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Biomedical subjects

L Atkinson

Publications and source records attributed to L Atkinson.

At least 55 records · Page 3Linked to original sources

The British Picture Vocabulary Scale: constructing confidence intervals to evaluate change.

The practitioner is often faced with the situation where a client has been administered a test more than once, and it must be determined whether variation in the scores obtained is either due to real change or merely reflects imprecision in measurement. This paper offers a table of standard errors of prediction, and confidence levels based thereon, which can help in making this decision where the British Picture Vocabulary Scale is used. The table is based on the normative data provided in the manual.

Adolescent↗

The requirement for platelets in allergen-induced late asthmatic airway obstruction. Eosinophil infiltration and heightened airway responsiveness in allergic rabbits.

In these studies, we have used an allergic rabbit model to investigate the role of platelets in the late asthmatic response (LAR) by depleting platelets with a guinea pig antirabbit platelet antiserum (APAS). Allergen exposure of immunized rabbits pretreated with normal guinea pig serum (NGPS) to serve as a control resulted in an early- and late-phase obstructive airway response that persisted for 6 h. When the immunized animals were pretreated with APAS, the magnitude of the LAR in terms of dynamic compliance was reduced by 86.2% (p less than 0.03), but there was no difference in the early response curve. Allergen challenge of animals treated with NGPS resulted in an increased bronchial responsiveness to inhaled histamine: PD50 Cdyn geometric mean +/- SEM before, 2.36 mg/ml (3.43-1.64); after, 0.60 mg/ml (0.67-0.54) (p less than 0.01). PD50 RL before, 1.78 mg/ml (2.4-1.32); after, 0.58 mg/ml (0.81-0.47) (p less than 0.05). In contrast, when animals were treated with APAS, there was a significant inhibition of allergen-induced airway hyperresponsiveness to inhaled histamine: PD50 Cdyn geometric mean +/- SEM before, 1.42 mg/ml (2.06-0.98); after, 1.10 mg/ml (1.41-0.86) (p less than 0.4). PD50 RL before, 1.62 mg/ml (2.22-1.39); after, 1.05 mg/ml (1.35-0.82) (p greater than 0.4). Analysis of bronchoalveolar lavage fluid revealed an increase in the number of neutrophils and eosinophils after allergen exposure in control animals (p less than 0.01). However, in animals rendered thrombocytopenic, the number of eosinophils, but not neutrophils, was significantly reduced (p less than 0.03).(ABSTRACT TRUNCATED AT 250 WORDS)

Allergens↗

Reliability and validity of ratio developmental quotients from the Cattell Infant Intelligence Scale.

The test-retest reliability and predictive validity of developmental quotients (DQs) derived from the Cattell Infant Intelligence Scale as administered to children with mental retardation over 30 months of age was assessed. When DQs of 36 children assessed twice with the Cattell were compared, scores were highly correlated, with no significant difference between them, indicating impressive test score stability. When DQs of 47 youngsters assessed once with the Cattell and once with the Stanford-Binet, Form L-M, were compared, scores were significantly correlated but significantly discrepant. These results were compared to previous findings (Goldstein & Sheaffer, 1988) on the Bayley Scales of Infant Development as a predictor of Stanford-Binet IQ. The DQs derived from the Bayley were superior to Cattell DQs in predicting Stanford-Binet IQ.

Child↗

Intellectual and adaptive functioning: some tables for interpreting the Vineland in combination with intelligence tests.

A set of tables was provided with the differences necessary for statistical significance between the Vineland Adaptive Behavior Scales and the Bayley Scales of Infant Development. McCarthy Scales of Children's Abilities, Stanford-Binet Intelligence Scale (4th ed.), and all current Wechsler intelligence scales. This information may be beneficial in determining whether discrepancies in the Vineland and measures of intelligence can be attributed to chance alone or whether they represent real differences. In light of normative sampling diversity, regression effects, and procedural factors, which result in varying and indeterminate error in the tables, the tables can only augment clinical decision, not replace it.

Adaptation, Psychological↗

Generalizability of WAIS-R factor structure within and between populations.

We investigated the reliability of the factor structure of the Wechsler Adult Intelligence Scale-Revised (WAIS-R). The WAIS-R subtests, as administered to 146 head-injured males, were factor analyzed. Two- and three-factor solutions were extracted that were consistent with past findings. Congruence coefficients were computed to determine degree of association between factor structures from all samples reported in the literature. All coefficients were impressive. Also, congruence coefficients based on factor structures derived from different samples within the same population were compared to coefficients based on different samples from different populations. No significant discrepancies emerged. Apparently, the slight factor structure variation that does exist is due to chance data fluctuation rather than to systematic population bias. This reflects well on the robustness of the WAIS-R factor structure.

Adult↗

Modification of allergen-induced airway obstruction and airway hyperresponsiveness in an allergic rabbit model by the selective platelet-activating factor antagonist, BN 52021.

Allergen challenge of eight ragweed-immunized rabbits elicited a prolonged airway obstruction that was evident during the 6-hour study period. Airway responsiveness to histamine was enhanced 24 hours after allergen exposure (geometric mean of the 50% reduction in effective dose [ED50] of dynamic compliance [Cdyn] before challenge, 3.46 mg/ml, decreased to 0.52 mg/ml after challenge, p less than 0.01; pulmonary resistance ED50 geometric mean before challenge, 3.50 mg/ml, decreased to 0.65 mg/ml after challenge, p less than 0.05). In a random crossover study, the selective platelet-activating factor antagonist, BN 52021 (60 mg/kg, orally, 1 hour before allergen challenge), significantly reduced the allergen-induced airway obstruction (p less than 0.005). In addition, pretreatment with BN 52021 reduced the associated increased airway responsiveness induced by allergen exposure (prechallenge Cdyn ED50, 1.93; after challenge, 2.13 mg/ml; pulmonary resistance ED50, 1.91 mg/ml before challenge and 1.69 mg/ml after challenge). These present observations suggest a role for platelet-activating factor in the pathogenesis of allergen-induced airway obstruction and in the development of airway hyperresponsiveness in an allergic rabbit model.

Airway Obstruction↗

Toxic reaction to inhaled paint fumes.

An acute confusional state was observed to follow heavy exposure to polyurethane gloss paint fumes in a previously healthy 60 year old man. This state remitted over a 3-day period, but was followed by transient bone marrow suppression and evidence of liver cell damage. The corroborated absence of other toxins and the temporal association of exposure to paint fumes suggest that a volatile paint component was responsible. White spirit is the major volatile solvent in polyurethane gloss paint. Ingestion of related aliphatic hydrocarbons has been reported to cause nausea, drowsiness and hepatotoxicity, but these symptoms have not previously been documented following excessive inadvertent inhalation of paint fumes.

Air Pollutants↗

Differential classification in school refusal.

It has been argued that school refusal may not be a unitary syndrome, but a common presenting symptom founded on differing underlying dynamics. The paper explores this hypothesis empirically. The clinical files of 100 refusers were scored for several variables which could potentially differentiate between school refusal subtypes, and for several commonly accepted beliefs about school refusal. The data were subjected to a variety of analyses, culminating in cluster analysis. Cluster (C) 1 consisted of children who feared separation from dependent, overprotective mothers. C2 youngsters were perfectionistic and depressed. They dominated mothers who had been deprived in childhood. C3 consisted of extensively disturbed children from multiproblem families, who had suffered early separation or loss, and who were fearful and depressed.

Child↗

Clinical experience with ciprofloxacin: analysis of a multi-practice study.

In a multi-practice study of 113 patients treated with ciprofloxacin (mean daily dosage, 995 mg per day; mean duration of treatment, 9.6 days) for a variety of infections, 14 were microbiologically proven. Of these, bacteriologic cure and/or improvement resulted in 92.9% of cases. For all 113 infections, clinical cure and/or improvement resulted in 97.1% of cases. A total of 17 infections were classified as chronic. Therapy with ciprofloxacin was discontinued in three (2.6%) of 113 patients because of adverse effects. Overall, there were 5/113 (4.4%) adverse reactions (ADRs). Only one ADR was related definitely to ciprofloxacin therapy. Two ADRs were definitely not related; in two the relationship was uncertain. Two patients of the five (40%) elected to continue ciprofloxacin therapy despite mild side effects.

Adolescent↗

Alexithymia: a comparative study of three self-report measures.

This study evaluates and compares the psychometric properties of the three self-report measures of alexithymia - a hypothetical personality construct thought to be associated with hypochondriasis, somatization disorder and a variety of other medical and psychiatric disorders. Two hundred and nine college students were administered the Schalling-Sifneos Personality Scale (SSPS), MMPI alexithymia scale (MMPI-A), Toronto Alexithymia Scale (TAS), and two measures of functional somatic symptoms. Results indicated that the TAS is internally consistent and sensitive to reports of somatic symptoms. In contrast, the SSPS and MMPI-A were found to have response and/or gender biases, poor internal reliabilities, and no systematic relationship with somatic symptoms. In addition, factor analysis showed the TAS to have a stable, replicable factor structure, while the SSPS demonstrated little factor stability. These findings suggest that the TAS is the most psychometrically sound measure of the alexithymia construct.

Adult↗

Stalk cell formation in monolayers from isolated prestalk and prespore cells of Dictyostelium discoideum: evidence for two populations of prestalk cells.

Cells from the pseudoplasmodial stage of Dictyostelium discoideum differentiation were dispersed and separated on Percoll gradients into prestalk and prespore cells. The requirements for stalk cell formation in low-density monolayers from the two cell types were determined. The isolated prespore cells required both the Differentiation Inducing Factor (DIF) and cyclic AMP for stalk cell formation. In contrast, only part of the isolated prestalk cell population required both cyclic AMP and DIF, the remainder requiring DIF alone, suggesting the possibility that there were two populations of prestalk cells, one independent of cyclic AMP and one dependent on cyclic AMP for stalk cell formation. The finding that part of the prestalk cell population required only a brief incubation in the presence of DIF to induce stalk cell formation, whilst the remainder required a considerably longer incubation in the presence of both DIF and cyclic AMP was consistent with this idea. In addition, stalk cell formation from cyclic-AMP-dependent prestalk cells was relatively more sensitive to caffeine inhibition than stalk cell formation from cyclic-AMP-independent prestalk cells. The latter cells were enriched in the most anterior portion of the migrating pseudoplasmodium, indicating that there is spatial segregation of the two prestalk cell populations. The conversion of prespore cells to stalk cells took longer and was more sensitive to caffeine when compared to stalk cell formation from cyclic-AMP-dependent prestalk cells.

Caffeine↗

Low IQ samples and WAIS-R factor structure.

Wechsler Adult Intelligence Scale-Revised subtests, as administered to 204 individuals with low IQs, were factor analyzed. Solutions proved comparable to structures extracted from the normative data and to solutions based on WAIS, WISC-R, and WISC data for persons with low IQs. Given the restricted IQ range and diminished variance involved, this study provides a particularly stringent test of WAIS-R factor structure. Subtest contributions to general intelligence, however, tend to be more similar among samples of persons with low IQs than between the present low IQ sample and the standardization sample. Clinicians working with intellectually low functioning clients can validly make factor-based test interpretations, but use of short-forms may be dangerous.

Adult↗

Head injury.

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Accidents, Traffic↗

Genome structure in Streptomyces spp.: adjacent genes on the S. coelicolor A3(2) linkage map have cotransducible analogs in S. venezuelae.

Cotransduction analysis in Streptomyces venezuelae with the generalized transducing phage SV1 showed that several pairs of likely analogs of markers that are adjacent on the conjugational linkage map of Streptomyces coelicolor A3(2) were cotransducible and therefore physically close together. This supports the contention that taxonomically distinct "species" of Streptomyces are genetically closely related.

Chromosome Mapping↗

A replicated cluster solution in a heterogeneous psychiatric population.

Two cluster analytic studies were conducted to explore groupings of patients in a heterogeneous psychiatric population. Study 1 (N = 170) provided support for the derivation by a cluster analytic method of five meaningful clinical groups of patients. Based on an extensively modified inventory and a different population of psychiatric patients, results from Study 2 (N = 224) provided further indication of the stability of the clusters. It was concluded that cluster analysis may provide a viable method as a classification system for a heterogeneous population of psychiatric inpatients.

Adolescent↗