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E Rayner

Publications and source records attributed to E Rayner.

12 recordsLinked to original sources

Pecking preferences and pre-dispositions in domestic chicks: implications for the development of environmental enrichment devices.

Environmental enrichment is thought likely to benefit chickens and farmers in many ways; these include reduced fearfulness and feather pecking and improved productivity. Enrichment devices would intuitively be more effective if they reliably attracted and sustained appreciable interest but many fail to do so. This may reflect the fact that the choice of stimuli often reflects availability and human preconceptions rather than a critical consideration of the birds' preferences and pre-dispositions. We had previously identified string as a particularly attractive pecking stimulus for chicks and adult hens (Gallus gallus domesticus) of a laying strain (ISA Brown). In the present study we found that chicks of another laying strain (Lohmann Brown) also pecked sooner and more at a bunch of string than at chains or beads (Experiment 1). White or yellow strings were preferred to red, green or blue ones (Experiment 2) and white string elicited more pecking than did combinations of white and yellow or of all five colours (Experiment 3). Varying the length and width of the bunches of string exerted no detectable effects on pecking (Experiment 4) whereas incorporating small, shiny beads in the white string devices actually reduced pecking (Experiment 5). Virtually all the devices elicited progressively more interest with repeated presentation; this trend was particularly marked for white string. Collectively, the present findings demonstrate that young domestic chicks have clear and specific pecking preferences. Although the magnitude of response varied across experiments, white string consistently elicited the most interest. Our two main conclusions are: (i) white or yellow strings were particularly attractive stimuli that drew increasing interest, at least in the short term, and (ii) simple devices were preferred to more complex ones, or at least to those used here.

Journal Article↗

Functional domains of the SYT and SYT-SSX synovial sarcoma translocation proteins and co-localization with the SNF protein BRM in the nucleus.

The t(X;18)(p11.2;q11.2) chromosomal translocation commonly found in synovial sarcomas fuses the SYT gene on chromosome 18 to either of two similar genes, SSX1 or SSX2, on the X chromosome. The SYT protein appears to act as a transcriptional co-activator and the SSX proteins as co-repressors. Here we have investigated the functional domains of the proteins. The SYT protein has a novel conserved 54 amino acid domain at the N-terminus of the protein (the SNH domain) which is found in proteins from a wide variety of species, and a C-terminal domain, rich in glutamine, proline, glycine and tyrosine (the QPGY domain), which contains the transcriptional activator sequences. Deletion of the SNH domain results in a more active transcriptional activator, suggesting that this domain acts as an inhibitor of the activation domain. The C-terminal SSX domain present in SYT-SSX translocation protein contributes a transcriptional repressor domain to the protein. Thus, the fusion protein has transcriptional activating and repressing domains. We demonstrate that the human homologue of the SNF2/Brahama protein BRM co-localizes with SYT and SYT-SSX in nuclear speckles, and also interacts with SYT and SYT-SSX proteins in vitro. This interaction may provide an explanation of how the SYT protein activates gene transcription.

Amino Acid Sequence↗

Some functions of being fair and just--or not, in clinical psychoanalysis.

The author suggests that the concepts of fairness and justice might be psychoanalytically useful. They are social ideas but often arise clinically. Since psychoanalysis is about intimate and internal events, the wide social and legal settings associated with formal justice are not addressed. Fairness and informal justice arise more intimately and are central here. Fairness is concerned with thorough consideration of an issue. To be fair, the people involved must be considered with impartiality before a decision. Justice generally is more formal, aiming to ensure the integrity of a system, its parts and individual members. It is noted that psychopathogenic conditions can arise in conflicting situations involving fairness and justice. Clinical illustrations suggest that the psychoanalytic process can implicitly aim to resolve their after-effects. Technique is addressed in this light. A central suggestion emerges here. The philosopher Jürgen Habermas proposes that justice rests essentially upon opportunity for argumentation between all those affected. The author suggests that psychoanalytic therapy is likewise a constructive argumentation.

Female↗

Matching, attunement and the psychoanalytic dialogue.

This paper is concerned with unformulated events in analytic sequences before the crystallization that makes verbal interpretation possible. It examines the use of certain concepts from infant research, particularly amodal perception and attunement, which may be of use to the clinical analyst. It is noted that time-sequence concepts, such as musical ones, like affect-attunement, are poorly developed in psychoanalysis. Illustrations of attunements in analysis are attempted by means of doggerel verses about some patients. It is suggested that a progressive movement or dialectic between the pre-verbal affect-attunement level and formalized interpretation may be optimal in analytic therapy.

Adult↗

Comparison of norfloxacin with cotrimoxazole for infection prophylaxis in acute leukemia. The trade-off for reduced gram-negative sepsis.

A total of 63 neutropenic patients receiving cytotoxic therapy for acute leukemia were randomly allocated to receive norfloxacin (400 mg every 12 hours) or cotrimoxazole (160/800 mg every 12 hours) to prevent bacterial infection. Compliance was more than 95 percent and no adverse effects attributable to the study drugs were observed. The overall incidence of febrile illness (67 percent) was similar between the groups; however, no gram-negative bacillary infections were observed in 31 norfloxacin recipients compared with four of 32 cotrimoxazole recipients. Furthermore, nine norfloxacin recipients had 17 gram-positive bacteremias compared with two in two cotrimoxazole recipients (p = 0.0034). Norfloxacin was more effective than cotrimoxazole for preventing acquisition of aerobic gram-negative bacilli in surveillance cultures. Neither study drug allocation nor the presence of an indwelling central venous catheter influenced outcome among the 42 patients who subsequently received empiric systemic antibiotics for suspected infection. Although gram-positive infection remains an unsolved problem, norfloxacin appears to be a safe, effective, well-tolerated alternative to cotrimoxazole for preventing gram-negative infection in neutropenic patients with acute leukemia.

Acute Disease↗

Etiology and outcome of acute pelvic inflammatory disease.

We studied 71 women with the clinical diagnosis of acute pelvic inflammatory disease (PID) by laparoscopy and comprehensive microbiology in order to define the major etiologic determinants of poor fertility prognosis after tubal infection. Fifty women were found to have acute PID. Of the 50 women, 23 were pregnancy seeking and had a subsequent evaluation to determine fertility outcome. Seven of 13 women with non-gonococcal infection had an adverse reproductive outcome, compared with none of 10 women with gonococcal infection (P = .007). Two groups of causes for adverse reproductive outcome were found. Of the seven infertile women, four had initial tubal abscess, and three had evidence of Chlamydia trachomatis infection. This study directly documents the poor fertility prognosis for women with tubal abscess and suggests that women with culture and/or serological evidence of chlamydial infection also have a poor fertility prognosis.

Abscess↗

Selective gut decontamination with nalidixic acid or trimethoprim-sulfamethoxazole for infection prophylaxis in neutropenic cancer patients: relationship of efficacy to antimicrobial spectrum and timing of administration.

Eighty-four cancer patients at risk of infection because of neutropenia were randomized to receive nalidixic acid as an alternative to trimethoprim-sulfamethoxazole (TMP-SMX) for infection prophylaxis. Infections were documented significantly earlier and more often among patients who entered the trial with neutrophil counts of less than 0.1 X 10(9)/liter. TMP-SMX recipients experienced fewer microbiologically documented infections and bacteremias and were free of infection for a higher proportion of days with severe neutropenia (less than 0.1 X 10(9)/liter) than nalidixic acid recipients. Gram-negative bacillary and Staphylococcus aureus infections accounted for the major differences. Although the majority of aerobic gram-negative bacilli were eliminated from the feces after 1 week of prophylaxis with either agent, TMP-SMX was proved superior to nalidixic acid in this regard and was associated with acquired drug resistance by gram-negative bacilli less frequently. Both agents selected for colonization and subsequent infection by gram-positive cocci. Our data suggest that prophylaxis is most likely to be effective if administered to patients for at least 1 week before they become severely neutropenic. Nalidixic acid used as a single agent in doses of 4 g daily, however, cannot be recommended as an alternative to TMP-SMX for infection prophylaxis in neutropenic cancer patients.

Agranulocytosis↗

Emergence of tobramycin-resistant S. epidermidis possessing aminoglycoside modifying enzymes and bacteremic superinfection during empiric therapy of febrile neutropenic episodes.

During a randomized clinical trial comparing tobramycin plus ticarcillin to netilmicin plus ticarcillin as empiric therapy of febrile neutropenic patients, Staphylococcus epidermidis emerged as the predominate superinfecting pathogen in tobramycin recipients. Overall clinical response was 68% (44/65 responding) in tobramycin/ticarcillin recipients and 73% (45/62) in netilmicin/ticarcillin recipients. However, 5/65 tobramycin/ticarcillin treated episodes were complicated by bacteremic superinfection with Staphylococcus epidermidis, as compared to 0/62 netilmicin/ticarcillin treated episodes (p less than 0.05). Four of the five bacteremic strains produced aminoglycoside adenylating enzyme ANT 4', 4''. Prior colonization of patients with identical strains was demonstrated by plasmid profile analysis, antibiograms and biotyping with the API Staph-Ident system. During the trial, 36 consecutive patients were studied for colonization patterns with coagulase-negative staphylococci. S. epidermidis accounted for 566/831 (68%) isolates of coagulase-negative staphylococci recovered from surveillance cultures. Tobramycin-resistant strains were acquired in 2/17, 4/12 and 9/14 patients during trimethoprim/sulfamethoxazole, netilmicin/ticarcillin and tobramycin/ticarcillin therapy, respectively. Prior to aminoglycoside therapy, 77% of strains were susceptible to less than or equal to 8 micrograms/ml of tobramycin, but only 35% and 28% were susceptible to tobramycin after initiation of tobramycin/ticarcillin and netilmicin/ticarcillin therapy, respectively. In contrast, greater than or equal to 93% of isolates were susceptible to netilmicin before and after aminoglycoside therapy. Absence of several sites susceptible to modification by aminoglycoside inactivating enzymes produced by staphylococci may give netilmicin a therapeutic advantage in the therapy of febrile neutropenic patients.

Adult↗

Infinite experiences, affects and the characteristics of the unconscious.

The work of Matte-Blanco is little understood by psychoanalysts largely because he used mathematical logic as an essential method to elucidate psychoanalytic theory. His findings, however, seem to be important and warrant this simple introductory paper explaining key ideas. Two fundamentally distinct processes, defined as asymmetrical and symmetrical logics are introduced and illustrated. Asymmetrical logic is analogous to secondary process while symmetrical logic has affinity with primary process. Both logic seem to interweave in any thought processes but with asymmetry predominating in scientific thought while symmetrical logic is most evident in psychosis and dreams. It is furthermore argued that the various characteristics of the unconscious, as described by Freud, can be seen as different mental outcomes with symmetrical logic at the base of all of them. A parallel is discovered by Matte-Blanco between the characteristics of symmetrical logic and those of infinite sets as defined mathematically. This leads to an investigation of the concept of infinity and of psychological infinite experiences. These can be readily detected in omnipotence, omniscience, and idealization, but they also seem to occur in extreme emotional states such as being in love, dread and grief. If nuclei of extreme states are contained in any affect, then it is likely that all affects in their cognitive aspects contain experiences of infinity. Symmetrical logic may thus be a common background both to the characteristics of the unconscious and emotionality generally.

Affect↗

Preservation of colonization resistance parameters during empiric therapy with aztreonam in the febrile neutropenic patient.

The role of the anaerobic intestinal flora in maintaining colonization resistance was examined in a study of empiric therapy in febrile neutropenic patients who received aztreonam plus tobramycin, aztreonam plus cloxacillin, or moxalactam plus tobramycin, regimens with differential effects on the anaerobic intestinal flora. Surveillance cultures showed that all regimens eradicated fecal carriage of enteric gram-negative bacilli but that fecal acquisition of fungi occurred in 4 (27%) of 15 aztreonam/tobramycin, 6 (43%) of 14 aztreonam/cloxacillin, and 13 (81%) of 16 moxalactam/tobramycin recipients. Fungi were acquired at 11 (22%) of 49 sites in aztreonam/tobramycin, 15 (31%) of 48 sites in aztreonam/cloxacillin, and 28 (54%) of 52 sites in moxalactam/tobramycin recipients. Aztreonam/tobramycin reduced fecal anaerobe counts by less than 1 log10; aztreonam/cloxacillin, by a mean of 2.5 log10; and moxalactam/tobramycin, by 5.1 log10 colony-forming units (cfu)/g of feces by day 10 +/- 3 of therapy. Elimination of the anaerobes was reflected by a reduction in concentrations of short-chain fatty acids (SCFAs) in fecal supernatants. Fecal specimens containing greater than or equal to 10(6) cfu of Bacteroides fragilis group organisms/g (dry weight) contained significantly higher concentrations of succinic, propionic, and isobutyric acids. Flat SCFA chromatograms were observed in 90% of fecal samples from which no anaerobes were recovered. Preservation of the anaerobic flora appears critical in the prevention of fungal acquisition in neutropenic patients.

Adolescent↗