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Biomedical subjects

J L Henderson

Publications and source records attributed to J L Henderson.

At least 19 recordsLinked to original sources

Characteristics and management practices associated with milk production in dairy herds in Ohio enrolled in official Dairy Herd Improvement Association programs.

OBJECTIVE: To determine herd characteristics and management practices associated with milk production in dairy herds enrolled in official Dairy Herd Improvement Association (DHIA) programs in Ohio. SAMPLE POPULATION: 186 dairy farms in Ohio. PROCEDURE: All herds in official DHIA programs in 9 counties were invited to participate. Information regarding herd characteristics and management practices was obtained, using a standardized questionnaire. Bulk-tank milk samples were obtained for bacteriologic culture. Official DHIA test-day records were obtained, and associations were identified, using multivariable ANOVA procedures. RESULTS: Of 479 eligible producers, 186 (39%) participated, and consecutive bulk-tank milk samples were available for culture from 172 (36%). Streptococcus agalactiae and Mycoplasma spp were not recovered from bulk-tank milk samples, but Staphylococcus aureus was recovered from 64 (37%) herds. Mean (+/- SD) number of lactating cows in participating herds was 97+/-66, with 123 (66%) herds milking < 100 cows. The RHA was significantly associated with number of cows in milk, estimated percentage of herd detected in estrus, reported annual percentage of heifer calves born alive that died before 8 weeks old, percentage days in milk, use of bovine somatotropin during the preceding 2 years, and sex of the person completing the questionnaire. CONCLUSIONS AND CLINICAL RELEVANCE: In this study, the strongest indicator of milk production was number of cows in milk. However, merely adding cows to a herd should not be considered to guarantee increased milk production, because other management traits could be confounded with increased number of cows in a herd.

Animal Husbandry↗

Face lift: the anatomic basis for a safe, long-lasting procedure.

This article summarizes our current face lift technique and its evolution over the last 20 years. Our goal has been to provide excellent results with as little risk as possible. Changes in technique have been motivated primarily by improved understanding of facial anatomy. In this article we discuss the anatomic concepts we have found most useful in developing a safe, precise procedure, and we present our current preferred techniques.

Cheek↗

Herd characteristics and management practices associated with bulk-tank somatic cell counts in herds in official Dairy Herd Improvement Association programs in Ohio.

OBJECTIVE: To identify herd characteristics and management practices associated with bulk-tank somatic cell counts (BTSCC) in dairy herds in Ohio enrolled in official Dairy Herd Improvement Association (DHIA) programs. SAMPLE POPULATION: 186 dairies in Ohio. PROCEDURE: All herds in official DHIA programs in 9 counties were asked to participate. Extensive information regarding herd characteristics and management practices was obtained, using a standardized questionnaire. Bulk-tank milk samples were requested from all participating herds for bacterial culture. Official DHIA test-day records for January 1997 were obtained from all herds enrolled in official DHIA programs in the 9 counties. Potential associations were identified, using multivariable ANOVA. RESULTS: Participation was 186 of 479 (39%) herds. Streptococcus agalactiae and Mycoplasma spp were not isolated from bulk-tank milk samples. Staphylococcus aureus was isolated from 64 of 172 (37%) of the herds. The BTSCC were inversely associated with peak daily milk production, postmilking teat disinfection, percentage of eligible cows in the herd detected in estrus, and directly related to the extent to which BTSCC was perceived as a herd problem during the preceding 2 years. Type of housing for nonlactating cows and product used for treatment of nonlactating cows also were significantly associated with BTSCC. CONCLUSIONS AND CLINICAL RELEVANCE: Consideration of herd characteristics and implementation of management practices associated with BTSCC could result in increased milk yield and production of milk with lower BTSCC.

Animals↗

Chronic hypoxemia causes extracellular glutamate concentration to increase in the cerebral cortex of the near-term fetal sheep.

Fetal hypoxia is an important cause of neurologic morbidity and mortality. Hypoxia-induced increase in extracellular glutamate concentration can lead to excitotoxic neuronal death in adults. The objective of this study was to test whether chronic fetal hypoxemia increases extracellular glutamate concentration in the unanesthetized intact cerebral cortex of the near-term fetal sheep. Microdialysis probes were implanted into the parasagittal parietal cortex and periventricular white matter of near-term fetal sheep. At 124 +/- 1 days of gestation, extracellular glutamate concentration was determined before and during 24 h of fetal hypoxemia. Chronic hypoxemia was produced by tightening a vascular occluder placed around the maternal common iliac artery. Larger decreases in fetal arterial oxygen content were associated with larger increases in extracellular glutamate concentration in the parietal cortex (Kendall's tau = 0.81, N = 7, p = 0.005). No such relationship was detected in the periventricular white matter. Chronic hypoxemia increases extracellular glutamate concentration in the intact cerebral cortex of the unanesthetized near-term fetal sheep.

Animals↗

Mothers' and fathers' singing to infants.

Mothers and fathers sang a song of their choice, once to their infant and once as if to their infant (simulated). The pitch of songs was higher and the tempo slower for infant-directed than for simulated versions. Listeners varying in child-care experience, musical background, and cultural origin reliably identified which of the two versions was infant-directed (Experiment 1). Identification accuracy was enhanced by musical training, knowledge of the singers' language and culture, and by greater pitch and tempo differences between versions. Other adult listeners who rated the singer's emotional engagement assigned significantly higher ratings to infant-directed than to simulated versions (Experiment 2). Differences in pitch and tempo between both versions predicted emotional engagement ratings. Finally, rating differences between infant-directed and simulated versions were highly correlated with identification accuracy.

Adolescent↗

Ethanol-induced changes in prostaglandin E concentration in the intact cerebral cortex of preterm and near-term fetal sheep.

Ethanol-induced changes in fetal prostaglandin E (PGE) concentration may play a role in the toxic effects of prenatal ethanol exposure. Using the novel technique of in utero microdialysis, the present study tested the hypothesis that acute ethanol exposure changes PGE concentration in the intact cerebral cortex of preterm (93 +/- 1 days of gestation) and near-term (124 +/- 1 days of gestation; term, approximately 147 days) fetal sheep. Fetal sheep were surgically instrumented with a microdialysis probe placed in the parasagittal parietal cortex. Three days later, the effects of maternal infusion of 1 g of ethanol/kg maternal body weight on preterm (n = 6) and near-term (n = 7) fetal cerebral cortical and plasma PGE concentrations were determined. In the preterm fetal cerebral cortex, PGE concentration was increased after ethanol infusion in all six animals studied. The median peak increase was 160% with a 95% confidence interval of 115 to 784%. There was considerable variation in the time of occurrence, magnitude, and duration of this increase. In the near-term fetal cerebral cortex, an increase in PGE concentration was observed after ethanol infusion in 5 of the 7 animals studied, whereas a decrease in PGE concentration was observed in the other two animals. Overall, ethanol did not increase significantly near-term fetal cerebral cortical PGE concentration. For both age groups, ethanol infusion had no effect on fetal plasma PGE concentration. These data indicate that ethanol can affect PGE production in the fetal cerebral cortex and that this effect seems to be gestational-age-dependent.

Animals↗

Temporal resolution in infancy and subsequent language development.

The MacArthur Communicative Development Inventory, a parent-report measure of vocabulary and syntax, was administered to 103 children (M = 23 months) who had participated in a study of temporal resolution when they were 6 months (n = 55) or 12 months (n = 48) of age. Children who performed above the median on the temporal resolution task in infancy were subsequently reported to have larger productive vocabularies, greater numbers of irregular word forms, and longer and more complex sentences than those who had performed below the median. Whether these findings reflect specific links between temporal resolution and language or whether they reflect general developmental factors remains to be determined.

Child Language↗

Congenital infection.

The past year has shed much new light on congenital infection. A key development has been the application of polymerase chain reaction technology to the diagnosis of intrauterine infection. This technique appears to be the diagnostic tool of choice for toxoplasmosis and cytomegalovirus. Pharmacologic treatment appears to reduce the sequellae of toxoplasmosis when treated either in utero or postnatally. Obstetric interventions may reduce vertical transmission. Education has been shown to reduce the incidence of seroconversion for toxoplasmosis, and HIV-positive women treated with zidovudine have a dramatically reduced rate of transmission to their offspring.

Chickenpox↗

Gap detection in infants, children, and adults.

Listeners who were 6.5 months, 12 months, 5 years, and 21 years of age were required to discriminate a pair of 500-Hz, Gaussian-enveloped tone pips from a short 500-Hz tone of the same duration and total energy. Groups of 6.5-month-old infants were tested on a single gap duration: 8, 12, 16, 20, 28, or 40 ms. Groups of 12-month-olds were also tested on a single gap duration: 8, 12, 16, or 20 ms. The 5-year-old children and adults were tested on gap durations of 8, 12, and 16 ms. The mean performance of 6.5-month-olds significantly exceeded chance levels on all gap durations except 8 ms, and that of 12-month-olds was above chance levels on all gap durations. For 5-year-old children and adults, mean performance also exceeded chance levels for all gap durations tested. Adults performed significantly better than 5-year-old children on gap durations of 12 and 16 ms. Gap-detection thresholds, defined by a performance criterion of d' = 0.5, were estimated at 11, 5.6, and 5.2 ms for infants, children, and adults, respectively. It is likely that smaller adult-infant differences in the present study compared to those reported in previous research stem from our use of Gaussian-enveloped tone pips and the consequent minimization of adaptation effects.

Adolescent↗

The effects of nitric oxide inhibition on regional hemodynamics during hyperdynamic endotoxemia.

OBJECTIVE: To determine the effect of the inhibition of nitric oxide (NO) on selective organ blood flow in endotoxin-induced sepsis. DESIGN: Nonrandomized, controlled experiment. SETTING: Animal research facility in Brooklyn, NY. PARTICIPANTS: Eleven mongrel dogs. INTERVENTION: Eleven dogs were divided into one of two groups: a control group (n = 5) and an endotoxin-treated group (n = 6). The animals were anesthetized, and electromagnetic and ultrasonic flow probes were placed on the distal aorta, right internal carotid artery, superior mesenteric artery, and left renal artery. Sepsis was induced with a 60-mg/kg intravenous injection of Escherichia coli endotoxin. When the arterial blood pressure decreased to less than 60 mm Hg despite adequate fluid resuscitation, NO synthesis was inhibited with a 25-mg/kg intravenous administration of NG-monomethyl-L-arginine. After 15 minutes of inhibition, a 400-mg/kg intravenous administration of L-arginine, the substrate of NO synthase enzyme, was given. Physiologic measurements were continued for 15 minutes thereafter. MAIN OUTCOME MEASURES: Heart rate, blood pressure, central venous pressure, pulmonary artery pressure, pulmonary capillary wedge pressure, cardiac output, hematocrit, arterial and venous blood gas values, and blood flow measurements of right internal carotid artery, superior mesenteric artery, left renal artery, and distal aorta. RESULTS: Control animals did not demonstrate a significant (P > .05) decrease in blood flow in the internal carotid artery, superior mesenteric artery, and distal aorta after the administration of NG-monomethyl-L-arginine. The endotoxin-treated group showed a significant (P < .05) decrease in organ perfusion when treated with the NO synthase inhibitor, NG-monomethyl-L-arginine. CONCLUSIONS: Inhibition of NO production in the treatment of sepsis caused a significant decrease in blood flow to all vascular beds in vivo. The role, if any, of the inhibition of NO in the treatment of sepsis is questioned.

Amino Acid Oxidoreductases↗

Nitric oxide inhibition in the treatment of the sepsis syndrome is detrimental to tissue oxygenation.

The manifestations of the septic syndrome are thought to be mediated by cytokines through their role in the production of nitric oxide (NO). It is hypothesized that the inhibition of NO production with an inhibitor such as NG-monomethyl-L-arginine (L-NMMA) may be beneficial in the treatment of septic shock. Sepsis was induced by the intravenous administration of Escherichia coli endotoxin (60 micrograms/kg) in six conditioned mongrel dogs (20-24 kg). Mean arterial pressure (MAP), heart rate (HR), central venous pressure (CVP), and pulmonary artery pressure (PAP) were continuously monitored. Cardiac output (CO), pulmonary capillary wedge pressure (PCWP), and arterial and mixed venous blood gases were obtained every 10 min. When the MAP decreased below 60 mm Hg, NO inhibitor L-NMMA was given by intravenous injection (25 mg/kg). Physiologic parameters were then measured at 2 and 5 min after L-NMMA injection. Subsequently, L-arginine (400 mg/kg), the substrate for the NO synthase enzyme, was administered and measurements were repeated at similar intervals. L-NMMA in septic canines produced a significant increase in MAP and SVR with a significant decrease in CO and tissue oxygenation (DO2 and VO2). These changes were reversed with the administration of L-arginine. There were no significant differences in the PCWP, CVP, PAP, or HR throughout the entire study. These results suggest that the inhibition of NO production by L-NMMA in a septic model produces elevated MAP and SVR at the expense of tissue oxygenation. Thus, its use, as a principal means of therapy for the septic syndrome, may not be appropriate because of detrimental effects on tissue oxygenation.

Animals↗

Children's songs to infant siblings: parallels with speech.

Children aged 2;11 to 8;3 sang informally, once in the presence of their infant sibling and once when the infant was out of view. Paired excerpts from 22 children were presented to adult listeners, who were required to identify the infant-directed excerpt in each pair. Listeners' accuracy was above chance levels but below what would be expected for mothers' singing in comparable contexts. Children altered their singing style in the infant's presence by singing at a higher pitch level and with a different vocal quality.

Child↗

Quality improvement programs: alternative rewards.

As the trend continues toward pay for quality in the health care arena, interested organizations will doubtless recognize that pay-for-quality programs reinforce quality values, clarify communications in the organization, and generally support the culture's expectation of compensation for excellence. However, various stakeholders in the industry may have some skepticism, which will be overcome only through careful education and communication of the plan. An overview of the intrinsic issues and opportunities for alternative means to compensate and reward health care professionals and a case study of one hospital's implementation illustrate the typical benefits of quality-based pay for health care institutions and their nursing professionals.

Clinical Competence↗

Efficacy of three measures to relieve pressure in seated persons with spinal cord injury.

This study compares three methods of pressure relief in seated spinal cord injured patients. One method consists of tipping the wheelchair back to 35 degrees, the second, tipping the wheelchair back to 65 degrees, and the third, leaning the subject forward with chest toward thighs. We evaluated dynamic pressure changes in each position using a new pressure mapping system. The greatest pressure relief over the ischial tuberosities was seen in the forward-leaning position. Significant pressure relief was shown in the 65 degrees backward tip. Only a minimal drop in ischial pressure was observed with a backward tip of 35 degrees indicating that the 35 degrees backward-tip position probably provides little protection against ischial skin breakdown.

Adult↗

Simplified nonrefluxing ileovesical anastomosis. Experimental study and clinical application.

A simplified ileovesical anastomosis is herein described. It prevents vesicoileal reflux and allows for unimpeded efflux of urine into the bladder. The technique involves implanting 3 inches of distal ileum into a denuded muscular bed in the bladder. Vesical mucosa grows over the ileum creating an effective valvular mechanism. Experimental work done on the canine bladder and the use of this technique in 2 patients is described.

Adult↗

In vitro inactivation of gentamicin, tobramycin, and netilmicin by carbenicillin, azlocillin, or mezlocillin.

The in vitro inactivation of gentamicin, tobramycin, and netilmicin, when combined with carbenicillin, azlocillin, and mezlocillin, was studied. Plasma samples containing the aminoglycosides at a concentration of 5-8 micrograms/ml in combination with the penicillins in concentrations of 500, 250, and 50 micrograms/ml were incubated at room temperature and 37 degrees C for 0.3, 1, 3, 6, and 9 days. The aminoglycoside concentration was determined by radioimmunoassay or enzyme immunoassay. The extent of inactivation was dependent on penicillin concentration, contact time, and temperature. Penicillin concentrations of 500 micrograms/ml caused the greatest loss of aminoglycoside, while little loss occurred at the 50-micrograms/ml penicillin level. Carbenicillin, in concentrations of 250 and 500 micrograms/ml, inactivated all three aminoglycosides to a greater extent than either azlocillin or mezlocillin. The initial rate of decline in aminoglycoside concentration was greater at 37 degrees C than at room temperature. The new acylureidopenicillins, azlocillin and mezlocillin, inactivate the aminoglycosides studied, in a similar manner to that previously described for carbenicillin.

Anti-Bacterial Agents↗

M. Esther Harding.

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History, 20th Century↗