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Biomedical subjects

J H Fuller

Publications and source records attributed to J H Fuller.

At least 127 records · Page 7Linked to original sources
PubMed1981

Eye and head movements during vestibular stimulation in the alert rabbit.

Rabbits passively oscillated in the horizontal plane with a free hand tended to stabilize their head in space (re: earth-fixed surroundings) by moving the head on the trunk (neck angular deviation, NAD) opposite the passively imposed body rotation. The gain (NAD/body rotation) of head stabilization varied from 0.0 to 0.95 (nearly perfect stability) and was most commonly above 0.5. Horizontal eye movement (HEM) was inversely proportional to head-in-space stability, i.e. the gaze (sum of HEM, NAD, and body rotation) was stable in space (regardless of the gain of head stabilization). When the head was fixed to the rotating platform, attempted head movements (head torque) mimicked eye movements in both the slow and fast phases of vestibular nystagmus; tonic eye position was also accompanied by conjugate shifts in tonic head torque. Thus, while eye and head movements may at times be linked, that the slow eye and head movements vary inversely during vestibular stimulation with a free head indicates that the linkage is not rigid. Absence of a textured stationary visual field consistently produced a response termed 'visual inattentiveness,' which was characterized by, among other things, a reduction of head and gaze stability in space. This behavioral response could also be reproduced in a subject allowed vision during prolonged vestibular stimulation in the absence of other environmental stimuli. It is suggested that rabbits optimize gaze stability (re: stationary surroundings), with the head contributing variably, as long as the animal is attending to its surroundings.

Animals↗
PubMed1981

Hyperglycemia and arterial disease.

Clinical and autopsy evidence support the increased risk of atherosclerotic disease in diabetes mellitus (DM). However, mechanisms other than arterial occlusion may also contribute to clinical syndromes often assumed to be atherosclerotic in origin. There is considerable geographical variability in the frequency of arterial disease in the diabetic. Glucose intolerance short of unequivocal DM is found in some (though not all) populations to carry increased atherosclerotic risk. Morbidity and mortality data suggest that women are particularly vulnerable (as with DM). The Whitehall prospective study of cardiovascular mortality shows that risk does not rise smoothly with increasing degrees of glucose intolerance but that it doubles sharply at the 95th percentile of the 2-h post-glucose blood sugar distribution.

Adult↗
PubMed1981

Hemostatic function tests associated with diabetic microangiopathy.

To study the possible role of an increased thrombotic tendency in the vascular complications of diabetes, several tests of hemostatic function were carried out on 91 men and 63 women aged 35-54 years with diabetes and the results compared with findings of 683 men and 393 women of the same age in the Northwick Park Heart Study. Mean values for factor VII, fibrinogen, antithrombin III and platelet adhesiveness were higher in the diabetics, but mean fibrinolytic activity was lower, particularly in the noninsulin-dependent group. Diabetics with retinopathy had higher factor VII and antithrombin III values, and those with proteinuria had higher values for factor VII, fibrinogen and platelet adhesiveness than those without these complications. These findings suggest a potentially important association between a thrombotic tendency and microangiopathy in diabetics, but prospective studies are needed to clarify whether the association is a casual one.

Adult↗
PubMed1980

Coronary-heart-disease risk and impaired glucose tolerance. The Whitehall study.

In the Whitehall Study of 18,403 male civil servants aged 40--64 years, 7 1/2 year coronary-heart-disease (CHD) mortality has been examined in relation to blood-sugar concentration 2 h after a 50 g oral glucose load. CHD mortality was approximately doubled for subjects with inpaired glucose tolerance (IGT), defined as a blood-sugar above the 95th centile (greater than or equal to 96 mg/dl). There was no trend of CHD mortality with blood-sugar below the 95th centile. Within the IGT group, age, systolic blood-pressure, and ECG abnormality (Whitehall criteria) were significantly predictive of subsequent CHD mortality. These findings are relevant to discussions on the criteria for diabetes which include the definition of an IGT category with increased risk of large-vessel disease, but without the high risk of small-vessel disease as occurs in diabetes mellitus.

Adult↗
PubMed1980

The dynamic neck-eye reflex in mammals.

Stimulation of cervical proprioceptors by torsion of the neck results in movement of the eyes. The pathways of this neck-eye reflex have been identified electrophysiologically, and in individuals with vestibulo-ocular deficits the reflex is often seen to contribute to retinal image stability during head movements. In intact individuals, however, its role in ocular compensation for head movements is questionable. In this and other studies, the reflex eye movements were in the direction opposite the vestibulo-ocular reflex and were, therefore, anticompensatory. In four species of mammal (rat, rabbit, cat, and bush baby - a primate), the reflex was most consistently elicited with an anticompensatory phase; furthermore, when an animal partially stabilizes its head in space (by the vestibulo-collic reflex) during body rotation, the vestibulo-ocular and neck eye reflexes must have opposite polarities if their summation is to be of use to the animal. The neck-eye reflex appears to be absent when the animal actively moves its head; it only appears during the experimental procedure employed to elicit the reflex. An alternative function for the electrophysiologically identified pathway of the neck-eye reflex is suggested.

Animals↗
PubMed1979

Haemostatic variables associated with diabetes and its complications.

To study the possible role of an "increased thrombotic tendency" in the vascular complications of diabetes several tests of haemostatic function were carried out on 91 men and 63 women with diabetes aged 35-54 years and the results compared with findings in 686 men and 393 women of the same age in the Northwick Park Heart Study. Mean values for factors VII and X, fibrinogen, and platelet adhesiveness were higher in the diabetics, but mean fibrinolytic activity and whole blood platelet counts were lower. Antithrombin III values were also higher in the diabetics, which may have constituted a protective response to other changes favouring the onset of vascular disease. Diabetics with retinopathy had higher factor VII and antithrombin III values, and those with proteinuria had higher values for factor VII, fibrinogen, and platelet adhesiveness than those without these complications. These findings suggest a potentially important association between a thrombogenic tendency and vascular disease in diabetes. Nevertheless, prospective data are needed to clarify whether the haemostatic abnormalities precede the onset of clinically manifest vascular complications or are a consequence of them.

Adult↗
PubMed1979

Nutrient intake, adiposity, and diabetes.

To study the role of nutritional factors in the genesis of diabetes, estimations of blood sugar concentration, food intake, and adiposity (as body mass index; BMI) were carried out on three normal population samples--namely, 961 employees of Beecham Ltd, 1005 employees of the Greater London Council, and 1488 middle-aged male civil servants (Whitehall study). Blood sugar concentrations and indices of glucose tolerance correlated positively with the degree of adiposity but tended to be negatively correlated with total food energy intake and its component nutrients (total carbohydrate, sucrose, and fat). This inverse trend was largely accounted for by highly significant inverse correlations between food energy intake and adiposity, a relation found in both sexes and in all three population samples and which extended across the whole range of nutrient intake and BMI. These findings suggest that greater degrees of adiposity are associated with lower than average food energy intakes and hence lower total energy expenditures. The association of increased adiposity with low food energy consumption may indicate an underlying "low energy throughput" state, and it may be the mechanisms of this, as well as the obesity, that are responsible for disease.

Adipose Tissue↗
PubMed1979

Worsening to diabetes in men with impaired glucose tolerance ("borderline diabetes").

Two hundred and four men with impaired glucose tolerance (borderline diabetes) discovered in a screening examination have been observed for five years and repeated tests of glucose tolerance performed. By pre-determined criteria 27 men 'worsened to diabetes' and this metabolic deterioration was not significantly influenced by treatment with carbohydrate restriction with or without a daily dose of 50 mg phenformin. Of the baseline variables measured prior to treatment allocation only the blood glucose values were significantly predictive of ultimate worsening to diabetes.

Blood Glucose↗
PubMed1979

Lipoproteins and plasma cholesterol esterification in normal and diabetic subjects.

Serum lipoproteins, separated by preparative ultracentrifugation and the activity of the plasma enzyme lecithin: cholesterol acyltransferase (LCAT) have been measured in insulin-dependent diabetics, non-insulin-dependent diabetics and in age-matched non-diabetic controls. In the insulin-dependent diabetics, mean total serum cholesterol and high density lipoprotein cholesterol (HDL-C) concentrations were significantly higher than in controls. Non-insulin-dependent diabetics had significantly raised total triglycerides and cholesterol, but HDL-C levels were essentially normal. The increased low density lipoprotein cholesterol (LDL-C) in both diabetic groups was statistically significant in men. A methodological study of HDL separation techniques was carried out to facilitate interpretation of these findings. Mean LCAT activity, by a method reflecting combined enzyme and substrate effects was significantly increased in these diabetic groups. The results confirm recent reports of a raised HDL-C in those insulin-dependent diabetics who are prone to coronary heart disease.

Cholesterol↗
PubMed1978

Glucose tolerance and blood pressure in two population samples: their relation to diabetes mellitus and hypertension.

The relationship between blood pressure and the blood sugar concentration measured two hours after a 50 g oral glucose load has been examined in two population surveys-the Whitehall and Bedford Surveys. In the Whitehall Survey, which was conducted in men above the age of 40, there was a positive, significant correlation between blood sugar and blood pressure (systolic and diastolic) which was independent of common associations with age, body mass index (BMI) and heart rate. In the Bedford Survey, systolic blood pressures were significantly higher in newly detected diabetics and borderline diabetics, both men and women, than in normoglycaemic controls after adjustment of blood pressures for age and BMI. However, in the stratified random sample of the cooperating Bedford population, only amongst women was the blood sugar significantly and independently correlated with the systolic blood pressure. Evidence is presented and discussed that autonomic, neurohumoral factors may play some part in the pathogenesis of maturity onset diabetes.

Adult↗
PubMed1977

Treatment of borderline diabetes: controlled trial using carbohydrate restriction and phenformin.

A five-year therapeutic trial of carbohydrate restriction with or without phenformin (50 mg/day) was performed in men with borderline diabetes. The aim of treatment was to diminish the enhanced risk of cardiovascular disease and deterioration of glucose tolerance. Cardiovascular morbidity and mortality were not significantly affected by any form of treatment, alone or in combination. The predominant risk factor for cardiovascular morbidity and mortality and for overall mortality was the initial blood pressure level. The baseline plasma cholesterol concentration significantly predicted the onset of intermittent claudication. One implication of the results is that hypotensive treatment, supplemented when necessary with hypolipidaemic treatment, may be more effective in preventing the progression of arterial disease in people with mild to moderate glucose intolerance than conventional antidiabetic therapy.

Blood Glucose↗