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Biomedical subjects

D Moran

Publications and source records attributed to D Moran.

At least 19 recordsLinked to original sources
PubMed1998

Modern surgery for global cataract blindness: preliminary considerations.

Unoperated cataract in the developing world remains ophthalmology's major unsolved problem. Recent developments have brought into question the assumptions of those who have thought that extracapsular surgery with implantation of a posterior chamber intraocular lens is an unrealistic approach to the treatment of global cataract blindness. High-quality 1-piece posterior chamber intraocular lenses are being manufactured locally for approximately $10 each. Most ophthalmologists can be trained to perform extracapsular surgery in a 1-month course. This process is particularly effective if outstanding local surgeons receive intensive training to become instructors. While the incidence and treatment of posterior capsule opacification requires further study, the development of a low-cost YAG laser may be a solution. Imaginative ways to recover costs will need to be developed if the staggering prevalence of cataract blindness is to be effectively addressed. The improved result of modern surgery may make patients more willing to pay for their operation.

Blindness↗
PubMed1997

Identification of factors regulating the expression of the human glucocerebrosidase gene.

Gaucher disease, the most prevalent sphingolipid disorder, is characterized by an accumulation of sphingolipids mainly in cells of the reticuloendothelial cells, and is due to decreased activity of the lysosomal enzyme glucocerebrosidase (GCase). The corresponding gene is expressed differentially, namely in different cell types there are different GCase steady-state mRNA levels. Electrophoretic mobility shift assays, DNase footprinting and chloramphenicol acetyl transferase assays were employed in order to unravel some of the transcription factors responsible for the differential expression of the glucocerebrosidase (gcs) gene. The results indicate that OCTA binding protein, AP-1, PEA3 and a CAAT binding protein participate in regulating the expression of the gcs gene. The availability of the transcription factors seems to control the level of transcription of the gcs gene.

Binding Sites↗
PubMed1997

[Heat intolerance].

Explore the source record for details and available documents.

Heat Stress Disorders↗
PubMed1996

Monitoring of extracellular and total body water during haemodialysis using multifrequency bio-electrical impedance analysis.

Multifrequency bio-electrical impedance analysis (MFBIA) was evaluated as a technique for monitoring changes in extracellular and total body water (ECW and TBW, respectively) of 15 subjects during dialysis. Dilution analysis, using deuterium oxide and sodium bromide, was also performed on each subject before dialysis so that prediction equations for ECW and TBW based on the MFBIA measures could be developed. These prediction equations were then used to estimate water compartment volume changes during dialysis and compared with volumetric measures of the dialysate removed. The results show that MFBIA does not accurately measure ECW and TBW changes during dialysis. The MFBIA measures tend to overestimate the changes and are not sufficiently precise to be clinically useful.

Adult↗
PubMed1996

Heat acclimation: cardiovascular response to hot/dry and hot/wet heat loads in rats.

Body temperature, blood pressure (BP) and heart rate (HR) of rats before and after acclimation to heat were studied in chronically cannulated sedentary conscious rats in different hot environmental conditions [hot/dry: 40 degrees C, 20% relative humidity (RH) and hot/wet: 35 degrees C, 70% RH]. During exposure to heat stress, acclimated rats showed an attenuated increase in colonic temperature (Tc) compared to non-acclimated rats. Concomitantly, an abrupt decrease in HR, delayed and attenuated elevation in mean arterial BP and improved cardiac efficiency were recorded. Differences were observed upon exposure to the hot/wet and hot/dry climates: the hot/dry climate imposed a greater physiological burden than the hot/wet climate. The data suggest that for sedentary rats dry heat produces a greater load than humid heat. Thus, the conventional heat load indices do not apply universally but have a thermoregulatory pattern specificity.

Acclimatization↗
PubMed1996

Energy expenditure variations in soldiers performing military activities under cold and hot climate conditions.

This study assessed the energetic status of soldiers exposed to intense physical activities in cold and warm weather. Thirty subjects participated in a two-phase study group A (n = 18) in the winter phase and group B (n = 12) in the summer phase. Energy expenditure (EE) was measured by the doubly labeled water technique; after a single, oral dosing of 2H(2)18O, daily urine samples were collected for 12 successive days. Energy intake (EI) was assessed from detailed food records analyzed by computerized food charts. Energy balance was calculated as the difference between EI and EE for each subject. Mean (+/- SE) daily EE was 4,281 +/- 170 and 3,937 +/- 159 kcal/day for the winter and summer groups, respectively. Daily EI was 2,792 +/- 124 kcal/day in group A and almost identical in group B. A negative energy balance of 1,422 +/- 163 kcal/day and 924 +/- 232 kcal/day (not significant) was calculated for groups A and B, respectively. Energy expenditure is primarily determined by the level of activity rather than by climate conditions; EI is insufficient to offset the high energy requirements under these conditions.

Adult↗
PubMed1995

Validation and adjustment of the mathematical prediction model for human sweat rate responses to outdoor environmental conditions.

Under outdoor conditions this model was over estimating sweat loss response in shaded (low solar radiation) environments, and underestimating the response when solar radiation was high (open field areas). The present study was conducted in order to adjust the model to be applicable under outdoor environmental conditions. Four groups of fit acclimated subjects participated in the study. They were exposed to three climatic conditions (30 degrees, 65% rh; 31 degrees C, 40% rh; and 40 degrees C, 20% rh) and three levels of metabolic rate (100, 300 and 450 W) in shaded and sunny areas while wearing shorts, cotton fatigues (BDUs) or protective garments. The original predictive equation for sweat loss was adjusted for the outdoor conditions by evaluating separately the radiative heat exchange, short-wave absorption in the body and long-wave emission from the body to the atmosphere and integrating them in the required evaporation component (Ereq) of the model, as follows: Hr = 1.5SL0.6/I(T) (watt) H1 = 0.047Me.th/I(T) (watt), where SL is solar radiation (W.m-2), Me.th is the Stephan Boltzman constant, and I(T) is the effective clothing insulation coefficient. This adjustment revealed a high correlation between the measured and expected values of sweat loss (r = 0.99, p < 0.0001).

Adolescent↗
PubMed1995

Validation and adjustment of the mathematical prediction model for human rectal temperature responses to outdoor environmental conditions.

Models to predict rectal temperature (Tre) have been based on indoor laboratory studies. The present study was conducted to validate and adjust a previously suggested model for outdoor environmental conditions. Four groups of young male volunteers were exposed to three different climatic conditions (30 degrees C, 65% rh; 31 degrees C, 41% rh; 40 degrees C, 20% rh). They were tested both in shaded and open field areas (radiation: 80 and 900 W.m-2, respectively) at different work loads (100, 300 and 450 watt). Exercise consisted of two bouts of 10 minutes rest and 50 minutes walking on a treadmill, at a constant speed (1.4 m.s-1) and different grades. The subjects were tested wearing cotton fatigues and protective garments. Their Tre and heart rate were monitored every 5 min and skin temperature every 15 min, oxygen uptake was measured towards the end of each bout of exercise; concomitantly, ambient temperature, relative humidity and solar load were monitored. We concluded that: (a) the corrected model to predict rectal temperature overestimates the actual measurements when applied outdoors; (b) radiative and convective heat exchanges should be considered separately when using the model outdoors; (c) radiative heat exchange should also be considered separately for short-wave radiation (solar radiation) and long-wave emission from the body to the atmosphere. Finally, an adjusted model to be used outdoors was suggested.

Adolescent↗
PubMed1995

Influence of variation in jaw posture on sternocleidomastoid and trapezius electromyographic activity.

This study was conducted in order to determine the influence of variation in the occlusal contacts on electromyographic (EMG) cervical activity in 20 patients with myogenic cranio-cervical-mandibular dysfunction. EMG recordings during maximal voluntary clenching were performed by placing surface electrodes on the left sternocleidomastoid and upper trapezius muscles in the following conditions: intercuspal position; edge to edge left laterotrusive contacts (ipsilateral); edge to edge right laterotrusive contacts (contralateral); edge to edge protrusive contacts; and retrusive occlusal contacts. A significant higher EMG activity was recorded in both muscles during maximal voluntary clenching in retrusive occlusal contact position, whereas no significant differences in EMG activity were observed between intercuspal position, ipsilateral, contralateral and protrusive contact positions. The EMG pattern observed suggests that a more frequent intensity and duration of tooth clenching in retrusive occlusal contact position could result in more clinical symptomatology in these cervical muscles in patients with myogenic cranio-cervical-mandibular dysfunction.

Adolescent↗
PubMed1995

Predicting heart rate response to various metabolic rates, environments, and clothing.

A mathematical model that describes heart rate (HR) responses to different combinations of metabolic levels, climatic conditions, and clothing ensembles was developed. The database that served to construct the model consisted of 48 variations representing a wide range of environmental conditions, clothing ensembles, and metabolic rates. The model, which correlates highly with the observed values (r = 0.88, P < 0.0001), is based on physiological and environmental parameters: HR = 57.1 + 0.6HRi + [0.07M - 19.06 - 0.011(Emax - Ereq)] log t, where HRi is initial HR in beats per minute (at rest before the exposure), t is the time of exposure in minutes, M is the metabolic rate in watts, Ereq is the required sweat evaporation for thermal equilibrium in watts, and Emax is the maximal evaporative capacity of the environment in watts. The model's validity was tested by using two independent databases representing wide ranges of conditions; the correlation between measured and predicted values was found to be highly significant (r = 0.83, P < 0.001 and r = 0.77, P < 0.001, respectively). In summary, the present study suggests a valid predictive model for HR that overcomes some of the difficulties observed in other models.

Adult↗
PubMed1995

Calculation of mean arterial pressure during exercise as a function of heart rate.

Mean arterial blood pressure (MAP) is a common characteristic of the cardiac cycle. Usually it is evaluated by assuming that the left ventricular ejection time (systole) constitutes a constant proportion of the cardiac cycle (i.e. 1/3), regardless of the heart rate (HR). However, elevation of HR during exercise results in a reduction of the duration of the ejection period and even a greater reduction of the ventricular filling period. Therefore, a constant diastole/systole proportion at various heart rates may be misleading. The purpose of this study was therefore to evaluate the accurate proportion of the systolic period from the cardiac cycle at different metabolic rates and calculate MAP accordingly. Twenty healthy subjects (age: 20-50 yr.) exercised at different work intensities on a cycle ergometer to elicit HR in the range of 55-180 bpm. During the ride the mitral and aortic flow velocity wave form were recorded by Doppler echocardiography; the mitral flow from the apical view and the aortic flow from the apical long axis view. Blood pressure was measured using a sphygmomanometer. The fraction of systole (St) from the heart cycle was related to HR and was described in mathematical terms as: St = 0.01exp(4.14-40.74/HR) MAP was then calculated from the diastolic blood pressure (dBP) and the pulse pressure (PP) adjusted for St as follows: MAP = dBP+St.PP; (mmHg) The use of the suggested model reduces errors in the evaluation of various cardiac parameters which are related to arterial pressure, such as peripheral resistance, especially under exercise-heat stress.

Adult↗
PubMed1994

The effect of human olfactory biopsy on olfaction: a preliminary report.

Normal human olfactory function is subject to a wide variety of factors. Although biopsy of human olfactory neuroepithelium has been reported by several researchers, there are no studies which have evaluated the effect of this procedure on olfactory function. In this retrospective study, we sought to determine if tissue removal from the olfactory cleft has an adverse influence on the sense of smell. Nineteen subjects underwent bilateral olfactory testing and subsequent endoscopic olfactory mucosal biopsy. All subjects were retested 6 weeks to 1 year after olfactory neuroepithelial biopsy. No statistical difference was found between olfactory tests performed before or after biopsy. These data suggest that biopsy of human olfactory neuroepithelium has no discernible adverse effect on the ability to smell.

Alzheimer Disease↗
PubMed1994

Differential expression of collagenase by human fibroblasts and bone marrow stromal cells.

The bone marrow stroma, represented in long-term marrow culture by cells of the adherent layer, is composed of a heterogenous mixture of macrophages and mesenchymal cells, including fibroblasts, endothelial cells and adipocytes, in association with a proteoglycan matrix. This matrix, which is synthesized by the stroma, is capable of binding hematopoietic growth factors, and likely plays a major role in hematopoietic regulation. Clonally-derived non-transformed bone marrow stromal cells, propagated in the presence of basic fibroblast growth factor, were studied for expression of collagenase, an enzyme whose substrate, collagen, is a major component of the extracellular matrix. Expression of steady-state collagenase mRNA was undetectable in both unstimulated dermal fibroblasts and non-transformed marrow stromal cells. However, stimulation with interleukin 1 alpha (10 U/ml) for 24 h resulted in marked accumulation of collagenase mRNA in dermal fibroblast cells, yet failed to elicit a similar response in bone marrow stromal cells. Both marrow stromal cells and dermal fibroblasts constitutively expressed transcripts of collagen I, and rhIL-1 alpha upregulated transcripts of interleukin 6 in both these cells as well. Although similar in morphology, these data indicate that bone marrow stromal cells differ from fibroblasts in their response to IL-1. In the marrow microenvironment, where IL-1 may be secreted by a variety of cell types, such suppression of collagenase expression may serve to prevent unwanted mobilization of collagen from the glycoprotein matrix by marrow stromal cells.

Bone Marrow Cells↗
PubMed1993

Translocation of retinoblastoma protein associated with tumor cell growth inhibition.

Immunocytochemistry revealed an association between growth inhibition and a translocation of retinoblastoma protein (pRB) to the nucleoli of U-2 osteosarcoma cells inhibited in their growth by the negative growth factor NCPI (natural cell proliferation inhibitor). Similar phenomenon was demonstrated by Western blot analysis and immunocytochemistry in U937 leukemic cells inhibited in their growth and induced to differentiate by 12-O-tetradecanoylphorbol acetate (TPA). Total nuclear extract of control U937 cells gave an intense 110 KD band, while total nuclear extract of TPA treated cells produced an intense 60 KD band and a weak 110 KD band. No bands were observed for the purified nucleoli of control cells, but the purified nucleoli of TPA treated cells produced a 60 KD band. These results suggest that in the process of cell growth inhibition and differentiation, specific proteolysis of pRB and its translocation to the nucleolus may occur.

Blotting, Western↗