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Biomedical subjects

J H Cutts

Publications and source records attributed to J H Cutts.

At least 19 recordsLinked to original sources
PubMed1998

Development and validation of an exercise performance support system for people with lower extremity impairment.

OBJECTIVE: To identify innovative strategies to support appropriate, self-directed exercise that increase physical activity levels of people with arthritis. This article reports on one interactive, multimedia exercise performance support system (PSS) for people with lower extremity impairments in strength or flexibility. METHODS: An interdisciplinary team developed the PSS using self-report of lower extremity musculoskeletal impairments (flexibility and strength) to produce an individualized exercise program with video and print educational materials. Initial evaluation has investigated the validity and reliability of program assessments and recommendations. RESULTS: PSS self-report and professional assessments were similar, with more impairments indicated by self-report. PSS exercise recommendations were similar to those made by 3 expert physical therapists using the same exercise data base. Results of PSS impairment assessments were stable over a 1-week period. CONCLUSION: PSS exercise recommendations appear to be reliable and a valid reflection of current exercise knowledge in rheumatology. Furthermore, users were able to complete the computer-based program with minimal assistance and reported it to be enjoyable and informative.

Exercise Therapy↗
PubMed1996

Effectiveness of computer-assisted interactive videodisc instruction in teaching rheumatology to physical and occupational therapy students.

A computer-assisted interactive videodisc instructional program, HP-RHEUM was designed to teach clinical findings in arthritis to occupational and physical therapy students. Using the Rheumatology Image Library videodisc produced by the National Library of Medicine, HP-RHEUM consists of instructional modules which employ advance organizers, examples/nonexamples, summaries, and immediate feedback. To see if HP-RHEUM would be as effective as traditional classroom instruction, control data were collected in 1991 from 52 OT and PT students. Treatment data were collected from 61 students in 1992 when HP-RHEUM entirely replaced lectures. Identical pre- and post-tests consisted of 70 multiple choice questions, with 24 matched to slides. On the slide questions the HP-RHEUM group had significantly higher scores. Otherwise, there was no significant difference in performance between groups. HP-RHEUM provided an independent learning method and enhanced visual comprehension of rheumatologic disease concepts.

Analysis of Variance↗
PubMed1993

AI/LEARN/Rheumatology. A comparative study of computer-assisted instruction for rheumatology.

OBJECTIVE: To assess the effectiveness of AI/LEARN/Rheumatology, a computer-controlled interactive videodisc system for teaching. METHODS: We assessed improvement in knowledge about rheumatic diseases, using a pretest and posttest in a control year and a treatment year. The subjects were medical students and postgraduate trainees taking the rheumatology elective. The control year used traditional lectures and the standard rheumatology curriculum. The treatment year used AI/LEARN/Rheumatology in place of lectures on rheumatoid arthritis, ankylosing spondylitis, and osteoarthritis. RESULTS: The trainees showed significant improvement in knowledge in both the control year and the treatment year (P < 0.0001 for both). The average time spent using AI/LEARN/Rheumatology was similar to the time spent in lectures (3 hours). The number of patient consultations in which trainees participated was lower in the treatment year than in the control year; however, the adjusted posttest scores using the pretest as a covariate tended to be higher in the treatment year (P = 0.10). Analysis of covariance of the adjusted posttest scores for the treatment year only showed that the trainees who spent more time using AI/LEARN/Rheumatology learned more (r = 0.57). Trainees felt that AI/LEARN/Rheumatology was the most helpful educational experience of the elective. CONCLUSION: AI/LEARN/Rheumatology is an effective means of teaching about the rheumatic diseases. It has many advantages: availability for independent study, effective use of trainee's time, and liberation of faculty time from lectures. Trainees enjoyed using AI/LEARN/Rheumatology.

Computer-Assisted Instruction↗
PubMed1992

AI/Learn/Rheumatology. A computer-assisted educational system for teaching about rheumatic diseases.

Education of health professionals about the rheumatic diseases is in need of improvement. The computer is an instrument that can be used efficiently to educate large numbers of users. With specific educational principles in mind, we developed AI/Learn/Rheumatology, a computer-assisted interactive videodisc system for teaching the rheumatic diseases. While interacting with the user, it conveys knowledge using visual and problem-solving techniques. The system is efficient, enjoyable to use, and useful for small groups and independent study. It is applicable for teaching medical and allied health professional students, postgraduate trainees, and primary care physicians.

Computer-Assisted Instruction↗
PubMed1992

GALE: a graphics assisted learning environment for computer-based interactive videodisc education.

GALE, a Graphics Assisted Learning Environment, is a computer-based interactive videodisc authoring tool. GALE was created as the authoring package for AI/LEARN/Rheumatology, an independent study system for teaching rheumatology to medical trainees. GALE has potential widespread application beyond rheumatology. Interactive videodisc technology is a prime feature of GALE. Other highlights are: WordPerfect macros which simplify programming, graphics-based large text characters, tracking of user responses, hypertext-like definition capabilities, color coded screens to distinguish between hypertext branches and the mainstream of the course content and ability to overlay text on the video image. GALE runs on a PC-compatible computer with selected Pioneer LaserDisc players. GALE uses WordPerfect 5.1 for text editing and has been designed for use by non-programmers.

Computer Graphics↗
PubMed1992

Preliminary evaluation of learning via the AI/LEARN/Rheumatology interactive videodisc system.

AI/LEARN/Rheumatology is a level three videodisc system to teach clinical observational skills in three important diseases: rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis. The AI/LEARN software was developed on an independent authoring system called GALE designed for MS-DOS based computers. The purpose of this paper is to present preliminary data about the efficacy of teaching by the use of an interactive videodisc system as evaluated by examinations centered upon disease-oriented learning objectives and by attitude questionnaires. We tested the efficacy of the AI/LEARN/Rheumatology system using both medical students and residents taking the rheumatology elective. Data collected were on learning, attitudes, and ranking of curricular elements of the rotation. We kept records on the student time and search path through the interactive videodisc system. Control data were collected during 1990, before the AI/LEARN/Rheumatology program was available. Data for the treatment groups were collected during 1991 and 1992, while the trainees used the AI/LEARN/Rheumatology system. The basic difference between the control year and the treatment year curricula was the substitution of AI/LEARN/Rheumatology for three hours of lecture covering the three target diseases. AI/LEARN/Rheumatology was as effective as traditional methods of instruction as measured by scores on a multiple choice test. Student and resident learning was related to the time spent on the system. Students and residents ranked the AI/LEARN/Rheumatology system as the single most helpful learning tool in their 8 week rheumatology block, ranking it above the examination of patients.

Arthritis, Rheumatoid↗
PubMed1991

Use of a microcomputer database system in a statewide effort for data collection in medical genetics.

The Genetics Office Automation System (GOAS) is a database management system for the collection and reporting of medical genetics data. We have previously reported on its implementation in a single university center [1,2]. We report here on its implementation in a coordinated data collection effort for the State of Missouri. We discuss the current status of the data collection activities and procedures to share data collected at an individual center with state, regional, and national data collection efforts.

Data Collection↗
PubMed1989

Immunohistochemical study of the developing endocrine pancreas of the opossum (Didelphis virginiana).

Cells immunoreactive for insulin, glucagon, somatostatin, bovine pancreatic polypeptide and 5-hydroxytryptamine are found in the pancreas of the newborn opossum and of all later stages examined. All immunoreactive cell types are present in primary and secondary islets and within elements of the exocrine pancreas. Cells immunoreactive for glucagon, bovine pancreatic polypeptide, somatostatin and 5-hydroxytryptamine generally are confined to the periphery of secondary (intralobular) islets, whereas insulin-immunoreactive cells occupy the central region. Endocrine cells within primary (interlobular) islets are randomly scattered. A small number of pancreatic-polypeptide-immunoreactive cells are reactive for the amine 5-hydroxytryptamine also, but the reverse is not observed. The endocrine pancreas continues to differentiate and develop throughout postnatal life and into adulthood. Little difference was observed between the head and tail regions of the opossum pancreas for the measurements made.

Aging↗
PubMed1989

The cardiac, oxyntic and pyloric glands in the developing opossum (Didelphis virginiana).

In the opossum the fundic area of the gastric mucosa develops first, and oxyntic glands show early division into gastric pits and glandular components which then grow simultaneously. At 40 d postnatum the oxyntic glands are longer than the gastric pits but in the pyloric glands the pits still are longer than the glands and it is not until the 73rd postnatal day, that pyloric glands are longer than their pits. Development of the cardiac glands is delayed even more and the length of the gland does not surpass that of the pit until about 95 d postnatum. Argyrophil cells are concentrated in the cardia and fundus at birth and during early postnatal life, but the population of these cells shifts to the pylorus in the adult. Argyrophil cells of the cardiac, oxyntic and pyloric glands are concentrated in glandular regions with the highest mitotic activity.

Animals↗
PubMed1989

Enteroendocrine cells in the developing opossum small intestine and colon.

Enteroendocrine cells immunoreactive for gastrin, bovine pancreatic polypeptide (BPP), glucagon (glicentin), 5-hydroxytryptamine (5-HT), somatostatin, secretin, motilin, gastric inhibitory peptide (GIP) and cholecystokinin (CCK) are scattered throughout the small intestinal epithelium of the newborn opossum and in all later postnatal stages examined. The number of BPP- and glucagon-immunoreactive cells is relatively high in the newborn and rapidly decreases until only occasional cells are present after the first postnatal week. Cells immunoreactive for GIP, CCK, 5-HT, motilin, gastrin and secretin increase in number with development. Secretin-, motilin-, CCK- and GIP-immunoreactive cells generally are concentrated proximally in the small intestine and as they increase in number, differentiate in more distal regions. The number of gastrin-immunoreactive cells actually decreases just prior to weaning but then increases at and after, weaning. Neurotensin-immunoreactive cells are unusual in that they do not appear until about the 74th postnatal day and then are first encountered in the distal small intestine. As development progresses they increase in number and appear in the more proximal regions. Cells immunoreactive for 5-HT at first increase but then decrease sharply at weaning only to increase markedly again after this time. In contrast, somatostatin-immunoreactive cells gradually decrease in number until weaning then dramatically increase. If the total number of enteroendocrine cells in the small intestine is considered, there is a gradual decrease from birth until weaning when a dramatic increase occurs. Cells immunoreactive for neurotensin, 5-HT and somatostatin are also found in the intestinal epithelium of the developing colon and caecum. Somatostatin- and 5-HT-immunoreactive cells are found throughout the colon in the newborn whereas neurotensin-immunoreactive cells, although observed initially in the proximal colon, do not form a significant population until weaning and then are concentrated distally.

Animals↗
PubMed1987

AI/LEARN: an interactive videodisk system for teaching medical concepts and reasoning.

This paper describes AI/LEARN, an educational videodisk system designed to teach clinical observational skills and reasoning in medicine. The AI/LEARN system uses a learning conditions approach to teaching. To teach visual concepts, we use the principle of exemplar/nonexemplar pairs and immediate feedback. To teach If-Then problem solving we use the format of minicases with delayed feedback. The software to operate the system has been custom developed and is domain independent. The result is a prototype of a new authoring package for videodisk teaching which operates on IBM compatible microcomputers. The medical domain selected for this prototype system was rheumatic diseases; the knowledge used to teach reasoning skills is derived from the knowledge base of an expert system: AI/RHEUM.

Computer Systems↗
PubMed1987

Distribution of fibre types in thirty-seven muscles of Didelphis virginiana.

The proportions of Type I and II fibers were determined in 37 muscles of Didelphis virginiana, representing 9 body regions. There was a distinct cranial/caudal gradation in the distribution of Type II fibers throughout the trunk musculature. Muscles of the fore- and hind-limbs showed a gradation of Type II fiber across the width of the muscle, being more prominent at the surface. The type II fibers in the tip of the tail showed peculiar staining properties in which the core of each fiber stained much more lightly than did the periphery.

Adenosine Triphosphatases↗
PubMed1987

An immunohistochemical survey of gastric proteinase (pepsinogen and prochymosin)-containing cells in the stomach of the developing opossum (Didelphis virginiana).

Cells immunoreactive to antisera of bovine pepsinogen and prochymosin are seen in the oxyntic glands but not the pyloric or cardiac glands of the opossum. Immunoreactivities to pepsinogen and prochymosin occur within the same cell and are restricted to an undifferentiated cell type prior to weaning. The undifferentiated cells producing these gastric proteinases decrease in number until just prior to weaning and disappear with the appearance of chief cells. Thereafter, immunoreactivities to both gastric proteinases are seen primarily in chief cells.

Animals↗
PubMed1986

Enteroendocrine cells in the developing opossum stomach.

The distribution of enteroendocrine cells showing immunoreactivities to four peptides and one amine was examined in the gastric mucosa of the opossum during postnatal development using specific immunocytochemical methods. Gastrin-, BPP-, glucagon-, somatostatin- and 5-HT-immunoreactive cells were identified in the gastric mucosa of the newborn opossum. Gastrin-immunoreactive cells were restricted to the epithelial lining of the pylorus; glucagon-immunoreactive cells were seen only in the epithelium of the fundus. Somatostatin- and 5-HT-immunoreactive cells were found in the epithelium of both fundic and pyloric regions. BPP-immunoreactive cells were the most numerous endocrine cell type seen in the gastric epithelium of the newborn opossum and although found mainly at the confluence of the fundic and pyloric regions, were confined primarily to the fundus in the one week old opossum and all older animals. A marked increase in all five immunoreactive cell types was seen by the end of the first postnatal week. Gastrin-immunoreactive cells were the most numerous at this time and exceeded adult numbers. Both glucagon- and BPP-immunoreactive cells were confined to the fundic glands of older animals and showed the same pattern of decline with age. Somatostatin- and 5-HT-immunoreactive cells showed a shift in population from the fundus to the pylorus with age and together with gastrin-immunoreactive cells were restricted to a narrow zone at the bottoms of the gastric pits and the upper parts of the pyloric glands.

Animals↗
PubMed1986

Scanning electron microscopic observations on developing opossum embryos: days 9 through 12.

During the first 9 d of development in Didelphis, the 3 germ layers are established and the initial formation of their derivatives occurs. During this time the embryos float within uterine secretions, each separated from the uterine mucosa by a shell membrane. Organogenesis begins during the last 3 1/2 d of the 12 1/2 d gestation period and corresponds to the time when the yolk sac placenta is associated with the uterine epithelium. During this period development proceeds at an explosive rate, culminating in a fetus-like creature capable of surviving in the pouch. Early in d 10, the forelimbs are present as limb buds. Late in the 10th d the embryo descends into and becomes enveloped by its own yolk sac. Mandibular and hyoid arches, and prominent digital ridges on the forefeet are characteristic external features. By d 11, the hindlimb is represented by a bud the eyes and external auditory meatus are established and an open mouth with protruding tongue is characteristic of this stage. Digits are present on the forefeet but lack claws. During the 12th d the oral shield develops, curved claws are prominent features of the forefeet and digital ridges are seen on the hindfeet. Prior to birth the periderm covers the eyes, ear pinnae and sides of the mouth.

Animals↗
PubMed1985

The allantois of the North American opossum (Didelphis virginiana) with preliminary observations on the yolk sac endoderm and trophectoderm.

During the middle of prenatal day 10, the opossum allantois forms as a ventral outgrowth of the hindgut. By day 11 it appears as a large, fluid filled sac and by the middle of day 12 (just prior to birth) it reaches its maximal development. The simple squamous epithelium lining the allantois consists of only one cell type that often contains numerous filaments in the apical cytoplasm. At the luminal surface, the apices of the cells are united by junctional complexes and desmosomes are present between adjacent cells. The luminal surface is irregular, whereas laterally and basally the cell membranes show few if any infoldings. Mitotic figures and presumptive degenerating cells occasionally occur in the allantoic epithelium which rests on a delicate basal lamina. The allantois is covered by a simple squamous mesothelium that lacks a distinct basal lamina. Between the two epithelial sheets lie mesenchymal cells, collagen fibers, and blood vessels. No specializations of cell membranes were noted in either of the epithelial layers. The yolk sac endoderm consists of a single layer of squamous cells whose cytoplasm contains scattered profiles of rough endoplasmic reticulum and mitochondria. Extensive lateral and basal infoldings of the plasmalemma were not observed in these endodermal cells. The morphology of the trophectodermal (trophoblastic) cells indicates a cell type that is active in the transport of materials. Since the endodermal cells that line the allantois lack morphological features that would suggest the presence of mechanisms for transport or exchange, and because they remain relatively unchanged throughout pregnancy, it is thought that the allantois functions primarily in the storage of urinary wastes during prenatal life.(ABSTRACT TRUNCATED AT 250 WORDS)

Allantois↗