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Biomedical subjects

J H Reynolds

Publications and source records attributed to J H Reynolds.

At least 19 recordsLinked to original sources
PubMed2006

Trends in the on-call workload of radiologists.

AIM: To evaluate the radiologist on-call clinical workload of an inner-city acute teaching hospital. MATERIALS AND METHODS: Data were collected prospectively from a 9-week assessment of the workload of the radiologists on-call at our Trust. Data collection was undertaken using a questionnaire-based survey detailing the date and time of request, and where appropriate, the imaging examination performed. The referring clinician's grade and speciality were also recorded. The results obtained were compared with a similar study carried out in 1996. RESULTS: A total of 160 requests for out-of-hours imaging were received over the 9-week period. CONCLUSIONS: The figures indicate that on-call work is increasing with an approximate doubling of out-of-hours requests compared with the survey performed 7 years earlier.

After-Hours Care↗
PubMed2006

Lung volume reduction surgery for emphysema: What the radiologist needs to know.

Imaging plays a pivotal role in the selection of patients for the surgical treatment of emphysema. In this article, the imaging features of emphysema are reviewed along with the surgical options for treatment. Particular emphasis is given to lung volume reduction surgery as this technique has gained wide acceptance within the thoracic surgical community in recent years. Radiologists need to have an understanding of which patients may be potentially suitable for this technique.

Humans↗
PubMed2005

Exogenous attentional selection of transparent superimposed surfaces modulates early event-related potentials.

Using a transparent motion paradigm, [Valdes-Sosa, M., Bobes, M. A., Rodriguez, V., & Pinilla, T. (1998). Switching attention without shifting the spotlight object-based attentional modulation of brain potentials, Journal of Cognitive Neuroscience, 10, 137-151; Valdes-Sosa, M., Cobo, A., & Pinilla, T. (2000). Attention to object files defined by transparent motion, Journal of Experimental Psychological: Human Perception and Performance, 26, 488-505] found that when attention is endogenously directed to one surface, observers can more reliably report the direction of a brief translation of the cued than the uncued surface. Using a similar design [Reynolds, J. H., Alborzian, S., & Stoner, G. R. (2003). Exogenously cued attention triggers competitive selection of surfaces, Vision Research, 43, 59-66] found that even in the absence of an endogenous cue, the first translation acted as a potent exogenous cue that impaired the observer's ability to discriminate a subsequent translation of the other surface. We investigated the neural basis of this exogenous cueing effect by recording visual event-related potentials (ERPs) elicited by translations of the cued and uncued surfaces. Subjects were given the task of judging whether or not the first and second translations were identical in direction, and their performance was impaired when the second translation occurred on the uncued, as compared to the cued surface. The posterior C1 (75-110 ms) and N1 (160-210 ms) components of the ERP elicited by the second translation of the cued surface were larger than those elicited by translation of the uncued surface. These behavioral and ERP cueing effects were present even when the two surfaces were identical in color and thus could not be attributed to attention-related modulations of the gain of color channels. These findings provide evidence that exogenous cueing results in preferential selection of the cued surface at both early and intermediate stages of visual-cortical processing.

Adult↗
PubMed2004

HRCT diagnosis of diffuse parenchymal lung disease: inter-observer variation.

BACKGROUND: This study was designed to measure inter-observer variation between thoracic radiologists in the diagnosis of diffuse parenchymal lung disease (DPLD) using high resolution computed tomography (HRCT) and to identify areas of difficulty where expertise, in the form of national panels, would be of particular value. METHODS: HRCT images of 131 patients with DPLD (from a tertiary referral hospital (n = 66) and regional teaching centres (n = 65)) were reviewed by 11 thoracic radiologists. Inter-observer variation for the first choice diagnosis was quantified using the unadjusted kappa coefficient of agreement. Observers stated differential diagnoses and assigned a percentage likelihood to each. A weighted kappa was calculated for the likelihood of each of the six most frequently diagnosed disease entities. RESULTS: Observer agreement on the first choice diagnosis was moderate for the entire cohort (kappa = 0.48) and was higher for cases from regional centres (kappa = 0.60) than for cases from the tertiary referral centre (kappa = 0.34). 62% of cases from regional teaching centres were diagnosed with high confidence and good observer agreement (kappa = 0.77). Non-specific interstitial pneumonia (NSIP) was in the differential diagnosis in most disagreements (55%). Weighted kappa values quantifying the likelihood of specific diseases were moderate to good (mean 0.57, range 0.49-0.70). CONCLUSION: There is good agreement between thoracic radiologists for the HRCT diagnosis of DPLD encountered in regional teaching centres. However, cases diagnosed with low confidence, particularly where NSIP is considered as a differential diagnosis, may benefit from the expertise of a reference panel.

Adult↗
PubMed2001

Attention! V1 neurons lining up for inspection.

In this issue of Neuron, Roelfsema and Spekreijse report that macaque V1 neuron responses are correlated with target choice in a task requiring monkeys to attentively trace a line to plan a saccade. These results provide evidence that V1 is actively involved in the interpretation of visual stimuli.

Animals↗
PubMed2001

Modulation of oscillatory neuronal synchronization by selective visual attention.

In crowded visual scenes, attention is needed to select relevant stimuli. To study the underlying mechanisms, we recorded neurons in cortical area V4 while macaque monkeys attended to behaviorally relevant stimuli and ignored distracters. Neurons activated by the attended stimulus showed increased gamma-frequency (35 to 90 hertz) synchronization but reduced low-frequency (<17 hertz) synchronization compared with neurons at nearby V4 sites activated by distracters. Because postsynaptic integration times are short, these localized changes in synchronization may serve to amplify behaviorally relevant signals in the cortex.

Action Potentials↗
PubMed2000

Attention increases sensitivity of V4 neurons.

When attention is directed to a location in the visual field, sensitivity to stimuli at that location is increased. At the neuronal level, this could arise either through a multiplicative increase in firing rate or through an increase in the effective strength of the stimulus. To test conflicting predictions of these alternative models, we recorded responses of V4 neurons to stimuli across a range of luminance contrasts and measured the change in response when monkeys attended to them in order to discriminate a target stimulus from nontargets. Attention caused greater increases in response at low contrast than at high contrast, consistent with an increase in effective stimulus strength. On average, attention increased the effective contrast of the attended stimulus by a factor of 1.51, an increase of 51% of its physical contrast.

Animals↗
PubMed1999

Competitive mechanisms subserve attention in macaque areas V2 and V4.

It is well established that attention modulates visual processing in extrastriate cortex. However, the underlying neural mechanisms are unknown. A consistent observation is that attention has its greatest impact on neuronal responses when multiple stimuli appear together within a cell's receptive field. One way to explain this is to assume that multiple stimuli activate competing populations of neurons and that attention biases this competition in favor of the attended stimulus. In the absence of competing stimuli, there is no competition to be resolved. Accordingly, attention has a more limited effect on the neuronal response to a single stimulus. To test this interpretation, we measured the responses of neurons in macaque areas V2 and V4 using a behavioral paradigm that allowed us to isolate automatic sensory processing mechanisms from attentional effects. First, we measured each cell's response to a single stimulus presented alone inside the receptive field or paired with a second receptive field stimulus, while the monkey attended to a location outside the receptive field. Adding the second stimulus typically caused the neuron's response to move toward the response that was elicited by the second stimulus alone. Then, we directed the monkey's attention to one element of the pair. This drove the neuron's response toward the response elicited when the attended stimulus appeared alone. These findings are consistent with the idea that attention biases competitive interactions among neurons, causing them to respond primarily to the attended stimulus. A quantitative neural model of attention is proposed to account for these results.

Animals↗
PubMed1993

Sonographic appearance of branchial cysts.

Branchial cysts are developmental anomalies arising from remnants of the foetal branchial apparatus. Two patients in whom the presence of a branchial cyst was confirmed at surgery had undergone pre-operative neck ultrasound examination. In each case the cysts showed a characteristic uniform low echogenicity. Recognition of this appearance allows prompt and appropriate further investigation and treatment.

Adult↗
PubMed1993

Combined analysis of tall fescue steer grazing studies in the Eastern United States.

The mixed-models procedure (MMP) was used to analyze pooled data sets from 12 independent studies conducted during the last 13 yr at nine locations in seven states to provide combined estimates of daily gains by beef steers (Bos taurus) grazing tall fescue (Festuca arundinacea Schreb.) pastures free of (E-) or infested (E+) at different levels with the endophytic fungus Acremonium coenophialum. Treatments included low-infestation (< or = 5% E+), moderate-infestation (> or = 20 to < or = 35% E+), and high-infestation (> or = 50 to < or = 97% E+) tall fescue pastures, and, in tall fescue-clover (Trifolium spp.) mixtures, pastures at the same E+ levels with approximately 25 and 10% clover in spring and summer stands, respectively. Spring, summer, and combined spring+summer data were analyzed separately. The MMP permitted estimation of the fixed effects of treatments over a broad inference space of future years and different tall fescue pastures over a wide geographic range; detected relationships that had not been apparent in the individual studies, such as the interactions between clover presence and E+ infestation levels; and provided a more coherent body of information than did the results obtained from each discrete study. Logistical and financial constraints that force undesirable compromises in the conduct of future grazing and other expensive or time-consuming research may be avoided by using MMP within the context of cooperative projects.

Acremonium↗
PubMed1991

Implanted 3He, 4He, and Xe in further studies of diamonds from Western Australia.

In measurements of the noble gases in additional samples of diamonds from the Argyle and Ellendale lamproites in Western Australia we have failed to encounter any neon-rich stones such as showed solar-like isotopic compositions in earlier work. No neon was detected above the relatively high blank levels in our glass apparatus. White and brown diamonds showed no differences in noble gas content, nor did samples segregated by the color of long-wave UF fluorescence. The rare gas patterns in the 1.2 Ga Argyle pipe are largely consistent with implanted 3He, 4He, and fissiogenic Xe from U/Th in the matrix rock in which the diamonds have been stored for so long. These implanted species are absent in diamonds from the much younger (approximately 20 Ma) Ellendale pipe. We give implantation formulae for several models of inhomogeneously distributed U/Th. Differences in 3He content between pipe and alluvial Argyle samples are consistent with expected cosmogenic production in the latter. An expanded data base for helium and carbon isotopic data on the same samples supports a negative [4He]-delta 13C correlation seen earlier in work from our group, but if the Argyle samples, which contain light carbon, are corrected for implanted 4He, the correlation is considerably weakened. We no longer see an earlier 3He/4He-delta 13C correlation.

Carbon Isotopes↗
PubMed1991

Dietary nicotine: a source of urinary cotinine.

Foods, principally from plants in the family Solanaceae, and a number of teas were examined for the presence of nicotine. Dietary nicotine would give rise to cotinine in urine and compromise estimates of exposure to tobacco smoke that depend on urinary cotinine. All foods were homogenized, extracted and analysed for nicotine and cotinine by gas chromatography with nitrogen-sensitive detection (GC) and/or GC/MS (mass spectrometry). Weak acid and aqueous extracts of the teas were analysed in a similar manner. Nicotine was not detected (less than 1 ng/ml of extract) in egg plant or green pepper. The average values for nicotine in tomato and potato were 7.3 ng/g wet weight and 15 ng/g wet weight, respectively. Black teas, including regular and decaffeinated brands, had nicotine contents ranging from non-detectable to greater than 100 ng/g wet weight. Instant teas yielded the highest nicotine contents observed (up to 285 ng/g wet weight). The possible sources of nicotine in these foods are discussed. A range of potential values for urinary cotinine concentrations (0.6 to 6.2 ng/ml) was calculated based upon estimated average and maximal consumptions of these foods and beverages. Because of the potential for exposure to nicotine by way of these routes, the use of urinary cotinine as a biomarker of exposure to environmental tobacco smoke may be compromised.

Chromatography, Gas↗
PubMed1990

Chemical and biological studies of a cigarette that heats rather than burns tobacco.

Cigarettes can be developed that heat rather than burn tobacco. Such products would be expected to have less "tar" and other combustion products than cigarettes that burn tobacco. With one product of this type, benzo(a)pyrene, N-nitrosamines, phenolic compounds, acetaldehyde, acrolein, hydrogen cyanide, and N-heterocyclic compounds have been reduced 10- to 100-fold compared to the Kentucky reference (1R4F) cigarette, a representative low-tar cigarette. The yields of nicotine and carbon monoxide from this new cigarette are less than the yields of 95% and 75%, respectively, of the cigarettes sold in the United States during 1988. Nicotine absorption from smoking this new cigarette is not significantly different from that of tobacco-burning cigarettes yielding equivalent levels of nicotine. The urine mutagenicity of smokers of new cigarettes is significantly less (P less than .05) than that of smokers of tobacco-burning cigarettes and is not significantly different (P greater than .10) from that of nonsmokers. We conclude that cigarettes which heat rather than burn tobacco can reduce the yield of tobacco combustion products. This simplification of smoke chemistry had no effect on nicotine absorption in smokers and resulted in a reduction of biological activity in smokers as measured by urine mutagenicity.

Adult↗
PubMed1990

Imaging inflammation with 99Tcm HMPAO labelled leucocytes.

Labelling leucocytes with 99Tcm using hexamethylpropyleneamine oxime (HMPAO) utilizes the advantages of technetium over indium in imaging inflammation. A retrospective study has been performed on 43 consecutive patients imaged with 99Tcm HMPAO labelled leucocytes in order to assess the reliability of the technique. Particular attention was paid to the different handling characteristics of the 99Tcm HMPAO labelled cells compared with those labelled with indium. It was found that 99Tcm HMPAO labelled leucocytes gave an overall accuracy of 93.2%, a sensitivity of 92.8%, a specificity of 93.3% and a positive predictive value of 86%. 99Tcm HMPAO labelled leucocyte scanning provides a reliable method of imaging inflammation, though errors in interpretation may occur due to the hepato-biliary excretion of activity that occurs with this technique.

Abscess↗
PubMed1988

Absorption of nicotine from a cigarette that does not burn tobacco.

Ten smokers participated in a study to compare the absorption of nicotine from the smoke aerosol of a new cigarette that heats, but does not burn tobacco (test) with a cigarette that burns tobacco (reference). The average plasma nicotine concentrations obtained by the 7th test cigarette (13 ng/ml) and 7th reference cigarette (24 ng/ml) were proportional to the nicotine yielded by the two cigarettes as determined under Federal Trade Commission machine-smoking conditions. These data demonstrate that the smoke aerosol obtained by smoking a cigarette which heats tobacco produces plasma profiles of nicotine that are similar to the profiles obtained from smoking a cigarette that burns tobacco.

Absorption↗