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Biomedical subjects

J M Bailey

Publications and source records attributed to J M Bailey.

At least 19 recordsLinked to original sources

Measurement of the resonant d(mu)t molecular formation rate in solid HD.

Measurements of muon-catalyzed dt fusion ( d(mu)t-->4He + n + mu(-)) in solid HD have been performed. The theory describing the energy dependent resonant molecular formation rate for the reaction (mu)t + HD-->[(d(mu)t)pee](*) is compared to experimental results in a pure solid HD target. Constraints on the rates are inferred through the use of a Monte Carlo model developed specifically for the experiment. From the time-of-flight analysis of fusion events in 16 and 37 microg x cm(-2) targets, an average formation rate consistent with 0.897+/-(0.046)(stat)+/-(0.166)(syst) times the theoretical prediction was obtained.

Journal Article↗

Parental selection of children's sexual orientation.

As we learn more about the causes of sexual orientation, the likelihood increases that parents will one day be able to select the orientation of their children. This possibility (at least that of selecting for heterosexuality) has generated a great deal of concern among supporters of homosexual rights, with such selection being widely condemned as harmful and morally repugnant. Notwithstanding this widespread condemnation, and even assuming, as we do, that homosexuality is entirely acceptable morally, allowing parents, by means morally unproblematic in themselves, to select for heterosexuality would be morally acceptable. This is because allowing parents to select their children's sexual orientation would further parent's freedom to raise the sort of children they wish to raise and because selection for heterosexuality may benefit parents and children and is unlikely to cause significant harm.

Adult↗

The pharmacokinetics of remifentanil in patients undergoing coronary artery bypass grafting with cardiopulmonary bypass.

UNLABELLED: Remifentanil is a potent opioid with a short duration of action. It has the potential for large-dose opioid anesthesia without an obligatory prolonged period of mechanical ventilation. However, because of high clearance and rapid tissue distribution, cardiopulmonary bypass (CPB) may influence its pharmacokinetics and alter drug requirements. We administered remifentanil by continuous infusion to 68 patients having coronary artery bypass graft surgery during CPB with hypothermia to describe the effects of these interventions on its pharmacokinetics. Remifentanil concentrations were measured before, during, and after CPB. Disposition was best described by a two-compartment model. The volume of distribution increased by 86% with institution of CPB and remained increased after CPB. Elimination clearance decreased by 6.37% for each degree Celsius decrease from 37 degrees C. IMPLICATIONS: Remifentanil concentrations decrease with the institution of cardiopulmonary bypass because of an increase in the volume of distribution. The decrease in elimination clearance with hypothermia results in increased total remifentanil concentrations during cardiopulmonary bypass if the infusion rate is not altered. More constant blood remifentanil levels may be obtained by reducing remifentanil infusion rate by 30% for each 5 degrees C decrease in temperature.

Analgesics, Opioid↗

Whither the Rorschach? An analysis of the evidence.

In the previous Special Section, the authors presented empirical evidence and logical analysis that were sufficient to demonstrate that the widespread use of the Rorschach in clinical, legal, forensic, and occupational settings is unwarranted on both scientific and ethical grounds (J. Hunsley & J. M. Bailey, 1999). To expand on their analysis and to respond to issues raised in the previous and current Special Sections, they begin their article by examining a number of conceptual issues that are at the heart of the disagreements about the Rorschach. The focus is then shifted to the central issue of clinical utility, with an emphasis on why current research is insufficient to demonstrate the utility of the Rorschach. Next, the psychometric issues raised by Weiner (2001) are addressed and an alternative perspective on the psychometric viability of the Rorschach is provided. Finally, the authors conclude with some suggestions for future directions that must be taken in research to address the substantive concerns raised by Rorschach critics.

Forecasting↗

An SNP map of human chromosome 22.

The human genome sequence will provide a reference for measuring DNA sequence variation in human populations. Sequence variants are responsible for the genetic component of individuality, including complex characteristics such as disease susceptibility and drug response. Most sequence variants are single nucleotide polymorphisms (SNPs), where two alternate bases occur at one position. Comparison of any two genomes reveals around 1 SNP per kilobase. A sufficiently dense map of SNPs would allow the detection of sequence variants responsible for particular characteristics on the basis that they are associated with a specific SNP allele. Here we have evaluated large-scale sequencing approaches to obtaining SNPs, and have constructed a map of 2,730 SNPs on human chromosome 22. Most of the SNPs are within 25 kilobases of a transcribed exon, and are valuable for association studies. We have scaled up the process, detecting over 65,000 SNPs in the genome as part of The SNP Consortium programme, which is on target to build a map of 1 SNP every 5 kilobases that is integrated with the human genome sequence and that is freely available in the public domain.

Cell Line↗

How can psychological adaptations be heritable?

By Fisher's fundamental theorem, selection depletes additive genetic variation. However, moderate heritabilities are invariably obtained for psychological traits, even those that have been under intense selection. Examples include sociosexuality (interest in emotionally uncommitted sex), schizophrenia and sexual orientation, which have all been subject to strong sexual selection. A number of factors can help maintain (or at least slow depletion of) genetic variation. These include antagonistic pleiotropy; geographic or temporal variability in optimal phenotypes (and hence genotypes); mutational pressure (especially in the context of parasite resistance dynamics); and existence of heritable strategic variation or morphs. I discuss the likelihood that these factors maintain heritable variation for intelligence. I then review some evolutionary hypotheses regarding variation in some specific psychological traits.

Adaptation, Psychological↗

Sexual orientation of female-to-male transsexuals: a comparison of homosexual and nonhomosexual types.

Homosexual and nonhomosexual (relative to genetic sex) female-to-male transsexuals (FTMs) were compared on a number of theoretically or empirically derived variables. Compared to nonhomosexual FTMs, homosexual FTMs reported greater childhood gender nonconformity, preferred more feminine partners, experienced greater sexual rather than emotional jealousy, were more sexually assertive, had more sexual partners, had a greater desire for phalloplasty, and had more interest in visual sexual stimuli. Homosexual and nonhomosexual FTMs did not differ in their overall desire for masculinizing body modifications, adult gender identity, or importance of partner social status, attractiveness, or youth. These findings indicate that FTMs are not a homogeneous group and vary in ways that may be useful in understanding the relation between sexual orientation and gender identity.

Adult↗

Familial aspects of male homosexuality.

Research has generally supported the existence of familial-genetic factors for male sexual orientation, but has not shed much light on the specific nature of those influences. Gay men with gay brothers provide the opportunity to examine several hypotheses. Sixty-six men, representing 37 gay male sibling pairs, completed questionnaires assessing behavior on various measures including childhood and adult gender nonconformity, timing of awareness of homosexual feelings, self-acceptance, and the quality of family relationships. Consistent with prior findings using twins, gay brothers were similar in their degree of childhood gender non-conformity, suggesting that this variable may distinguish etiologically (e.g., genetically) heterogeneous subtypes. The large majority of gay men with brothers knew about their own homosexual feelings before they learned about their brothers' homosexual feelings, suggesting that discovery of brothers' homosexuality is not an important cause of male homosexuality.

Adult↗

The subtlety of sex-atypicality.

Memories of sex-atypical behavior and interests in childhood usually differ between homosexual and heterosexual people. However, variation within these broad groups has not previously been explored in detail, especially among women. We utilized data from a postal survey of a nationwide sample of Australian adult twins (n = 4,901, age range: 19-52 years). Among men, 15.2% reported homosexual behavior (ever), 11.5% said they had been sexually attracted to the same sex, and 6.4% said they were not heterosexual; the corresponding figures for women were 7.9, 10.6, and 3.5%. A continuous measure of childhood gender nonconformity (CGN) was sensitive to slight variations in homosexual attraction and behavior. In particular, among both men and women who identified as heterosexual, there were significant differences between "complete" heterosexuals and those who admitted to only one or a few same-sex behaviors but no homosexual attraction. Among men, CGN scores distinguished between heterosexuals who admitted to same-sex behavior only and those who admitted to some homosexual attraction. The sexual subgroups also differed on a measure of gender atypicality in adulthood. Implications for developmental theories of sexuality are discussed.

Adolescent↗

Measurement models for sexual orientation in a community twin sample.

Multivariate structural equation modeling techniques have been applied to examine the causes of individual differences in responses to several items concerning sexual orientation. To minimize potential ascertainment and response biases, the study sample involved a large (N = 4901) community-based cohort of Australian twins aged 18-52 who answered an anonymous questionnaire on sexual behavior and attitudes. The statistical power of the analysis was increased by the availability of multiple measures of sexual orientation (behaviors, attitudes and feelings), providing stronger evidence for the existence of additive genetic influences on this phenotype than in a previous analysis (Bailey et al., 2000). Estimates of the heritability of homosexuality in this sample ranged between 50 and 60% in females but were significantly lower (heritability of approximately 30%) in males.

Adolescent↗

Genetic and environmental influences on sexual orientation and its correlates in an Australian twin sample.

We recruited twins systematically from the Australian Twin Registry and assessed their sexual orientation and 2 related traits: childhood gender nonconformity and continuous gender identity. Men and women differed in their distributions of sexual orientation, with women more likely to have slight-to-moderate degrees of homosexual attraction, and men more likely to have high degrees of homosexual attraction. Twin concordances for nonheterosexual orientation were lower than in prior studies. Univariate analyses showed that familial factors were important for all traits, but were less successful in distinguishing genetic from shared environmental influences. Only childhood gender nonconformity was significantly heritable for both men and women. Multivariate analyses suggested that the causal architecture differed between men and women, and, for women, provided significant evidence for the importance of genetic factors to the traits' covariation.

Adolescent↗

Do individual differences in sociosexuality represent genetic or environmentally contingent strategies? Evidence from the Australian twin registry.

Although men are substantially more interested than women in casual sex, there is ample variation in this trait (sociosexuality) within both sexes. One theory hypothesizes that within-sex sociosexual variation results from genetic variation maintained by frequency-dependent selection. If so, sociosexuality should be substantially heritable. A competing theory is that children acquire their mating strategy after observing their parents' relationship. By this theory, sociosexuality should reveal a strong shared environmental component. The authors studied genetic and environmental influences on sociosexuality using a large, representative volunteer twin sample. Parental marital instability was modestly associated with sociosexuality, but this could have been due to either genetic or environmental factors. Consistent with genetic theory, familial resemblance appeared primarily due to additive genetic rather than shared environmental factors.

Adult↗

Taxometric analyses of sexual orientation and gender identity.

Taxa are nonarbitrary classes whose existence is an empirical question and not a matter of mere semantic convenience. Taxometric procedures detect whether numerical relations between purported indicators of conjectured taxa bear the hallmarks of true taxa. On the basis of theoretical considerations, the current study tested whether taxa underlie sexual orientation and related measures of gender identity. Two taxometric procedures, maximum covariance, making hits maximum (MAXCOV) and mean above minus below a cut (MAMBAC), were applied to Kinsey Scales and measures of childhood gender nonconformity and adult gender identity in a sample of nearly 5,000 members of the Australian Twin Registry. Results suggest that latent taxa underlie these measures. About 12-15% of men and 5-10% of women belong to latent taxa associated with homosexual preference. These percentages are greater than those of individuals who report homosexual preference, however, and hence it appears that an appreciable proportion of individuals in these taxa have heterosexual preference. An understanding of the origins of these latent taxa may be important to understanding the development of sexual orientation and gender identity.

Adult↗

Pharmacokinetics of recombinant transgenic antithrombin in volunteers.

UNLABELLED: Adequate levels of antithrombin (AT) III are essential for anticoagulation during cardiopulmonary bypass. Levels of AT are often decreased in patients receiving heparin before surgery. In these patients supplementation with exogenous AT can suppress the coagulation pathway and possibly decrease the risk of postoperative coagulopathy. However, the pharmacokinetics of AT have not been extensively analyzed. In this study we investigated the pharmacokinetics of transgenic recombinant AT in healthy volunteers. The concentrations of AT, after initial doses given over 30 min, were best described by a weight-normalized two-compartment model. The fast compartment volume was 41.1 mL/kg and the volume of distribution was 115.4 mL/kg. Intercompartmental clearance was 0. 0763 mL. kg(-1). min(-1) and elimination clearance was 0.0383 mL. kg(-1). min(-1). These variables are equivalent to a distribution half-life of 196 min and an elimination half-life of 2568 min. Approximately 75% of the supplemental dose is removed from plasma by the initial distribution process. A single supplemental dose of transgenic recombinant antithrombin restoring levels to 120%-150% of normal can provide adequate levels for the usual duration of cardiopulmonary bypass. IMPLICATIONS: A single supplemental dose of transgenic recombinant antithrombin restoring levels to 120%-150% of normal can provide adequate levels for the usual duration of cardiopulmonary bypass.

Adult↗

Reliability of pharmacodynamic analysis by logistic regression: a computer simulation study.

BACKGROUND: Many pharmacologic studies record data as binary yes-or-no variables, and analysis is performed using logistic regression. This study investigates the accuracy of estimation of the drug concentration associated with a 50% probability of drug effect (C50) and the term describing the steepness of the concentration-effect relation (gamma). METHODS: The authors developed a technique for simulating pharmacodynamic studies with binary yes-or-no responses. Simulations were conducted assuming either that each data point was derived from the same patient or that data were pooled from multiple patients in a population with log-normal distributions of C50 and gamma. Coefficients of variation were calculated. The authors also determined the percentage of simulations in which the 95% confidence intervals contained the true parameter value. RESULTS: The coefficient of variation of parameter estimates decreased with increasing n and gamma. The 95% confidence intervals for C50 estimation contained the true parameter value in more than 90% of the simulations. However, the 95% confidence intervals of gamma did not contain the true value in a substantial number of simulations of data from multiple patients. CONCLUSION: The coefficient of variation of parameter estimates may be as large as 40-50% for small studies (n < or = 20). The 95% confidence intervals of C50 almost always contain the true value, underscoring the need for always reporting confidence intervals. However, when data from multiple patients is naively pooled, the estimates of gamma may be biased, and the 95% confidence intervals may not contain the true value.

Algorithms↗