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Abstract
UNLABELLED How should biological behaviour be modelled? A relatively new approach is to investigate problems in neuroethology by building physical robot models of biological sensorimotor systems. The explication and justification of this approach are here placed within a framework for describing and comparing models in the behavioural and biological sciences. First, simulation models--the representation of a hypothesis about a target system--are distinguished from several other relationships also termed "modelling" in discussions of scientific explanation. Seven dimensions on which simulation models can differ are defined and distinctions between them discussed: 1. RELEVANCE whether the model tests and generates hypotheses applicable to biology. 2. Level: the elemental units of the model in the hierarchy from atoms to societies. 3. Generality: the range of biological systems the model can represent. 4. Abstraction: the complexity, relative to the target, or amount of detail included in the model. 5. Structural accuracy: how well the model represents the actual mechanisms underlying the behaviour. 6. Performance match: to what extent the model behaviour matches the target behaviour. 7. Medium: the physical basis by which the model is implemented. No specific position in the space of models thus defined is the only correct one, but a good modelling methodology should be explicit about its position and the justification for that position. It is argued that in building robot models biological relevance is more effective than loose biological inspiration; multiple levels can be integrated; that generality cannot be assumed but might emerge from studying specific instances; abstraction is better done by simplification than idealisation; accuracy can be approached through iterations of complete systems; that the model should be able to match and predict target behaviour; and that a physical medium can have significant advantages. These arguments reflect the view that biological behaviour needs to be studied and modelled in context, that is, in terms of the real problems faced by real animals in real environments.
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Webb B. An exploratory study in a community National Health Service Trust to understand why enrolled nurses choose not to convert to first-level registration. J Nurs Manag 2001; 9:343-52. [PMID: 11879482 DOI: 10.1046/j.0966-0429.2001.00268.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AIM The aim of this research study was to more fully understand at local level what it was that prevented enrolled nurses (ENs) coming forward for conversion to the first level of the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) nursing register. BACKGROUND An NHS Trust had first-level nursing shortages and looked to the 69 ENs nurses -- 12% of the nursing workforce -- to meet that shortfall via conversion to first-level UKCC nurse registration. Based on local surveys, their intention to convert was the same as national findings, in that high numbers said they wanted to convert. In addition, this NHS Trust provided support and fully funded conversion courses, yet they did not come forward. METHODS A qualitative approach based on focus groups with ENs was adopted to research this 'problem' within the local organizational context. FINDINGS ENs were unaware that fully funded course places were available, extremely fearful of the academic expectations of the conversion course and highly committed to family needs. Conclusions Nationally, policymakers advocated the retention of and/or the conversion of ENs, on the grounds that research participants did not perceive or believe that managers were supportive of this proposal. KEY RECOMMENDATIONS Create managers who looked beyond the immediate 'problem' of nursing shortages and invested in ENs to retain them in the NHS workforce. Establish local policy and an implementation plan to address the needs of ENs in line with clinical governance and the local nurse retention strategy. Empower ENs who would secure solutions to the issues for themselves.
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Ramsay SC, Labrooy J, Norton R, Webb B. Demonstration of different patterns of musculoskeletal, soft tissue and visceral involvement in melioidosis using 99m Tc stannous colloid white cell scanning. Nucl Med Commun 2001; 22:1193-9. [PMID: 11606884 DOI: 10.1097/00006231-200111000-00005] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Melioidosis is an infectious disease that can present with multiple foci of disease involvement. Assessment of disease extent can be difficult, especially in musculoskeletal, visceral and soft tissue infection. This study examined the usefulness of white cell scans in this condition. 99mTc stannous colloid white cell scanning was performed in 21 patients with culture-proven melioidosis. Scan results were compared with clinical assessment and correlated with other forms of imaging. White cell scans demonstrated all but one of the clinically apparent sites of musculoskeletal, visceral and other soft tissue infection. Unsuspected disseminated soft tissue lesions were seen in two patients, including femoral node uptake in both, and these patients subsequently presented with relapsing musculoskeletal disease. Unsuspected musculoskeletal disease was found in one patient. Clinically suspected musculoskeletal disease was accurately excluded by white cell scan in another patient. The results of white cell scanning were also examined in disease of other viscera. Renal and prostatic disease were visualized. Unsuspected parotid involvement was found in two patients. Only one of two spinal lesions was visualized. Pulmonary disease was not necessarily associated with abnormal uptake. White cell scanning is a quick and effective way of assessing the extent of musculoskeletal, visceral and soft tissue disease in melioidosis.
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Abstract
Re-implementing biological mechanisms on robots not only has technological application but can provide a unique perspective on the nature of sensory processing in animals. To make a robot work, we need to understand the function as part of an embodied, behaving system. I argue that this perspective suggests that the terms "representation" and "information processing" can be misleading when we seek to understand how neurobiological mechanisms carry out perceptual processes. This argument is presented here with reference to a robot model of cricket behavior, which has demonstrated competence comparable to that of the insect, but utilizes surprisingly simple central processing. Instead it depends on sensory interfaces that are well matched to the task, and on the link between environment, action, and perception.
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Abstract
There is a growing body of robot-based research that makes a serious claim to be a new methodology for biology. Robots can be used as models of specific animal systems to test hypotheses regarding the control of behaviour. At levels from learning algorithms to specific dendritic circuits, implementing a proposed controller in a robotic device tests it against real environments in a way that is difficult to simulate. This often provides insight into the true nature of the problem. It also enforces complete specifications and combines bodies of data. Current work can sometimes be criticized for drawing unjustified conclusions given the limited evaluation and inevitable inaccuracies of robot models. Nevertheless, this approach has led to novel hypotheses for animal behaviour and seems likely to provide fruitful results in the future. Copyright 2000 The Association for the Study of Animal Behaviour.
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Abstract
AIM The aim of this literature review was to examine the policies and professional literature from the last 50 years about the introduction, the role and subsequent plight of the enrolled nurse (also known as second level nurses), and the need to convert to the first level of the UKCC nursing register. BACKGROUND Nurse shortages within the NHS have been cyclical since its inception in 1948. The policy decision to cease the training of enrolled nurses within the frame of modernizing the education and training of the nursing workforce had two distinct implications for enrolled nurses. Firstly, they could choose to stay as enrolled nurses or convert to first level nursing. Nevertheless, enrolled nurses have cited the lack of funded conversion course places, and managerial support for non-conversion. METHODS A critical review of the national policies and professional literature concerned with the evaluation of enrolled nurses' contribution to the NHS. FINDINGS It was argued that national policy needs to be supported on the ground, whereby enrolled nurses are proactively supported to come forward for conversion and/or meaningful roles are created and sustained where enrolled nurses continue to make a valuable contribution to the NHS agenda. Finally, the paper challenges all NHS organizations to consider the profile and value of enrolled nurses and become proactive in their recruitment and retention of this nursing group.
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Webb B, Scutt T. A simple latency-dependent spiking-neuron model of cricket phonotaxis. BIOLOGICAL CYBERNETICS 2000; 82:247-269. [PMID: 10664111 DOI: 10.1007/s004220050024] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
A simple hypothesis regarding the recognition behaviour of crickets for conspecific songs is implemented in a dynamic simulation of spiking neurons and tested on a robot base. The model draws on data from cricket neurophysiology but requires only four neurons to reproduce a wide range of the observed behaviour. The directional response depends on relative latencies in firing onset, and the 'recognition' emerges from the implicit filtering properties of leaky-integrate-and-fire neurons. Experimental conditions reproduced include tests of syllable rate preference, song from above with sound from one side, and choice between songs. The robot produces behaviour closely comparable to the cricket in all but a 'split-song' condition. A number of properties can be observed in the neural circuit that correspond to cricket neurophysiology including apparent 'recognition neurons'. Limitations of the model, extensions and alternative models are discussed.
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Malafa M, Margenthaler J, Webb B, Neitzel L, Christophersen M. MnSOD expression is increased in metastatic gastric cancer. J Surg Res 2000; 88:130-4. [PMID: 10644478 DOI: 10.1006/jsre.1999.5773] [Citation(s) in RCA: 102] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
BACKGROUND Manganese superoxide dismutase (MnSOD) catalyzes the scavenging of superoxide radicals in order to protect cells from the damage caused by reactive oxygen species. Previous studies implicate MnSOD in cancer progression, but its role in gastric cancer metastasis is poorly understood. MATERIALS AND METHODS To determine whether MnSOD expression correlates with gastric cancer metastasis, we compared immunostaining for MnSOD in the primary tumors of gastric cancer patients with (n = 15) and without (n = 9) nodal metastases. These patients were matched for risk factors associated with gastric cancer metastasis, such as tumor site, depth, and grade. MnSOD expression was scored positive (increased) if MnSOD staining of tumor cells was more intense than MnSOD staining in corresponding normal gastric epithelial cells. Statistical analyses were via chi(2) test and Fisher's exact test. RESULTS MnSOD expression was increased in 14 of the 15 (93%) metastatic tumors, compared to only 4 of the 9 (44%) nonmetastatic tumors (P = 0.015). There was no significant difference in staining when the two groups were compared based on tumor grade (P = 0.70) or depth of tumor cell invasion (T stage) (P = 0.22). CONCLUSIONS MnSOD expression is upregulated in the primary tumors of gastric cancer patients with lymph node metastases. This finding supports an involvement of MnSOD and possibly the reactive oxygen status of the gastric tumor microenvironment in gastric cancer metastasis.
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Thinschmidt JS, Webb B, Martin DE, Feldman DH, King MA, Walker DW. The development and pharmacological characterization of calcium channel currents in cultured embryonic rat septal cells. BRAIN RESEARCH. DEVELOPMENTAL BRAIN RESEARCH 1999; 118:13-21. [PMID: 10611499 DOI: 10.1016/s0165-3806(99)00117-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
We characterized the development and pharmacology of Ca(2+) channel currents in NGF-treated embryonic day 21 cultured rat septal cells. Using standard whole-cell voltage clamp techniques, cells were held at -80 mV and depolarized to construct current-voltage relations in conditions that eliminated Na(+) or K(+) currents. Barium (10 mM) was used as the charge carrier. Maximum current was produced when cells were depolarized to 0 or +10 mV. Recordings from 77 cells revealed that Ca(2+) channel current density increases over time in culture from nearly 0 pA/pF on day 2 in vitro (0.65+/-0.65 pA/pF) to (6.95+/-1.59 pA/pF) on days 6-8. This was followed by a period where currents became nearly 3 times more dense (21.05+/-7.16 pA/pF) at days 9-17. There was little or no evidence for low voltage activated currents. Bath application of 50-100 microM CdCl(2) abolished approximately 95% of the current. Application of 10 microM nimodipine produced a 50.5+/-3.22% reduction in current, 2 microM omega-CTx-GVIA produced a 32.4+/-7.3% reduction, and application of 4 microM omega-Aga-IVA produced a 29.5+/-5.73% reduction in current. When all three inhibitors (10 microM nimodipine, 2 microM omega-CTx-GVIA, and 4 microM omega-Aga-IVA) were applied simultaneously, a residual current remained that was 18.0+/-4.9% of the total current and was completely abolished by application of CdCl(2). This is the first report to characterize Ca(2+) channel currents in cultured embryonic septal cells. These data indicate that there is a steady increase in Ca(2+) channel expression over time in vitro, and show that like other cultured neuronal cells, septal cells express multiple Ca(2+) channel types including L, N, P/Q and R-type channels.
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Webb B, Louri A. All-optical crossbar switch using wavelength division multiplexing and vertical-cavity surface-emitting lasers. APPLIED OPTICS 1999; 38:6176-6183. [PMID: 18324141 DOI: 10.1364/ao.38.006176] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
A design for an all-optical crossbar network utilizing wavelength-tunable vertical-cavity surface-emitting laser (VCSEL) technology and a combination of free-space optics and compact optical waveguides is presented. Polymer waveguides route the optical signals from a spatially distributed array of processors to a central free-space optical crossbar, producing a passive, all-optical, fully connected crossbar network directly from processor to processor. The analyzed network could, relatively inexpensively, connect local clusters of tightly integrated processors. In addition, it is also believed that such a network could be extended, with wavelength reuse, to connect much larger numbers of processors in a multicluster network.
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Abstract
Crickets are able to extract directional information about a wind stimulus through the filiform hairs located on their cerci. This paper describes the design and testing of a neuromorphic sensor that aims to achieve a close correlation with both the physical and functional properties of these hairs. An integrate and fire neural network is used to process the sensory information in real time. The resulting system is shown to be capable of extracting directional information from a wind stimulus and producing an appropriate motor control pattern.
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King L, Webb B, Zanolli M. Experience in treating recalcitrant scalp psoriasis with automated shampooing and debridement. J Am Acad Dermatol 1999; 41:638-51. [PMID: 10495388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
We report the cumulative clinical experience and financial implications of treating severe scalp psoriasis in an outpatient phototherapy center by means of an automated scalp debridement unit. Benefits of this approach included increased patient and staff satisfaction, enhanced response of recalcitrant scalp psoriasis, and detection of scalp dermatoses mimicking psoriasis.
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Abstract
Modelling is most clearly understood as a adjunct in the process of deriving predictions from hypotheses. By representing a hypothesised mechanism in a model we hope by manipulating the model to understand the hypotheses' consequences. Eight dimensions on which models of biological behaviour can vary are described: the degree of realism with which they apply to biology; the level of biology they represent; the generality or range of systems the model is supposed to cover; the abstraction or amount of biological detail represented; the accuracy of representation of the mechanisms; the medium in which the model is built; the match of the model behaviour to biological behaviour; and the utility of the model in providing biological understanding and/or technical insight. It is hoped this framework will help to clarify debates over different approaches to modelling, particularly by pointing out how the above dimensions are relatively independent and should not be conflated.
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Webb B. Prompt pay: three months is simply too long. HOSPITAL OUTLOOK 1999; 2:6. [PMID: 10539533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
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Webb B, Williamson S, Ashby CA. Harnessing IT systems to support patient care: good practice. Nurs Stand 1999; 13:38-40. [PMID: 10358555 DOI: 10.7748/ns1999.04.13.29.38.c7508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The incorporation of information management and technology into healthcare environments has long been advocated, but resistance from clinicians and perceived financial constraints have laboured its successful implementation in many trusts. This article looks at the reasons behind these problems and highlights the benefits to patients of effective use of information technology in the delivery and documentation of patient care.
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Karras PJ, Barawi M, Webb B, Michalos A. Squamous cell papillomatosis of esophagus following placement of a self-expanding metal stent. Dig Dis Sci 1999; 44:457-61. [PMID: 10080134 DOI: 10.1023/a:1026695600375] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The esophageal self-expanding metal stent has gained widespread acceptance for the management of tracheoesophageal fistulas and the palliative management of malignant esophageal strictures. The complications associated with its use can be classified as either immediate or delayed. The most frequent delayed complications include tumor ingrowth, stent migration, reflux of gastric contents, bleeding, and perforation. This case report illustrates an otherwise unrecognized delayed complication of a self-expanding metal stent. Near complete ingrowth of the stent by squamous mucosal hyperplasia occurred within six weeks of the metal stent's placement. This finding supports the hypothesis that mucosal injury and regeneration underlies the etiology of esophageal squamous cell papilloma formation.
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Webb B. The aftermath of the Bristol case. Private practice has similar problems. BMJ (CLINICAL RESEARCH ED.) 1998; 317:815. [PMID: 9786675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
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Willis JAR, McKinstry B, Tomlin PJ, Dawson R, Gray AJ, Hole R, Egan J, Lee D, Fisher P, Geller RJ, Gardiner K, Pemberton PJ, Ramsay J, Briley D, Nicholson R, Banerjee AK, Webb B, Gainsborough N, Kerrison S, Lloyd-Mostyn RH, Ashley-Miller M, Elwyn GJ, Lewis M. The aftermath of the Bristol case. BMJ : BRITISH MEDICAL JOURNAL 1998. [DOI: 10.1136/bmj.317.7161.811] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abstract
AIM This study sets out to evaluate the contribution of the Nursing Development Officer (NDO) on nursing developments within a local UK NHS Trust. BACKGROUND Qualified nursing staff are an essential, although expensive resource and it is suggested that the contribution of professional employees should be continually assessed and developed in order to ensure that they are meeting the aims of the organization. Consequently a significant amount of resources has been focussed on the development of this staff group. METHOD Following a review of the literature the researcher collected two sets of data. Firstly quantitative data via a questionnaire from fieldstaff, and secondly qualitative data from semi-structured interviews with the nurse managers. Data were analysed manually by the researcher. FINDINGS The main theme to emerge was the potential scope of the NDO role within the organization. The NDO was frequently consulted by nursing staff for advice and help, particularly for information on courses. Managers identified a range of themes which were the personal qualities of the NDO, the scope of service provided by the NDO, the qualities of the training and development department, the needs of nurses within the Trust and, finally, a range of corporate and external issues which impact on nursing development. CONCLUSIONS This study has evaluated the contribution of the NDO on nursing development and further highlighted the complementary systems that are necessary to enhance nursing within a healthcare organization.
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Lund HH, Webb B, Hallam J. Physical and temporal scaling considerations in a robot model of cricket calling song preference. ARTIFICIAL LIFE 1998; 4:95-107. [PMID: 9798277 DOI: 10.1162/106454698568468] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Behavioral experiments with crickets show that female crickets respond to male calling songs with syllable rates within a certain bandwidth only. We have made a robot model in which we implement a simple neural controller that is less complex than the controllers traditionally hypothesized for cricket phonotaxis and syllable rate preference. The simple controller, which had been successfully used with a slowed and simplified signal, is here demonstrated to function, using songs with identical parameters to those found in real male cricket song, using an analog electronic model of the peripheral auditory morphology of the female cricket as the sensor. We put the robot under the same experimental conditions as the female crickets, and it responds with phonotaxis to calling songs of real male Gryllus bimaculatus. Further, the robot only responds to songs with syllable rates within a bandwidth similar to the bandwidth found for crickets. By making polar plots of the heading direction of the robot, we obtain behavioral data that can be used in statistical analyses. These analyses show that there are statistically significant differences between the behavioral responses to calling songs with syllable rates within the bandwidth and calling songs with syllable rates outside the bandwidth. This gives the verification that the simple neural control mechanism (together with morphological auditory matched filtering) can account for the syllable rate preference found in female crickets. With our robot system, we can now systematically explore the mechanisms controlling recognition and choice behavior in the female cricket by experimental replication.
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Webb B, Suarez SS, Heaton MB, Walker DW. Cultured postnatal rat septohippocampal neurons change intracellular calcium in response to ethanol and nerve growth factor. Brain Res 1997; 778:354-66. [PMID: 9459553 DOI: 10.1016/s0006-8993(97)01088-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Ethanol exposure affects cellular mechanisms involved in the regulation of calcium (Ca2+) homeostasis. Neurotrophins, such as nerve growth factor (NGF), stabilize intracellular Ca2+([Ca2+]i) during a variety of neurotoxic insults. In this study, changes in [Ca2+]i during treatment with ethanol and NGF were measured at the cell body of neurons using the Ca2+ indicator indo-1. Cultured postnatal day-of-birth (P0) septohippocampal (SH) neurons that were labeled with 1,1'-dioctadecyl-3,3,3',3'-tetramethyl-indocarbocyanine perchlorate (DiI), increased [Ca2+]i in response to ethanol. This response was dose-related. P0 SH neurons treated with NGF had lower [Ca2+]i than neurons withdrawn from NGF, implying that NGF may modulate Ca2+ homeostasis in these neurons. NGF also prevented the dose-related increase in [Ca2+]i in ethanol-treated SH neurons. The SH neurons increased [Ca2+]i when they were stimulated with 30 mM potassium chloride (KCl). Ethanol inhibited the potassium-stimulated change in [Ca2+]i but the combination of ethanol and NGF caused [Ca2+]i to increase with 100 mg% and 400 mg% ethanol and to decrease to a lower level with 200 mg% ethanol. These data were compared to data from previously published similar aged medial septal (MS) neurons (B. Webb, S.S. Suarez, M.B. Heaton, D.W. Walker, Clin. Exp. Res. 20 (1996) 1385-1394) and with embryonic gestational day 21 (E21) SH neurons (B. Webb, S.S. Suarez, M.B. Heaton, D.W. Walker, Brain Res. 729 (1996) 176-189). Differences in [Ca2+]i responses were observed in ethanol and NGF-treated postnatal SH neurons compared with P0 MS neurons and E21 SH neurons. Of these differences, most occurred during the combined treatment with ethanol and NGF compared with either treatment alone.
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Webb B, Heaton MB, Walker DW. Ethanol effects on cultured embryonic hippocampal neuronal calcium homeostasis are altered by nerve growth factor. Alcohol Clin Exp Res 1997; 21:1643-52. [PMID: 9438525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The neurotoxic effect of acute ethanol treatment (AET) may lead to an alteration in the regulation of calcium (Ca2+) homeostasis in hippocampal neurons. Ca2+ homeostasis could be affected by AET when neurons are at rest or after depolarizing activity during synaptic transmission. It has been shown that nerve growth factor (NGF) can ameloriate some types of neurotoxicity by stabilizing Ca2+ homeostasis. Previously, we observed that ethanol (EtOH) changed unstimulated (basal) and potassium (K+)-stimulated intracellular calcium ([Ca2+]i) in embryonic septohippocampal neurons (Webb et al., Brain Res. 729:176-189, 1996). The purpose of the present study is to determine the effects of NGF and EtOH on neuronal Ca2+ homeostasis in cultured embryonic hippocampal neurons. The hypotheses tested were the following: EtOH alters Ca2+ homeostasis in hippocampal neurons; NGF modulates Ca2+ homeostasis in hippocampal neurons; and NGF treatment alters the effect of EtOH on [Ca2+]i in hippocampal neurons. Our results indicated that hippocampal neuronal cultures treated with EtOH had lower basal [Ca2+]i than untreated neurons. EtOH decreased K+-stimulated (30 mM KCI) changes in [Ca2+]i in a dose-dependent manner. During K+ stimulation, 20 ng/ml of NGF slowed and reduced the increase in [Ca2+]i. Hippocampal neurons treated with NGF increased or did not change basal [Ca2+]i and did not change or increase K+-stimulated [Ca2+]i in response to EtOH. These responses were dose-related and indicated that NGF could alter the response of hippocampal neurons to EtOH. In conclusion, AET results in the alteration of Ca2+ homeostasis in unstimulated and depolarized cultured embryonic hippocampal neurons. NGF and EtOH independently and collectively affected the regulation of Ca2+ homeostasis in this neuronal population. Changes in [Ca2+]i can disrupt normal cellular function and contribute to cell death. Therefore, alteration of Ca2+ homeostasis may be an underlying mechanism involved in EtOH toxicity. NGF may ameliorate the toxic effects of EtOH by regulating Ca2+ homeostasis.
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Webb B, Heaton MB, Walker DW. Ethanol Effects on Cultured Embryonic Hippocampal Neuronal Calcium Homeostasis Are Altered by Nerve Growth Factor. Alcohol Clin Exp Res 1997. [DOI: 10.1111/j.1530-0277.1997.tb04502.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Abstract
Nurses and service managers in a community trust were asked to evaluate a training course designed to help them implement the trust's clinical supervision policy. The audit identified several patterns of clinical supervision emerging within the trust. The author discusses the benefits of these to patients, staff and the organisation and draws some recommendations for nurses involved in implementing clinical supervision.
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