PubMed Health⌕ Search

Biomedical subjects

A McCoy

Publications and source records attributed to A McCoy.

13 recordsLinked to original sources
PubMed2003

Uptime normative values in children aged 8 to 15 years.

The 'Uptimer' is a custom-made lightweight battery-operated remote activity monitor that records the amount of time an individual spends in the upright position, which is also known as 'uptime'. The aims of this study were to determine levels of uptime over 24 hours and the relation between uptime and a child's age, sex, height, weight, and body mass index (BMI). Uptime was recorded in 529 normally developing children (318 females, 211 males), aged between 8 and 15 years. All children wore an Uptimer continuously for a 24-hour period that included a typical school day. Mean uptime for children in this study was 5.4 hours (SD 1.3; range 1.5 to 10.3 hours), over a 24-hour period. Uptime followed approximately a normal distribution in this population and did not have a linear relation to age, height, weight, nor BMI. Results of this study may be used as a normative database for the evaluation of uptime in children with physical disabilities.

Adolescent↗
PubMed2003

Variability in the measurement of uptime in children: a preliminary study.

OBJECTIVE: To examine variability in 'uptime' (the amount of time spent in the upright position). DESIGN: An observational study. SETTING: The community (i.e., homes and schools in the Melbourne metropolitan area). SUBJECTS: Normal children between 8 and 15 years of age (18 girls and 8 boys). EQUIPMENT: An 'uptimer', a lightweight, battery-operated remote monitor, was used to record uptime. PROCEDURE: Each child in the study wore the uptimer continuously over a 24-hour period, which included a typical day at school, on four separate occasions, one week apart. RESULTS: The variability in repeated measures of uptime in the same child (standard deviation 0.8 hours in 24 hours) was lower than the variability between the children (standard deviation 1.1 hours in 24 hours). We estimate that a single uptime measurement has reliability given by an ICC of 0.65 (95% confidence interval 0.49-0.82), which is calculated by dividing the between-child variability by the total variability (within-child and between-child variability). There were no systematic differences in mean uptime between occasions of measurement. CONCLUSION: As an estimate of the time that a child spends in the upright position, a single 24-hour period of measurement of uptime may vary considerably from one occasion to the next. However, this within-child variability is less than the variability between children. In large-scale field studies a one-off measurement of uptime may be acceptable, but in small rehabilitation studies uptime should be measured on at least three occasions.

Adolescent↗
PubMed2000

The conformational activation of antithrombin. A 2.85-A structure of a fluorescein derivative reveals an electrostatic link between the hinge and heparin binding regions.

Antithrombin is unique among the serpins in that it circulates in a native conformation that is kinetically inactive toward its target proteinase, factor Xa. Activation occurs upon binding of a specific pentasaccharide sequence found in heparin that results in a rearrangement of the reactive center loop removing constraints on the active center P1 residue. We determined the crystal structure of an activated antithrombin variant, N135Q S380C-fluorescein (P14-fluorescein), in order to see how full activation is achieved in the absence of heparin and how the structural effects of the substitution in the hinge region are translated to the heparin binding region. The crystal structure resembles native antithrombin except in the hinge and heparin binding regions. The absence of global conformational change allows for identification of specific interactions, centered on Glu(381) (P13), that are responsible for maintenance of the solution equilibrium between the native and activated forms and establishes the existence of an electrostatic link between the hinge region and the heparin binding region. A revised model for the mechanism of the allosteric activation of antithrombin is proposed.

Amino Acid Sequence↗
PubMed2000

Rheumatoid arthritis associated autoantibodies in patients with synovitis of recent onset.

STATEMENT OF FINDINGS: An inception cohort of 238 patients having peripheral joint synovitis of less than 12 months duration was evaluated clinically and followed prospectively for 1 year to determine the clinical significance of a number of rheumatoid arthritis (RA) associated autoantibodies. Serum samples collected at the time of the initial evaluation were tested for rheumatoid factor (RF) and antibodies to Sa (anti-Sa), RA-33, (pro)filaggrin [antifilaggrin antibody (AFA)], cyclic citrullinated peptide (anti-CCP), calpastatin, and keratin [antikeratin antibody (AKA)]. RF had a sensitivity of 66% and a specificity of 87% for RA. Anti-Sa, AFA, and anti-CCP all had a specificity of more than 90%, but a sensitivity of less than 50% for this diagnosis. Overall, there was a high degree of correlation between AFA, AKA, anti-Sa or anti-CCP, this being highest between anti-Sa and anti-CCP (odds ratio, 13.3; P < 0.001). Of the 101 patients who were positive for at least one of these four autoantibodies, 57% were positive for only one. Finally, anti-SA identified a subset of predominantly male RA patients with severe, erosive disease. Anti-SA, AFA and anti-CCP are all specific for early RA but, overall, have little additional diagnostic value over RF alone. Although these antibodies may preferentially recognize citrullinated antigens, the modest degree of concordance between them in individual patient sera suggests that it is unlikely a single antigen is involved in generating these responses.

Acute Disease↗
PubMed1999

Kinase receptor activation (KIRA): a rapid and accurate alternative to end-point bioassays.

We have developed a novel strategy for a rapid bioassay that is accurate, precise, sensitive, and high capacity. It is capable of quantifying ligand bioactivity by measuring ligand-induced receptor tyrosine kinase activation in terms of receptor phosphorylation. The assay, termed a 'kinase receptor activation' or KIRA, utilizes two separate microtiter plates, one for ligand stimulation of intact cells, and the other for receptor capture and phosphotyrosine ELISA. The assay makes use of either endogenously expressed receptors or stably transfected receptors with a polypeptide flag. KIRA assays for the ligands IGF-I and NGF were compared to their corresponding endpoint bioassays (3T3 cell proliferation for IGF-I and PC12 cell survival for NGF). The KIRA assays showed excellent correlation with the more classical endpoint bioassays. Further, they were highly reproducible, minimizing the requirement for repeat assays. The KIRA assay format has great potential as a rapid, accurate and precise bioassay, both for potency determination as well as stability-indicating analyses.

Biological Assay↗
PubMed1998

Contributions to the history of psychology: CXVI. An oral history of C. Kermit Phelps, an 89-year-old African American clinical psychologist.

In a previous article, the authors presented a brief overview of the findings of four audiotaped interviews with C. Kermit Phelps, an 89-year-old African American who earned a Ph.D. in clinical psychology in 1952 from the University of Kansas. Dr. Phelps, who spent his professional career at the Veterans Administration Hospital in Kansas City, Missouri, also maintained a private clinical practice. The present article provides a comprehensive account of the structured interviews.

Black or African American↗
PubMed1997

Contributions to the history of psychology: CIX. Note on an oral history of C. Kermit Phelps: an 89-year-old African American clinical psychologist.

During late 1996 and early 1997, the authors conducted four structured interviews with C. Kermit Phelps, an 89-year-old black psychologist who spent his professional career at the Veterans Administration Hospital in Kansas City, Missouri. Interview topics cover Dr. Phelps' personal and professional history, the evolution of clinical psychology, and issues surrounding minorities in the profession of psychology. This brief article provides an overview of some findings as a comprehensive account of the interviews will require considerable time to prepare.

Black or African American↗
PubMed1994

Evaluation of Brassicas in grazing systems for sheep: I. Quality of forage and animal performance.

Four years of grazing trials were conducted with Brassica forages to evaluate their chemical composition and effect on ADG of fattening lambs and breeding ewes in late fall. Brassicas tested included kales (Brassica oleracea L. var. acephala DC), turnips (B. rapa L.), and a chinese cabbage hybrid (B. rapa L. x B. pekinensis [Lour.] Rupr.). Daily gains of lambs varied widely among years (19 to 330 g/d); ADG on Brassicas were, however, generally higher than on stockpiled Kentucky 31 tall fescue (Festuca arundinacea Schreb.) or orchardgrass (Dactylis glomerata L.)-red clover (Trifolium pratense L.) pastures grazed at the same time. In 1 yr, dietary supplementation of lambs grazing a hybrid turnip (Forage Star) with iodine and copper oxide needles improved (P < .05) ADG; however, there was no effect on gains in two later years. In 2 yr, lambs showed higher ADG on Tyfon chinese cabbage hybrid (241 and 330 g/d) than on Forage Star turnip (197 and 275 g/d) or stockpiled grass-clover (135 and 233 g/d), but yield of Tyfon was lower. Indications that supplementary hay improved ADG of lambs and ewes were not confirmed in the final year, in which hay increased (P < .05) ADG of lambs in the first 3 wk of grazing Brassicas but decreased gains later. Thyroid weights were increased (P < .01) consistently in all trials on Brassicas, but enlargement was modest and not related to ADG. Brassica forages provided high yields (5.6 to 10.5 t/ha) of DM in the late fall to early winter period, with high carrying capacity for sheep but large variability in ADG.

Animal Feed↗
PubMed1992

Comparison and sensitivity to change of self-report scales to assess difficulty, dissatisfaction, and pain in performing activities of daily living over one and five years in rheumatoid arthritis.

We analyzed the longitudinal sensitivity to change of three self-report activities of daily living (ADL) scales over 1 and 5 years in 982 patients with rheumatoid arthritis (RA) from 15 private practices. Over 1 year, the ADL difficulty status worsened in 28.3% of the patients, remained the same in 50.2%, and improved in 21.5%. Over 5 years, 41.3% worsened, 38.8% stayed the same, and 19.9% were improved. Similar percentages for 1- and 5-year changes were found for the ADL dissatisfaction and pain scales. The effect sizes for change over 1 and 5 years for the ADL difficulty, dissatisfaction, and pain scales were--(-)0.05, 0.01, and -0.02, and -0.28, -0.20, and -0.14, respectively, indicating small to moderate declines. These data indicate that the three ADL scales are sensitive to change in status, and ADL change status scores after 1 and 5 years were significantly correlated with each other (r = 0.49-0.68, all p < 0.001). Monitoring of these three constructs may be helpful in the longitudinal evaluation of some patients with RA.

Activities of Daily Living↗
PubMed1989

Why do parents stay overnight with children in hospitals? A survey of parents at Royal Children's Hospital.

This article is concerned with factors affecting parents' decisions to stay overnight on the wards with their children in hospital. A literature review is provided of past and present policies for parental access. The results are reported of a survey of 143 parents who stayed overnight with their children at Royal Children's Hospital in Melbourne. The survey revealed that the cost and availability of off-ward accommodation did not influence the parents' decisions, the majority of children had pre-planned stays and none were in immediate danger. The paper concludes with suggestions concerning parent accommodation in children's hospitals.

Age Factors↗