposure study were analyzed using positive matrix factorization, a receptor-oriented source apportionment model. Personal exposure and outdoor concentrations of 14 and 17 toxic volatile organic compounds (VOCs) were studied from the NJ and CA data, respectively. Analyzing both the personal exposure and outdoor concentrations made it possible to compare toxic VOCs in outdoor air and exposure resulting from personal activities. Regression analyses of the measured concentrations versus the factor scores were performed to determine the relative contribution of each factor to total exposure concentrations. Activity patterns of the NJ and CA participants were examined to determine whether reported exposures to specific sources correspond to higher estimated contributions from the factor identified with that source. For a subset of VOCs, a preliminary analysis to determine irritancy-based contributions of factors to exposures was carried out. Major source types of toxic VOCs in both NJ and CA appear to be aromatic sources resembling automobile exhaust, gasoline vapor, or environmental tobacco smoke for personal exposures, and automobile exhaust or gasoline vapors for outdoor concentrations.

Activities of Daily Living↗

A positron emission tomography (PET) study of autobiographical memory retrieval.

Memory for the experiences of one's life, autobiographical memory (AM), is one of the most human types of memory, yet comparatively little is known of its neurobiology. A positron emission tomography (PET) study of AM retrieval revealed that the left frontal cortex was significantly active during retrieval (compared to memory control tasks), together with activation in the inferior temporal and occipital lobes in the left hemisphere. We propose that this left frontal lobe activation reflects the operation of control processes that modulate the construction of AMs in posterior neocortical networks.

Adult↗

Relationship of common avian pathogen antibody titers in so-called chicken anemia agent (CAA)-antibody-positive chicks to titers in CAA-antibody-negative chicks.

Antibody titers for infectious bursal disease virus (IBDV), infectious bronchitis virus, Newcastle disease virus, and reovirus from chicks with chicken anemia agent (CAA) antibodies were compared with antibody titers from their CAA-antibody-negative counterparts. These comparisons were made in 396 chickens that were 1 day, 2 weeks, 8-9 weeks, 10 weeks, 17 weeks, or 29-32 weeks old. Only one serum sample was collected from any given chick or chicken. There were no significant differences between the antibody titers at any age for any antigen, with one exception: at 29-32 weeks, the IBDV titers were higher (t = 2.62, df = 142, P less than 0.01) in chickens with CAA antibody. Although not at all likely, we believe that the observation of high IBDV antibody titers in CAA-antibody-positive chicks could have been a spurious one.

Anemia↗

Relationship of the enzyme-linked immunosorbent assay to indirect immunofluorescent antibody test for the detection of so-called chicken anemia agent antibodies in serum from broiler breeders.

Serum samples collected from breeder chickens ranging in age from 1 day to 55 weeks were tested for CAA antibodies by enzyme-linked immunosorbent assay (ELISA) and indirect immunofluorescent antibody (IFA) test. The relationship of ELISA to IFA test was determined. The sensitivity of the ELISA relative to the IFA test was 82.64%, and the specificity of the ELISA relative to the IFA test was 56.25%. Agreement between the ELISA and the IFA test was highly significant (Kappa = 0.74, Z = 5.78). We concluded that the ELISA is as good as the IFA test for detecting CAA antibody in sera from chickens.

Anemia↗

Development and comparison of serologic methods for diagnosing chicken anemia virus infection.

This paper describes the development of an indirect immunoperoxidase assay (IIP) and an indirect enzyme-linked immunosorbent assay (ELISA) for detecting antibodies to chicken anemia virus (VAC). The IIP assay developed used CAV-infected MDCC-MSB1 cells for detecting antibody to CAV, whereas the ELISA utilized gradient-purified immunoadsorbed CAV as the target antigen. The IIP and ELISA were compared with the standard indirect immunofluorescent antibody (IFA) assay, which is more conventionally used to screen chicken serum for antibodies against CAV. Comparative test results of 185 field samples of chicken serum by these three methods were in agreement 84% of the time. Both IFA and IIP assays yielded fewer positive tests than did the ELISA. IFA and IIP assays were in agreement 93% of the time, as compared with 91% agreement of IIP and ELISA results, or 84% agreement for comparative IFA and ELISA results.

Anemia↗

Comparisons of packed cell volumes (PCVs) from so-called chicken anemia agent (CAA; a virus)-free broilers to PCVs from CAA-free specific-pathogen-free leghorns.

Packed cell volumes (PCVs) from 3-, 7-, 14-, 21-, 28-, and 35-day-old clinically healthy chicken anemia agent (CAA)-free and specific-pathogen-free (SPF) leghorn chicks were compared with PCVs from age-matched clinically healthy CAA-free broiler chicks. The PCVs of the SPF chicks regressed significantly (F = 20.6, df = 2/3, P < 0.025) on age in a linear fashion. The PCVs of the broiler chicks regressed significantly (F = 9.56, df = 2/3, P < 0.05) on age in a cubic parabola. The mean PCVs of the broiler chicks were significantly (P < 0.05) higher than PCVs of SPF chicks at every tested time interval. Results indicate that PCV values are higher in broiler chicks than in SPF leghorn chicks, and that PCVs increase as chicks age. Clinicians, diagnosticians, and investigators who intend to work with chicken blood must be aware of these differences.

Anemia↗

Packed cell volume reference intervals to aid in the diagnosis of anemia and polycythemia in young leghorn chickens.

Packed cell volume (PCV) reference intervals were established for use in diagnosing anemia and polycythemia in young chickens. Blood samples were collected from 3-to-35-day-old specific-pathogen-free leghorn chicks. PCVs were determined and analyzed. PCVs regressed significantly (P less than 0.0001) on age, which shows that neonatal physiologic anemia occurs in chicks as well as in mammals. The definition for anemia in chicks varies with age. We defined anemia as a PCV less than or equal to 23%, 25%, 26%, 28%, 31%, and 30%, respectively, for chicks 3, 7, 14, 21, 28 and 35 days old. We defined polycythemia as a PCV greater than or equal to 36%, 37%, 38%, 37%, 41%, and 40%, respectively, for chicks 3, 7, 14, 21, 28, and 35 days old. Healthy chicks have PCVs within established reference intervals. Results provide guidelines to detect anemia and polycythemia in young leghorn chicks of various ages.

Anemia↗

A survey for parvovirus-like virus (so-called chick anemia agent) antibodies in broiler breeders.

A prospective study to survey for the presence of parvovirus-like virus (PVLV; so-called chick anemia agent) antibody in broiler breeder pullets in Georgia, North Carolina, and Florida was conducted by collecting serum samples from 52 breeder flocks that ranged in age from 1 day to 55 weeks old. Results indicated that PVLV infection was widespread. Ninety-eight percent (51/52) of chicken flocks and 62% (530/861) of chickens had PVLV antibody. Rates of antibody-positive chickens among flocks ranged from 0% to 100% and averaged 76%. Upon initial examination, the percentages of chickens positive for PVLV appeared evenly distributed with respect to several convenient age groups and geographic locations. However, compared with young chickens (less than or equal to 19 weeks old), markedly significantly lower proportions of positives were present among chickens more than 19 weeks old (P = 0.00001) or chickens 30 weeks old or more (P = 0.000004). Also, there were significant (F = 7.7, df = 3/827, P less than 0.001) differences among the rates of PVLV antibody in chickens among various companies. The relatively high rate of PVLV antibody among broiler breeder chickens helps explain the low incidence of clinical disease among their offspring.

Age Factors↗

Sensitivity and specificity of the Papanicolaou-stained cervical smear in the diagnosis of Chlamydia trachomatis infection.

Two hundred young women had simultaneously prepared cultures for Chlamydia trachomatis and cervical smears; they also completed a questionnaire. Twelve of the chlamydial cultures were positive. There was poor correlation between the culture results and the cytologic morphology or symptoms. On initial blind reading, only 10% of the smears cytologically interpreted as positive were actually positive by culture. Under the most favorable (non-blind) interpretation, only 23% of the smears cytologically interpreted as positive for chlamydial infection were also culture positive. Because of the high incidence of false positives, we conclude that routine cytologic examination of Papanicolaou-stained smears is not an acceptable method for the diagnosis of chlamydial infections of the cervix. Immunoperoxidase staining of duplicate smears did not appear to be a successful replacement for culture.

Adult↗

The cytologic features of chlamydial cervicitis.

Chlamydial cervicitis is a common and important infection. Diagnostic cytologic criteria have been proposed, but not generally accepted. To better evaluate the cytologic changes, cervical cultures for Chlamydia trachomatis and duplicate cervical smears for Papanicolaou staining and immunofluorescence staining for chlamydial organisms were taken from 496 patients. A total of 61 (12.3%) of the patients had a positive culture for C. trachomatis. By immunofluorescence, the organisms were present as very small extracellular elementary bodies in mucus or as similar bodies in leukocytes; inclusions within epithelial cells were seen in only two cases. The organisms did not stain with the Papanicolaou stain. Chlamydial infection correlated with the degree of inflammation, with the presence of histiocytes and lymphocytes, especially large "transformed" lymphocytes, and with the presence of unidentified short bacteria, which stained red with the Papanicolaou stain. These features predict which patients should be tested more definitively for the presence of chlamydial organisms. However, we found no cytologic criteria that can reliably permit its diagnosis.

Cervix Uteri↗

Infectious anemia caused by a parvovirus-like virus in Georgia broilers.

Pale chicks with necrotic dermatitis, small bursas of Fabricius (BFs), small thymuses, pale bone marrow, and watery blood were suspected of having parvovirus-like virus- (PVLV) associated disease. Histologic lesions included atrophy or hypoplasia of thymuses and BFs, and septic necrotizing clostridial dermatitis and hepatitis. Clostridium perfringens was cultured from skin and liver. A PVLV was isolated in a Marek's disease tumor cell line (MDCC-MSB1) culture and was identified by physicochemical, immunofluorescent, and morphologic features. This isolate was named GA-1 PVLV. Specific-antibody-negative chicks and embryos infected with heat- or chloroform-treated GA-1 PVLV developed anemia at the same rate. Control chicks never were anemic. This is the first isolation of PVLV from clinically ill chickens in the United States and the first report of PVLV-induced anemia in chickens in the Western Hemisphere.

Anemia↗