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Biomedical subjects

A Gates

Publications and source records attributed to A Gates.

15 recordsLinked to original sources

Differential efficacy of vaccinia virus envelope proteins administered by DNA immunisation in protection of BALB/c mice from a lethal intranasal poxvirus challenge.

DNA vaccines might offer an alternative to the live smallpox vaccine in providing protective efficacy in an orthopoxvirus (OPV) lethal respiratory challenge model. BALB/c mice were immunised with DNA vaccines coding for 10 different single vaccinia virus (VACV) membrane proteins. After an intranasal challenge with the VACV IHD strain, three gene candidates B5R, A33R and A27L produced > or =66% survival. The B5R DNA vaccine consistently produced 100% protection and exhibited greatest efficacy after three 50 microg intramuscular doses in this model. Sero-conversion to these vaccines was often inconsistent, implying that antibody itself was not a correlate of protection. The B5R DNA vaccine induced a strong and consistent gamma interferon (IFNgamma) response in BALB/c mice given a single DNA vaccine dose. Strong IFNgamma responses were also measured in pTB5R immunised C57BL6 mice deficient for MHC class I molecules, suggesting that the memory response was mediated by a CD4+ T cell population.

Administration, Intranasal↗

The benefits of irrigation in catheter care.

'Bladder washout' is a misnomer, as it is the catheter that is being washed. Urinary catheters can cause significant physical and psychological problems. Although nurses are responsible for urinary catheter maintenance, there is a lack of knowledge in some areas. Some urological practices have been based on historical practice rather than evidence.

Humans↗

Functional hyposplenism following allogeneic bone marrow transplantation.

AIMS: To investigate the incidence of functional hyposplenism in a group of patients who had undergone allogeneic bone marrow transplantation (BMT). METHODS: Splenic function was assessed by counting the number of gluteraldehyde fixed red blood cells containing pits or indentations as examined by interference phase microscopy. Normal values are < 2% whereas splenectomy patients have values of 25 to 40%. RESULTS: Twenty eight BMT recipients (17 men, 11 women) were studied at varying periods post-transplant and the results compared with 20 healthy volunteers and 10 patients who had undergone splenectomy or had splenic atrophy because of haematological conditions. Of the 28 BMT recipients, one had undergone a prior splenectomy; of the remaining 27 patients, four (15%) had evidence of functional hyposplenism with between 5.0 and 34.0% pitted cells. Of these four patients, one had active extensive chronic graft versus host disease (GvHD) which has been previously reported to be associated with functional hyposplenism following transplantation. Only one of the four patients had peripheral blood red cell changes typical of hyposplenism. CONCLUSION: These results confirm that extensive chronic GvHD is associated with hyposplenism. Intermediate degrees of functional hyposplenism may also occur following BMT in the absence of chronic GvHD and in the absence of haematological features of hyposplenism on routine blood films. This may be of significance in mediating the susceptibility to infection with encapsulating bacteria seen following allogeneic BMT.

Adolescent↗

Cardiac rehabilitation in the Navy.

Cardiac rehabilitation has been effective in the management and recovery of the post-myocardial infarction population for almost 40 years. During that time, the fundamental components of rehabilitation have changed to reflect a growing complexity and number of cardiac patients. Great Lakes Naval Hospital has instituted a structured outpatient cardiac rehabilitation program. It is based on the needs of a large cardiac population with modifiable risk factors identified through quality improvement studies. Future implications and research in the area of cardiac rehabilitation include measurements of self-efficacy, long-term risk factor modification, cost effectiveness, gender-related differences, or morbidity and mortality.

Algorithms↗

Patient goal setting as a method for program improvement/development in partial hospitalization programs.

Data were collected from a study of 49 patients in 1990 and 106 patients in 1991 admitted into Country View Treatment Center and Green Country Counseling Center. Country View is a 30-bed chemical dependency residential center operating under St. John Medical Center in Tulsa, Oklahoma. Green Country is an evening partial hospital chemical dependency program operating under St. John Medical Center in Tulsa, Oklahoma, The tools used in this study were the Country View Patient Self-Reporting Questionnaire, the global Rating Scale, and the Model of Recovering Alcoholics Behavior Stages and Goal Setting (Wing, 1990). These assessments were specifically designed to measure the patient's perceptions of goal setting and the patient's perspective on treatment outcome. The study outcome resulted in program improvement (Green Country evening partial hospital program) and the development of the Country View Substance Abuse Intermediate Link (SAIL) Program (day partial hospital).

Day Care, Medical↗

Cross-modal identification: effects of contingent changes in the stimulus series.

Two computer controlled experiments in an olfactory cross-modal matching task, using two-component odour mixtures matched against bar diagrams, were designed so that stimulus presentation was contingent upon the recent performance of the subject; stimuli that were relatively poorly (in experiment 1) or well (in experiment 2) matched were more frequently presented. Analysis shows that the autoregressive structure of the performance is modified by such contingent presentation and that there is a weak relationship between transmitted information in matching and the time series structure of the matching errors. It is suggested that the process is nonlinear.

Adolescent↗

Accuracy, latency, and listener-search behavior in localization in the horizontal and vertical planes.

Thirty-six listeners localized continuous filtered noise bursts centered on 2.3 or 8.3 kHz under normal listening conditions or while wearing earmuffs. The noise bursts were from any one of 20 loudspeakers, 18 degrees apart, visible to the listeners, and arranged in the horizontal and vertical planes. Listeners were free to move, while remaining seated, throughout all trials. The noise bursts were terminated by the listeners. Measures of accuracy and latency showed that earmuff listening had a significant effect whereas, overall, signal frequency had no significant effect. There was, however, an apparent downward shift of the 2.3-kHz signals presented above the midline in the vertical plane. Analysis of video records of listeners' behavior revealed a strong tendency for initial orientation by head or eye movement to correlate with final response, even when both were inaccurate. The paradigm adopted in this latter aspect of the study illustrates an "ecological" approach to the study of auditory phenomena.

Acoustic Stimulation↗

Music perception and cerebral asymmetries.

Six experiments investigated the detection of pitch, rhythm and harmony changes in music perception. While RTs did not differentiate between ears for detecting a changed note in either a single line melody or a five note whole tone sequence, the right ear was more accurate. The left ear was faster, and the right more accurate in detecting rhythm changes in a five note sequence. The ears did not differ in detecting harmony changes. Finally, the right ear proved consistently more sensitive (d') in recognizing excerpts from unfamiliar melodies, and except only for female nonmusicians, the left ear was more sensitive for familiar melodies. If the adoption of differintial listening strategies determines the direction of laterality differences such as these, then familiarity also seems important in determining listening strategies.

Auditory Perception↗