151
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Abstract
We have developed a simple procedure for the localized mutagenesis of yeast genes. In this technique the region of interest is first amplified under mutagenic polymerase chain reaction (PCR) conditions. Cotransformation of the PCR product with a gapped plasmid containing homology to both ends of the PCR product allows in vivo recombination to repair the gap with the mutagenized DNA. This procedure is efficient, allows targeting of specific regions for mutagenesis, and requires no subcloning steps in Escherichia coli.
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Affiliation(s)
- D Muhlrad
- Department of Molecular and Cellular Biology, University of Arizona, Tucson 85721
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152
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Ebmeier KP, Hunter R, Curran SM, Dougal NJ, Murray CL, Wyper DJ, Patterson J, Hanson MT, Siegfried K, Goodwin GM. Effects of a single dose of the acetylcholinesterase inhibitor velnacrine on recognition memory and regional cerebral blood flow in Alzheimer's disease. Psychopharmacology (Berl) 1992; 108:103-9. [PMID: 1410128 DOI: 10.1007/bf02245293] [Citation(s) in RCA: 44] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The effects of a single oral dose of the acetylcholinesterase inhibitor velnacrine maleate on word and object recognition memory and regional uptake of 99mTc-exametazime were examined in patients with Alzheimer's disease. Word recognition memory was marginally improved 2 h after 75 mg velnacrine. With the same dose of velnacrine a relative increase in superior frontal uptake of 99mTc-exametazime was shown with single photon emission computed tomography (SPECT). This suggests increased regional perfusion and metabolism as a consequence of cholinergic stimulation. The effect did not co-vary with the degree of memory improvement, but, instead, more cognitively impaired patients showed a greater increase in tracer uptake after velnacrine, suggesting cholinergic hypersensitivity in the brains of Alzheimer patients.
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Affiliation(s)
- K P Ebmeier
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital, Morningside Park, UK
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153
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Hunter R, Brown D, Bach L, Wyper D, Patterson J, McCulloch J. The effect of the acetylcholinesterase inhibitor velnacrine on memory and regional cerebral blood flow in Alzheimer's disease. Neurobiol Aging 1992. [DOI: 10.1016/0197-4580(92)90618-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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154
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Deary IJ, Hunter R, Langan SJ, Goodwin GM. Inspection time, psychometric intelligence and clinical estimates of cognitive ability in pre-senile Alzheimer's disease and Korsakoff's psychosis. Brain 1991; 114 ( Pt 6):2543-54. [PMID: 1782530 DOI: 10.1093/brain/114.6.2543] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Ten pre-senile Alzheimer's patients, 11 patients with Korsakoff's psychosis and 11 age- and pre-morbid intelligence-matched controls were given a test of Inspection Time, which estimates the efficiency of visual encoding or iconic memory. Alzheimer's patients had impaired Inspection Time while the Korsakoff group performed very similarly to the controls. Inspection Time performance correlated significantly with psychometric tests of cognitive ability and with clinical tests of cognitive ability (Mini Mental State Examination and Cambridge Mental Disorders of the Elderly Examination). The early stage of information processing measured by the Inspection Time procedure appears to be damaged by the Alzheimer's disease process, and to impose a rate-limiting effect on a wide variety of mental tests.
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Affiliation(s)
- I J Deary
- Department of Psychology, Edinburgh University, Scotland
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155
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Shedlack KJ, Hunter R, Wyper D, McLuskie R, Fink G, Goodwin GM. The pattern of cerebral activity underlying verbal fluency shown by split-dose single photon emission tomography (SPET or SPECT) in normal volunteers. Psychol Med 1991; 21:687-696. [PMID: 1946857 DOI: 10.1017/s0033291700022327] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Uptake of 99mTc-Exametazime, a marker of relative regional cerebral blood flow has been determined with Single Photon Emission Tomography (SPET or SPECT) in 20 healthy, elderly female subjects during neuropsychological challenge. Each subject was studied under basal conditions after injection of 125 MBq 99mTc-Exametazime. Without moving the head of the subject, they were scanned again after injection of 375 MBq 99mTc-Exametazime. The second injection was made in 10 subjects during a test of verbal fluency, usually regarded as a test of the integrity of function of the left frontal cortex. In the other 10 subjects the second injection was made during simple verbalization (counting). This method of splitting the normal full dose of 99mTc-Exametazime allows a novel comparison between basal and active conditions for different brain regions. Verbal fluency was associated with reduced uptake bilaterally in the region of the basal ganglia and in left temporal (peri-sylvian) cortex when compared with calcarine cortex, an unstimulated reference sensory area. By contrast, counting produced relative activation, greatest in frontal and parietal areas. Thus, a clinically relevant neuropsychological test can be characterized metabolically by a pattern of regional brain activity, whose localization cannot readily be predicted from classical studies of brain lesions. Reduction of regional uptake may suggest an important role for deactivation or inhibition of function in human cognition. The involvement of basal ganglia and temporal areas is of particular interest in relation to the investigation of functional psychiatric illness.
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Affiliation(s)
- K J Shedlack
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital
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156
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Hunter R, Olsen M, Buynitzky S. Adjuvant activity of non-ionic block copolymers. IV. Effect of molecular weight and formulation on titre and isotype of antibody. Vaccine 1991; 9:250-6. [PMID: 2058267 DOI: 10.1016/0264-410x(91)90108-i] [Citation(s) in RCA: 66] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The adjuvant activity of block copolymers varies with the lengths of the chains of polyoxypropylene (POP) and polyoxyethylene (POE). This project evaluated the adjuvant activity of new copolymers with long polyoxypropylene chains in mice immunized with TNP-hen egg albumin in 2% squalone-in-water emulsions. Two of the new copolymers, L141 and L180.5, not only stimulated higher antibody titres to TNP than older preparations, but also induced a higher percentage of the IgG2 isotypes. The smaller older copolymers, L101 and L121, induced higher absolute levels of IgG3 antibody and relative increases in IgG1. Incorporation of immunomodulators (cell wall skeletons, monophosphoryl lipid A or threonyl muramyl dipeptide) increased mean IgG titres but also increased variability of responsiveness among individuals.
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Affiliation(s)
- R Hunter
- Department of Pathology, Emory University, Atlanta, Georgia 30322
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157
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Hunter R, Wyper DJ, Patterson J, Hansen MT, Goodwin GM. Cerebral pharmacodynamics of physostigmine in Alzheimer's disease investigated using single-photon computerised tomography. Br J Psychiatry 1991; 158:351-7. [PMID: 2036533 DOI: 10.1192/bjp.158.3.351] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The effects of physostigmine on patterns of rCBF in patients with pre-senile Alzheimer's disease were studied using 99mTc-labelled HMPAO SPECT. Regional CBF increased in the left cortex relative to right, with the most significant effect in left frontal and higher frontal regions. Measures of regional brain function, such as SPECT, are an important complement to psychological test batteries in understanding the effects in brain of putative antidementia drugs. SPECT brain imaging could extend our understanding of the action of psychotropic drugs in other major psychiatric illnesses.
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Affiliation(s)
- R Hunter
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital
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158
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Rose P, Reale F, Fischer A, Hunter R. Appendectomy in primary and secondary staging operations for ovarian malignancy. Gynecol Oncol 1991. [DOI: 10.1016/0090-8258(91)90187-a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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159
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Christie J, Hunter R, Bennie J, Wilson H, Carroll S, Fink G. Reduced plasma oestrogen stimulated neurophysin and delayed response to oestrogen challenge in Alzheimer's disease. Psychol Med 1990; 20:773-777. [PMID: 2284385 DOI: 10.1017/s003329170003645x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Plasma concentrations of oestrogen stimulated neurophysin (ESN) were reduced in 28 patients with Alzheimer's disease (AD) compared with 14 age-matched controls, 16 patients with other presenile dementias and 12 patients with major depressive disorder. The ESN response to oestrogen challenge was delayed in 10 AD patients compared with 7 age-matched controls. Reduced basal and oestrogen stimulated plasma ESN may be related to impaired responsiveness of the hypothalamo-neurohypophysial neurons and/or a reduction in the amount of pituitary ESN available for release. Plasma ESN measurements may be of value for excluding the diagnosis of AD in patients with dementia who present before the age of 65.
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Affiliation(s)
- J Christie
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital
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160
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161
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Robinson R, Hunter R. Poster and exhibit production with engineering-size xerographic copiers: a classroom application. J Biol Photogr 1990; 58:93-4. [PMID: 2373678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- R Robinson
- Audiovisual Department, National College of Chiropractic, Lombard, Illinois
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162
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Hunter R, McLuskie R, Wyper D, Patterson J, Christie JE, Brooks DN, McCulloch J, Fink G, Goodwin GM. The pattern of function-related regional cerebral blood flow investigated by single photon emission tomography with 99mTc-HMPAO in patients with presenile Alzheimer's disease and Korsakoff's psychosis. Psychol Med 1989; 19:847-855. [PMID: 2594881 DOI: 10.1017/s0033291700005560] [Citation(s) in RCA: 90] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Single photon emission tomography (SPET) with the lipophilic blood flow marker 99mTc-hexamethyl propyleneamine oxime (99mTc-HMPAO) has been used to determine regional uptake of radiolabel into brain regions of patients with presenile Alzheimer's disease and Korsakoff's psychosis, and age-matched controls. Using occipital cortical uptake as reference area, the pattern of relative regional cerebral blood flow (rCBF) was determined in other cortical areas and basal ganglia. In Alzheimer's disease, reduction in rCBF occurred most strikingly in posterior temporal and parietal areas. By contrast, in Korsakoff's psychosis, posterior temporal rCBF was maintained, although there was a trend to reduced tracer uptake in other cortical areas. These impairments of flow were correlated with impairments of neuropsychological function. In Alzheimer's disease, left posterior temporal and left parietal regions in particular showed rCBF to be strongly correlated with most aspects of cognitive function. In Korsakoff's psychosis, however, impaired flow in frontal regions was correlated with impaired performance on tests of memory and orientation. The findings in Alzheimer's disease show quantitative parallels with those from studies using Positron Emission Tomography (PET), and extend our understanding of the relationship between cognition and regional brain function in dementia. The findings in Korsakoff's psychosis offer the first direct evidence linking frontal lobe dysfunction with the cognitive impairment seen in the disorder.
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Affiliation(s)
- R Hunter
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital
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163
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Robinson R, Hunter R. A template for a database photographic images catalog. J Biol Photogr 1989; 57:123-4. [PMID: 2613614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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164
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Hunter R. Dangerous drugs. Nurs Times 1989; 85:42-4. [PMID: 2671947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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165
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Abstract
The effect of blood-lead on children's behaviour was investigated in a sub-sample of 501 boys and girls aged 6-9 years from 18 primary schools within a defined area of central Edinburgh. Behaviour ratings of the children were made by teachers and parents using the Rutter behaviour scales. An extensive home interview with a parent was also carried out. Multiple regression analyses showed a significant relationship between log blood-lead and teachers' ratings on the total Rutter score and the aggressive/anti-social and hyperactive sub-scores, but not the neurotic sub-score when 30 possible confounding variables were taken into account. There was a dose-response relationship between blood-lead and behaviour ratings, with no evidence of a threshold.
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Affiliation(s)
- G O Thomson
- Department of Education, University of Edinburgh, U.K
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166
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Slife CW, Wang E, Hunter R, Wang S, Burgess C, Liotta DC, Merrill AH. Free sphingosine formation from endogenous substrates by a liver plasma membrane system with a divalent cation dependence and a neutral pH optimum. J Biol Chem 1989; 264:10371-7. [PMID: 2499578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Long-chain (sphingoid) bases may serve as another category of "lipid second messenger" because they inhibit protein kinase C and affect multiple cellular functions. Free sphingosine has been found in rat liver (Merrill, A. H., Jr., Wang, E., Mullins, R. E., Jamison, W. C. L., Nimkar, S., and Liotta, D. C. (1988) Anal. Biochem. 171, 373-381); hence, this study determined if liver plasma membranes contain free long-chain bases and have the ability to form them from endogenous enzymes and substrates. Isolated plasma membranes contained 0.45 nmol of sphingosine/mg of protein which, based on the recovery of the membranes, was equivalent to 3.5 +/- 1.2 nmol/g of liver and at least half of the total free sphingosine in liver. When the membranes were incubated at 37 degrees C, the amount increased at an initial rate of 5-25 pmol/min/mg, resulting in a 2-3-fold increase over an hour. Sphingosine formation required divalent cations, was optimal at neutral to alkaline pH, and was temperature-dependent. Activities with these characteristics were not identified in microsomes or lysosomes (lysosomal activities with acidic pH optima were detected, however); hence, they appear to reflect a separate plasma membrane system. Sphingosine formation was stimulated by ceramides either added exogenously or formed endogenously by treating the membranes with sphingomyelinase (but not endoglycoceramidase). Sphingomyelin hydrolysis to ceramide was also observed during incubation of the plasma membranes alone. Some of the properties of this system resembled the neutral sphingomyelinase and ceramidase activities of liver. While the physiological significance of this endogenous sphingosine is not known, this system has the appropriate subcellular location to provide sphingosine as a participant in signal transduction.
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Affiliation(s)
- C W Slife
- Department of Biochemistry, Emory University, Atlanta, Georgia 30322
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167
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Hunter R, Merrick MV, Ferrington C, Notghi A, McLuskie R, Christie JE, Goodwin GM. Cerebral vascular transit time in Alzheimer's disease and Korsakoff's psychosis and its relation to cognitive function. Br J Psychiatry 1989; 154:790-6. [PMID: 2557110 DOI: 10.1192/bjp.154.6.790] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The cerebral vascular transit time of 17 patients with pre-senile dementia of the Alzheimer type (ATD), nine abstinent patients with alcoholic Korsakoff's psychosis (KOR), and ten age-matched controls was determined by the bolus intravenous injection of pertechnetate. A gamma camera was used to estimate the median transit time (MTT) of the radioactive bolus in a planar (non-tomographic) projection normal to the vertex. The spread of the bolus arriving at the aortic arch was measured independently by a single external detector over the chest, and correction made for the transit time of this input function in calculating the net MTT for the head. Both ATD and KOR groups showed lengthened net MTTs, compatible with reduced cerebral blood flow, and which were correlated with reduced cognitive function. It is concluded that the method employed gives a simple, inexpensive estimate of function-related blood flow to the brain in pre-senile dementia.
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Affiliation(s)
- R Hunter
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital, Morningside Park
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168
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Merrill AH, Nimkar S, Menaldino D, Hannun YA, Loomis C, Bell RM, Tyagi SR, Lambeth JD, Stevens VL, Hunter R. Structural requirements for long-chain (sphingoid) base inhibition of protein kinase C in vitro and for the cellular effects of these compounds. Biochemistry 1989; 28:3138-45. [PMID: 2742830 DOI: 10.1021/bi00434a004] [Citation(s) in RCA: 214] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Sphingosine, sphinganine, and other long-chain (sphingoid) bases inhibit protein kinase C in vitro and block cellular responses to agonists that are thought to act via this enzyme. To gain further insight into the mechanism of this inhibition, a series of long-chain analogues differing in alkyl chain length (11-20 carbon atoms), stereochemistry, and headgroup were examined for (a) inhibition of protein kinase C activity in vitro, (b) the neutrophil respiratory burst in response to phorbol myristate acetate (PMA), (c) the PMA-induced differentiation of HL-60 cells, and (d) the growth of Chinese hamster ovary cells. In every instance, the effects were maximal with the 18-carbon homologues, which are the same length as the predominant naturally occurring long-chain base (sphingosine). The lower potency of the shorter chain homologues was partially due to decreased uptake by cells. Small differences were obtained with the four stereoisomers of sphingosine (i.e., D and L forms of erythro- and threo-sphingosine), with N-methyl derivatives of the different sphingosine homologues, and with simpler alkylamines (e.g., stearylamine). The potency of the different headgroup analogues may be affected by the degree of protonation at the assay pH. The pKa of sphingosine was measured to be 6.7; the pKa varied among the analogues. These findings establish that the major structural features required for inhibition of protein kinase C and cellular processes dependent on this enzyme are the presence of a free amino group and an aliphatic side chain and that other groups have more subtle effects.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- A H Merrill
- Department of Chemistry, Emory University School of Medicine, Atlanta, Georgia 30322
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169
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Christie JE, Whalley LJ, Hunter R, Bennie J, Fink G. Sulpiride treatment of acute mania with a comparison of the effects on plasma hormone concentrations of lithium and sulpiride treatment. J Affect Disord 1989; 16:115-20. [PMID: 2522110 DOI: 10.1016/0165-0327(89)90064-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Sulpiride, in this open study of acute manic patients, had a clear antimanic action with all eight patients responding to sulpiride treatment without the need for other antipsychotic drugs. Plasma prolactin concentrations were increased and oestrogen-stimulated neurophysin concentrations decreased by sulpiride but were unchanged by lithium treatment, whereas TSH concentrations showed a rapid increase following the introduction of lithium therapy.
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Affiliation(s)
- J E Christie
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital, U.K
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170
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Abstract
A slowly growing subgroup 2 bovine adenovirus (BAV) strain designated Ruakura 78-5371 was isolated from a yearling heifer with systemic adenovirus infection. Cross neutralization tests and restriction endonuclease analysis of the viral DNA showed the virus to be distinct from the other 9 recognised types of BAV. It is proposed that this strain should be regarded as the prototype strain of the new type BAV-10.
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Affiliation(s)
- G W Horner
- Ruakura Animal Health Laboratory, Hamilton, New Zealand
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171
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Hunter R, Christie JE, Whalley LJ, Bennie J, Carroll S, Dick H, Goodwin GM, Wilson H, Fink G. Luteinizing hormone responses to luteinizing hormone releasing hormone (LHRH) in acute mania and the effects of lithium on LHRH and thyrotrophin releasing hormone tests in volunteers. Psychol Med 1989; 19:69-77. [PMID: 2498919 DOI: 10.1017/s003329170001103x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The endocrine responses to Luteinizing Hormone Releasing Hormone (LHRH) of eight drug-free males with mania were determined. Basal levels of Luteinizing Hormone (LH) and the plasma levels following injection of LHRH were elevated in patients compared with controls; Follicle Stimulating Hormone (FSH) and testosterone were not different. Elevated levels of LH have been described previously in recovered manic patients and have been suggested to be state-independent features of mania. In order to clarify the status of this finding, the effects of lithium administration upon hormone responses to LHRH in six male volunteers were also investigated, together with the effects upon Thyrotrophin Releasing Hormone (TRH) stimulation of Thyroid Stimulating Hormone (TSH) and prolactin release. Lithium increased the basal levels of LH and levels after injection of LHRH without effect upon FSH and testosterone. Lithium also increased basal and TRH stimulated release of TSH and basal prolactin levels. Lithium was without effect upon prolactin responses to TRH. The results are discussed in relation to current information on the mechanism of lithium's action. The implications for neuroendocrine work on recovered patients taking lithium are also explored.
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Affiliation(s)
- R Hunter
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital
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172
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Hunter R, Gordon A, McLuskie R, Wyper D, Patterson J, Christie JE, Fink G, Goodwin GM. Gross regional cerebral hypofunction with normal CT scan in Creutzfeldt-Jakob disease. Lancet 1989; 1:214. [PMID: 2563115 DOI: 10.1016/s0140-6736(89)91224-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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173
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Abstract
The purpose of this research was to determine if bracing altered muscle firing amplitude, duration, or timing, creating improved dynamic stability. We hypothesized that a derotational knee brace improved the stability of an ACL deficient knee by augmenting limb proprioception, causing hamstring muscles to increase in activity and/or to contract earlier during a side-step cut. Ten subjects with documented unilateral isolated ACL deficient knees and five normal controls participated. A strap dominant brace (Lenox Hill, Lenox Hill Brace, Inc., Long Island City, NY) and a shell dominant brace (CTi, Innovation Sports, Irvine, CA) were selected for study. Using footswitches and dynamic EMG, we tested each subject during performance of a side-step cutting maneuver. Subjects completed 15 trials: 5 without bracing, 5 with the strap dominant brace, and 5 with the shell dominant brace. Normals cut 10 times each on their dominant limb. In swing phase, subjects had 38% more and 32% higher lateral hamstring EMG activity than normals; in stance phase, subjects had less quadriceps and gastrocnemius activity but more medial hamstring activity. When braced during stance phase, the ACL deficient legs demonstrated a further reduction of 18% in quadriceps total activity and 14% in peak activity compared to the unbraced situation. The hamstrings showed a concomitant decrease of 18% in total activity. No timing differences were noted between the braced and unbraced conditions during swing or stance phase.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- T P Branch
- Department of Orthopaedic Surgery, University of Minnesota, Minneapolis
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174
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Hunter R. Depression resistant to tricyclic antidepressants. BMJ 1988; 297:981. [PMID: 3142583 PMCID: PMC1834684 DOI: 10.1136/bmj.297.6654.981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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175
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Hunter R, Williams JA, Thomas DW, Coles ME, Walsh R, Leong AS, Copland JG. Rescreening of a group at high risk for colorectal neoplasia using immunochemical tests for faecal occult blood. Aust N Z J Surg 1988; 58:791-4. [PMID: 3250414 DOI: 10.1111/j.1445-2197.1988.tb00981.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
The results of a screening programme for colorectal neoplasia in a high risk group using an immunochemical test for blood has been reported recently. This test is known as the faecal human haemoglobin (FHH) test. This paper reports the results of rescreening this group after an interval of 1-2 years. The FHH test was compared with a paper disc method. All individuals with positive tests were investigated and those with negative tests were offered investigation. The results confirm the value of the FHH test in screening a high risk group: 19 individuals in 1,153 participants were found to have a significant neoplasm (1.6%). The predictive value of the test for a significant neoplasm was 42%. A false negative rate of 2.6% was found, all lesions being benign. It appears to be more reliable than the paper disc method but the differences do not reach statistical significance. The FHH test is recommended for screening the general population over the age of 40 years, with rescreening annually.
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Affiliation(s)
- R Hunter
- Department of General Surgery, Royal Adelaide Hospital, South Australia
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176
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Abstract
The influence of acute exposure to thermal stress on the secretion of progesterone, estradiol, cortisol, and LH was monitored in 14 lactating Holstein cows. Eight cows were maintained throughout the summer in a refrigerated air-conditioned tie stall barn. An additional eight cows were maintained in outdoor corrals with access only to shade. Rectal temperatures and respiration rates of cows under heat stress conditions were elevated above the cows maintained under air conditioning. Cows in both environments exhibited similar serum concentrations of progesterone and estradiol throughout the estrous cycle. Serum cortisol concentrations were higher in heat-stressed cows compared to cows maintained under cooling. The number of LH pulses on d 5 of the estrous cycle was greatly reduced in the heat-stressed cows compared to the cows under cooling. No differences in the number of pulses of LH were observed on d 12 of the estrous cycle between cows in the two environments. Data suggest that heat stress can suppress anterior pituitary release of LH without having a measurable influence on ovarian steroid hormone secretion.
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Affiliation(s)
- M E Wise
- Department of Animal Sciences, University of Arizona, Tucson 85721
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177
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Abstract
This article presents data comparing the restraining effect of the Lenox Hill and the CTi brace to static loading using the KT-1000 Knee Ligament Arthrometer. Testing was performed at 25 degrees and 90 degrees in 15 patients with documented single ligament injuries involving the anterior cruciate. The opposite knee was determined to be normal by subjective and objective testing and was used as the control. Results showed that the anterior drawer tests, both the Lenox Hill and the CTi brace improved the ACL deficient knee significantly. With 15 lb of passive loading, both the Lenox Hill and the CTi brace improved the drawer to within normal limits. However, only the CTi brace was able to return the drawer to within the normal range at the 20 lb force level. Neither brace improved the drawer to normal when subjected to the higher loads created by an active drawer test. At 90 degrees, 15 lb of passive loading could not discriminate between the braced and the unbraced knee or between the normal and ACL deficient knee. When 20 lb of force was applied, only the CTi brace improved the drawer significantly, which placed the drawer into the normal range. Under static testing condition, the CTi brace proved to be better than the Lenox Hill in controlling the anterior drawer in flexion and at 20 lb of passive loads; however, when higher loading forces were used in the active anterior drawer test, neither brace was effective in controlling anterior tibial translation.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- T Branch
- University of Minnesota, Department of Orthopedic Surgery, Minneapolis
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178
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Hnatowich DJ, Chinol M, Siebecker DA, Gionet M, Griffin T, Doherty PW, Hunter R, Kase KR. Patient biodistribution of intraperitoneally administered yttrium-90-labeled antibody. J Nucl Med 1988; 29:1428-35. [PMID: 3404257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
Although 90Y is one of the best radionuclides for radioimmunotherapeutic applications, the lack of gamma rays in its decay complicates the estimation of radiation dose since its biodistribution cannot be accurately determined by external imaging. A limited clinical trial has been conducted with tracer doses (1 mCi) of 90Y in five patients who then received second-look surgery such that tissue samples were obtained for accurate radioactivity quantitation by in vitro counting. The anti-ovarian antibody OC-125 as the F(ab')2 fragment was coupled with diethylenetriaminepentaacetic acid, radiolabeled with 90Y and administered intraperitoneally to patients with suspected or documented ovarian cancer. Size exclusion and ion exchange high performance liquid chromatography analysis of patient ascitic fluid and serum samples showed no evidence of radiolabel instability although a high molecular weight species (presumably immune complex) was observed in three patients. Total urinary excretion of radioactivity prior to surgery averaged 7% of the administered radioactivity while at surgery the mean organ accumulation was 8% of the administered radioactivity in serum, 10% in liver, 7% in bone marrow, and 19% in bone with large patient to patient variation. The mean tumor/normal tissue radioactivity ratio varied between 3 and 25. On the assumption that the above radioactivity levels were achieved immediately following administration, that the radioactivity remained in situ until decayed and that the dimensions of tumor were sufficient to completely attenuate the emissions of 90Y, the dose to tumor for a 1-mCi administration would be approximately 50 rad with normal tissues receiving approximately 8 rad.
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Affiliation(s)
- D J Hnatowich
- Dept. of Nuclear Medicine, University of Massachusetts Medical Center, Worcester 01605
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179
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Hutchings G, Hunter R, van Rensburg LJ. Methanol and dimethyl ether conversion to hydrocarbons using tungsten trioxide/alumina as catalyst.A study of Catalyst reactivation. ACTA ACUST UNITED AC 1988. [DOI: 10.1016/s0166-9834(00)80396-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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180
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Laxen DP, Lindsay F, Raab GM, Hunter R, Fell GS, Fulton M. The variability of lead in dusts within the homes of young children. Environ Geochem Health 1988; 10:3-9. [PMID: 24213513 DOI: 10.1007/bf01675623] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The variability of household dust lead concentration and loadings over the period of about a year has been examined in 10 homes. The overall uncertainty on a single sample is ± 65% for lead concentration and ± 81% for lead loading. Redecoration involving electric sanding and/or blow lamp preparation of painted surfaces is the major cause of variation in lead levels. The effect is short lived, levels returning to normal within 2 months of redecoration ending. There is evidence of a seasonal trend for dust loading and lead loading but not for lead concentration. The implications of these findings for blood lead - dust lead exposure studies are considered.
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Affiliation(s)
- D P Laxen
- Department of Geology, University of Edinburgh, West Mains Road, EH9 3JW, Edinburgh, Scotland
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181
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Abstract
The number of glucocorticoid receptor sites in lymphocytes and plasma cortisol concentrations were measured in 20 patients who had recovered from major depressive disorder and 20 healthy control subjects. The number of glucocorticoid receptor sites in lymphocytes from the recovered depressed group was not significantly different from that of the control group. Although the mean plasma cortisol concentration in recovered depressives was higher than in control subjects, the difference only just reached significance. This study shows that the reduction in glucocorticoid receptor numbers which occurs during acute depressive illness does not persist on recovery and is, therefore, state-dependent.
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Affiliation(s)
- R Hunter
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital, U.K
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182
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Abstract
1. The pharmacokinetics of lithium in six healthy volunteers stabilised on lithium were investigated and appropriate pharmacokinetic parameters calculated. 2. The results illustrate important differences in single and multiple dose lithium pharmacokinetics; the implications for minimising lithium-induced renal damage are discussed.
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Affiliation(s)
- R Hunter
- MRC Brain Metabolism Unit, Royal Edinburgh Hospital, Morningside Park
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183
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Wise ME, Rodriguez RE, Armstrong DV, Huber JT, Wiersma F, Hunter R. Fertility and hormonal responses to temporary relief of heat stress in lactating dairy cows. Theriogenology 1988; 29:1027-35. [PMID: 16726424 DOI: 10.1016/s0093-691x(88)80026-8] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/1987] [Accepted: 01/05/1988] [Indexed: 11/26/2022]
Abstract
The influence of temporary cooling on pregnancy rate and ovarian secretion of cortisol, estradiol and progesterone in Holstein cows was evaluated during the months of June to September. Cows were randomly assigned to one of five treatment groups: 1) evaporative cooling, 8 d; 2) evaporative cooling, 16 d; 3) refrigerated air conditioning, 8 d; 4) refrigerated air conditioning, 16 d and 5) controls maintained outdoors with access to shade. Estrus was synchronized by giving two injections of prostaglandin (25 mg). Cows in the cooled groups were placed in box stalls at the time of the second prostaglandin injection, allowing them to be cooled for approximately 3 d prior to breeding. Blood samples were taken on days 0, 5, 10, 15, 20 and 25 postbreeding and serum was analyzed for estradiol, cortisol, progesterone and a pregnancy-specific protein. Pregnancy rates as determined by palpation per rectum at 40 to 60 d post breeding were not different between cows in cooled treatments, regardless of duration or type of cooling. Pregnancy rate was higher (P<0.05) in cooled as compared to control cows. Serum progesterone concentrations were higher on Day 15 in cooled cows as compared to control cows. No differences in serum estradiol or cortisol concentrations were observed between cooled and control cows. Pregnancy-specific protein determinations indicated that 50% of both cooled and control cows conceived. Results indicate that temporary cooling increased pregnancy rates by increasing embryonic survival rates.
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184
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Shug A, Noonan J, Plehn S, Subramanian R, Hunter R, Schafer T. 10 The effect of rheothrx™ copolymer and streptokinase on recovery from ischemia in the isolated perfused rat heart. ACTA ACUST UNITED AC 1988. [DOI: 10.1016/0268-9499(88)90010-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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185
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Williams JA, Hunter R, Thomas DW, Coles ME, Leong AS, Walsh R, Hoffmann DC, Huber TW, Sen A. Evaluation of an immunochemical test for faecal occult blood in screening for colorectal neoplasia in a high risk group. Aust N Z J Surg 1987; 57:951-7. [PMID: 3439939 DOI: 10.1111/j.1445-2197.1987.tb01300.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
A group of 1615 asymptomatic individuals presumed to be at increased risk of colorectal neoplasia were selected as the study group. All were tested by an immunochemical test for faecal occult blood. In the second half of the study, individuals who were occult blood negative were offered colonoscopy. Ninety-nine individuals (6.1%) returned stools which were occult blood positive. Investigation by full colonoscopy was possible in 90 cases, revealing nine patients (10%) with invasive cancers, four patients (4.4%) with carcinomata in situ, and 36 patients (40%) with adenomata. Non-neoplastic pathology capable of producing occult blood positive stools was found in 31 individuals (34.4%). No pathology was found in 10 instances (11.1%). Of the 53 occult blood negative subjects who underwent colonoscopy, eight were found to have adenomata. Only one of these was larger than 5 mm in diameter (18 mm). No carcinomata were found. The site within the large bowel of the tumour did not appear to significantly affect the occult blood status of the faeces but the size of the tumours detected suggests that the presence of blood within the stool is more likely to be associated with larger lesions. The frequency of detection of both carcinomata and adenomata was greatest in individuals who had a past history of colorectal neoplasia. The individual cost of this immunochemical test is nominal. The high diagnostic yield and low false positive and negative rates suggest that case follow-up, surveillance, or screening utilizing this test is justified.
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Affiliation(s)
- J A Williams
- Department of General Surgery, Royal Adelaide Hospital, SA
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186
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Abstract
The effect of blood-lead on children's ability and attainment was investigated in a sample of 855 boys and girls aged 6-9 years from eighteen primary schools within a defined area of central Edinburgh. The geometric mean blood-lead value was 10.4 micrograms/dl. In a stratified subsample, 501 children completed individual tests of cognitive ability and educational attainment from the British Ability Scales (BAS). An extensive home interview with a parent was also done. Multiple regression analyses showed a significant negative relation between log blood-lead and BAS combined score, number skills, and word reading when thirty-three possible confounding variables were taken into account. There was a dose-response relation between blood-lead and test scores, with no evidence of a threshold. The size of the effect was small compared with that of other factors. Lead at low levels of exposure probably has a small harmful effect on the performance of children in ability and attainment tests.
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187
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Abstract
A serological study of hairy shaker disease (HSD) was carried out on a group of 30 Romney two-tooth ewes and their lambs over a two year period. Although ten ewes showed seroconversion to HSD virus during pregnancy, an association between infection with HSD virus and reproductive failure was not established. Passive immunity was demonstrated in nine of 21(43%) of the lambs. The duration of passive immunity was 10-20 weeks (mean 14.9 weeks) with the half life of antibody being 18.7 days (SD=3.04). The lambs were studied serologically for 12-20 months. Infection with HSD virus was demonstrated in nine of 16 lambs (56%) with most infections occurring in the summer and autumn when they were three to eight months old.
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Affiliation(s)
- G W Horner
- Ruakura Animal Health Laboratory, Private Bag, Hamilton
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188
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Hunter R. Book reviewsOvarian Cancer. Ed. by BleehenN. M., pp. x + 140 + index, 1985 (Springer-Verlag, Berlin, Heidelberg, New York, Tokyo), DM.148. ISBN 0–540–13326–7. Br J Radiol 1986. [DOI: 10.1259/0007-1285-59-705-880-b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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189
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Williams JA, Hunter R, Coles ME, Thomas DW, Huber TW. An assessment of an immunochemical test for human haemoglobin in the detection of colonic polyps. Aust N Z J Surg 1985; 55:485-8. [PMID: 3913412 DOI: 10.1111/j.1445-2197.1985.tb00927.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
It is now widely accepted that malignant tumours of the colon and rectum almost invariably arise from pre-existing adenomatous polyps. If such polyps could be detected and removed colonoscopically before they become malignant, theoretically the incidence of invasive colorectal cancer could be dramatically reduced. The purpose of this study was to determine whether an immunochemical test for faecal occult blood would identify patients with benign colonic polyps. The faecal samples from 121 patients scheduled to undergo colonoscopy were tested by our immunochemical method and the Hemoccult II test. There were nine patients who had malignant colorectal tumours. These were excluded from this study. Twenty-nine were found to have colonic polyps. Fifteen of these had one or more faecal samples which were positive by the immunochemical test. In contrast, there was only one patient who had a positive Hemoccult II test. Fourteen of the remaining 83 patients had positive immunochemical tests. The findings on colonoscopy provided satisfactory explanations in all these cases. Polyps of all sizes and histological type were associated with positive immunochemical tests. It is concluded that the immunochemical test has sufficiently high sensitivity for colonic polyps to make feasible the screening of patients at high risk of developing colonic cancer.
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190
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Kent TA, Campbell JL, Pazdernik TL, Hunter R, Gunn WH, Goodwin DW. Blood platelet uptake of serotonin in men alcoholics. J Stud Alcohol 1985; 46:357-9. [PMID: 4033134 DOI: 10.15288/jsa.1985.46.357] [Citation(s) in RCA: 31] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Blood platelet uptake of 3H-serotonin (5HT uptake) was determined in a group of inpatient alcoholics who had just undergone detoxication (N = 19) and an age-matched group of nonalcoholic controls (N = 19). Mean 5HT uptake was 18% lower in the alcoholics (p less than .01). A 3-min 5HT uptake of less than 6 pmoles/10(7) platelets identified 58% of the alcoholics, but only 15% of the controls had a 5HT uptake lower than this value. These results support the hypothesis that serotonergic dysfunction may exist in alcoholics.
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191
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Strazza S, Hunter R, Walker E, Darnall DW. The thermodynamics of bovine and porcine insulin and proinsulin association determined by concentration difference spectroscopy. Arch Biochem Biophys 1985; 238:30-42. [PMID: 3885857 DOI: 10.1016/0003-9861(85)90137-7] [Citation(s) in RCA: 51] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Difference spectroscopy was used to determine the equilibrium constants and thermodynamic parameters for the monomer-dimer association of bovine and porcine insulin and bovine proinsulin at pH 2.0 and 7.0. At pH 2 delta G degree 25, delta S degree, and delta H degree for dimerization of bovine insulin were found to be -6.6 kcal/mol, -18 cal/mol-deg, and -12 kcal/mol, respectively. Porcine insulin behaved similarly to bovine insulin in its dimerization properties in that delta G degree 25, delta S degree, and delta H degree were found to be -6.8 kcal/mol, -14 cal/mol-deg, and -11 kcal/mol, respectively. At pH 7 delta G degree 25, delta S degree, and delta H degree for dimerization of bovine insulin were found to be -7.2 kcal/mol, -16 cal/mol/deg, and -12 kcal/mol, respectively. At pH 7.0 delta G degree 25, delta S degree, and delta H degree for dimerization of porcine insulin were -6.7 kcal/mol, -11.6 cal/mol-deg, and -10 kcal/mol, respectively. The similarity in the thermodynamic parameters of both insulin species at the different pH's suggests that there are minimal structural changes at the monomer-monomer contact site over this pH range. The dimerization of both insulin species is under enthalpic control. This may suggest that the formation of the insulin dimer is not driven by hydrophobic bonding but, rather, is driven by the formation between subunits of four hydrogen bonds in an apolar environment. At pH 2 delta G degree 25, delta S degree, and delta H degree for dimerization of bovine proinsulin were found to be -5.3 kcal/mol, -26 cal/mol-deg, and -13 kcal/mol, respectively. At pH 7 delta G degree 25, delta S degree, and delta H degree for dimerization of proinsulin were -5.9 kcal/mol, -4.2 cal/mol-deg, and -7.2 kcal/mol, respectively. Although the presence of the C-peptide on proinsulin does not drastically affect the overall free energy change of dimer formation (as compared to insulin), the other thermodynamic parameters are rather drastically altered. This may be because of electrostatic interactions of groups on the C-peptide with groups on the B-chain which are near the subunit contact site in the insulin dimer.
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192
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193
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Hunter R. Cervical cancer. 3. Treatment techniques. Nurs Mirror 1984; 159:44-7. [PMID: 6568655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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194
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Abstract
A compilation of 58 incidents of alleged movie-inspired violence from 1970 through 1982 produced findings dominated by male victims, handguns, and one particular movie, The Deer Hunter. The need to structure a causal connection between pretend violence and real violence led the authors to propose a three-step standard of identification, perseveration of beliefs, and execution of those beliefs. This standard is explored in relation to several movies, including the insanity case of John Hinckley ( Taxi Driver) and of a young mother charged with killing her daughter ( The Exorcist).
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195
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196
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Hunter R. Death due to overdose of indoramin. Br Med J (Clin Res Ed) 1983; 286:308. [PMID: 6402079 PMCID: PMC1546449 DOI: 10.1136/bmj.286.6361.308-a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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197
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Williams JA, Hunter R, Smith M, Coles ME, Hubert TW, Thomas DW. Evaluation of an immunological test for occult bleeding from colorectal neoplasia. Aust N Z J Surg 1982; 52:617-21. [PMID: 6819850 DOI: 10.1111/j.1445-2197.1982.tb06128.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
A study to determine the reliability of a recently described test, the faecal human haemoglobin test (FHH), specific for human blood, in the detection of colorectal neoplasia, is reported. All of nineteen patients with proven cancers studied were shown to have detectable blood in the stools. Three of five patients with polyps in this series also had detectable blood in the stools by this test. Although three of nineteen control subjects had positive tests, two of these were subsequently found to have bleeding sites, and the third was normal on follow up some weeks later. The findings are discussed in relation to the Hemoccult II (H-O) test results obtained in these subjects, and the implications for the possible future role for this test in screening for colorectal neoplasia.
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198
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199
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Rocca JM, Rowland R, Hunter R. Test and teach. Number thirty-five. Diagnosis: progressive systemic sclerosis involving the colon. Pathology 1982; 14:347-8, 485-6. [PMID: 7155630 DOI: 10.3109/00313028209092107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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200
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Abstract
We studied 14 large bowel resections from patients with a provisional clinical diagnosis of a bleeding vascular lesion of the colon. For the purpose of this study we developed a barium-gelatine vascular injection technique. Six of the 14 cases were proven to be angiodysplasias with an identifiable mucosal vascular ectasia. The pathological findings in these six cases are described. We conclude that angiodysplasia represent a significant cause of lower gastrointestinal haemorrhage in the elderly. It is our opinion that only the mucosa vascular ectasia seen in these cases is histologically diagnostic and that sub-mucosal venous ectasia, while characteristic of angiodysplasia, is non-specific. the differential diagnostic features which will allow the histological distinction of angiodysplasia from other vascular lesions of the colon are discussed.
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