Biomedical subjects

Ian Baker

Publications and source records attributed to Ian Baker.

5 recordsLinked to original sources

PubMed2004

Determining the orientations of ice crystals using electron backscatter patterns.

Knowing the orientations of the ice crystals in a polycrystalline aggregate is essential for understanding and modeling the flow of naturally occurring ice. Here we show, for the first time, that the orientation of crystals in polycrystalline ice can be determined with a higher angular and spatial resolution and more rapidly than any currently used method by using electron backscatter patterns (EBSPs) in a cold-stage equipped scanning electron microscope. We also present an orientation image map constructed from EBSPs, and discuss possible applications of the technique for ice. The results indicate that obtaining EBSPs and orientation images from other frozen water-containing materials, such as clathrate hydrates, may also be possible.

Crystallization↗

PubMed2004

Potassium channel antibody-associated encephalopathy: a potentially immunotherapy-responsive form of limbic encephalitis.

Patients presenting with subacute amnesia are frequently seen in acute neurological practice. Amongst the differential diagnoses, herpes simplex encephalitis, Korsakoff's syndrome and limbic encephalitis should be considered. Limbic encephalitis is typically a paraneoplastic syndrome with a poor prognosis; thus, identifying those patients with potentially reversible symptoms is important. Voltage-gated potassium channel antibodies (VGKC-Ab) have recently been reported in three cases of reversible limbic encephalitis. Here we review the clinical, immunological and neuropsychological features of 10 patients (nine male, one female; age range 44-79 years), eight of whom were identified in two centres over a period of 15 months. The patients presented with 1-52 week histories of memory loss, confusion and seizures. Low plasma sodium concentrations, initially resistant to treatment, were present in eight out of 10. Brain MRI at onset showed signal change in the medial temporal lobes in eight out of 10 cases. Paraneoplastic antibodies were negative, but VGKC-Ab ranged from 450 to 5128 pM (neurological and healthy controls <100 pM). CSF oligoclonal bands were found in only one, but bands matched with those in the serum were found in six other patients. VGKC-Abs in the CSF, tested in five individuals, varied between <1 and 10% of serum values. Only one patient had neuromyotonia, which was excluded by electromyography in seven of the others. Formal neuropsychology testing showed severe and global impairment of memory, with sparing of general intellect in all but two patients, and of nominal functions in all but one. Variable regimes of steroids, plasma exchange and intravenous immunoglobulin were associated with variable falls in serum VGKC-Abs, to values between 2 and 88% of the initial values, together with marked improvement of neuropsychological functioning in six patients, slight improvement in three and none in one. The improvement in neuropsychological functioning in seven patients correlated broadly with the fall in antibodies. However, varying degrees of cerebral atrophy and residual cognitive impairment were common. Over the same period, only one paraneoplastic case of limbic encephalitis was identified between the two main centres. Thus, VGKC-Ab-associated encephalopathy is a relatively common form of autoimmune, non-paraneoplastic, potentially treatable encephalitis that can be diagnosed by a serological test. Establishing the frequency of this new syndrome, the full range of clinical presentations and means of early recognition, and optimal immunotherapy, should now be the aim.

Aged↗

PubMed2004

Registering ischaemic heart disease: are we meeting the targets for South Asians?

BACKGROUND: Registration on a primary care disease register is a necessary first step for the provision of systematic care for ischaemic heart disease (IHD). We examined whether there is any potential bias in IHD registration based upon the ethnic origin of the patient. METHODS: 'Observed' rates of ischaemic heart disease registration from 12 general practices in Bristol were contrasted with national 'expected' rates derived from the Health Survey for England, 1999, with the aim of comparing rates of registration between patients whose countries of origin were South Asian and non-South Asian. Ethnicity was classified by the patients' surname. Data were stratified by age, sex and ethnicity. RESULTS: Overall, no major differences in 'observed' and 'expected' rates of registration between South Asian and non-South Asians were observed. In general, however, 'observed' rates were lower than the 'expected' rates for both groups. CONCLUSION: We found no overall bias in IHD registration based upon the patient's ethnic origin but we did observe generally low rates of IHD registration overall.

Adult↗

PubMed2003

SEM/EDS comparison of polar and seasonal temperate ice.

We have developed a method employing a scanning electron microscope (SEM) and energy dispersive X-ray spectroscopy for examining uncoated ice specimens. By permitting the ice to sublimate in the SEM at temperatures between -115 degrees and -60 degrees C, enough ions are produced to prevent specimen charging. The absence of a conductive coating permits both the acquisition of uncompromised X-ray spectra, and a dynamic view of impurities as the ice sublimates. The method has enabled us to examine the microstructure and impurities in ice in ways not possible through standard melt chemistry measurements or even through using a SEM to study coated samples. Soluble impurities appeared either as white spots in grain interiors, grain boundaries, and triple junctions, or as filaments in grain boundaries. Inclusions of insoluble impurities have also been observed in natural ice. Thus, we have been able to compare the microstructural location and concentration of impurities in ice from different terrestrial locations. Even when ion chromatography of the melt from two core sections reveals similar levels of impurities, the morphology and location of the impurity aggregates can be quite different. Analysis of impurity type and location can provide clues to the depositional environment and history of the ice.

Cold Climate↗

PubMed2003

Atomistic protein folding simulations on the submillisecond time scale using worldwide distributed computing.

Atomistic simulations of protein folding have the potential to be a great complement to experimental studies, but have been severely limited by the time scales accessible with current computer hardware and algorithms. By employing a worldwide distributed computing network of tens of thousands of PCs and algorithms designed to efficiently utilize this new many-processor, highly heterogeneous, loosely coupled distributed computing paradigm, we have been able to simulate hundreds of microseconds of atomistic molecular dynamics. This has allowed us to directly simulate the folding mechanism and to accurately predict the folding rate of several fast-folding proteins and polymers, including a nonbiological helix, polypeptide alpha-helices, a beta-hairpin, and a three-helix bundle protein from the villin headpiece. Our results demonstrate that one can reach the time scales needed to simulate fast folding using distributed computing, and that potential sets used to describe interatomic interactions are sufficiently accurate to reach the folded state with experimentally validated rates, at least for small proteins.

Algorithms↗