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Biomedical subjects

J S Johnson

Publications and source records attributed to J S Johnson.

At least 19 recordsLinked to original sources

Evaluation of a dual-channel full dynamic range compression system for people with sensorineural hearing loss.

This article describes an evaluation of an in the ear hearing aid, which applies fast-acting full dynamic range compression independently in two frequency bands. This can compensate for the loudness recruitment typically associated with sensorineural hearing loss. The crossover frequency between the two bands and the gain and compression ratio in each band are programmable to suit the individual patient. Twenty subjects with moderate sensorineural hearing loss were tested in a counterbalanced order using the aid programmed as a linear amplifier (condition L) and as a two-band compressor (condition C). All subjects were fitted binaurally. Subjects were also tested without hearing aids (condition U) and using the hearing aids that they normally wore (condition Own). Speech intelligibility was measured in quiet at three sound levels (50, 65, and 80 dB SPL), and speech reception thresholds (SRTs) in 12-talker babble were measured under monaurally and binaurally aided conditions, with the speech and babble both coincident and spatially separated. In condition C, speech intelligibility in quiet was high at all sound levels. Speech intelligibility at the two lower levels decreased in condition L, and decreased still further in conditions Own and U. Condition C gave, on average, better speech intelligibility in babble (lower SRTs) than conditions L, Own, or U. The advantage of condition C over condition L varied across subjects and was correlated with the dynamic range for tones at high frequencies; small dynamic ranges were associated with greater benefit from compression. A significant advantage for binaural aiding was found both when the speech and noise were spatially separated and when they were coincident. The binaural advantage was similar for the C and L conditions, indicating that the independent compression at the two ears did not adversely affect the use of binaural cues. Questionnaires on the subjects' experiences with the aids in everyday life indicated that they generally preferred condition C over condition L.

Adult

Profuse diarrhea after misoprostol use in a patient with a history of Crohn's disease.

OBJECTIVE: To report a case of profuse diarrhea after misoprostol use in a patient with a history of Crohn's disease and to discuss the role of eicosanoids in Crohn's disease. DATA SOURCES: Patient medical records, case reports, review articles identified by MEDLINE, and personal communication with the physician, patient, and manufacturer. DATA EXTRACTION: From interviews, the manufacturer, and pertinent published sources by one author and reviewed by the others. DATA SYNTHESIS: A 55-year-old woman presented to clinic complaining of multiple joint pains. Her medical history was significant for peptic ulcer disease, hypertension, and Crohn's disease in remission since May 1989. Her joint pains were treated with ibuprofen 600 mg po qid and misoprostol 200 micrograms po qid (after meals and at bedtime). Following the administration of three doses of ibuprofen and misoprostol, the patient experienced abdominal cramps, pain, and voluminous, watery diarrhea for two days. Upon discontinuation of the ibuprofen and misoprostol, all of her gastrointestinal symptoms resolved within 12 hours. Rechallenge with ibuprofen alone failed to produce a recurrence of symptoms. Enhanced synthesis of intestinal eicosanoids has been demonstrated in Crohn's disease. Misoprostol, a synthetic analog of one of the eicosanoids, could induce a flare-up of Crohn's disease as suggested in this patient. CONCLUSIONS: Misoprostol should be used with caution in patients with known inflammatory bowel disease.

Crohn Disease

Patient experiences with multiband full dynamic range compression.

This investigation compared performance for 18 experienced hearing aid patients with a multiband full dynamic range compression hearing device and their previously worn linear or automatic gain control hearing aids. Performance was evaluated using a variety of clinical tests. These included functional gain and dynamic range measurements, speech recognition, and real ear measurements. Patients rated their performance with the multiband compression device and their previously worn aids on a rating scale pertaining to a variety of real life listening situations. Statistical analysis of data derived from test results shows significantly improved performance on all measures using the multiband compression aid over their conventional aids. Patients rated their performance higher with the compression instrument than with the conventional aids. Differences in performance on clinical tests and subjective patient responses appear to be related to the different signal processing schemes used in the two groups of devices.

Adolescent

Critical period effects on universal properties of language: the status of subjacency in the acquisition of a second language.

Recent studies have shown clear evidence for critical period effects for both first and second language acquisition on a broad range of learned, language-specific grammatical properties. The present studies ask whether and to what degree critical period effects can also be found for universal properties of language considered to be innate. To address this issue, native Chinese speakers who learned English as a second language were tested on the universal principle subjacency as it applies to wh-question formation in English. Subjects arrived in the U.S.A. between the ages of 4 and 38 years. They were immersed in English for a number of years (a minimum of 5) and were adults at the time of testing. Non-native performance on subjacency was found for subjects of all ages of arrival. Performance declined continuously over age of arrival until adulthood, (r = -.63). When immersion occurred as late as adulthood, performance dropped to levels slightly above chance. In all of the analyses performed, subjacency did not differ from language-specific structures in the degree or manner in which it was affected by maturation. These results suggest that whatever the nature of the endowment that allows humans to learn language, it undergoes a very broad deterioration as learners become increasingly mature.

Adolescent

The small GTP-binding protein Rho1p is localized on the Golgi apparatus and post-Golgi vesicles in Saccharomyces cerevisiae.

In Saccharomyces cerevisiae the ras-related protein Rho1p is essentially the only target for ADP-ribosylation by exoenzyme C3 of Clostridium botulinum. Using C3 to detect Rho1p in subcellular fractions, Rho1p was found primarily in the 10,000 g pellet (P2) containing large organelles; small amounts also were detected in the 100,000 g pellet (P3), and cytosol. When P2 organelles were separated in sucrose density gradients Rho1p comigrated with the Kex-2 activity, a late Golgi marker. Rho1p distribution was shifted from P2 to P3 in several mutants that accumulate post-Golgi vesicles. Rho1p comigrated with post-Golgi transport vesicles during fractionation of P3 organelles from wild-type or sec6 cells. Vesicles containing Rho1p were of the same size but different density than those bearing Sec4p, a ras-related protein located both on post-Golgi vesicles and the plasma membrane. Immunofluorescence microscopy detected Rho1p as a punctate pattern, with signal concentrated towards the cell periphery and in the bud. Thus, in S. cerevisiae Rho1p resides primarily in the Golgi apparatus, and also in vesicles that are likely to be early post-Golgi vesicles.

Blotting, Western

Distinguishing between haloperidol's and decamethonium's disruptive effects on operant behavior in rats: use of measurements that complement response rate.

The behavioral effects of haloperidol (0.04 to 0.16 mg/kg) and nonparalytic doses of decamethonium (0.2 to 0.8 mg/kg) were studied with operant methods that permitted the measurement of response rate, peak force of response, duration of response, and duration of the rat's head entry into the reinforcement dipper well. Type of operant response topography (forelimb press or forelimb grasp-and-pull) and peak force (low or high) required for reinforcement delivery were independent variables. The low-force, press-topography condition yielded qualitatively different profiles for the two drugs. Haloperidol increased peak force and duration of operant response, increased maximum head entry duration, and temporally dissociated forelimb and head entry behavior. Decamethonium decreased force and duration of operant response, did not appreciably affect maximum head entry duration, and did not influence the normal temporal coupling of forelimb and head entry responses. The haloperidol effects were seen as reflections of pseudo-Parkinsonism, not muscle weakness, which appeared to be the primary source of decamethonium's behavioral effects.

Animals

Biological properties of a CD4 immunoadhesin.

Molecular fusions of CD4, the receptor for human immunodeficiency virus (HIV), with immunoglobulin (termed CD4 immunoadhesins) possess both the gp120-binding and HIV-blocking properties of recombinant soluble CD4, and certain properties of IgG, notably long plasma half-life and Fc receptor binding. Here we show that a CD4 immunoadhesin can mediate antibody-dependent cell-mediated cytotoxicity (ADCC) towards HIV-infected cells, although, unlike natural anti-gp120 antibodies, it does not allow ADCC towards uninfected CD4-expressing cells that have bound soluble gp120 to the CD4 on their surface. In addition, CD4 immunoadhesin, like natural IgG molecules, is efficiently transferred across the placenta of a primate. These observations have implications for the therapeutic application of CD4 immunoadhesins, particularly in the area of perinatal transmission of HIV infection.

Acquired Immunodeficiency Syndrome

Critical period effects in second language learning: the influence of maturational state on the acquisition of English as a second language.

Lenneberg (1967) hypothesized that language could be acquired only within a critical period, extending from early infancy until puberty. In its basic form, the critical period hypothesis need only have consequences for first language acquisition. Nevertheless, it is essential to our understanding of the nature of the hypothesized critical period to determine whether or not it extends as well to second language acquisition. If so, it should be the case that young children are better second language learners than adults and should consequently reach higher levels of final proficiency in the second language. This prediction was tested by comparing the English proficiency attained by 46 native Korean or Chinese speakers who had arrived in the United States between the ages of 3 and 39, and who had lived in the United States between 3 and 26 years by the time of testing. These subjects were tested on a wide variety of structures of English grammar, using a grammaticality judgment task. Both correlational and t-test analyses demonstrated a clear and strong advantage for earlier arrivals over the later arrivals. Test performance was linearly related to age of arrival up to puberty; after puberty, performance was low but highly variable and unrelated to age of arrival. This age effect was shown not to be an inadvertent result of differences in amount of experience with English, motivation, self-consciousness, or American identification. The effect also appeared on every grammatical structure tested, although the structures varied markedly in the degree to which they were well mastered by later learners. The results support the conclusion that a critical period for language acquisition extends its effects to second language acquisition.

Adolescent

Characterization of in vitro inhibition of human immunodeficiency virus by purified recombinant CD4.

The first step in infection of human T cells with human immunodeficiency virus (HIV) is binding of viral envelope glycoprotein gp120 to its cellular receptor, CD4. The specificity of this interaction has led to the development of soluble recombinant CD4 (rCD4) as a potential antiviral and therapeutic agent. We have previously shown that crude preparations of rCD4 can indeed block infection of T cells by HIV type 1 (HIV-1). Here we present a more detailed analysis of this antiviral activity, using HIV-1 infection of the T lymphoblastoid cell line H9 as a model. Purified preparations of rCD4 blocked infection in this system at nanomolar concentrations; combined with the known affinity of the CD4-gp120 interaction, this finding suggests that the inhibition is simply due to competition for gp120 binding. As predicted, rCD4 had comparable activity against all strains of HIV-1 tested and significant activity against HIV-2. Higher concentrations of rCD4 blocked infection even after the virus had been adsorbed to the cells. These findings imply that the processes of viral adsorption and penetration require different numbers of gp120-CD4 interactions. Recombinant CD4 was able to prevent the spread of HIV infection in mixtures of uninfected and previously infected cells. Our studies support the notion that rCD4 is a potent antiviral agent, effective against a broad range of HIV-1 isolates, and demonstrate the value of purified rCD4 as an experimental tool for studying the mechanism of virus entry into cells.

Adsorption

A new approach to cephalometric analysis of the dental base relationship.

1. The Reference line, connecting the centres of area of the projected skull outline, the cranium and the face, is relatively easy to locate and forms a more stable base from which to measure changes in the face in profile including the dental base relationship, than are the sella-nasion, maxillary or mandibular planes. 2. The Reference-Profile angle is a reliable assessor of a bimaxillary prognathism or retrognathism. Its mean value is 44 degrees. Angles above this value are associated with a bimaxillary retrognathism, and angles below this value with a bimaxillary prognathism. 3. The Reference-Dental Base angle is the most consistent for assessing the anterior jaw relationship between the maxilla and mandible. Its mean value of 50 degrees indicates a Class I relationship. Angles of 53 degrees and above indicate clinical Class II cases and angles of 48 degrees and below indicate clinical Class III cases. 4. These two angles are potentially valuable diagnostic indices for use in orthodontic clinical assessment.

Adolescent

Normal mouse serum immunosuppressive activity: action on adherent cells.

The immunosuppressive activity of normal mouse serum (NMS) was evaluated by enumeration of primary in vitro plaque-forming cell response produced by normal spleen cell suspensions in response to sheep erythrocytes. The site of action of the inhibitor(s) was shown to be at the level of adherent cells since incubation of this cell type with NMS could reproducibly inhibit responses, whereas, in appropriate experiments, incubation of nonadherent cells with NMS had no effect. Furthermore, addition to normal spleen cells of excess spleen-adherent cells, normal peritoneal adherent cells, or of 2-mercaptoethanol could abrogate the inhibitory ability of NMS. Addition of excess nonadherent cells under the same conditions had no influence on inhibition. NMS was also shown to decrease the number of cell clusters, hemolytic clusters, and the number of nucleated cells recovered upon culture termination. It is suggested that NMS, acting on the adherent cell may hinder cell-to-cell contact and interactions.

Animals

Genetic deficiency of the fourth component of complement (C4) in Wistar rats.

A chance observation has led to the discovery of single component complement deficiency in Wistar rats. During serial total haemolytic activity (CH50) determinations on 10 male rats, 2 were consistently found to have values 20% or less than that of the others. An additional 30 males (200--220 g) and 20 females (180--200 g) were screened for CH50 and the defect was found in 10 of the males but none of the females. Mixtures of sera of high and low haemolytic activity gave intermediate values between the two populations arguing against the presence of an inhibitor of the complement system. Single component analysis revealed the defect to reside in the fourth component of complement (C4). Highly purified human C4 completely reconstituted the haemolytic activity of the complement deficient rat serum. A linear relationship between C4 and CH50 titres was observed. Data from preliminary selective breeding experiments point toward an autosomal recessive mode of inheritance. Animals with intermediate values were observed indicating a gene dosage effect with which the heterozygote may be recognized.

Animals