PubMed Health⌕ Search

Biomedical subjects

K Knight

Publications and source records attributed to K Knight.

At least 19 recordsLinked to original sources

Effects of organophosphorus compounds on ATP production and mitochondrial integrity in cultured cells.

Recent studies in vivo and in vitro suggested that mitochondrial dysfunction follows exposure to organophosphorus (OP) esters. As mitochondrial ATP production is important for cellular integrity, ATP production in the presence of OP neurotoxicants was examined in a human neuronal cell line (SH-SY5Y neuroblastoma cells) and primary dorsal root ganglia (DRG) cells isolated from chick embryos and subsequently cultured to achieve maturation with axons. These cell culture systems were chosen to evaluate toxic effects on the mitochondrial respiratory chain associated with exposure to OP compounds that do and do not cause OP-induced delayed neuropathy (OPIDN), a disorder preceded by inhibition of neurotoxic esterase (NTE). Concentration- and time-response studies were done in neuroblastoma cells exposed to phenyl saligenin phosphate (PSP) and mipafox, both compounds that readily induce delayed neuropathy in hens, or paraoxon, which does not. Phenylmethylsulfonyl fluoride (PMSF) was included as a non-neuropathic inhibitor of NTE. Purified neuronal cultures from 9 day-old chick embryo DRG were treated for 12 h with 1 microM PSP, mipafox, or paraoxon. In situ evaluation of ATP production measured by bioluminescence assay demonstrated decreased ATP concentrations both in neuroblastoma cells and chick DRG neurons treated with PSP. Mipafox decreased ATP production in DRG but not in SH-SY5Y cells. This low energy state was present at several levels of the mitochondrial respiratory chain, including Complexes I, II, III, and IV, although Complex I was the most severely affected. Paraoxon and PMSF were not effective at all complexes, and, when effective, required higher concentrations than needed for PSP. Results suggest that mitochondria are an important early target for OP compounds, with exposure resulting in depletion of ATP production. The targeting of neuronal, rather than Schwann cell mitochondria in DRG following exposure to PSP and mipafox was verified by loss of the mitochondrial-specific dye, tetramethylrhodamine, in these cells. No such loss was seen in paraoxon exposed neurons isolated from DRG or in Schwann cells treated with any of the test compounds.

Adenosine Triphosphate↗

"I don't know when it might pop up": understanding repeat HIV testing and perceptions of HIV among drug users.

PURPOSE: The study sought to understand the HIV testing patterns of low-income drug users. METHODS: Sixty-seven low-income drug users were recruited from street outreach venues in three San Francisco Bay Area counties. Participants were interviewed using an open-ended questionnaire eliciting information on HIV testing histories, sexual behavior, and drug use. Transcripts from interviews were coded and analyzed using methods consistent with the grounded theory approach of qualitative research. RESULTS: Participants identified four themes related to HIV testing: (1) anticipating positive results, (2) belief in a 10-year window period during which the virus is undetectable, (3) regular HIV testing as part of self-care, and (4) the HIV test as a means of control. These themes did not relate to personal risk behavior but rather to the community experience of HIV in small, dense populations of low-income drug users with high rates of HIV infection. IMPLICATIONS: Participants used HIV testing like regular mammograms or blood pressure checks, as if it were a screening procedure for a chronic illness. This is a reasonable response given the context of HIV within their communities. HIV testing in this population should not be limited.

AIDS Serodiagnosis↗

Drug users talk about HIV testing: motivating and deterring factors.

Injection drug use plays a critical role in the spread of HIV/AIDS, with an estimated 19,000 drug users infected each year. Counselling and testing services can be an important gateway for engaging HIV-infected individuals into medical care and can positively influence the preventive behaviours of IDUs. This study seeks to document and understand the complexity and range of motivations and deterrents to HIV testing among IDUs. Participants were recruited using a convenience sampling method. Interviews consisted of a qualitative guide and a quantitative survey to collect HIV testing histories, sex and drug risk behaviours, and demographic information. Interview data was coded and content analyzed to identify emerging themes and clarify the processes that drug users employ in deciding whether or not to test. Sixty-six drug users were interviewed. The sample reported a median of four lifetime HIV tests. Participants described a range of motivating and deterring factors to HIV testing across personal, interpersonal and structural categories. Drug users' decision to test is influenced by a complex network of factors. Better understanding of these motivators and deterrents can help providers develop a more holistic approach to targeting this high-risk population for HIV prevention efforts.

Adult↗

Use of prescription and nonprescription hypnotics in a Canadian elderly population.

BACKGROUND: Hypnotics are commonly used by older adults, yet little is known about the patterns of their use and effectiveness in this population. METHODS: Three thousand eight hundred sixty anonymous, self-report surveys were distributed to community pharmacies (n=356) across Canada to obtain information on the patterns of use of hypnotics from elderly volunteers. RESULTS: The mean age of respondents was 72+/-7 years (range 60 to 95 years) and 66% were women. In the past year, 53% of respondents used hypnotics. Prescription products accounted for 83% of the past year's use (66% benzodiazepines, 11% zopiclone, 4% antidepressants, 2% opioids), and 17% of the products used were over-the-counter (5% herbal, 5% antihistamines, 3% analgesics). Use was regular (50% daily) and chronic (mean duration six years: range two weeks to 30 years). Hypnotics significantly (P<0.001) improved subjective sleep latency (mean 32 min compared with 93 min), number of nocturnal awakenings (mean two compared with four) and total hours of sleep (mean 7 h compared with 4 h). Effectiveness was highly rated: at the most recent use of the product, mean 7.6 (SD+/-2.2) of 10; initially, 7.9 (SD+/-2.3) with a significance of P=0.02. Most respondents (59%) reported side effects, mainly dry mouth (30%), memory problems (22%) and daytime sleepiness (22%), although 60% rated the side effects as mild. The mean number of other medications used was five (range zero to 17). Of the 54 subjects who used nonprescription sleep products, only half (52%) indicated that their physician was aware of this use. CONCLUSIONS: Prescription drugs were primarily used for sleep and were perceived to be effective even with long term use, despite mild side effects.

Aged↗

A combined discrete-continuous model describing the lag phase of Listeria monocytogenes.

Food microbiologists generally use continuous sigmoidal functions such as the empirical Gompertz equation to obtain the kinetic parameters specific growth rate (mu) and lag phase duration (lambda) from bacterial growth curves. This approach yields reliable information on mu; however, values for lambda are difficult to determine accurately due, in part, to our poor understanding of the physiological events taking place during adaptation of cells to new environments. Existing models also assume a homogeneous population of cells, thus there is a need to develop discrete event models which can account for the behavior of individual cells. Time to detection (t(d)) values were determined for Listeria monocytogenes using an automated turbidimetric instrument, and used to calculate mu. Mean individual cell lag times (tL) were calculated as the difference between the observed t(d) and the theoretical value estimated using mu. Variability in tL for individual cells in replicate wells was estimated using serial dilutions. A discrete stochastic model was applied to the individual cells, and combined with a deterministic population-level growth model. This discrete-continuous model incorporating tL and the variability in tL (expressed as standard deviation; S.D.(L)) predicted a reduced variability between wells with increased number of cells per well, in agreement with experimental findings. By combining the discrete adaptation step with a continuous growth function it was possible to generate a model which accurately described the transition from lag to exponential phase. This new model may serve as a useful tool for describing individual cell behavior, and thus increasing our knowledge of events occurring during the lag phase.

Biosensing Techniques↗

Effectiveness of communication and relationship skills training for men in substance abuse treatment.

Although the importance of gender-sensitive programming for women has been acknowledged, few studies have examined outcomes from male-centered interventions in substance abuse treatment programs. Data were collected from 122 male clients in a court-mandated residential treatment program who participated in a study of a psychoeducational group intervention for men. The intervention (Time Out! For Men) addressed communication skills, sexuality, gender socialization, and intimacy. Participation in the training resulted in significant increases in knowledge and social conformity, along with reductions in attitudes that may be associated with rigid socialization and gender-role conflict. The results provide support for the utility of male-targeted programming in substance abuse treatment settings.

Adolescent↗

Are there seasonal patterns to ruptured aortic aneurysms and dissections of the aorta?

OBJECTIVE: to test the hypothesis that there are seasonal increases in aortic aneurysm ruptures and dissections. METHODS: a retrospective, population-based time series analysis of hospital admissions for dissection and rupture of the aortic aneurysm in the Province of Ontario from 1988-1997. Analyses were carried out on weekly and monthly aggregations of hospital admissions. RESULTS: there is weak statistical evidence of seasonality in the weekly time series (BKS=0.0987, p=0.03) and no evidence of seasonality in the monthly time series. There is no evident seasonality in the time plots. The incidence of dissections increased significantly over the study period while the incidence of ruptures decreased. CONCLUSIONS: this large population-based study, contrary to other published reports, fails to find convincing evidence of seasonality in rupture or dissection of aortic aneurysm though did demonstrate contrasting trends in incidence.

Aortic Dissection↗

Political talk radio and public opinion.

This article examines the relationship between listening to political talk radio (Rush Limbaugh in particular) and attitudes toward public figures, groups, and policies. We employ a variety of methods to combat the selection bias inherent in such relationships. We find that listening to Limbaugh is independently associated with attitudes toward issues that Limbaugh emphasizes but shows no independent covariance with attitudes toward salient issues that Limbaugh neglects. Moreover, Limbaugh listening independently corresponds to greater negativity toward Ross Perot, a figure for whom affect cannot be accurately predicted from individual party identification or ideology. Finally, regular listening to Limbaugh predicts substantial change in attitudes from 1994 to 1996, but the effects are substantially muted when the Limbaugh message is positive rather than negative.

Journal Article↗

Long-term benzodiazepine therapy does not result in brain abnormalities.

Studies on the association between long-term benzodiazepine use and brain abnormalities have yielded conflicting results. The computed tomographic (CT) scans of 20 long-term users of benzodiazepine (65% men; mean age +/- SD [range], 42 +/- 12.1 years [23-59]; mean daily benzodiazepine dose [diazepam equivalents], 19.5 +/- 16.2 mg [2.5-70]; mean cumulative benzodiazepine exposure, 55.2 g [1.8-198]) were compared with 36 age- (+/-3 years) and sex-matched controls. Controls were prospectively recruited from 96 patients attending a neurology clinic and were interviewed to screen for alcohol and substance use disorders and other conditions possibly leading to brain atrophy. Three neuroradiologists blindly assessed each CT scan for atrophy and measured ventricles (V1, V2, V3), sulci, fissures, cisterns, and folia. Reliability among observers ranged from 0.92 to <0.1, in which case deleting one observer increased all reliabilities to >0.45. No difference in atrophy was found between benzodiazepine users and controls. V1 measures were significantly higher for benzodiazepine users than for controls (mean +/- SD, 12.1 +/- 1.3 vs. 11.1 +/- 2.0;p = 0.02), but measures of third and fourth largest sulci were significantly higher in controls than in benzodiazepine users. Right third and fourth largest sulci (mean +/- SD), respectively, were the following: controls, 0.72 +/- 0.4 and 0.74 +/- 0.7; benzodiazepine users, 0.51 +/- 0.3 and 0.46 +/- 0.3 (p < 0.02). Left third and fourth largest sulci, respectively, were the following: controls, 0.77 +/- 0.6 and 0.65 +/-0.3; benzodiazepine users, 0.53 +/- 0.3 and 0.5 +/- 0.3 (p < 0.02). Long-term benzodiazepine therapy does not result in brain abnormalities that can be demonstrated on CT scans.

Adult↗

Measuring self-efficacy among drug-involved probationers.

Self-efficacy has been shown to be related to outcomes from interventions for alcohol and tobacco abuse but relatively little attention has been focused on it in evaluations of treatment for illicit drug abuse. Almost no research has examined offenders involved with drugs. The current study, therefore, adapted the Alcohol Abstinence Self-efficacy Scale of DiClemente, Carbonari, Montgomery, and Hughes and administered it to 250 probationers mandated to 6 months of residential treatment. With some modifications, confirmatory factory models replicated four previously reported dimensions, e.g., Negative Affect, Social/Positive, Physical and Other Concerns, Cravings and Urges. Findings also indicated high construct validity for the Alcohol Abstinence Self-efficacy Scale as adapted here. Studies are needed to examine the use of self-efficacy as a prospective measure of treatment progress and to explore its association with outcomes from corrections-based treatment.

Adolescent↗

Voices from the field: providers discuss HIV counseling and testing programs for drug users.

The use of illicit drugs plays a critical role in the spread of HIV, with approximately one-half of all new HIV infections in the United States attributed to this mode of transmission. There is a renewed emphasis on developing special HIV counseling and testing (C&T) programs for drug users. We conducted a qualitative study of C&T providers to identify client-centered and structural barriers to providing HIV C&T to high-risk drug users. Interviews focused on obtaining a detailed description of the services; successful and problematic forms of organization, financing, and service delivery; client access and barriers to C&T services; recommendations for increasing C&T accessibility and utilization by drug users; and linkages between C&T and other HIV-prevention and intervention services. The results of our interviews illustrate that it is tremendously complex and challenging work to provide C&T to populations with multiple and immediate needs within a context of layered constraints on individual behavior, provider resources, and service delivery. Providers clearly understand client-centered and structural barriers and have demonstrated a commitment to overcoming the barriers related to AIDS stigma, confidentiality, material needs, and fear when delivering HIV C&T services.

California↗

Primary care groups. Supra troupers.

Research in Birmingham involving GPs, the health authority and the local medical committee found support for umbrella arrangements for some primary care group functions. Clinical governance and strategic city-wide planning emerged as particularly suitable for these arrangements. A range of support arrangements are likely to emerge as PCGs develop.

Governing Board↗

Time-series analysis of the relation between influenza virus and hospital admissions of the elderly in Ontario, Canada, for pneumonia, chronic lung disease, and congestive heart failure.

This study examined the relation between the presence of circulating influenza virus and all hospital admissions of people over age 65 years in Ontario, Canada, for pneumonia, congestive heart failure, and chronic lung disease in 1988-1993. Autoregressive integrated moving average (ARIMA) transfer function models were used to perform a time-series analysis. These models were compared with simple cross correlations by using Pearson's product moment correlation. The results showed statistically significant correlations between the presence of influenza virus and admissions of the elderly for pneumonia (in all 5 years under study) and chronic lung disease (in 4 of the 5 years under study). The relation between circulation of influenza virus and admissions for congestive heart failure was inconsistent. The simple cross correlation tended to overestimate the association between the presence of circulating influenza strains and hospital admissions. Measures of the impact of influenza should include chronic lung disease as an outcome. Further studies, with greater covariate control, are required to delineate more precisely the relation between influenza and hospital morbidity in the elderly. This study demonstrates the power and utility of using time-series methods in the epidemiologic study of communicable diseases.

Aged↗

Prison-based substance abuse treatment, residential aftercare and recidivism.

AIMS: This study examined the impact of residential aftercare on recidivism following prison-based treatment for drug-involved offenders. DESIGN: A matched group quasi-experimental design. Survival regression analyses were used to predict time until rearrest. A logistic regression model was constructed for predicting aftercare completion. SETTING: A 9-month in-prison therapeutic community (ITC) and several community-based transitional therapeutic communities (TTCs). PARTICIPANTS: Data were collected from 396 male inmates (293 treated, 103 untreated). MEASUREMENTS: Background information (gender, ethnicity, age, education level, criminal history and risk for recidivism) was abstracted from the state criminal justice databases and a structured interview led by clinical staff. During treatment process measures were based on inmate self-ratings of their counselors, program and peers. A post-treatment interview conducted by field research staff assessed satisfaction with transitional aftercare. Post-release recidivism was based on state-maintained computerized criminal history records. FINDINGS: ITC treatment, especially when followed by residential aftercare, was effective for reducing post-release recidivism rates. Lower satisfaction with transitional aftercare treatment was associated with not completing the residential phase of community-based aftercare. CONCLUSIONS: Corrections-based treatment policy should emphasize a continuum of care model (from institution to community) with high quality programs and services.

Adult↗

Temperature change in human muscle during and after pulsed short-wave diathermy.

STUDY DESIGN: A time series design was used, with the dependent variable being gastrocnemius muscle temperature at a depth of 3 cm. OBJECTIVES: To determine the rate of temperature rise and the rate of post-treatment temperature decline in skeletal muscle following the application of pulsed short-wave diathermy (PSWD). BACKGROUND: Data on PSWD rate and longevity of heating are 20 years old and outdated. With the recent introduction of advanced diathermy equipment, results of our study would provide clinicians with much needed information regarding treatment duration. METHODS AND MEASURES: A 23-gauge thermistor was inserted into the center of the medial head of the anesthetized gastrocnemius muscle, 3 cm below the skin's surface of 20 subjects. The PSWD (27.12 MHz frequency) was applied using the following parameters: 800 bursts per second; 400 microseconds burst duration; 850 microseconds interburst interval; with a peak root mean square (RMS) amplitude of 150 W per burst and an average RMS output of 48 W. Temperature changes were documented every 5 minutes during the treatment and additionally at 5 and 10 minutes following treatment. RESULTS: The average baseline and peak temperatures were 35.84 +/- 0.93 degrees C and 39.80 +/- 0.83 degrees C, respectively. Mean temperature increases were: 1.36 +/- 0.90 degrees C (5 min); 2.87 +/- 1.44 degrees C (10 min); 3.78 +/- 1.19 degrees C (15 min); 3.49 +/- 1.13 degrees C (20 min). After the treatment terminated, intramuscular temperature dropped 0.97 +/- 0.68 degree C in 5 minutes and 1.78 +/- 0.69 degrees C in 10 minutes. CONCLUSIONS: PSWD is an effective modality if temperature elevation of deep tissue over a large area is the clinical objective.

Adult↗

Modulation of myofascial pain by the reproductive hormones: a preliminary report.

STATEMENT OF PROBLEM: The predominance of myofascial pain in women in childbearing years suggests that the reproductive hormones may play a role in this pain disorder. PURPOSE: The potential influence of these hormones on myofascial pain was evaluated. METHODS: Pain patterns were compared across three consecutive menstrual cycles in oral contraceptives users (OC group) and nonusers (Non-OC group). RESULTS: Preliminary results showed that within menstrual cycle variability of daily pain was higher than the nonusers group. In addition to their low variation, pain levels of oral contraceptives users remained positive across the hormonal cycle, whereas in nonusers, peaks of pain alternated frequently with pain-free periods. These data suggest that pain levels in oral contraceptives users may be more constant than those of nonusers. CONCLUSIONS: This potential hormonal influence on myofascial pain levels among oral contraceptives users may represent one of the various adverse effects induced by oral contraceptives at the trigeminal area in sensitive subjects. Evidence supporting the link between estrogen, nitric oxide, and inflammatory processes is presented.

Adolescent↗