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Biomedical subjects

I Wood

Publications and source records attributed to I Wood.

At least 19 recordsLinked to original sources

Use of video recorders in auditing initial assessment times.

The Patient's Charter (Department of Health 1992) states that patients attending Accident and Emergency departments will 'be seen immediately' and have 'their need for treatment assessed'. This paper describes a research project aimed at gathering accurate and reliable information regarding initial assessment times in a busy Emergency department. The use of closed circuit cameras and video recordings will be described. Ethical considerations will be highlighted along with the results of the study.

Emergency Nursing

Functionally important regions of glucose-6-phosphate dehydrogenase defined by the Saccharomyces cerevisiae enzyme and its differences from the mammalian and insect forms.

The primary structure of Saccharomyces cerevisiae glucose-6-phosphate dehydrogenase has been determined. It consists of 503 amino acid residues, with an acetyl-blocked N-terminus. The structure shows equally extensive differences from the corresponding mammalian and fruit fly enzymes (52% residues non-identical). Residues conserved in all the forms constitute about 40% of the structures and include two histidines. One of these (His200 in the numbering of the rat enzyme) occurs in a 10-residue conserved segment, including the reactive Lys204, probably related to substrate binding. Two segments with conserved Gly-Xaa-Xaa-Gly-Xaa-Xaa-Gly/Ala pattern constitute possibilities for the coenzyme-binding site. One is N-terminally located (positions 37-43) with two conserved arginine residues nearby (positions 56 and 71), of interest for phosphate binding. The other (positions 241-247) is in a middle region, with many residue identities, containing the conserved residues Arg256 and His264.

Amino Acid Sequence

Eukaryotic glucose-6-phosphate dehydrogenases: structural screening of related proteins.

Rapid assessment of structural relationships between yeast glucose-6-phosphate dehydrogenases and other eukaryotic types of this enzyme is described. Separation and size estimation of large fragments by sodium dodecylsulfate/polyacrylamide gel electrophoresis, electroblotting onto disks, and sequencer analysis provide data that permit alignment of the segments thus characterized with the related proteins, and utilize existing structural knowledge to assess new enzyme structures. Affinity labeling allows further correlations. The results establish the overall structural arrangements of the new proteins, including the location of the active-site lysine residue, even though the yeast enzyme structures are found to differ markedly from the few previously characterized glucose-6-phosphate dehydrogenases.

Amino Acid Sequence

Glucose-6-phosphate dehydrogenase. Characteristics revealed by the rat liver enzyme structure.

The primary structure of glucose-6-phosphate dehydrogenase from rat liver has been determined, showing the mature polypeptide to consist of 513 amino acid residues, with an acyl-blocked N-terminus. This structure is homologous to those of both other eutherian and marsupial mammals (human and opossum), thus characterizing a mammalian type enzyme to which the human form, notwithstanding its large number of genetic variants, conforms. The mammalian type differs from the fruit fly enzyme by about 50%. Known mutant forms exhibit further differences, widely distributed along the polypeptide chain. Structural patterns show glucose-6-phosphate dehydrogenases to consist of a few variable regions intermixed with relatively constant segments.

Amino Acid Sequence

Glucose-6-phosphate dehydrogenase. Characterization of a reactive lysine residue in the Pichia jadinii enzyme reveals a limited structural variation in a functionally significant segment.

Glucose-6-phosphate dehydrogenase from the yeast Pichia jadinii has a reactive lysine residue in a segment of amino acid sequence Ile-Asp-His-Tyr-Leu-Gly-Lys*-Glu-Met-Val-Lys. This structure differs from that of other characterized glucose-6-phosphate dehydrogenases, but outside yeasts the segment is invariant in known mammalian, insect and bacterial forms. Thus, limited structural variation is now defined within yeasts for a part of the protein otherwise strictly conserved, and for which stringent structural requirements probably relate to enzymic mechanisms.

Amino Acid Sequence

Fructose-6-phosphate is not a substrate for glucose-6-phosphate dehydrogenase.

D-Fructose-6-phosphate was shown not to be a substrate for glucose-6-phosphate dehydrogenases (EC. 1.1.1.49) from human erythrocytes, bovine adrenal, rat liver, three yeasts (brewer's yeast, baker's yeast, and Candida utilis), and Leuconostoc mesenteroides. These findings contrast with those of G.M. Kidder (J. Exp. Zool., 226:385-390, '83).

Adrenal Glands

Subconjunctival injections. Preservative-related changes in the corneal endothelium.

The morphologic effects on rabbit corneal endothelium of several common ophthalmic vehicle constituents were examined following subconjunctival administration. Profound dose-dependent changes consisting of intercellular vacuolization and thickening of the endothelial layer were noted within 1 day following administration of solutions that contained sodium bisulfite or methylparaben and propylparaben. These changes persisted for at least 5 days except in those eyes treated with the lowest concentration of sodium bisulfite. In contrast, administration of sodium citrate and creatinine or unpreserved normal saline resulted in only minimal effects. These changes are of concern because these agents are present in many preparations used to treat a wide variety of eye diseases.

Animals

Retinal damage from the illumination of the operating microscope. An experimental study in pseudophakic monkeys.

An experimental study of retinal damage from the coaxial illumination of the operating microscope was performed in pseudophakic rhesus monkeys. The threshold exposure time for production of an ophthalmoscopically visible lesion was determined, and the lesions were studied with light and electron microscopy. At the "high" illumination setting, the threshold exposure was less than 7 1/2 minutes and consecutive exposures of lesser duration had an additive effect. Histologically, the lesions were identical to those which other authors have described as primarily due to the shorter wavelengths or "blue light mechanism" of damage.

Animals

Binocular sensory fusion is limited by spatial resolution.

Binocular sensory fusion which was previously thought to have a maximum spatial extent at the fovea of 1 deg is at least 600% larger when stimulated by low spatial frequency (coarse) detail. This upper limit for sensory fusion has a constant phase disparity limit of 90 deg which corresponds to the monocular Rayleigh criterion for spatial resolution of two diffraction patterns. At low spatial frequencies the sensory fusion limit equals the upper disparity limit for stereoscopic depth perception which suggests that a common mechanism underlies these two phenomena.

Depth Perception

Comparison of the ability of basement membranes produced by corneal endothelial and mouse-derived Endodermal PF-HR-9 cells to support the proliferation and differentiation of bovine kidney tubule epithelial cells in vitro.

The proliferation and morphological differentiation of bovine kidney collecting-tubule epithelial cells has been examined as a function of substrata and plasma factors. Collecting kidney tubule explant maintained in vitro gave rise to two distinct cell populations; one was composed mostly of fibroblastic cells whereas the other was epithelioid (EP cells). The proliferation of fibroblastic cells when exposed to serum-supplemented medium was best expressed when cells were maintained on a basement membrane produced by bovine corneal endothelial cells. This basement membrane has a composition, which in previous studies has been shown to favor the proliferation of mesenchymal cells. In contrast, the proliferation of EP cells was best expressed when cells were maintained on a basement membrane produced by the mouse-derived endodermal cell line PF-HR-9 (HR-9-BM). This basement membrane has a biochemical composition very similar to the basement membrane underlying the kidney tubules. Although the fibroblast confluent monolayer maintained on bovine corneal endothelial cell extracellular matrix did not undergo morphogenesis, the confluent monolayer of EP cells maintained on HR-9-BM shows hemicyst formation, suggesting that they were capable of vectorial fluid transport. They also built a complex three-dimensional kidney tubulelike network. Some tubules became grossly visible and floated into the tissue culture medium, remaining tethered to the cell monolayer at either end of the tubule. On an ultrastructural level, the tubules consisted of cells held together with junctional complexes arranged so as to form a lumen. The smallest lumen were bordered by 2-3 cells, and the largest ones by 8-15 cells. The lumens of the larger tubules did contain granular fibrillar and amorphous debris. Low-density EP cell cultures maintained on HR-9-BM could be induced to proliferate at a rate approaching that of cultures exposed to serum when they were exposed to medium supplemented with high-density lipoprotein (HDL, 750 micrograms protein/ml) and transferrin (50 micrograms/ml). When exposed to HDL concentrations equal or lower than 250 micrograms protein/ml, low-density cultures proliferated at a slow rate and readily formed tubulelike structures. This observation indicates that EP cells do not need to reach confluence to undergo morphogenesis, and that HDL, which in the presence of transferrin supports the cell proliferation, can favor their differentiation into tubulelike structures once its concentration becomes limiting for mitogenesis.

Animals

Disparity range for local stereopsis as a function of luminance spatial frequency.

The disparity range for stereo sensitivity was investigated with spatially filtered bars, tuned narrowly over a broad range of spatial frequencies. When measured with narrow (high spatial frequency) bars the disparity range for stereopsis exceeded two orders of magnitude. The range was reduced with broad (low spatial frequency) bars by an elevation of stereothreshold that increased according to a constant 6 deg phase disparity. The upper disparity limit also increased at broad spatial periods but at a lower rate. These size disparity correlations illustrate quantitative stereopsis along a continuum from fine to coarse disparities (+/- 2 deg). A disparity matching task revealed that greater amounts of uncrossed than crossed disparity were required to match suprathreshold disparities. The ratio of standard/matched disparity was lower in both directions for small suprathreshold disparities subtended by broad than by narrow spatial periods. This selective reduction of stereo-efficiency ratio illustrates tuning to coarse disparities subtended by broad (low spatial frequency) stimuli and accounts for the marked reduction of stereoacuity caused by spectacle blur.

Depth Perception

Pathology of iridectomy specimens in gyrate atrophy of the retina and choroid.

Gyrate atrophy of the retina and choroid is an autosomal recessive disease characterized by progressive retinal degeneration and ornithine aminotransferase deficiency. We report here the new histological findings and ultrastructural changes in 3 iridectomy specimens from 2 Finnish patients with gyrate atrophy. The iridectomy specimens were removed during routine cataract extraction and studied with a transmission electron microscope. The dilator muscle showed atrophy, abnormal mitochondria, and tubular aggregate type structures similar to those found in skeletal muscle. Degenerative changes such as extracted cellular matrix, dropout of cellular organelles, and dilated intercellular spaces were observed in the pigmented posterior epithelium and the anterior iris epithelium.

Adult

Human trabecular cells. II. Growth pattern and ultrastructural characteristics.

The morphologic features of third-passage human trabecular cells were examined in multiple experiments by light and electron microscopy. Evaluation of the cellular growth pattern, fibronectin immunofluorescence, and specific ultrastructural features have helped to establish the identity of the trabecular cell type. Comparison of the cultured trabecular cells with cultured keratocytes and scleral fibrocytes grown under identical conditions emphasized the specialized morphologic features of trabecular cells in vitro. The characteristics of trabecular cells in vitro closely resemble those described for trabecular cells in vivo, including the presence of similar cell surface features and cell junctions, cytoplasmic organelle composition, and nuclear chromatin pattern. Since many of the differentiated features of the trabecular cells are retained after passage in culture, it is possible that study of these cells will provide a means to understand the biochemical and morphologic properties of this important cell type.

Adolescent

Detection of T cells that secrete molecules which share determinants with antigen-specific T-cell factors.

A single-cell secretion assay was used to detect cells that secrete products which react with an antiserum that binds T cell antigen-binding polypeptides. The antiserum (R11), which was produced by immunization of rabbits with a murine trinitrophenyl-specific suppressor factor, reacts with T cells and their products and with a suppressor T-cell clone but not with B cells or their products. The secretory cells this antiserum detected were found to be unevenly distributed among various organs (spleen, lymph node, and thymus) and, to different degrees, in spleens of various strains of mice. In unimmunized CBA/J mice, approximately 1-3% of spleen cells secreted macromolecules precipitable by R11. The majority of the secretory cells could be removed by panning with a mixture of Ly 1 and Ly 2 antibodies but not with either antibody alone. This is consistent with the cells having low surface antigen densities as a result of being either "pre-T" cells or mature secretory cells analogous to B-lineage plasma cells. In agreement with the latter possibility was our finding that the secretory activity of cells detected with antisuppressor factor was comparable to that of Ig-secretory cells as detected with an anti-Ig antiserum. However, higher numbers of R11+ secretory cells were seen in the immunoglobulin-negative fraction of spleen cells from nude mice, which could be interpreted to favor the first possibility. In either case this study shows that the single-cell assay technique is well suited for the detection and characterization of molecules released by immunoregulatory T cells.

Animals