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Biomedical subjects

J G Taylor

Publications and source records attributed to J G Taylor.

At least 37 records · Page 2Linked to original sources
PubMed2000

KTP laser therapy for bleeding from chronic radiation proctopathy.

BACKGROUND: Endoscopic laser photocoagulation is commonly used to treat bleeding from the neovascular lesions of chronic radiation proctopathy. The KTP laser is an Nd/YAG-driven unit that emits light with a wavelength of 532 nm. This wavelength of energy is absorbed by hemoglobin and penetrates tissue to a depth of only 1 to 2 mm. METHODS: Twenty-three patients were treated with KTP laser and followed for a median of 29 months (range 5 to 51 months); 21 had received radiation for prostate cancer and 2 for uterine cancer. The median age was 77 years (range 68 to 87 years). A median of 2 sessions (range 1 to 5 sessions) was performed using 4 to 10 Watts of power and a median energy of 816 Joules per session (range 204 to 2430 Joules). RESULTS: After treatment there was a significant reduction in the frequency (p = 0.0005) of bleeding, increase in hematocrit level (p < 0.0001), improvement in activities of daily life (p = 0.01), and a reduction in use of health care resources (p < 0.0001). There was a trend toward decreased use of iron supplements (11 to 4 patients) and transfusions (4 to 0 patients). Two patients (9%) developed rectal ulcers after treatment. CONCLUSIONS: KTP laser photocoagulation is a safe and effective therapy for bleeding from chronic radiation proctopathy that improves activities of daily living and reduces use of health care resources.

Aged↗
PubMed2000

On the relation between brain images and brain neural networks.

The relationship between brain images observed by PET and fMRI and the underlying neural activity is analysed using recent results on the detailed nature of averaged and synchronised activity of coupled neural networks and on a simplifying model of the level of blood flow caused by neural activity. The conditions on the coupled neural systems are specified that lead to structural equation models, giving support to analysis of the covariance structural equation modelling of brain imaging data. The relation between the resulting models and possible neural codes are analysed. Furthermore, a new form of structural equation model is derived, in which all neuronal activity arises as hidden variables. We discuss how the results of such analyses can be transported back to the domain of coupled temporally dynamic neural systems in the brain appropriate to EEG and MEG observations.

Brain↗
PubMed1999

Network analysis in episodic encoding and retrieval of word-pair associates: a PET study.

The involvement of distributed brain regions in declarative memory has been hypothesized based on studies with verbal memory tasks. To characterize episodic declarative memory function further, 14 right-handed volunteers performed a visual verbal learning task using paired word associates. The volunteers underwent positron emission tomography. 15O-butanol was used as a tracer of regional cerebral blood flow (rCBF). Inter-regional functional interactions were assessed based on within-task, across-subject inter-regional rCBF correlations. Anatomical connections between brain areas were based on known anatomy. Structural equation modelling was used to calculate the path coefficients representing the magnitudes of the functional influences of each area on the ones to which it is connected by anatomical pathways. The encoding and the retrieval network elicit similarities in a general manner but also differences. Strong functional linkages involving visual integration areas, parahippocampal regions, left precuneus and cingulate gyrus were found in both encoding and retrieval; the functional linkages between posterior regions and prefrontal regions were more closely linked during encoding, whereas functional linkages between the left parahippocampal region and posterior cingulate as well as extrastriate areas and posterior cingulate gyrus were stronger during retrieval. In conclusion, these findings support the idea of a global bihemispheric, asymmetric encoding/retrieval network subserving episodic declarative memory. Our results further underline the role of the precuneus in episodic memory, not only during retrieval but also during encoding.

Adult↗
PubMed1999

Diagnostic usefulness of antineutrophil cytoplasmic autoantibody serology. Comparative evaluation of commercial indirect fluorescent antibody kits and enzyme immunoassay kits.

Antineutrophil cytoplasmic autoantibodies (ANCAs) are increasingly used as serologic markers for pauci-immune crescentic glomerulonephritis and small vessel vasculitis. Many hospital laboratories and referral laboratories use commercial assay kits to detect ANCAs, despite inadequate documentation in the medical literature of kit performance. We evaluated the diagnostic sensitivity, specificity, and predictive value of 3 commercial indirect immunofluorescence assay (IFA) kits and 7 commercial enzyme immunoassay (EIA) kits for several ANCA subtypes. Serum samples from 396 patients with a variety of renal diseases were analyzed, including 146 patients with pauci-immune crescentic glomerulo-nephritis with or without systemic vasculitis. With 1 exception, the kits had more than 90% agreement with the reference standard and gave results similar to those of research laboratories. IFA diagnostic sensitivity ranged from 81% to 91% and EIA sensitivity from 75% to 84%. Maximum specificity was obtained with combined IFA and EIA. Diagnostic specificity was more than 70% for 2 of 3 IFA kits and at least 90% for 5 of 7 EIA kits. Predictive values varied with clinical manifestations. Most commercial IFA and EIA kits that were evaluated provide acceptably accurate analytic results.

Antibodies, Antineutrophil Cytoplasmic↗
PubMed1999

Mathematical analysis of lead field expansions.

The solution to the bioelectromagnetic inverse problem is discussed in terms of a generalized lead field expansion, extended to weights depending polynomially on the current strength. The expansion coefficients are obtained from the resulting system of equations which relate the lead field expansion to the data. The framework supports a family of algorithms which include the class of minimum norm solutions and those of weighted minimum norm, including FOCUSS (suitably modified to conform to requirements of rotational invariance). The weighted-minimum-norm family is discussed in some detail, making explicit the dependence (or independence) of the weighting scheme on the modulus of the unknown current density vector. For all but the linear case, and with a single power in the weight, a highly nonlinear system of equations results. These are analyzed and their solution reduced to tractable problems for a finite number of degrees of freedom. In the simplest magnetic field tomography (MFT) case, this is shown to possess expected properties for localized distributed sources. A sensitivity analysis supports this conclusion.

Brain↗
PubMed1999

Study of Cardiovascular Risk Intervention by Pharmacists (SCRIP): a randomized trial design of the effect of a community pharmacist intervention program on serum cholesterol risk.

OBJECTIVE: To determine the efficacy of a program of intervention by pharmacists on lipid risk management in patients at high risk for cardiovascular events. METHODS: Randomized, multicenter (44 sites in Alberta and Saskatchewan) study of community pharmacist intervention versus usual care in 1000 patients. Patients are those at high risk of vascular events (existing atherosclerotic vascular disease, or diabetes with > or = 1 other risk factor). After obtaining consent, the pharmacist calls the Project Office to randomize. Patients allocated to intervention receive a brochure and education about cardiovascular risk factors. Pharmacists also complete a physician contact form, which lists the patient's risk factors, medications, and any recommendations. A point-of-care cholesterol test is performed, the result is discussed with the patient, and it is entered on the contact form. If appropriate, the patient is asked to see his or her primary care physician for further assessment and/or treatment, and the form is faxed to the physician. Patients are followed up at two, four, eight, 12, and 16 weeks. During follow-up visits, pharmacists provide educational reinforcement and check for primary end point occurrence. Patients allocated to usual care receive the brochure only, with minimal follow-up. The primary end point is a composite of measurement of a complete lipid panel by the physician, or addition or modification of lipid-lowering drug therapy. Substudies will evaluate economics (third-party payer and pharmacy manager perspective), patient satisfaction, and quality of life. CONCLUSIONS: SCRIP (Study of Cardiovascular Risk Intervention by Pharmacists) is a unique ongoing trial that is evaluating a community pharmacist intervention designed to optimize cholesterol risk management in patients at high risk for cardiovascular events.

Aged↗
PubMed1998

Observation of quantization effects in human auditory cortex.

Auditory evoked magnetic fields were recorded from five human subjects using the BTi whole head system (148 channels). The stimuli were simple tone bursts with different inter-stimulus intervals (ISI). The magnetic field was also recorded from the same subjects in place without stimulation to provide baseline 'noise' measurements. Magnetic field tomography (MFT) was applied to the average data and activation curves were computed from well circumscribed regions of interest (ROI). Objective statistical measures (Kolmogorov-Smirnov test) were then used to identify latency segments with distribution significantly different from the baseline distribution. For latency segments with significant activations the dependence of the activation strength on ISI was modeled by an exponentially saturating function. In earlier studies, the characteristic time (tau) in this function was interpreted as a measure of a memory trace for auditory tones. Our analysis identified distinct levels for tau: all subjects had the same lower two levels (0.50 s and 0.69 s). Attention modulation introduced considerably higher tau values in most subjects but it did not change the two 'ground state' tau levels. To our knowledge, this is the first demonstration of quantization effects in the macro-properties of brain activity, which were universal amongst the subjects we studied.

Acoustic Stimulation↗
PubMed1998

A three stage model of awareness: formulation and initial experimental support.

The various components which together make up the complex state of consciousness require neural support involving a connected network of many brain areas at differing levels. At the lowest level is non-aware processing, of which there is not direct awareness. There are also modules involved in processing with awareness but without focussed attention. Finally there must be a set of modules involved in directing attention in a controlled manner. We expect to be able to dissociate the various components of the three-stage network by using different levels of attention. The results of an auditory experiment performed under three different levels of awareness and attention are analysed to show support for the three-stage model of awareness. The relevant auditory areas are delineated.

Acoustic Stimulation↗
PubMed1998

Cortical activity and the explanatory gap.

An exploration is given of neural network features now being uncovered in cortical processing which begins to go a little way to help bridge the "Explanatory Gap" between phenomenal consciousness and correlated brain activity. A survey of properties suggested as being possessed by phenomenal consciousness leads to a set of criteria to be required of the correlated neural activity. Various neural styles of processing are reviewed and those fitting the criteria are selected for further analysis. One particular processing style, in which semiautonomous and long-lasting cortical activity "bubbles" are created by input, is selected as being the most appropriate. Further experimental criteria are used to help narrow the possible neural styles involved. This leads to a class of neural models underpinning phenomenal consciousness and to a related set of testable predictions.

Awareness↗
PubMed1998

The influence of stimulus properties, complexity, and contingency on the stability and variability of ongoing and evoked activity in human auditory cortex.

The real-time, single-trial activity in the human auditory cortex was extracted from magnetoencephalographic signals. A predictor of single-trial activity was defined as the sum of the average response and a mean-free base level computed over a range of base times. For simple stimuli the residual (predicted-actual) activity had a stimulus-independent oscillatory (10 Hz) component. This component was larger and more durable in trained subjects, reaching saturation only in the most trained of the five subjects studied (S1). Changes in variability and associated reduction of the absolute value and duration of the oscillations were evident in experiments with stimuli loaded with information, saliency, or task contingency. Repetition reintroduces stimulus-independent oscillations very slowly. For S1, after training, the stimulus-independent oscillations were reestablished in the auditory cortices to the level seen for simple stimuli, except for the time periods and in the hemisphere associated with the combination of task demands and stimulus processing.

Adult↗
PubMed1996

Breakthrough to awareness: a preliminary neural network model of conscious and unconscious perception in word processing.

A neural network model is constructed to mimic the processing involved in semantic and working memory when subliminal effects are involved. These effects involve modifications of reaction time to later inputs, according to whether or not there has been conscious or unconscious processing of the earlier input. The model is constructed of two separate modules: one (a semantic memory module) allowing for processing at a semantic, but unconscious, level, and the other (a working memory module) for conscious experience. The latter module, although a replica of the earlier one, has different lateral connectivity and output function from the former. The model is shown to give a good fit to Marcel's data on the processing of polysemous words. Further tests are suggested for the model, and a possible cortical implementation suggested. The relevance of the model to recent approaches to consciousness is also explored.

Consciousness↗
PubMed1996

Nitric oxide in cortical map formation.

We analyse the possible role of nitric oxide in the early development of cortical maps. A mathematical analysis shows that with the aid of the diffusing messenger NO, cortical maps can develop without the need for lateral-inhibitory interactions. We derive that the maps that NO can set up depend on the stimulus environment in a way that is similar to lateral-inhibitory models of map formation but that they also have properties that depend specifically on the parameters of the diffusion process. These dependencies have not before been extracted and can be used to test the involvement of NO in cortical map formation.

Brain Mapping↗
PubMed1996

Detection of cellulose with improved specificity using laser-based instruments.

Specific detection of cellulose has not been possible using laser based instruments such as laser scanning confocal microscopes (LSCM) and fluorescently activated cell sorters (FACS). Common cellulose dyes are nonspecific and/or nonexcitable with common lasers. Furthermore, many lasers emit wavelengths that overlap with autofluorescence from chlorophyll and other plant molecules. We demonstrate that a cellulase and an isolated bacterial cellulose binding domain (CBD) conjugated to fluorescent dyes can be used for laser detection of cellulose with improved specificity. Cell walls of differentiating tracheary elements and spores of Dictyostelium discoideum were tested in this study. For double labeling, autofluorescence interfering with the rhodamine signal was eliminated by collecting each excitation channel separately followed by computer recombination or by using a narrow band pass barrier filter allowing simultaneous channel collection. Using these methods, cellulose and microtubules tagged with a monoclonal antibody to alpha-tubulin were effectively colocalized in chlorophyll-containing tracheary elements using a LSCM. Also, Dictyostelium discoideum spores labeled or unlabeled with CBD-FITC were separated into two populations by FACS indicating that this tag should be useful in future mutagenesis experiments. Therefore, the presence or absence of cellulose can now be analyzed using common lasers.

Animals↗
PubMed1995

A global competitive neural network.

A study is presented of a set of coupled nets proposed to function as a global competitive network. One net, of hidden nodes, is composed solely of inhibitory neurons and is excitatorily driven and feeds back in a disinhibitory manner to an input net which itself feeds excitatorily to a (cortical) output net. The manner in which the former input and hidden inhibitory net function so as to enhance outputs as compared with inputs, and the further enhancements when the cortical net is added, are explored both mathematically and by simulation. This is extended to learning on cortical afferent and lateral connections. A global wave structure, arising on the inhibitory net in a similar manner to that of pattern formation in a negative laplacian net, is seen to be important to all of these activities. Simulations are only performed in one dimension, although the global nature of the activity is expected to extend to higher dimensions. Possible implications are briefly discussed.

Brain↗
PubMed1995

Neural anatomy of the glenohumeral ligaments, labrum, and subacromial bursa.

The neural histology of the human shoulder ligaments, glenoid labrum, and subacromial bursae were studied using a modified gold chloride stain. Two morphological types of mechanoreceptors and free nerve endings were found in the ligaments. Slow adapting Ruffini end organs and rapidly adapting Pacinian corpuscles were identified in the superior, middle, inferior, and the posterior glenohumeral ligaments. These specialized proprioceptive nerve endings were also found in the coracoclavicular, and coracoacromial ligaments. Only free nerve endings were found in the glenoid labrum and these were located in the peripheral half. Scattered free nerve endings were found throughout the subacromial bursae. This is the first histological evidence of neural receptors in the human shoulder ligaments, glenoid labrum, and the subacromial bursae. Any disruption of the labrum or these ligaments by trauma or surgery can deprive the shoulder of mechanical stability, and may cause a decrease in proprioception because of the loss of these afferent neural receptors. Removal of symptomatic, inflamed bursae may decrease pain signals from this area of the shoulder.

Adult↗
PubMed1994

Non-linear dynamics in neural networks.

A general framework for the analysis of neurons as stochastic, three-dimensionally complex and non-linear units with a range of temporal properties is outlined, and a class of problems delineated. Some general mathematical properties of the resulting network are deduced, together with information-theoretic questions to be pursued. In particular examples of the relevance of the nonlinear, temporal and stochastic properties of neurons in effective information processing are briefly outlined.

Animals↗
PubMed1991

Accessory olfactory learning.

Learning in the accessory olfactory bulb is modelled mathematically by means of a set of coupled oscillator equations to describe the ongoing activity. The modification of this activity by experience is shown to lead to a change of the transfer function of the AOB as an input-output device. This leads both to a test of the model and a means of discovering how the later stages of the brain may use the AOB output. Our discussion is limited to a specific form of learning in the mouse, but may have more general applicability.

Animals↗