Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “ADOPTION”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,513 records · Page 84Linked to original sources

Adoptive transfer of murine chronic-relapsing autoimmune encephalomyelitis. Analysis of basic protein-reactive cells in lymphoid organs and nervous system of donor and recipient animals.

Frequency analysis of myelin basic protein (MBP)-reactive lymphocytes was performed in the chronic relapsing murine experimental allergic encephalomyelitis (EAE) model induced by the adoptive transfer of myelin basic protein (MBP)-primed lymphocytes to naive recipients. During the first attack, MBP-reactive cell frequencies were: 1/41,700 in spleen, 1/328,000 in lymph nodes, 1/64,500 in the peripheral blood. After recovery from a second attack, the frequencies were: 1/11,000 in spleen, 1/46,000 in lymph node, and 1/195,000 in the blood. In addition, lymph node cells obtained from animals following a second attack had increased encephalitogenic properties. CNS-derived lymphocytes analyzed during the first attack were 50% Lyt 1.2+ and 16% Lyt 2.2+. After recovery from the second attack, phenotypes were 20% Lyt 1.2+ and 49% Lyt 2.2+. There were only minimal responses to MBP in CNS-derived lymphocytes. Susceptibility to adoptively transferred EAE was in general predicted by whether a proliferative response to MBP occurred following immunization and was not solely H-2 linked. These studies demonstrate an accumulation of autoreactive cells in the spleen and lymph nodes and a shift of the phenotype of cells in the target organ as EAE becomes chronic and suggest there are dynamic immunologic processes, both in the peripheral immune system and target organ associated with relapsing EAE.

Animals↗

Serial adoptive transfer of murine experimental allergic encephalomyelitis: successful transfer is dependent on active disease in the donor.

In an attempt to understand the mechanisms underlying disease progression in adoptively transferred experimental allergic encephalomyelitis (EAE), and perhaps multiple sclerosis (MS), this study has examined the transfer of EAE serially from primary to secondary and tertiary recipients using myelin basic protein (MBP)-responsive lymphocytes. It was found that EAE could be serially transferred only when there was acute or relapsing disease activity in the donor animal. Cells from donors with quiescent disease did not transfer EAE. Autoradiographic attempts to locate primary adoptively transferred cells in the central nervous system of secondary and tertiary recipients were uniformly unsuccessful. These findings implicate the requirement of effector cell activation in the donor and the recruitment of augmenting autoimmune cells in lesion formation.

Acute Disease↗

Splenic noradrenergic and adrenocortical responses during the preclinical and clinical stages of adoptively transferred experimental autoimmune encephalomyelitis (EAE).

When experimental autoimmune encephalomyelitis (EAE) is induced by adoptive transfer of myelin basic protein (MBP)-specific lymphocytes the splenic noradrenergic and adrenocortical responses mirror in most respects those that occur following sensitization with spinal cord and Freund's adjuvant (CFA), despite the absence of the primary immune challenge. An early drop in splenic noradrenaline (NA), observed only when purified protein derivative-primed cells are transferred may reflect a vigorous proliferative response in vitro, not observed with MBP-specific cells. However, serum corticosterone (CS) levels and the density of splenocyte beta-adrenergic receptors were increased in both experimental groups within 3 days of cell inoculation. The stress of clinical signs of EAE resulted in highly significant increases in both splenic NA and plasma CS. Thus adoptively transferred EAE provides a well-delineated model of autoimmune disease for investigating the immunomodulatory role of the neural and endocrine systems.

Adrenal Cortex↗

Protection of mice from a lethal coronavirus infection in the central nervous system by adoptive transfer of virus-specific T cell clones.

The protective effect of a mouse hepatitis virus type-4 (MHV-4)-specific CD8+ cytotoxic T cell clone and a CD4+ helper T cell clone was examined by the adoptive transfer into brains of mice lethally infected with MHV-4. Mice survived acute encephalitis if more than 5 x 10(5) cells of either type of the virus-specific T cell clones had been transferred into H-2-matched recipients by 1 day post-infection. Although the adoptive transfer of both types of the T cell clones suppressed viral growth and viral antigen-positive cells in the brains, a significant inhibition of virus replication by the cytotoxic T cell clone was detected prior to that induced by the helper T cell clone. Histologically, cell destruction was prominent in the brains of mice which received the cytotoxic T cell clone. These results demonstrate that both the CD8+ cytotoxic T cell and the CD4+ helper T cell can protect mice from a lethal MHV-4 infection in the central nervous system.

Animals↗

Induction of active and adoptive relapsing experimental autoimmune encephalomyelitis (EAE) using an encephalitogenic epitope of proteolipid protein.

Proteolipid protein (PLP) is a major component of the central nervous system (CNS) myelin membrane and has been shown to induce acute experimental autoimmune encephalomyelitis (EAE) in genetically susceptible animals. Here we describe conditions by which a relapsing-remitting form of EAE can be reliably induced in SJL/J mice either actively immunized with the major encephalitogenic PLP peptide, PLP13-151(S), or following adoptive transfer of PLP139-151(S)-specific T cells. The disease follows a reliable relapsing-remitting course with acute clinical signs first appearing 6-20 days after priming or transfer and relapses first appearing at 30-45 days. The initial onset of disease correlates with delayed-type hypersensitivity (DTH) reactivity specific for PLP139-151(S), in the apparent absence of T cell reactivity to the major myelin basic protein (MBP) peptide. Histologically, both the active and adoptive forms of the disease are characterized by extensive mononuclear cell infiltration and severe demyelination of the CNS. These results suggest that T cell responses specific for PLP139-151(S) are sufficient to induce clinical and histological R-EAE in SJL/J mice. This model should prove useful for examination of the cellular and molecular events involved in clinical relapses and perhaps in determining the role of PLP-specific T cell responses in multiple sclerosis (MS).

Amino Acid Sequence↗

Adoptive transfer of experimental allergic encephalomyelitis using serum-free, chemically defined in vitro culture conditions.

Enhanced adoptive transfer of experimental allergic encephalomyelitis (EAE) in rats requires in vitro culture of encephalitogen-sensitized donor spleen cells with either myelin basic protein or T-cell mitogen for 18-72 h prior to transfer to unimmunized recipients. The required in vitro culture period offers an opportunity to address in detail cellular and molecular immunoregulatory processes involved in the development of EAE. Conventional culture conditions using fetal bovine serum may impose analytical limitations due to the chemical complexity of the media. To permit better definition of the chemical events associated with the development of EAE, we report the successful adoptive transfer of EAE in Lewis rats using completely chemically defined, serum-free culture conditions.

Animals↗

Adoptive transfer of murine experimental autoimmune encephalomyelitis in SJL.Thy-1 congenic mouse strains.

For the purpose of tracking the migration of donor T cells in chronic relapsing EAE (CREAE), a Thy-1 congenic mouse strain on the SJL genetic background was generated. T cells from these distinguished from those of SJL (Thy-1.2+) by staining with specific anti-Thy-1 antibodies. In adoptive EAE, SJL.Thy-1a mice exhibited similar chronic remitting and relapsing cycles as in SJL mice. Reciprocal transfer of adoptive EAE had also been successfully carried out between the two Thy-1 disparate strains. The lack of alloreactivity against the Thy-1 antigen was further demonstrated by the absence of reactivity in the vitro mixed lymphocyte cultures and in vivo skin graft rejection between the two strains. The establishment of the SJL.Thy-1a mouse strain should prove to be a valuable tool for further dissecting the complex process of relapsing EAE.

Animals↗

Exquisite specificity of adoptive immunization in arenavirus-infected mice.

Lymphocytic choriomeningitis virus (LCMV)-infected mice can be adoptively immunized with T cells from immune mice sharing MHC compatibility in H-2K or D, suggesting direct cytotoxic effects of T cells in vivo. However, T cells, upon recognition of an appropriate target, secrete lymphokines which may be capable of mediating antiviral effects nonspecifically. In this report we show that LCMV-immune cells reduced LCMV spleen titers in mice infected with LCMV alone or with LCMV and Pichinde virus (PV), but had no effect on PV titers in these mice or in mice infected with PV alone. Titers of PV were reduced by PV-immune cells transferred into mice infected with PV alone or with PV and LCMV, while LCMV titers were not altered. PV and LCMV antigens were shown by fluorescence microscopy to be in proximity in the spleen prior to cell transfer. These data suggest that adoptive immunization against these arenaviruses involves direct cytotoxicity or an extremely localized effect of nonspecific soluble factors elaborated following antigen recognition, rather than generalized nonspecific antiviral effects of a more systemic nature.

Animals↗

Decision to adopt new medical technology: a case study of thrombolytic therapy.

New medical technologies are adopted by practising physicians at varying rates. Thrombolytic therapy is an example of a technological advance that many physicians have seemed reluctant to employ. A random sample of board certified internists was surveyed by mail to study factors that influence decisions to use thrombolytic agents. Variables important in predicting use were identified by discriminant analysis. In general users and non-users had similar assumptions about the risks and benefits of this technology. Among the important predictor variables were a perception of having patients suitable for treatment, availability of the agents and self-rating of knowledge about this therapy. Among questions related to type of practice and education, only subspecialization and textbook reading were important discriminators. These results suggest that decisions to adopt new technologies do not follow simply from risk-benefit assessments.

Adult↗

Adoption of an adult environmental neurobehavioral test battery.

Nationally recognized experts participated in a 3-day workshop to discuss the complex issues associated with neurobehavioral testing in environmental health settings, and to propose basic and focused test batteries for use in evaluating populations living near hazardous chemical sites. The Adult Environmental Neurobehavioral Test Battery (AENTB), which evaluates major neurobehavioral domains and functions, was adopted by the Agency for Toxic Substances and Disease Registry (ATSDR) for use as a basic screening panel in field studies. Pilot testing of the AENTB demonstrated an examiner training requirement of 3-6 practice sessions, a mean total testing time of 58.0 min (SD = 9.6), and, for 9 of the component tests, a sample size requirement of fewer than 140 (alpha = 0.05, 95% power) to detect a 20% difference between study groups. ATSDR administered the AENTB to 467 persons, selected randomly from 1,382 participants in field study sites in three states. Total testing time varied noticeably by participant age and study site, suggesting an ongoing need for site-specific controls in each field study using the AENTB. Also planned is adoption of a pediatric test battery to evaluate the domains and functions most relevant at major stages of child development.

Adult↗

Is fear of anaphylactic shock discouraging surgeons from more widely adopting percutaneous and laparoscopic techniques in the treatment of liver hydatid cyst?

BACKGROUND: Sources of reports about laparoscopic and percutaneous treatment of liver hydatid cysts are limited to just a few countries. To address the reason behind this, we carried out a survey of 30 surgeons in northern Jordan. METHODS: A questionnaire was distributed to collect data regarding the surgical technique preferred by each surgeon. Further information was collected from those not adopting minimal-access techniques to determine their reasons for not doing so. RESULTS: Only 3 surgeons (10%) considered laparoscopy as the first line of treatment. Of the 27 surgeons who did not consider percutaneous or laparoscopic treatment, fear of anaphylaxis and/or dissemination was the main reason given by 21 surgeons (78%) for not using minimal access techniques. CONCLUSIONS: The seemingly exaggerated traditional fear of anaphylaxis seems to discourage surgeons from more widely adopting minimal access techniques for the treatment of hydatid cyst.

Adult↗

A cost-benefit analysis methodology for assessing product adoption by older user populations.

A methodology for assessing perceptions of a product through cost-benefit analysis is demonstrated in an experimental study involving use of one of two products for supporting interaction with telephone voice menu systems. The method emphasizes ratings of constructs related to costs and benefits considered relevant to decisions regarding product adoption, and the use of the analytic hierarchy process technique to derive subjective importance weights associated with those constructs. Twenty-five younger subjects (18-39 years of age) and 27 older subjects (60-82 years of age) interacted with simulated telephone voice menu systems supported by either a screen phone or a graphical device. Although analysis of the benefit-cost ratios revealed that benefits were perceived as more important than costs, the analysis of the constituent item ratings and importance weights provided potentially more useful information for predicting product adoption.

Adolescent↗

Are the postures adopted according to requested linguistic categories similar to those classified by the recording protocols?

Knowledge on how workers perceive and associate their postures for trunk flexion with respect to linguistic categories, could allow for the development of simple and valid instruments for self-assessment and for more effective postural training. Considerable time and expense could be saved if reliable self-assessments were available. This study describes the anterior flexion angles of the trunk adopted by individuals according to linguistic categories (mild, moderate and severe) and registered by photograph. The postures were compared with postural recording protocols. Twenty sedentary individuals (10 male and 10 female) and 12 industrial female workers (6 healthy and 6 low back sufferers) participated. Subjects were capable of discriminating linguistic postural categories, since they adopted different trunk postures when distinct categories were requested (p< 0.0001). However, the individual variability was high for each category estimated. This could explain, at least in part, the low level of agreement between self-assessment and observational studies.

Adolescent↗

Queen adoption in colonies of the leaf-cutting ant Acromyrmex subterraneus molestans (Hymenoptera: Formicidae).

Bioassays were conducted in both laboratory and the field to determine if monogynous colonies of Acromyrmex subterraneus molestans (Myrmicinae, Attini) adopt queens from other colonies of the same subspecies. The results suggest that the adoption of fertilized queens is a possible mechanism to explain the occurrence of colonies with multiple queens in this subspecies. Only minor workers were able to discriminate queens from other colonies and were aggressive toward them. Therefore, queen recognition differs among subcastes.

Animals↗

Increased movement accuracy and reduced EMG activity as the result of adopting an external focus of attention.

The performance and learning of motor skills has been shown to be enhanced if the performer adopts an external focus of attention (focus on the movement effect) compared to an internal focus (focus on the movements themselves) [G. Wulf, W. Prinz, Directing attention to movement effects enhances learning: a review, Psychon. Bull. Rev. 8 (2001) 648-660]. While most previous studies examining attentional focus effects have exclusively used performance outcome (e.g., accuracy) measures, in the present study electromyography (EMG) was used to determine neuromuscular correlates of external versus internal focus differences in movement outcome. Participants performed basketball free throws under both internal focus (wrist motion) and external focus (basket) conditions. EMG activity was recorded for m. flexor carpi radialis, m. biceps brachii, m. triceps triceps brachii, and m. deltoid of each participant's shooting arm. The results showed that free throw accuracy was greater when participants adopted an external compared to an internal focus. In addition, EMG activity of the biceps and triceps muscles was lower with an external relative to an internal focus. This suggests that an external focus of attention enhances movement economy, and presumably reduces "noise" in the motor system that hampers fine movement control and makes the outcome of the movement less reliable.

Adult↗

The role of perceptions of clinicians in their adoption of a web-based antibiotic approval system: do perceptions translate into actions?

PURPOSE: Computerized Decision Support Systems have been shown to improve clinicians' performance. Clinicians' adoption of these systems is crucial for their success. Studying clinicians' perceptions can provide an insight into the determinants of clinicians' adoption of such systems. The aim of this study was to measure clinicians' perceptions of ease of use and usefulness of a web-based antibiotic approval system, and to investigate the relationship between the reported perceptions and use of the system. METHODS: Potentially identifiable coded surveys were sent to a total of 70 senior and 150 junior medical staff, and 30 pharmacists all working at a tertiary care referral teaching hospital of Melbourne, Australia. Clinicians' perceptions of ease of use and usefulness of the antibiotic approval system; clinicians' general computer use; and clinicians' usage of the antibiotic approval system were measured. RESULTS: The overall response rate from the clinicians was 53.4%. The majority of the participants (70% and above) found it easy to obtain antibiotic approval using the system. More than 80% of the participants believed that the system will decrease the inappropriate use of antibiotics at the hospital. Clinicians who were more likely to use the system also found it easy to learn (Rho=0.392, p=0.001), easy to show others how to use the system (Rho=0.298, p=0.014), easy to find additional information (Rho=0.317, p=0.009), and easy to use it within their daily workflow (Rho=0.268, p=0.028). In addition, the clinicians were also more likely to use the system if they believed that it will improve their adherence to evidence-based practice (Rho=0.352, p=0.003). CONCLUSION: The majority of clinicians in an independent investigation of the antibiotic approval system found the system easy to use and useful to them. A number of clinicians' perceptions about the system were found to be correlated with the actual usage of the system by the clinicians.

Adult↗

The value of site-specific information and the environment: technology adoption and pesticide use under uncertainty.

Remote sensing technology offers an opportunity to significantly increase the amount of site-specific information about field characteristics such as pest populations. Coupled with variable rate application technologies, this added information has the potential to provide environmental benefits through reduced pesticide applications. However, producers face a complicated adoption decision because output prices and crop yields are uncertain. A model is developed to examine the potential value of remote sensing information to pesticide applications in an option-value framework under uncertainty. Simulations suggest that remote sensing information could decrease pesticide use, but uncertainty and irreversibility are likely to limit technological adoption by farmers. Potential cost-share subsidies are discussed.

Agriculture↗

Physician reimbursement and technology adoption.

This study analyses the incentives of health care providers to adopt new technologies in a world with ex-post moral hazard. It is shown that in a second best efficient world with respect to insurance coverage, a linear remuneration scheme implements the adoption of second best efficient technologies only in special cases. Under a (third best) standard coinsurance contract, the adequate reimbursement rule is characterised depending on the characteristics of the technology and on patients' demand elasticities with respect to monetary and non-monetary costs. A shift from fee-for-service to capitation is likely to display undesirable incentives for very severe illnesses by inducing a reduction in the technically feasible level of healing or an increase in non-monetary costs of treatment.

Attitude to Computers↗