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M A Barry

Publications and source records attributed to M A Barry.

65 records · Page 4Linked to original sources

Afferent and efferent connections of the primary octaval nuclei in the clearnose skate, Raja eglanteria.

Horseradish peroxidase techniques were employed to trace the central projections of afferents from the individual endorgans of the membranous labyrinth and to delineate the efferent projections from the primary octaval nuclei to the spinal cord and midbrain octavolateralis area in the clearnose skate, Raja eglanteria. First-order octaval afferents project ipsilaterally to five primary octaval nuclei, namely: magnocellular, descending, posterior, anterior, and periventricular. Octaval afferents also terminate in the reticular formation, nucleus intermedius (primary mechanoreceptive lateral-line nucleus), and vestibulolateral lobe of the cerebellum. Each primary octaval nucleus receives afferent input from each labyrinthine endorgan, with the possible exception of macula neglecta input to the magnacellular nucleus. Within the anterior, descending, and to a lesser extent posterior and magnocellular nuclei, this input is largely nonoverlapping. Semicircular canal cristae afferents terminate ventrally, saccular and lagenar afferents dorsally, utricular afferents laterally, and macular neglecta afferents course ventrally but terminate largely dorsally within these nuclei. In the vestibulolateral lobe of the cerebellum, cristae afferents project primarily to the pars medialis, whereas macular endorgan afferents terminate in the pars lateralis. Primary afferent input to the reticular formation is predominantly from the horizontal canal crista. The densest projections to nucleus intermedius are from the utriculus and sacculus. Vestibulospinal projections originate primarily from the magnocellular and descending nuclei. Second-order auditory neurons are most likely located in dorsomedial parts of the descending and anterior nuclei. Cells in these nuclei project directly to the auditory area of the midbrain octavolateralis complex, but projections to this area originate predominantly from nuclei C1 and C2, which are possible superior olivary homologues.

Afferent Pathways↗

Central connections of the IXth and Xth cranial nerves in the clearnose skate, Raja eglanteria.

The anterograde and retrograde transport of horseradish peroxidase was utilized to identify the motor nuclei and sensory connections of the IXth and Xth cranial nerves in the clearnose skate, Raja eglanteria. The majority of VIIth, IXth, and Xth nerve motoneurons form an ipsilateral dorsal visceromotor column, extending from the level of the posterior lateral line nerve root to the 3rd-4th ventral spinal roots. Within this column, the motor nucleus of IX (IXm) occurs rostral to vagal motoneurons (dorsal motor nucleus of X, Xmd). Vagal motoneurons are also located ventrolaterally in a ventral motor nucleus (Xmv), which extends from the level of the middle vagal rootlets to the 5th-6th ventral spinal roots. IXth and Xth nerve afferents terminate predominantly in the ipsilateral visceral sensory column (vS). Many vagal but few glossopharyngeal afferents form a solitary tract. A distinct nucleus of the solitary tract could not be identified; rather fibers terminate among cells scattered in the tract, adjacent vS, and nucleus of the commissura infima, where some vagal fibers decussate. Vagal and glossopharyngeal somatic sensory fibers were not found.

Afferent Pathways↗

Interaction of trans-diamminedichloroplatinum(II) with DNA: formation of monofunctional adducts and their reaction with glutathione.

Bifunctional reactions with DNA are responsible for the toxic action of the cancer chemotherapeutic drug cis-diamminedichloroplatinum(II) (cis-DDP). Thiourea has previously been used to trap transient monofunctional adducts in DNA before they rearrange to the toxic lesions. In these studies, thiourea was used to quantify the monofunctional adducts produced by the ineffective isomer trans-DDP. Rather than trapping monofunctional adducts, thiourea labilized them from DNA. At short time periods, 85% of trans-DDP bound to double-stranded DNA as monofunctional adducts of deoxyguanosine. Rearrangement to bifunctional adducts in double-stranded DNA was 50% complete in 24 h but was much more rapid in single-stranded DNA with 100% complete rearrangement in 24 h. The ineffectiveness of trans-DDP therefore results from a high proportion of monofunctional adducts in DNA that rearrange very slowly to toxic bifunctional adducts. The persistent monofunctional adducts react rapidly with glutathione, which would further reduce their potential toxicity by preventing them from rearranging to more toxic bifunctional adducts.

Animals↗

Two-stage tuberculin testing with control antigens in patients residing in two chronic disease hospitals.

We studied the prevalence of tuberculin reactivity and anergy in 360 elderly patients residing in two municipal chronic disease hospitals. Eighty-five (26%) of the 323 patients tested had a positive reaction to a stage 1 tuberculin test and 12 (6%) of the 207 stage 1 tuberculin-negative patients exhibited a booster response to a stage 2 tuberculin test. Thirty percent of the same 207 patients had no response to an anergy panel of skin test antigens that included candida, mumps, and trichophyton. Nonresponders to tuberculin and the anergy panel had significantly higher one-year mortality rates compared to responders (44 v 20%, P = 0.001). Tuberculin-positivity among the 770 employees working in these facilities was 43%; 12 (4%) had a booster response. A survey of 29 randomly selected long-term care facilities in the Boston area indicated that all had a policy for pre-employment screening of employees, but less than 50% had a policy for patients and only one institution used two-stage testing. Routine tuberculin testing is recommended for long-term care facilities and the two-stage method is preferable in institutions with adequate resources.

Adult↗

The spiracular organ of sharks and skates: anatomical evidence indicating a mechanoreceptive role.

The elasmobranch spiracular organ is a specialized receptor associated with the first visceral pouch. The structure of the sensory epithelium of the spiracular organ and the pattern of central termination of the afferent neurons that innervate it show that the spiracular organ is a mechanoreceptor closely related to the lateral line system of sense organs. Its position and orientation within the spiracular cleft suggest that it plays a role in proprioception or equilibrium-audition.

Afferent Pathways↗

Serratia marcescens contamination of antiseptic soap containing triclosan: implications for nosocomial infection.

During a recent investigation in our surgical intensive care unit, we found that several bottles of the antiseptic handwashing soap, OR Scrub, were contaminated with Serratia marcescens. OR Scrub contains 1% triclosan, lanolin, and detergents. The antimicrobial efficacy of OR Scrub was examined in vitro using serial two-fold dilutions of soap inoculated with various concentrations of different nosocomial pathogens. The minimal bactericidal concentration (MBC) of OR Scrub against Pseudomonas aeruginosa and several strains of S. marcescens was less than or equal to 1:2. By comparison, a non-antiseptic soap from the same manufacturer (Wash) and 4% chlorhexidine (Hibiclens) had MBCs for all strains tested of at least 1:64. Time-kill curves confirmed the findings of the initial experiments. This is the first report of extrinsic contamination of antiseptic soap containing triclosan. No infections could be attributed to the contaminated soap, but sporadic outbreaks of Serratia have occurred in the intensive care unit with no identifiable source. Although there have been few studies on the impact of antiseptic soap in reducing nosocomial infection, we question whether a soap with the limitations of OR Scrub should be used in intensive care units or operating rooms.

Candida↗

Serotypes of Streptococcus pneumoniae isolated from blood cultures at Boston City Hospital between 1979 and 1982.

Serotypes of pneumococci causing bacteremia were examined from January 1979 through December 1982. Of the 271 isolates recorded, 52% were from adults and 48% were from children. The rate of pneumococcal bacteremia for adults was 2.67 cases per 1,000 admissions; rates were not calculated for pediatric patients. The six most common pediatric types or groups (14, 19, 18, 6, 4, and 9) accounted for 90% of the total pediatric isolates, and the six most common adult types or groups (12, 9, 8, 4, 3, and 6) made up 55.3% of the total adult isolates. More than 96% of the pneumococcal types isolated from the blood cultures of pediatric patients are present in the 14-valent pneumococcal vaccine, compared with 72.7% of the adult isolates. The results demonstrate that most cases of pneumococcal bacteremia are caused by capsular types or groups present in the current vaccine and that minor changes in the types of pneumococci causing bacteremia have occurred during the past decade.

Adult↗

Tuberculosis screening in Boston's homeless shelters.

From February 1984, through March 1985, a total of 26 cases of tuberculosis (TB) were verified in homeless persons in Boston. Fifteen cases were resistant to isoniazid (INH) and streptomycin (SM) and were most likely the result of a common source exposure to one or possibly two highly infectious persons. Five cases without multiple drug resistant organisms occurred in persons with previous positive tuberculin tests who had not received adequate therapy for prophylaxis of infection or treatment of disease. The remaining cases were in persons with a previous negative skin test or no history of ever receiving a skin test. A screening program using chest roentgenograms (CXR), skin tests, and sputum smears led to the identification of several cases. CXR, the most readily accepted test, was the mechanism by which all cases detected through screening were identified. Detection and therapy of TB in the homeless, a group at particular risk for disease, required intensive intervention and outreach efforts.

Adult↗

Thrombosis of the inferior vena cava in the anti-phospholipid syndrome.

Thrombosis of the inferior vena cava (IVC) is a rare complication of the antiphospholipid syndrome (APS). We report a case of IVC thrombosis in a 27 year-old female who was anticoagulated at the time and who had a history of recurrent deep venous thromboses (DVT), thrombocytopenia and antiphospholipid antibodies (aPL).

Adult↗

Effect of a manager training program on sanitary conditions in restaurants.

OBJECTIVE: To evaluate the effectiveness of a food manager training and certification program in increasing compliance with restaurant sanitary codes. METHODS: Using routine sanitary inspection records, the authors compared pre- and post-training inspection scores for 94 restaurants falling into three groups: a "mandatory" group (managers' attendance was mandated for these restaurants); a "voluntary" group (managers attended the training voluntarily); and a control group (no staff attended the training program). RESULTS: Restaurants for which managers were mandated to attend a training and certification program demonstrated a significant improvement in inspection scores, an improvement that was sustained over a two-year follow-up period. The mean inspection scores for a control group did not change significantly over time. However, improvements were not noted in all areas of food safety. CONCLUSIONS: Food manager training and certification programs may be an effective way to improve the sanitary conditions of restaurants and reduce the spread of foodborne illnesses.

Boston↗