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Biomedical subjects

J N Kim

Publications and source records attributed to J N Kim.

13 recordsLinked to original sources

Serum leptin, IGF-I and insulin levels in preterm infants receiving parenteral nutrition during the first week of life.

Leptin is involved in the regulation of body weight through a feedback signal between adipose tissue and the satiety center, to decrease food intake and increase energy expenditure. Newborn infants experience physiological weight loss during the first week of life. The leptin level may be decreased to enhance food intake and to decrease energy expenditure for physiological adaptation during early postnatal days. Insulin-like growth factor-I (IGF-I) and insulin are involved in the regulation of perinatal growth. Leptin might be interrelated with IGF-I or insulin, since both of these have adipogenic and somatotropic effects. We therefore hypothesized that leptin, IGF-I and insulin would be decreased during the first week of life, concurrently with physiological weight loss. Thirty preterm AGA infants (birth weight 1.574+/-313 g; GA 31.9+/-2.2 wk) were studied. All infants received parenteral nutrition from the third day after birth. Leptin was significantly decreased during the first week of life, and insulin was significantly increased at day 7 vs. day 1 and day 3. IGF-I did not change during the first week of life. Leptin was positively correlated with body weight (r = 0.368, p<0.01), body mass index (r = 0.267, p<0.05), and serum IGF-I (r = 0.330, p <0.01), but not with serum insulin. The percent of weight reduction during the first week of life was not correlated with the percent of leptin reduction during the first week of life. In conclusion, leptin was significantly decreased and positively correlated with body weight and IGF-I during the first week of life. Changes of leptin and insulin might be related to postnatal adaptation in metabolism, but the exact role of leptin, IGF-I and insulin in postnatal physiological weight loss is not clear.

Aging↗

Neural correlates of a decision in the dorsolateral prefrontal cortex of the macaque.

To make a visual discrimination, the brain must extract relevant information from the retina, represent appropriate variables in the visual cortex and read out this representation to decide which of two or more alternatives is more likely. We recorded from neurons in the dorsolateral prefrontal cortex (areas 8 and 46) of the rhesus monkey while it performed a motion discrimination task. The monkey indicated its judgment of direction by making appropriate eye movements. As the monkey viewed the motion stimulus, the neural response predicted the monkey's subsequent gaze shift, hence its judgment of direction. The response comprised a mixture of high-level oculomotor signals and weaker visual sensory signals that reflected the strength and direction of motion. This combination of sensory integration and motor planning could reflect the conversion of visual motion information into a categorical decision about direction and thus give insight into the neural computations behind a simple cognitive act.

Animals↗

Prospective evaluation of perinatal risk factors for cerebral palsy and delayed development in high risk infants.

Prematurity, intrauterine infection and perinatal brain injury have been reported to be significant risk factors of cerebral palsy (CP). We examined the perinatal predictors of cerebral palsy and delayed development (DD) in 184 high risk infants. Thirty-five infants were diagnosed as cerebral palsy and delayed development at 12 months corrected age. Antenatal, intrapartum, and neonatal factors were prospectively evaluated in 2 groups of high risk infants compared with controls; Group A (n = 79), infants weighing less than 2,000 g; Group B (n = 43), infants weighing 2,000 g or more. In univariate analysis, there were no significant antenatal and intrapartum factors associated with cerebral palsy and delayed development in either group. We found that significant postnatal risk factors of CP in group A included sepsis (p = 0.008), BPD (bronchopulmonary dysplasia) (p = 0.028), IVH (intraventricular hemorrhage) (p = 0.042), ventriculomegaly (VM) (p = 0.001) and a longer duration of mechanical ventilation (p = 0.001); while in group B, sepsis (p = 0.047) and neonatal seizure (p = 0.027) were significant risk factors. In multivariate analysis, sepsis in group B was a moderate risk factor of CP (OR (odds ratio) 1.47; 95% CI (confidence interval) 1.02-2.13). In conclusion, neonatal sepsis may contribute to the development of cerebral palsy and delayed development. We suggest that high risk infants who have sepsis should be carefully followed for cerebral palsy and delayed development. The prevention of cerebral palsy may be feasible by decreasing neonatal risk factors such as sepsis during the neonatal period.

Cerebral Palsy↗

Nutritional requirements of an aging population with emphasis on subacute care patients.

Life expectancy in the United States has increased dramatically during the past century, creating a large population of people with potentially compromised nutritional status. Although requirements were previously believed to decline with aging, recent data suggest that requirements for protein and energy often do not decline and may actually increase during disease exacerbations. Optimal intake of vitamins and minerals is also under reevaluation, and significant segments of the population may have deficiencies based on limited intake or absorption. Social and psychological factors and difficulty chewing and swallowing may interfere with adequate intake. At the end of a hospital stay, many patients need continued skilled transitional care before discharge home. Many patients who have existing nutritional deficits, including weight loss, decreased serum proteins and pressure ulcers are admitted to subacute nursing facilities. Careful initial and periodic reassessment of nutritional status and aggressive nutritional management must be used to prepare patients for optimal independence after discharge. Improved clinical outcome can be achieved with prevention of malnutrition and timely correction of nutritional problems.

Aged↗

Simulated optic flow and extrastriate cortex. I. Optic flow versus texture.

A locomoting observer sees a very different visual scene than an observer at rest: images throughout the visual field accelerate and expand, and they follow approximately radial outward paths from a single origin. This so-called optic flow field is presumably used for visual guidance, and it has been suggested that particular areas of visual cortex are specialized for the analysis of optic flow. In the cat, the lateral suprasylvian visual area (LS) is a likely candidate. To test the hypothesis that LS is specialized for analysis of optic flow fields, we recorded cell responses to optic flow displays. Stimulus movies simulated the experience of a cat trotting slowly across an endless plain covered with small balls. In different simulations we varied the size of balls, their organization (randomly or regularly dispersed), and their color (all one gray level, or multiple shades of gray). For each optic flow movie, a "texture" movie composed of the same elements but lacking optic flow cues was tested. In anesthetized cats, > 500 neurons in LS were studied with a variety of movies. Most (70%) of 454 visually responsive cells responded to optic flow movies. Visually responsive cells generally preferred optic flow to texture movies (69% of those responsive to any movie). The direction in which a movie was shown (forward or reverse) was also an important factor. Most cells (68%) strongly preferred forward motion, which corresponded to visual experience during locomotion.

Animals↗

Simulated optic flow and extrastriate cortex. II. Responses to bar versus large-field stimuli.

In the preceding paper we described the responses of cells in the cat's lateral suprasylvian visual area (LS) to large-field optic flow and texture movies. To assess response properties such as direction selectivity, cells were also tested with moving bar stimuli. We expected that there would be good agreement between response properties elicited with optic flow movies and those revealed with bar stimuli. We first asked how well bar response properties predicted responsiveness to optic flow movies. There was no correlation between responsiveness to movies and the degree of end-stopping, length summation, or preference for bars that accelerated and expanded. We then considered only the 322 cells that responded to both bars and optic flow or texture movies and asked how well the strength of their response to movies could be predicted from the direction-tuning curves generated with bar stimuli. One-third of these cells responded much more strongly to movies than could be predicted from their direction-tuning curves. Generally, such cells were rather well tuned for the direction of bar motion and preferred a direction substantially different from what they saw in optic flow movies. Optic flow movies shown in the forward direction were the most effective variety of movie for two-thirds of these cells. To see whether this outcome stemmed from differential direction tuning for bars and large multielement displays, in a second series of experiments we compared direction tuning for bars and large-field texture movies. Many cells showed substantially different direction tuning for the two kinds of stimulus: almost 1/3 of 409 cells had tuning curves that overlapped each other by < 50%. But only a small number of cells (< 10%) responded much better to texture movies than to bars in the predominant direction of image motion in optic flow movies. This result, like that reported in the preceding paper, suggests that cells in LS respond differently to optic flow than to texture displays lacking optic flow motion cues.

Animals↗

Role of suppression in shaping orientation and direction selectivity of complex neurons in cat striate cortex.

1. Single binocularly driven complex neurons in cat striate cortex were recorded extracellularly under nitrous oxide-oxygen-halothane anesthesia and muscle relaxant. Orientational/directional tuning was initially derived for each eye in turn, with sine wave gratings of optimal spatial frequency and velocity, while the other eye viewed a uniform field. 2. For the dominant eye, previously concealed suppression was revealed against elevated levels of firing induced with a conditioning grating, drifting continuously in the preferred direction, simultaneously presented to the nondominant eye. During steady-state binocular conditioning, orientational/directional tuning was reestablished for the dominant eye. In a subset of cells, tuning curves during conditioning were also derived for the reverse configuration, i.e., nondominant eye tuning, dominant eye conditioning: results were qualitatively identical to those for conditioning through the nondominant eye. 3. Neurons were initially segregated into five groups, according to the observed suppression profiles induced at nonoptimal orientations/directions during conditioning: Type 1, suppression centered on orthogonal directions; Type 2, suppression around null directions; Type 3, null suppression combined with orthogonal suppression; Type 4, lateral suppression, maximal for directions immediately flanking those inducing excitation; and Type 5, the residue of cells, totally lacking suppression or showing complex or variable suppression. 4. Sharpness of (excitatory) tuning was correlated with directionality and with class of suppression revealed during binocular conditioning. Direction-biased neurons were more sharply orientation tuned than direction-selective neurons; similarly, neurons exhibiting lateral or orthogonal suppression during conditioning were more sharply tuned than neurons with null suppression. 5. Application of suboptimal directions of conditioning weakened the induced suppression but altered none of its main characteristics. 6. The relationship between excitation, suppression, and spatial frequency was investigated by comparing tuning curves for the dominant eye at several spatial frequencies, without and during conditioning. End-stopped neurons preferred lower spatial frequencies and higher velocities of motion than non-end-stopped neurons. Confirming previous reports, suppression in some neurons was still present for spatial frequencies above the cutoff frequency for excitation, demonstrating the tendency for suppression to be more broadly spatial frequency tuned than excitation. 7. Scatterplots of strength of suppression, in directions orthogonal and opposite maximal excitation, partially segregated neurons of Types 1-3. Clearer segregation of Types 1-4 was obtained by curve-fitting to profiles of suppression, and correlating half-width of tuning for suppression with the angle between the directions of optimal suppression and optimal excitation in each neuron. 8. Two interpretations are advanced-the first, based on three discrete classes of inhibition, orthogonal, null and lateral; the second, based on only two classes, orthogonal and null/lateral--in which null and lateral suppression are manifestations of the same inhibitory mechanism operating, respectively, on broadly tuned direction-selective or on sharply tuned direction-biased neurons. Orthogonal suppression may be untuned for direction, whereas lateral and null suppression are broadly direction tuned. Within each class, suppression is more broadly spatial frequency tuned than excitation. 9. It is concluded that orientational/directional selectivity of complex cells at different spatial frequencies is determined by the balance between tuned excitation and varying combinations of relatively broadly distributed or untuned inhibition.

Animals↗

Application of PCR from the fine needle aspirates for the diagnosis of cervical tuberculous lymphadenitis.

Tuberculosis remains a major public health problem worldwide. A definitive and accurate diagnosis of tuberculosis in cervical lymphadenopathy is important because satisfactory results can be achieved with chemotherapy alone, obviating surgery. Recently, fine needle aspiration cytology (FNAC) has provided an alternative and easy procedure for collection of material for cytomorphologic and bacteriologic examination. But the detection rate for M. tuberculosis from the aspirate material is still low with Ziehl-Neelson stain and even with culture. The authors therefore performed polymerase chain reaction (PCR) for mycobacterial DNA sequences in 31 cases of cytodiagnosis of tuberculous lymphadenitis and compared conventional bacteriologic methods. Ziehl-Neelson staining for acid-fast bacilli (AFB) was positive in 3 cases (10%) in direct smears, and the cultures for M. tuberculosis were positive in 6 cases (19%). In 19 (61%) among 31 samples, mycobacterial DNA fragments were detected, using the PCR method. With combined conventional and PCR method, the rate of detection was increased to 68 percent high. In conclusion, PCR is the most sensitive technique in the demonstration of M. tuberculosis in patient with clinically suspected as tuberculosis, who have AFB stain or culture negative cytology. Combined conventional and PCR methods as well as cytologic findings are of further help in the detection and characterization of M. tuberculosis.

Biopsy, Needle↗

Spatial correlation of suppressive and excitatory receptive fields with direction selectivity of complex cells in cat striate cortex.

The aim of the study was to account for direction selectivity of visual cortical neurons through systematic positional mismatch between excitatory and suppressive influences on each neuron. Direction-selective complex neurons were therefore recorded from striate cortex of cats lightly anaesthetized with halothane in nitrous oxide-oxygen. All but small residual eye movements were eradicated with intravenous gallamine triethiodide. Excitatory receptive field (ERF) dimensions and centring were quantified with optimal sine-wave grating stimuli, appropriately windowed to limit them to variable locations along and across the receptive field (RF) centre. Related suppressive receptive fields (SRFS) were similarly mapped during binocular conditioning, induced by an optimal grating applied to the other eye and drifting continuously in each neuron's preferred direction. Its purpose was to elevate ongoing levels of discharge to reveal often concealed null suppression. ERF and SRF profiles were systematically offset, especially along the line of preferred direction such that, for stimuli moving in the non-preferred direction, the SRF lay ahead of the ERF. Derivations of ERFS and SRFS during conditioning, within a single batch of trials, excluded eye movements as a source of positional mismatch. It is concluded that this mismatch may provide the basis for direction selectivity and the emergence of null suppression.

Animals↗

Amino acid sequence of the phosphorylation site of yeast (Saccharomyces cerevisiae) fructose-1,6-bisphosphatase.

Fructose-1,6-bisphosphatase from the yeast Saccharomyces cerevisiae has properties similar to other gluconeogenic fructose-1,6-bisphosphatases, but an unusual characteristic of the yeast enzyme is that it can be phosphorylated in vitro by cAMP-dependent protein kinase. Phosphorylation also occurs in vivo, presumably as part of a signalling mechanism for the enzyme's degradation. To probe the structural basis for the phosphorylation of yeast fructose-1,6-bisphosphatase, we have developed an improved procedure for the purification of the enzyme and then performed sequence studies with the in vitro-phosphorylated protein as well as with tryptic and chymotryptic peptides containing the phosphorylation site. As a result of these studies, we have determined that yeast fructose-1,6-bisphosphatase has the following 24-residue NH2-terminal amino acid sequence: Pro-Thr-Leu-Val-Asn-Gly-Pro-Arg-Arg-Asp-Ser-Thr-Glu-Gly- Phe-Asp-Thr-Asp-Ile-Ile-Thr-Leu-Pro-Arg. The site of phosphorylation is located at Ser-11 in the above sequence. The amino acid sequence around the site of phosphorylation contains the sequence - Arg-Arg-X-Ser- associated with many of the better substrates of cAMP-dependent protein kinase. The sequence of residues 15-24 above is highly homologous with the sequence of residues 6-15 of pig kidney fructose-1,6-bisphosphatase, showing 7 out of 10 residues in identical positions. The yeast enzyme, however, has a dissimilar NH2-terminal region which extends beyond the NH2 terminus of mammalian fructose-1,6-bisphosphatases and contains a unique phosphorylation site.

Amino Acid Sequence↗

Are the preferred directions of neurons in cat extrastriate cortex related to optic flow?

It has been proposed that one area of extrastriate cortex in the cat, the lateral suprasylvian area (LS), plays an important role in visual analysis during locomotion (Rauschecker et al., 1987). Cells in LS reportedly tend to prefer directions along a trajectory originating at the center of gaze, and passing outward through the receptive-field center. Such directions coincide with the directions of image motion in an optic flow field, the pattern seen by locomoting observers when they fixate the point towards which they are heading (Gibson, 1950). We re-examined this issue for cells in LS with receptive fields in the lower visual field. Cells recorded posterior to Horsley-Clarke A2 showed a clear correlation between preferred direction and receptive-field location, but not that predicted: preferred directions were generally orthogonal to "optic flow" directions. Since these cells were all located posterior to those in studies showing a bias for "optic flow" directions, we hypothesized that there are two cell populations within LS, an anterior population that tends to prefer radial-outward directions, and a posterior population that tends to prefer directions orthogonal to radial. Data from earlier mapping experiments (Sherk & Mulligan, 1993) supported this idea.

Animals↗

Neuronal responses in extrastriate cortex to objects in optic flow fields.

During locomotion, observers respond to objects in the environment that may represent obstacles to avoid or landmarks for navigation. Although much is known about how visual cortical neurons respond to stimulus objects moving against a blank background, nothing is known about their responses when objects are embedded in optic flow fields (the patterns of motion seen during locomotion). We recorded from cells in the lateral suprasylvian visual area (LS) of the cat, an area probably analogous to area MT. In our first experiments, optic flow simulations mimicked the view of a cat trotting across a plain covered with small balls; a black bar lying on the balls served as a target object. In subsequent experiments, optic flow simulations were composed of natural elements, with target objects representing bushes, rocks, and variants of these. Cells did not respond to the target bar in the presence of optic flow backgrounds, although they did respond to it in the absence of a background. However, 273/423 cells responded to at least one of the taller, naturalistic objects embedded in optic flow simulations. These responses might represent a form of image segmentation, in that cells detected objects against a complex background. Surprisingly, the responsiveness of cells to objects in optic flow fields was not correlated with preferred direction as measured with a moving bar or whole-field texture. Because the direction of object motion was determined solely by receptive-field location, it often differed considerably from a cell's preferred direction. About a quarter of the cells responded well to objects in optic flow movies but more weakly or not at all to bars moving in the same direction as the object, suggesting that the optic flow background modified or suppressed direction selectivity.

Animals↗