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The S2 gene nucleotide sequences of prototype strains of the three reovirus serotypes: characterization of reovirus core protein sigma 2.

The S2 gene nucleotide sequences of prototype strains of the three reovirus serotypes were determined to gain insight into the structure and function of the S2 translation product, virion core protein sigma 2. The S2 sequences of the type 1 Lang, type 2 Jones, and type 3 Dearing strains are 1,331 nucleotides in length and contain a single large open reading frame that could encode a protein of 418 amino acids, corresponding to sigma 2. The deduced sigma 2 amino acid sequences of these strains are very conserved, being identical at 94% of the sequence positions. Predictions of sigma 2 secondary structure and hydrophobicity suggest that the protein has a two-domain structure. A larger domain is suggested to be formed from the amino-terminal three-fourths of sigma 2 sequence, which is separated from a smaller carboxy-terminal domain by a turn-rich hinge region. The carboxy-terminal domain includes sequences that are more hydrophilic than those in the rest of the protein and contains sequences which are predicted to form an alpha-helix. A region of striking similarity was found between amino acids 354 and 374 of sigma 2 and amino acids 1008 and 1031 of the beta subunit of the Escherichia coli DNA-dependent RNA polymerase. We suggest that the regions with similar sequence in sigma 2 and the beta subunit form amphipathic alpha-helices which may play a related role in the function of each protein. We have also performed experiments to further characterize the double-stranded RNA-binding activity of sigma 2 and found that the capacity to bind double-stranded RNA is a property of the sigma 2 protein of prototype strains and of the S2 mutant tsC447.

Amino Acid Sequence

The prototypical Epstein-Barr virus-transformed lymphoblastoid cell line IB4 is an unusual variant containing integrated but no episomal viral DNA.

IB4 is a prototype, latently Epstein-Barr virus (EBV)-infected, lymphoblastoid cell line. We show here that IB4 contains only integrated EBV genomes. Episomal EBV DNA is not detected by Gardella gel analysis or in situ hybridization. Restriction enzyme mapping indicates that the EBV genomes first circularized and then integrated into and deleted part of the BamHI C fragment. IB4 is therefore the only lymphoblastoid cell line described to date that lacks episomal EBV and has integrated EBV genomes with joined ends. Thus, the detection of joined EBV termini on Southern blots is not as reliable as the Gardella gel system for detecting episomal EBV DNA, and IB4 is not an ideal prototype cell line for the study of latent infection by EBV.

B-Lymphocytes

Trait and behavioral prototypes of personality disorder.

The author reports a survey of the clinical features used by psychiatrists to diagnose personality disorders. The purpose was to develop definitions of these disorders and to identify behavioral features that could be used as diagnostic criteria. Psychiatrists rated trait and behavioral items describing each disorder for the degree to which they were prototypical of the disorder. Judgments of the prototypical quality of traits and behaviors were found to be equally reliable. Given that behavioral criteria require less inferential judgment, subsequent revisions of criteria to assess personality disorders can employ behavioral criteria in the expectation of improved reliability without loss of validity.

Adult

RXPERT: a prototype expert system for formulary decision making.

OBJECTIVE: RXPERT, a prototype, computer-based, expert system that models the decision-making processes for an ambulatory (non-hospital) formulary, is described as an example of how expert systems may be used to support pharmacy decision making. Basic information about expert-system technology is provided through this example. BACKGROUND: Computer-assisted decision making is becoming an important and accepted aspect of complex, health-related decisions. Because expert-system support may become an integral component of future, complex, pharmacy decision making, it is important for pharmacists to become familiar with this technology and its possibilities for supporting pharmacy decisions. METHOD: Expert systems offer the potential advantages of making the human decision-making process explicit, more consistent, easily duplicated in many locations simultaneously, and easy to update and document. Although an expert system is seldom intended to replace human decision makers, it can provide valuable support for complex, multivariable decisions. Typical knowledge-acquisition and knowledge-engineering techniques, as well as the characteristics and structure of expert systems, are described, relative to the development of the RXPERT prototype. CONCLUSIONS: Although RXPERT is not yet in use, the process for using an expert system to support an individual committee member's personal assessment of a drug product is described. Decision-support expert systems are potentially useful to pharmacists in complex decision-making tasks.

Canada

MCMI-II diagnosis of borderline personality disorder: base rates versus prototypic items.

The Millon Clinical Multiaxial Inventory-II (MCMI-II) profiles of 26 psychiatric inpatients diagnosed as having borderline personality disorders were compared with profiles of 42 patients with no personality disorders. The borderline group scored significantly higher on the following scales: Disclosure (X), Debasement (Z), Passive-Aggressive (8A), Self-Defeating (8B), Borderline (C), and Major Depression (CC). Differences approaching significance were also found on substance abuse measures: the Alcohol Dependence (B) scale and Drug Dependence (T) scale. These findings are consistent with criteria established in the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) and the results of other studies utilizing the MCMI-II. In addition, diagnostic efficiency of Scale C was assessed at various cutoff points defined by either base rate (BR) scores or the number of prototypic items endorsed. The greatest efficiency was found when a cutoff of seven or more prototypic items was utilized, with nearly 80% of the patients correctly classified. Results are discussed in terms of their relevance for further research.

Adult

Studies on the development of an ELISA kit for microbiological monitoring. 1. Evaluation of the reliability of the prototype kit by field tests.

The prototype of an ELISA kit using protein A as the second reaction reagent for mice and anti-rat IgG for rats was prepared for seromonitoring of the Sendai virus and mouse hepatitis virus (MHV)/sialodacryoadenitis virus (SDAV)/Parker's rat coronavirus (PCV) infections. The respective antigen strains and protein concentrations were Sendai virus MN strain, 2 micrograms/ml and MHV Nu-67 strain, 5 micrograms/ml. The reliability of this prototype kit was investigated in two field tests performed on a total of 10,094 mouse and rat sera from 147 institutions. The results indicated that the two types of kits for the two species of animals were highly specific, but it is necessary to increase the detection sensitivity of the MHV antigen for the MHV antibody of mice and SDAV/PCV antibodies of rats.

Animals

The effect of prototype-based versus attribute-based presentation forms on the acquisition of a medical concept.

The purpose of this study was to determine the differential effect of two presentation-forms on the acquisition of the concept of shock. It is hypothesized that presenting a prototype facilitates learning and retention of the concept shock compared with verbally enumerating the attributes of the same concept. A group of 106 students from nursing education participated in the experiment. A matched group design guided the assigning of students to different instructional conditions. The instructional program consisted of expository texts, different types of questions and feedback. In the experimental condition eight videotaped typical cases of shock were incorporated in the program. Data-analysis resulted in confirmation of the hypotheses (p less than 0.01), i.e. new instances of shock were identified more frequently by students of the experimental group, while these students were also more able to list commonalities and differences between different cases of shock. This finding supports the prototype-paradigm in concept learning and implies the recommendation to organize lessons in clinical reasoning or diagnostic behavior around typical cases of concepts.

Concept Formation

[Learning and prototype formation of artificial categories defined by multidimensional normal distributions].

In order to approximate the variety of natural categories, two kinds of stimuli whose attributes vary according to different multivariate normal distributions are generated on CRT screen. Twenty undergraduate and graduate students served as subjects. Subject's task was to discriminate the stimuli. Results revealed that subject's performance can be explained very well by the parameters of the distributions (Exp.1). Although in previous studies prototypes have been assumed to be the mean value or central tendency of category instances, there is another possibility, especially when two or more concepts are simultaneously learned, that they have attributes which are emphasized. This hypothesis was confirmed in Exp.2, using 30 undergraduates as subjects. It was argued that we must distinguish at least two kinds of prototypes: the one formed by the most frequent instances and the other the most discriminate in contrast with the other concepts.

Adolescent

DentLE. The Dental Learning Environment: a prototype demonstration.

DentLE, the Dental Learning Environment is a hypermedia software system being prototyped as part of a research and development project at the State University of New York at Buffalo School of Dental Medicine. The design seeks to reach beyond single discipline software or cases, and integrate a range of patient problems within a comprehensive dental knowledge base. The approach is to use computer and hypermedia technology to weave together the disciplines of dentistry so that learning occurs in relation to patients, as they appear in the real world. The DentLE system prototype allows the learner to explore information in all the disciplines related to patient problems, as well as other information including "blind alleys" and results of curiosity.

Computer-Assisted Instruction

[Hepatitis C virus: sequence homology of a European isolate and divergence from the prototype].

The polymerase chain reaction (PCR) detected specific hepatitis C viral (HCV) RNA sequences in liver biopsies from two patients with chronic hepatitis, in the tissue of a liver implantate, in plasma from four chronic non-A, non-B hepatitis (NANBH) patients and, for the first time, in an infectious anti-D-immunoglobulin preparation. A comparison of the viral sequences coding for a region for the nonstructural NS3 protein from the liver tissues revealed only a very small degree of sequence divergence on the cDNA as well as on the amino acid level (between 0 and 5%). The sequence similarities of the RNA isolated from plasma of the four chronic NANBH patients and the anti-D-immunoglobulin preparation were partly somewhat lower but altogether also high (between 90 and 100%). In contrast, all eight cDNA and amino acid sequences exhibited a significantly higher degree of divergence in comparison with the HCV prototype sequence (between 29 and 32%) than among themselves (between 0 and 10%). This unexpected high sequence similarity of the eight European isolates and their low homology to the Northamerican prototype sequence is indicative for the existence of different types of HCV. This will be important not only for epidemiological studies but also for the development of effective diagnostic procedures and vaccines. Concerning the pathogenesis of NANBH, a double infection or a helper mechanism has to be considered: in addition to the C virus, sequences of an other virus particle were found in the infectious IgG preparation as well as in the liver biopsies.

Amino Acid Sequence

CD-ROM prototype applications within the Department of Veterans Affairs.

The Department of Veterans Affairs (VA) has been actively involved in examining the benefits of Compact Disc Read Only Memory (CD-ROM) to its operations. Approximately twenty VA titles either have been produced or are scheduled for production by Summer of 1991. Both textual and database CDs have been prototyped. Several of the CDs have been integrated directly into the VA's MUMPS-based hospital information systems. Titles which contain patient information employ the Data Encryption Standard (DES) for sensitive information. A related project involves the installation of a system which allows common VDTs on the hospital system to access commercial CDs such as MEDLINE, PDR, and CCIS. The prototypes have been successful and very favorably received by users.

CD-ROM

AI/Consult: a prototype directed history system based upon the AI/Rheum knowledge base.

An expert system is designed which uses the AI/Rheum knowledge base as the basis for a directed workup system for rheumatological disorders. A Turbo Pascal prototype is demonstrated which, unlike AI/Rheum, permits entry by the clinician of a patient's chief complaint(s) and subsequently develops a dynamic differential diagnosis for this limited set of findings. The system restricts its line of questioning to those pertinent in order to rule in or rule out items on this dynamic differential diagnosis, and, unlike AI/Rheum, it provides immediate notification to the user when a critical mass of information has been entered in order to meet a diagnosis at one of the AI/Rheum criteria table's three levels of diagnosis (possible, probable, definite). Thus the system allows for a more rapid, focused decision making approach than does AI/Consult, while it follows the trend established by QMR in that it abandons the Greek Oracle problem solving approach and instead adopts a physician-assisted hypothesis investigation approach. The system is currently a prototype, without AI/Rheum's page oriented and mouse driven interface, and thus the total user interaction time may be longer than with AI/Rheum even though fewer user interactions (responses) are required. Plans for future development include optimization of the knowledge base to allow for more efficient, problem oriented questioning and modification of the knowledge base compiler in order to dynamically rule out diseases through the addition of three new levels of diagnosis in the knowledge base criteria tables.

Diagnosis, Computer-Assisted

Emergence of highly pathogenic virus during selective chicken passage of the prototype mildly pathogenic chicken/Pennsylvania/83 (H5N2) influenza virus.

The prototype mildly pathogenic A/chicken/Pennsylvania/21525/83 (H5N2) avian influenza virus, which was isolated more than 5 months before the emergence of highly pathogenic virus in the major 1983 Pennsylvania outbreak, was examined for the presence of minority subpopulations of highly pathogenic virus. Selective serial passage of the parental mildly pathogenic virus in leghorn hens did not lead to recovery of highly pathogenic virus. However, several highly pathogenic reisolates were recovered from hens inoculated with either of two mildly pathogenic virus clones selected for their ability to efficiently produce plaques in trypsin-free chicken embryo fibroblasts. Unlike the parental virus, these reisolates caused high mortality in chickens and produced postmortem lesions typical of highly pathogenic avian influenza. Electrophoretic mobilities of the hemagglutinin glycoproteins of the highly pathogenic derivatives resembled those of the prototype highly pathogenic A/chicken/Pennsylvania/1370/83 (H5N2) virus isolated in October 1983. These results suggest that unrecognized subpopulations of highly pathogenic virus may have infected Pennsylvania chickens for several months before emerging as the clinically manifest component of the virus population.

Animals

Chemically induced tumors in transgenic mice carrying prototype human c-Ha-ras genes.

Three independent transgenic mouse lines carrying human prototype c-Ha-ras genes were established. Approximately 50% of the transgenic offspring of these lines developed spontaneous tumors within 18 months. Types of tumors were restricted to angiosarcomas, skin papillomas and lung or Harderian adenocarcinomas. Interestingly, all angiosarcomas (16/16) had point mutations at the 61st codon of the transgenes. Furthermore, they were also very susceptible to the chemical carcinogens, N-methyl-N'-nitrosourea (MNU) and dimethyl-benzanthracene (DMBA). Within 12 weeks after administration of MNU, the transgenic mice developed forestomach papillomas and then carcinomas very frequently, at the rate of almost 100% and almost all of the tumors had point mutations in their transgenes at the 12th codon from GGC (Gly) to GAC (Asp). All the carcinomas of the forestomach, lung and spleen induced by DMBA had point mutations at the 61st codon from CAG (Gln) to CTG (Leu). Because no somatic point mutations in the transgenes have ever been detected in normal tissues of the affected mice, these mutations seemingly activated the human prototype c-Ha-ras transgene. From these results, it is suggested that the somatic mutation of the human c-Ha-ras transgene plays a causative role in the occurrence of natural tumors and those induced by MNU or DMBA administration in transgenic mice. This transgenic mouse provides a unique screening system for chemicals that induce or suppress the tumorigenesis.

Animals

The Corneal EyeSys System: accuracy analysis and reproducibility of first-generation prototype.

The EyeSyS Corneal Topography System manufactured by EyeSys Laboratories, Inc., Houston, Tex utilizes a unique data-acquisition design to perform rapid, cost-effective quantitative photokeratoscopy. We evaluated a first-generation prototype system. Repeated testing with this prototype demonstrated an accuracy and reproducibility to within 0.25 D on spherical surfaces. Similar results were obtained in testing aspherical surfaces without refocusing. Data from preliminary clinical studies are displayed for the following corneal conditions: normal, keratoconus, post-keratoplasty, and post-keratoplasty with wound ectasia. Advantages of the EyeSys System include rapid data analysis and display, ease of operation, and compact table-top size.

Adult

Abstraction of prototypical information by adults and 10-month-old infants.

The primary purpose of this study was to investigate whether preverbal infants, when presented with exemplars of an artificially constructed category, would abstract a prototypical representation of the category, and if so, whether this representation was formed by either "counting" or "averaging" the features that were varying among category members. Two experiments are reported. In Experiment 1, a set of stimuli was developed and tested for which it was demonstrated that adult subjects would readily abstruct either a modal or an average prototypical representation. The type of representation abstracted was found to be dependent on the discriminability of the feature values. In Experiment 2, 10-mo.-old infants were tested using a habituation paradigm with the stimuli developed in the first experiment. The results of this study indicated that the infants were also able to abstract the featural information that was varying among the exemplars of the category, and the infants formed an internal represenatation of the category by averaging feature values. Thus, the results clearly imply that infants are able to constructively process visual information and hence take a more active role in category formation than had been previously believed.

Adult

Retrovirus from human T-cell leukemia virus type I-associated myelopathy is the same strain as a prototype human T-cell leukemia virus type I.

A retrovirus was isolated from a T-cell line that was established from lymphocytes in the cerebrospinal fluid of a patient with human T-cell leukemia virus type I-associated myelopathy (HAM), and its genome was sequenced. The nucleotide sequence of the 3' half of the total genome was identical in 99.5% of the nucleotides to that of the prototype human T-cell leukemia virus type I that was derived from a patient with adult T-cell leukemia. These results indicate that the same retrovirus human T-cell leukemia virus type I is associated with both a neurological disease, HAM, and a lymphoproliferative disease, adult T-cell leukemia.

Amino Acid Sequence

Responses given by A and B quasi-therapists to differing sexual roles in an intropunitive-neurotic prototype: an analogue study.

Twenty-four male undergraduate students were selected on the basis of their A--B status. Six Ss of each type were assigned randomly to one of two videotaped stimulus conditions, an adequate or an inadequate sexual role variant of an intropunitive neurotic prototype. Two dependent measures, response time and number of confrontations, were used and conceptualized in terms of an approach-avoidance continuum. Differential responding on the basis of the Ss' A--B status was not supported in this study.

Adolescent