PubMed Health⌕ Search

Biomedical subjects

D Chambers

Publications and source records attributed to D Chambers.

At least 37 records · Page 2Linked to original sources

Cellular mechanisms of resistance to chronic oxidative stress.

Oxidative stress is implicated in several pathologies such as AIDS, Alzheimer's disease, and Parkinson's disease, as well as in normal aging. As a model system to study the response of cells to oxidative insults, glutamate toxicity on a mouse nerve cell line, HT-22, was examined. Glutamate exposure kills HT-22 via a nonreceptor-mediated oxidative pathway by blocking cystine uptake and causing depletion of intracellular glutathione (GSH), leading to the accumulation of reactive oxygen species and, ultimately, apoptotic cell death. Several HT-22 subclones that are 10-fold resistant to exogenous glutamate were isolated and the mechanisms involved in resistance characterized. The expression levels of neither heat shock proteins nor apoptosis-related proteins are changed in the resistant cells. In contrast, the antioxidant enzyme catalase, but not glutathione peroxidase nor superoxide dismutase, is more highly expressed in the resistant than in the parental cells. In addition, the resistant cells have enhanced rates of GSH regeneration due to higher activities of the GSH metabolic enzymes gamma-glutamylcysteine synthetase and GSH reductase, and GSH S-transferases activities are also elevated. As a consequence of these alterations, the glutamate resistant cells are also more resistant to organic hydroperoxides and anticancer drugs that affect these GSH enzymes. These results indicate that resistance to apoptotic oxidative stress may be acquired by coordinated changes in multiple antioxidant pathways.

Animals↗

Religious sanctions and rates of suicide worldwide.

In order to understand differences in suicide rates between the countries affiliated to the International Association for Suicide Prevention (IASP), the present paper investigates whether there is a relationship between the existence of religious sanctions and aggregate national suicide rates as reported to the World Health Organization. Through their participation in this study, 49 IASP national representatives reported on the existence of religious sanctions against suicide. It was discovered that countries with religious sanctions were less likely to return rates of suicide to the WHO. Comparative analysis revealed that the average reported rates for countries with sanctions are lower than those for countries without religious sanctions. The difference is particularly significant for females. Overall, then, at an aggregate level, it would appear that an inverse relationship does exist; however, while countries with religious sanctions against suicide return lower rates of suicide, as recorded by the WHO, recording and reporting procedures may be affected by the existence of sanctions, thus diminishing the reliability of reported rates. Furthermore, distinctions between rates among the different denominations seem to have been somewhat blurred, in particular between Catholics and Protestants, to the extent that in certain societies Catholics have a higher reported rate of suicide--despite the fact that, doctrinally, Catholicism is more severe in the condemnation of suicide than the majority of Protestant churches (with a few notable exceptions, such as the Orthodox Calvinists).

Attitude to Health↗

Euthanasia and related practices worldwide.

The present paper examines the occurrence of matters relating to the ending of life, including active euthanasia, which is, technically speaking, illegal worldwide. Interest in this most controversial area is drawn from many varied sources, from legal and medical practitioners to religious and moral ethicists. In some countries, public interest has been mobilized into organizations that attempt to influence legislation relating to euthanasia. Despite the obvious international importance of euthanasia, very little is known about the extent of its practice, whether passive or active, voluntary or involuntary. This examination is based on questionnaires completed by 49 national representatives of the International Association for Suicide Prevention (IASP), dealing with legal and religious aspects of euthanasia and physician-assisted suicide, as well as suicide. A dichotomy between the law and medical practices relating to the end of life was uncovered by the results of the survey. In 12 of the 49 countries active euthanasia is said to occur while a general acceptance of passive euthanasia was reported to be widespread. Clearly, definition is crucial in making the distinction between active and passive euthanasia; otherwise, the entire concept may become distorted, and legal acceptance may become more widespread with the effect of broadening the category of individuals to whom euthanasia becomes an available option. The "slippery slope" argument is briefly considered.

Ethics, Medical↗

Euthanasia and the terminally ill: can the civil killing of others be eroded?

The present paper assesses attitudes towards the ending of life among a sample of 100 terminally ill hospice patients. Such a sample best provides an insight into the demand for euthanasia in this most extreme of circumstances. Of the completed interviews (64), 43 patients were fully aware of the implications of their condition; 35 expressed a definite opinion regarding euthanasia, 22 of whom favored the individual's right to choose the timing of death. Only 6 of these 22 were fully competent at the time of the interview and were not suffering from any depressive disorder. The implications of these results point to the need to consider the prevalence of depression, anxiety, and related disorders among those who seek an end to life. A failure to do so is likely to affect legislation worldwide, and, in turn, civilization itself.

Attitude to Death↗

Does hyperglycaemia have an influence upon colour vision of patients with diabetes mellitus?

It has been suggested that variations found in colour vision upon repeated testing may be due to fluctuations in the plasma glucose level, but the results of studies to date are conflicting. Therefore, the aim of this study was to investigate whether a short-term increase in plasma glucose concentration had an influence on colour vision in patients with non insulin-dependent diabetes mellitus (NIDDM) (n = 16). The colour vision and plasma glucose levels were monitored every 30 min for a total period of 4 h during three test conditions: two when the plasma glucose levels were increased by the administration of glucose, either orally (n = 8) or intravenously (n = 8), and one when the plasma glucose was relatively stable during fasting conditions (n = 8). The results indicate that the colour vision, as assessed by the Desaturated D15, appears to be unaffected by the short-lived increases in plasma glucose concentrations.

Aged↗

Stress fracture of the pubic ramus in female recruits.

During a four-month period we observed 12 stress fractures of the inferior pubic ramus in 11 military recruits undergoing basic training. Eleven of these were in women. This high number was considered to be caused by the introduction of mixed training of male and female recruits; this forces women to increase their stride length when marching. The presenting symptom was chronic groin pain which failed to settle with rest, and the clinical diagnoses were confirmed by radiographs in all but one patient who was diagnosed by 99mTc bone scanning. Since the required stride length has been reduced there have been no new cases of stress fracture of the pelvis.

Adolescent↗

Shigella in Tulsa County, 1993: epidemiology, day care center association, and control.

Tulsa County experienced an epidemic of Shigella sonnei infection and diarrheal disease during 1993. Of the 298 cases documented, 262 occurred in day care centers. There were 227 epidemiologically-linked secondary cases, primarily in parents and siblings. The mode of transmission was primarily person-to-person among family members and children in day care centers. In addition, transmission may also have occurred as the result of fomities in some day care centers. Control was achieved by antibiotic therapy, inspection, and retraining all day care centers' staffs in hand washing techniques and infection control concepts.

Adolescent↗

Patients who make a dentist most anxious about giving injections.

The patient is not the only person in the dental operatory who may be feeling anxious about injections. A questionnaire mailed to 3,000 alumni of a California dental school of study the effects on dentists of administering local anesthesia showed that they, too, can be anxious during the procedure. Of the 3,000 questionnaires sent out, 711 valid ones were returned. This paper analyzes the answers of 545 respondents to one of the questionnaire's open-ended questions, "Is there one type of patient that seems to make you the most anxious about giving injections? If so, please describe this type of patient." Two-thirds of the responses to this question described anxious patients as the main source of the dentist's anxiety. The next most frequent response (16 percent) identified children as the main source of anxiety. Six percent of the dentists wrote that no particular type of patient bothers them when giving an injection.

Adult↗

The molecular basis of instability of the singed(very weak) mutation in Drosophila melanogaster.

The singed(very weak) mutation was created by the sequential addition of two P transposable elements to the singed gene. The mutation can be somatically unstable through the action of a dominant maternal effect mutation on the second chromosome. It is also unstable in the germ line in these conditions. Sequencing of the region of the P insertions in the mutation reveals that the two inserted elements have single internal deletions, and the larger of the two is a copy of the KP element. The mutation will generate, at high frequencies, strongly singed and pseudo-wild type products by reversions occurred in the germline. These are the result of the precise excision of the smaller and the larger elements respectively. By PCR amplification of dissected thoraces we show that the somatic instability of the mutation, from a weak to a strong singed phenotype, is also caused by the excision of the smaller of the two elements.

Animals↗

Analysis of CAG trinucleotide repeats from mouse cDNA sequences.

A number of human single gene disorders are now known to result from abnormal expansion of trinucleotide repeats. Spinal muscular bulbar atrophy, myotonic dystrophy, Huntington's Disease, spinocerebellar ataxia and dentatorubral-pallidoluysian atrophy are all caused by expansions of CAG repeats. Abnormal expansion of trinucleotide repeats has only so far been described in humans, and no mouse models exist for these diseases. In order to investigate trinucleotide repeat stability in mice, the Genbank and EMBL nucleotide databases were screened to find genes containing CAG repeats. Of the sequences selected, 32 were from mouse, and in 12 of these the repeat was in transcribed sequence and contained at least seven perfect repeats. These repeats were then analysed by PCR to evaluate the degree of variability of repeat length in the various genes. Two of the genes containing variable length CAG repeats, seven in absentia homologue 1b (Sinh1b), and choline acetyl transferase (Chat), which had not previously been mapped in the mouse genome, were mapped by linkage analysis in an interspecific backcross. Sinh1b maps very distally on the X chromosome, and Chat maps to chromosome 14.

Animals↗

Dentists troubled by the administration of anesthetic injections: long-term stresses and effects.

A questionnaire was mailed to 3,000 practicing dentists to inquire about their physical and psychological responses to the task of administering local anesthesia. Surprisingly, 18.8% of the 711 responding dentists reported that the administration of injections causes them enough distress to have (at least at some time) reconsidered dentistry as a career. Six percent of respondents considered their thoughts and feelings to be a serious problem, whereas only 2% reported no negative reactions to this aspect of clinical practice. Self-reported reactions to various anesthetic procedures were compared, and the various responses are discussed. It is concluded that the administration of anesthetic injections is a rarely discussed but significant contributor to the overall professional stress and difficulty for many, but not all, dentists.

Adult↗

What an image depicts depends on what an image means.

Previous research has shown that subjects visually imaging the classical ambiguous figures have great difficulty in reconstruing these images. To explain this finding, we propose that subjects' construal of their image strongly influences what is depicted in the image, leading to the inclusion of some aspects of an imaged figure and the exclusion of others. Thus, images of (supposedly) ambiguous figures may literally omit information necessary for the reconstrual. To test this claim, we asked subjects to form an image of the duck/rabbit figure, and then to compare their image to drawings that departed slightly from the original figure. We hypothesized that subjects would have a clear image of the side of the figure they understood as the "face" (the left side if the image is understood as a duck, the right side for the rabbit). Conversely, subjects would have only a vague image of the "back" of the head. Consequently, in comparing their image to test stimuli, subjects should be able to detect variations in the contour of the "face," but not in the contour of the "back" of the animal's head. These predictions were confirmed, strongly suggesting that the construal of an image does dictate what is depicted within the image.

Attention↗

Neither pictures nor propositions: what can we learn from a mental image?

In an earlier paper, we reported that subjects have great difficulty in finding alternative construals of their own mental images. In the present paper, we examine how subjects can nonetheless learn from their mental images. We argue that mental images, like percepts, are meaningful depictions. As such, mental images do depict appearance but are also inherently understood in a certain way, and this understanding influences the phenomenal appearance of the represented form. This, in turn, governs what the form will be seen to resemble and what the form is likely to call from memory. We report four experiments in support of this view. In each experiment, subjects are briefly shown outline shapes and asked to form a mental image of each shape. Subjects are then asked what familiar form the imaged shape resembles. Subjects routinely find target shapes in their images when the target is compatible both with the imaged geometry and with how that geometry is organized and understood. When the sought-for target is compatible with image geometry but not with how the image is understood, subjects reliably fail to find the target shape in their images.

Adult↗