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Biomedical subjects

G B Johnson

Publications and source records attributed to G B Johnson.

11 recordsLinked to original sources

Reframing: a strategy to improve care of manipulative patients.

The use of reframing as a means of increasing nurses' choices in their behavioral responses to manipulative patients and an example of how the process might be used to influence nurses' perceptions are discussed. Perceptions influence nurses' behavioral responses. As individuals, nurses become accustomed to approaching new situations with familiar behaviors, and they lose sight of alternative responses. Choices will expand through the process of reframing, an intervention commonly utilized in therapy situations and a method for challenging the attitudes, values, and responses of a person. Simply defined, reframing is changing a person's interpretation of a given situation and therefore changing his or her behavioral response to it. Expanding nurses' choices is a step toward providing improved patient care.

Attitude of Health Personnel

Zinc-induced hemolytic anemia caused by ingestion of pennies by a pup.

A 4-month-old Pomeranian pup was examined because of anorexia, salivation, and persistent vomiting. Initial laboratory testing revealed marked hemolytic anemia with spherocytosis. Survey abdominal radiography revealed 4 metal objects which, when removed by gastrotomy, were identified as pennies. Of 4 pennies, 3 were minted since 1983 and were heavily pitted over the surface and rim. Partially digested pennies were composed of a copper-plated high zinc concentration alloy. Further laboratory testing indicated a marked increase in serum zinc concentration in the pup (28.8 mg/L), confirming metal toxicosis. Serum zinc concentrations decreased during recovery.

Anemia, Hemolytic

Repeatability of four clinical methods for assessment of lumbar spinal motion.

Spinal motion usually is recorded from subjective observation of the fully flexed trunk using a goniometer or the distance from the fingertips to the floor. To quantify functional improvement in the low-back pain patient, the repeatability of four clinical techniques was studied: the common fingertip-to-floor distance; the modified Schober; the two-inclinometer method, and a photometric technique. Ten normal subjects (five men, five women), ages 24 to 34 years old, were examined in full flexion, full extension, and the erect position, both standing and sitting. Repeatability was poor for the fingertip-to-floor method in all postures and for the two-inclinometer method in full flexion. Although other methods for various postures had good repeatability, the modified Schober method of determining lumbar spinal motion was the most repeatable and is recommended for a routine, noninvasive, clinical evaluation of lumbar spinal motion.

Adult

Trunk extensor EMG-torque relationship.

The integrated surface electromyogram (IEMG) of the lumbar erectores spinae and the torque generated were simultaneously recorded from 27 healthy subjects in the standing posture while they pulled isometrically against resistance provided by a harness around the shoulders. The IEMG-torque ratio (efficiency of electrical activity, or EEA) was used to characterize each subject. Individual recordings showed evidence of nonlinearity of the IEMG-torque relationship in that a statistically better fit to experimental recordings was obtained by using two straight lines with a breakpoint between them. However, with repeated testing, the gradients of these two lines were more variable than the slope of the single straight line fitted to the entire recording. The slope of the best fit line (EEA) was less for recordings made during torque decrease than for increasing-torque recordings. This also showed as a "hysteresis" pattern in the recordings. The coefficient of variability (within subjects) of the EEA was greater in day-to-day testing (24%) than with repeated pulls at the same testing session (14%). This was similar to variability of the maximum generated torque. About 25% of the variability between subjects was found to be due to anthropometric differences. The residual variability of the relationship would limit the accuracy of IEMG as a measure of muscular effort under changing torque conditions. However, the EEA may be useful for characterizing muscle performance, especially when maximum effort cannot be achieved.

Adult

Gene expression in Drosophila: post-translational modification of aldehyde oxidase and xanthine dehydrogenase.

Maroon-like homozygotes are completely deficient for xanthine dehydrogenase (XDH) and aldehyde oxidase (AO), however, ma-l is not a structural locus for either enzyme. Quantitative immunoelectrophoresis of ma-l and wild type extracts suggests that the ma-l function must be post-translational. To determine whether the ma-l function involves some direct physical changes in XDH and/or AO the enzymes were characterized with respect to temperature sensitivity and behavior in gel sieving electrophoresis. Since the XDH and AO from complementary ma-l heterozygotes is more thermolabile and different in shape from wild type XDH and AO, we conclude that ma-l is involved in a post-translational modification of these enzymes.

Aldehyde Oxidoreductases

Structural flexibility of isozyme variants: genetic variants in Drosophila disguised by cofactor and subunit binding.

Wild populations of Drosophila mojavensis exhibit considerable conformational variation in the NAD+-free form of alcohol dehydrogenase (alcohol:NAD+ oxidoreductase; EC 1.1.1.1). The variation appears genetic, as it does not occur within an inbred strain. The NAD+-bound form of alcohol dehydrogenase, present in the same individuals, does not exhibit the variation, suggesting that the binding of NAD+ acts to stabilize conformation. Such cofactor binding to enzymes may thus conceal considerable variation. A similar effect is suggested for binding of esterase subunits.

Alcohol Oxidoreductases

Characterization of electrophoretically cryptic variation in the alpine butterfly Colias meadii.

Enzyme polymorphism was characterized among the proteins of 14 loci of Coliae meadii by replicate electrophoresis in polyacrylamide gels of differing pore size. The results reveal a large number of variants, with a very skewed frequency distribution. A large fraction of the variants cannot be differentiated by electrophoresis in 5--7% acrylamide gels. This gel sieving approach permits an estimate of the relative contributions of charge and of conformation to electrophoretic mobility. Many of the variant proteins do not differ in charge. Most variants exhibit different degrees of interaction with the gel and presumably differ in conformation.

Animals

Polymorphism and predictability at the alpha-glycerophosphate dehydrogenase locus in Colias butterflies: gradients in allele frequency within single populations.

Heterozygosity at the alpha-glycerophosphate dehydrogenase locus of five species of Colias butterflies is widespread in montane populations; alpine and lowland populations are not heterozygous. Within a single demographically characterized population of C. meadii where the population extends from alpine down into montane habitats, a marked cline in allele frequency is seen. Such within-population clines suggest the involvement of strong selection across the marked ecological interface. Thermal factors are the most likely causative agents, but associative overdominance is not excluded.

Acclimatization

Hidden alleles at the alpha-glycerophosphate dehydrogenase locus in Colias butterflies.

By varying polyacrylamide gel pore size, the alpha-glycerophosphate dehydrogenase locus of Colias butterflies is shown to contain at least five alkeles, rather than the two which had been reported previously. Two of the alleles have the same apparent net charge, and presumably are detected electrophoretically because of the conformational differences. Additional variation occurs in the isoelectric points of the proteins. It is suggested that electrophoresis employing a single gel of intermediated pore size will fail to discriminate between many alleles, and that the concept of electrophoretic alleles as differing simply in charge may not always be appropriate.

Alleles