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At least 343 records · Page 19Linked to original sources
PubMed2005

The Wnt signaling pathway in retinal degenerations.

The retina is a complex tissue composed of multiple interconnected cell layers, highly specialized for transforming light and color into electrical signals perceived by the brain. Damage or death of the primary light-sensing cells, the photoreceptors, results in devastating effects on vision. Despite the identification of numerous mutations that cause inherited retinal degenerations, the cellular and molecular mechanisms leading from the primary mutations to photoreceptor apoptosis are not understood. Wnt signaling has essential regulatory functions in a wide variety of critical developmental processes. Our research and others' have suggested that the Wnt pathway may be involved in retinal degeneration. Wnt ligands regulate developmental death of Drosophila photoreceptors, dysregulated Wnt signaling is involved in neuronal degeneration elsewhere in the central nervous system and Wnts control the expression of pro-survival growth factors in mammalian tissues. Additionally, altered expression of Wnt pathway genes, including the anti-apoptotic Wnt signaling regulator Dickkopf 3 (Dkk3), were observed during photoreceptor loss. This review examines the evidence and develops a model proposing a pro-survival role for Wnt signaling during photoreceptor injury. Because manipulating Wnt signaling has been demonstrated to have therapeutic potential for the treatment of Alzheimers disease, understanding the involvement of Wnts in photoreceptor death will determine whether targeting the Wnt pathway should also be considered as a possible therapeutic strategy for retinal degenerations.

Animals↗
PubMed1995

Total quality management as a health care corporate strategy.

Total quality management (TQM) must become a part of corporate strategy if it is to become a way of life in health care. TQM should be understood in the context of a cultural transformation. The greatest challenge for top management is to create an organization in which every employee, department and function is linked inextricably to the organization's mission and vision. One of the key benefits of TQM is the use of teams to work on and achieve organizational objectives. Health care managers must understand motivation in order to carry the workforce with them to attain those objectives.

Hospital Administration↗
PubMed2000

Transforming Allied Health.

In 1995, the Division of Allied Health at the Women's and Children's Hospital Adelaide (WCH) began a process of critical review of its service delivery models and organisational structure in order better to meet the vision and values of the WCH and the needs of consumers. This paper describes the change management process. Barriers to and facilitators of change are highlighted. The outcomes of the change process are described, including the new multidisciplinary team and program-based organisational structure and culture.

Adult↗
PubMed2000

Personal mastery in ethical leadership.

The paper briefly explores the manifestation of ethical leadership and examines at length the dimension of character formation. It argues that personal mastery is indispensable to sound character formation because leaders with high personal mastery are more likely to exhibit a disciplined pattern of behavior that is guided by a deep personal vision and enduring moral principles. The paper then discusses some of the sources that the leader can tap to attain personal mastery that leads to the self-transformation of both the leader and of the followers.

Altruism↗
PubMed1980

Visual stability and space perception in monocular vision: mathematical model.

A deterministic model for monocular space perception is presented. According to the model, retinal luminance changes due to involuntary eye movements are detected and locally analyzed to yield the angular velocity of each image point. The stable three-dimensional spatial coordinates of viewed objects are then reconstructed using a method of infinitesimal transformations. The extraction of the movement (parallax) field from the optical flow is represented by a set of differential equations, the derivation of which is based on the conservation of energy principle. The relation of the model to retinal neurophysiology and to various aspects of visual space perception is discussed.

Depth Perception↗
PubMed1990

[Dyslexia-- a peculiar form of heterophoria?].

The authors discuss the problem of legasthenia--a particular impediment in the learning of fluent reading and orthographic writing. One connects it with a form of heterophoria in which the eyes--because of an inacurate and changeable function of binocular vision are unable to exert precise saccadic movements enabling a binocular or precisely unimacular reading. A childish art of following with the eyes from one detail to the other during the learning of reading must be transformed into minute fixation movements in conditions of a permanent excitation of convergence and accommodation to which the child is not accustomed. This leads sometimes to a false positioning of the eyes and in the consequence to a spatial disorganization in the succeeding set of letters. Therapeutical results show that as well legasthenia as its complications in the general behaviour of the child are receding together with the improvement of the sensorimotor functions of the eye.

Child↗
PubMed1990

Evidence for a power law intensity code in the coupled cones of the turtle.

The hyperpolarizing responses to light were recorded intracellularly from red cones of the turtle, Pseudemys scripta elegans. Pairs of slit stimuli were flashed alone or together at various intensities, one slit positioned on the receptive field center and the other displaced 30 microns. The peak amplitude of the response was measured, and the results analyzed to quantify the relationship between the light intensity and the size of the neural signal evoked prior to the spatial interactions occurring in the network of coupled cones. This signal, E, was found to be described by a compressive power law, E = k.I0.5, where I is slit intensity. Evidence that the inferred excitation function describes a local mechanism independent of the slit position was obtained by measuring the response and the sensitivity receptive field profiles. The response and the sensitivity fields both decreased exponentially, but with space constants that differed by a factor of two, indicating in still another way the existence of an early square-root transformation.

Animals↗
PubMed1994

Evidence for separate motion-detecting mechanisms for first- and second-order motion in human vision.

Current theories of second-order motion perception postulate that such motion is detected by either a high-level mechanism which computes the temporal correspondences between "features" extracted from the image, or low-level motion mechanisms which operate on a nonlinear, neural transformation of the luminance profile of the image. Theories which favour the latter strategy either suggest that first- and second-order motion are detected by a common mechanism or else that distinct mechanisms exist for the two types of motion, both operating on similar principles. The aim of this study was to differentiate between these possibilities. Observers were required to judge the direction of multiframe motion sequences in which the frames alternated between sinusoidal variations in luminance (first order) and similar variations in contrast (second order). On each frame the modulation signal was displaced by some fraction of its spatial period. The motion sequences were designed such that integration of both types of frame (first and second order) would lead to unambiguous motion in a particular direction whilst separate analysis of first- or second-order frames alone would yield ambiguous motion. The results show clearly that observers were unable to integrate the first- and second-order frames of such motion sequences. However, when observers were presented with motion sequences in which the frames alternated between two, different types of second-order image (variations in the contrast or size of the elements constituting a random noise field) perceived direction was always consistent with integration of both image types. This is taken as support for models that suggest that first- and second-order motion are processed by distinct mechanisms in the visual system and that each mechanism is only sensitive to one type of motion. It is suggested that several varieties of second-order motion stimuli may be regarded as equivalent to contrast-modulated images when considered in terms of the effects of local spatiotemporal filtering operations carried out by the human visual system. In this respect, our results are consistent with the "texture grabber" concept of Werkhoven, Sperling and Chubb [(1993) Vision Research, 33, 463-485].

Contrast Sensitivity↗
PubMedDate not supplied

Skin cancer recognition by computer vision.

Automatic detection of several features characteristic of basal cell epitheliomas is described. The features selected for this feasibility study are semitranslucency, telangiectasia, ulcer, crust, and tumor border. Image processing methods used in this study include frequency analysis of the Fourier transform of the image, the Sun-Wee texture analysis algorithm, and several other image analysis techniques suitable for skin photographs. This image analysis software is designed for use with AI/DERM, an expert system that models diagnosis of skin tumors by dermatologists.

Basal Cell Carcinoma↗
PubMed1995

An alternative three-dimensional interpretation of Hering's equal-innervation law for version and vergence eye movements.

In the context of Hering's equal-innervation law, this paper discusses the problem of how the three-dimensional positions of the two eyes, each expressed by a rotation vector, can be separated into contributions of the version and vergence system. As proposed by Van Rijn and Van den Berg [(1993) Vision Research, 33, 691-708], this can be done by taking the sum and difference of the position rotation vectors of each eye. In our alternative procedure the vergence signal is defined as the rotation which transforms the left eye position into the right eye position and the version signal is the common factor in both eye positions that remains after removing the vergence signal. The version and vergence contributions, defined in this way, can be interpreted straightforwardly as rotations. When Van Rijn and Van den Berg applied their definitions to their own data, they obtained the interesting result that the reconstructed version and vergence contributions were effectively limited to two dimensions (2D). The version signal was confined to Listing's plane (no torsion) whereas the vergence signal remained within a horizontal-torsional plane (no vertical vergence). They showed theoretically that a model based on 2D version/2D vergence control will indeed produce the torsional eye positions in near fixations found in their experiments. This model cannot account for a second set of data in the literature [Mok, Ro, Cadera, Crawford & Vilis (1992) Vision Research, 32, 2055-2064]. With our definitions, we found that the simple 2D version/2D vergence control strategy cannot account for the Van Rijn and Van den Berg (1993) data but is nicely compatible with the considerably smaller amount of cyclotorsion in the data collected by Mok et al. (1992). We also show that, in such a system, having 2D vergence control is compatible with minimization of torsional disparity and provides the cyclovergence signals suitable for stabilizing the eyes in the non-Listing positions caused by a vertical saccade in near vision.

Convergence, Ocular↗
PubMed1987

Cellular oncogenes in neoplasia.

In recent years cellular homologues of many viral oncogenes have been identified. As these genes are partially homologous to viral oncogenes and are activated in some tumour cell lines they are termed "proto-oncogenes". In tumour cell lines proto-oncogenes are activated by either quantitative or qualitative changes in gene structure: activation of these genes was originally thought to be a necessary primary event in carcinogenesis, but activated cellular oncogenes, unlike viral oncogenes, do not transform normal cells in culture. In experimental models cooperation between two oncogenes can induce transformation of early passage cells, and this has become the basis of an hypothesis for multistep carcinogenesis. Proto-oncogene products also show sequence homology to various components in the mitogenic pathway (growth factors, growth factor receptors, signal transducing proteins and nuclear proteins), and it has been postulated that they may cause deregulation of the various components of this pathway. In human tumours single or multiple oncogene activation occurs. The pattern of oncogene activation in common solid malignancies is not consistent within any one class of tumour, nor is it uniform between classes, with three exceptions. In neuroblastoma, breast cancer, and perhaps in lung cancer there is relatively consistent activation of N-myc, neu, and c-myc/N-myc, respectively. Amplification of these genes generally correlates with poor prognosis. The introduction of methods for the direct study of oncogene transcription and their products will undoubtedly broaden our vision of cancer biology in man and, hopefully, add diagnostic and prognostic precision to tumour typing.

Animals↗
PubMed2000

Activity theory as a framework for analyzing and redesigning work.

Cultural-historical activity theory is a new framework aimed at transcending the dichotomies of micro- and macro-, mental and material, observation and intervention in analysis and redesign of work. The approach distinguishes between short-lived goal-directed actions and durable, object-oriented activity systems. A historically evolving collective activity system, seen in its network relations to other activity systems, is taken as the prime unit of analysis against which scripted strings of goal-directed actions and automatic operations are interpreted. Activity systems are driven by communal motives that are often difficult to articulate for individual participants. Activity systems are in constant movement and internally contradictory. Their systemic contradictions, manifested in disturbances and mundane innovations, offer possibilities for expansive developmental transformations. Such transformations proceed through stepwise cycles of expansive learning which begin with actions of questioning the existing standard practice, then proceed to actions of analyzing its contradictions and modelling a vision for its zone of proximal development, then to actions of examining and implementing the new model in practice. New forms of work organization increasingly require negotiated 'knotworking' across boundaries. Correspondingly, expansive learning increasingly involves horizontal widening of collective expertise by means of debating, negotiating and hybridizing different perspectives and conceptualizations. Findings from a longitudinal intervention study of children's medical care illuminate the theoretical arguments.

Adult↗
PubMed2004

A holistic intervention programme for families with a child with a disability.

BACKGROUND: The birth of a child with a disability may cause serious stress for the parents and affect each member of the family. Parents need support to deal with such a situation; however, health care professionals themselves are not always well equipped to help them and often adopt an attitude of withdrawal. AIM: The aim of this paper is to describe a family intervention programme developed in collaboration with families who were adapting to the birth of a child with a disability. DISCUSSION: The primary purpose of the programme is to help family members adapt to the situation in which they suddenly find themselves, primarily by reducing stress. The family's autonomy and competencies in providing care for the child are promoted and called into action. The programme encompasses different aspects of family relations: the individual, marital, parental, family, extended family and non-family sub-systems. Its theoretical foundations, clinical experience with families of a child with a health problem, and our previous research have enabled a remodelled vision of the way individuals and families adapt to such a situation. CONCLUSION: The symbioses of the design of the programme, training in its application, and intervention itself have transformed families of a child with a disability as well as the nurses themselves. The key element of this transformation has been the mutual recognition of relevant skills and authority by families and health care professionals that has led to new competencies, self-determination and an individuality that may change their lives.

Adaptation, Psychological↗
PubMed2000

Intraoperative adjunctive agents in vitrectomy: serum, cytokines, and glue.

The surgical goal in the treatment of retinal breaks is to seal the edges of the break, and traditionally, photocoagulation and cryocoagulation have been used to accomplish this. However, it is sometimes difficult in complicated retinal detachments to maintain the seal against tractional forces. Adhesion is achieved through a process of cell necrosis, inflammation and subsequent fibrovascular proliferation. This strategy, however, may not be appropriate in vision-sensitive areas such as macular holes. To improve the success rate of macular hole surgery, a number of authors have advocated the use of biological modifiers, such as transforming growth factor beta, human autologous serum, tissue glue, or platelet concentrates. These materials may enhance the adhesion of the detached retina and therefore lead to a better anatomical and functional success. We have reviewed the advances of intraoperative application of synthetic or biological adhesives. However, through the improvement of surgical techniques and surgeons' skills in recent years, the anatomical success rate of macular hole surgery has increased in most institutions without adjunctive additives. Thus, many surgeons believe that adjunctive additives may not be necessary for most idiopathic macular holes.

Animals↗
PubMed1993

Total quality management: one way to get started.

Continuous QI requires our hospitals to undergo a fundamental change in values, beliefs, and ways to manage. Process improvement changes must start with senior managers, who create the environment for continuous improvement and then enable department managers and employees to improve their processes. Persistent poor quality does not respect organizational boundaries, and HQIP provides an opportunity to manage all the resources necessary to make improvements. As pharmacy managers, we must identify processes under our control that can be continuously improved based on documented customer judgments. We must stop asking employees to work harder in a flawed system and empower them to improve those processes within their control. It may be easy to become frustrated if it seems to take a long time to implement TQM. Remember, transforming our departments and hospitals will not happen overnight. We are embarking on a new style of leadership and management, one that will help pharmacies implement our pharmaceutical care vision.

Indiana↗
PubMed1978

The relationship between retinal receptor orientation and photoreceptor optics.

At this time, based on still-restricted studies, it would seem that a fundamental property of vertebrate receptor optics is anterior pointing by receptors. The anterior pointing locus is most probably a point approximating the center of the exit pupil of the eye. There is evidence for the recovery of orientation when that orientation is disturbed. One or more mechanisms mediate that orientation, and we must seek to define and understand their functional properties. We must better define how disturbance in orientation influences vision. Briefly stated, substantially disturbed receptors have reduced light-guiding capability (and hence reduced sensitivity), reduced contrast sensitivity (caused by increased cross talk and so forth), and reduced resolution capability. These combine to creat a detectable (but not necessarily common) form of amblyopia [30]. In a sense, these cases of poor acuity would seem to represent a failure of the photoreceptor alignment system. An interesting set of theories has evolved in relation to receptor alignment in the neonate. There is considerable mechanical hydraulic stress on the newborn ocular vascular system at the time of delivery. Retinal hemorrhages and transient edema of the optic papilla following intracranial pressure rise and rapid decompression later during delivery of the head commonly occur. These can readily causd disturbances in receptor alignment. In some instances the macula is involved. While hemorrhages are apparently rapidly absorbed, if foveal receptors remain misaligned during the critical period (not yet really defined) for the development of vision, central fine-resolution capability may fail to develop. That is, subsequent elaboration of the visual system is dependent upon the quality of the optically transmitted and neurally transformed retinal image during the critical period for visual development. If the capability for realignment exists and occurs after part or all of the critical period, then signs of a prior receptor disarray may no longer be present in later years, but reduced resolution capability can persist. There is interesting literature on the subject [63-68]. K. Simons is currently reviewing this literature as part of his dissertation. Simons points out that the rupture of vessels may in fact partially serve as a safety valve protective of the infant in the presence of these substantive forces, i.e., fine-vessel rupture may limit the potential for damage to the eye. At this stage of investigation it is dangerous to carry speclation too far. Thus not only must we consider the mechanism for orientation, the nature of a possible error signal, and the mechaniisms for maintaning orientation and relating the retina to its substrate, but we must also analyze the consequences of disturbances in these mechanisms in relation to the individual's visual capability. Of equal importance is the need to understand the mechanisms and processes leading to failure of recovery of proper photoreceptor orientation...

Animals↗
PubMed2001

Real-time spectroscopy of transition states in bacteriorhodopsin during retinal isomerization.

Real-time investigations of the rearrangement of bonds during chemical transformations require femtosecond temporal resolution, so that the atomic vibrations within the reacting molecules can be observed. Following the development of lasers capable of emitting ultrashort laser flashes on this timescale, chemical reactions involving relatively simple molecules have been monitored in detail, revealing the transient existence of intermediate species as reactants are transformed into products. Here we report the direct observation of nuclear motion in a complex biological system, the retinal chromophore of bacteriorhodopsin (bR568), as it undergoes the trans-cis photoisomerization that is fundamental to the vision process. By using visible-light pulses of less than 5 femtosecond in duration, we are able to monitor changes in the vibrational spectra of the transition state and thus show that despite photoexcitation of the anti-bonding molecular orbital involved, isomerization does not occur instantly, but involves transient formation of a so-called 'tumbling state'. Our observations thus agree with growing experimental and ab initio evidence for a three-state photoisomerization model and firmly discount the initially suggested two-state model for this process.

Bacteriorhodopsins↗
PubMed2001

Increased expression of transforming growth factor-beta1 in small airway epithelium from tobacco smokers and patients with chronic obstructive pulmonary disease (COPD).

Tobacco smoke is believed to cause small airway disease and then chronic obstructive pulmonary disease (COPD), but the molecular mechanisms by which small airway obstruction occurs remain unknown. To study the gene expression levels of transforming growth factor (TGF)-beta1, a potent fibrogenic factor, in small airway epithelium from smokers and patients with COPD, we harvested highly pure samples of epithelial cells from small airways under direct vision by using an ultrathin bronchofiberscope BF-2.7T (outer diameter 2.7 mm with a biopsy channel of 0.8 mm in diameter). The expression levels of TGF-beta1 were evaluated by reverse transcription-polymerase chain reaction (RT-PCR). The mRNA levels of TGF-beta1 corrected by beta-actin transcripts were significantly higher in the smoking group and patients with COPD than those in nonsmokers (p < 0.01). Furthermore, among smokers and patients with COPD, TGF-beta1 mRNA levels correlated positively with the extent of smoking history (pack-years) and the degree of small airway obstruction as assessed by measurements of flow-volume curves. Immunocytochemistry of the cells demonstrated more intense stainings for TGF-beta1 in samples from smokers and patients with COPD than from nonsmokers. Spontaneously released immunoreactive TGF-beta1 levels from cultured epithelial cells were more elevated in subjects with a history of smoking and patients with COPD than in nonsmokers. Our study showed a close link between smoking and expression of TGF-beta1 in small airways. Our results also suggested that small airway epithelial cells might be involved in obstructive changes found in smokers and patients with COPD.

Analysis of Variance↗