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Biomedical subjects

M Painter

Publications and source records attributed to M Painter.

14 recordsLinked to original sources
PubMed2002

Surveillance of influenza in the North-West Region of England 2001-02.

A local sentinel network of general practitioners has been established in the north west of England for the surveillance of influenza. In the 2001-02 winter, consultation rates for influenza-like-illness (ILI) were low but the surveillance network was able to demonstrate sub-regional variations in the timing of peak influenza activity, and the infection of different age groups. This suggests the network can contribute to better planning to winter pressures on the North West health service.

Adolescent↗
PubMed2000

Genes controlling circadian rhythm are widely distributed in cyanobacteria.

The kaiABC gene cluster is important for maintaining circadian rhythms in the cyanobacterium Synechococcus PCC 7942. An extensive PCR-based survey of phylogenetically diverse cyanobacteria was conducted using degenerate primers designed to identify the presence of the kaiC gene. Hybridization and sequence analyses showed that the observed amplification products had a high degree of similarity to kaiC. Forty cyanobacterial strains possessed kaiC related sequences, suggesting that a clock system is universal among cyanobacteria.

Amino Acid Sequence↗
PubMed2000

CJD and the eye.

Explore the source record for details and available documents.

Creutzfeldt-Jakob Syndrome↗
PubMed1999

Noninvasive continuous monitoring of cerebral oxygenation periictally using near-infrared spectroscopy: a preliminary report.

PURPOSE: To report on the use of near-infrared spectroscopy (NIRS) to examine the changes in cerebral oxygenation in the periictal period in patients with seizures. METHODS: Cerebral hemoglobin oxygen availability was monitored continuously and noninvasively with NIRS in three patients (one in the pediatric intensive care unit (ICU) and two in epilepsy-monitoring units) in conjunction with continuous EEG monitoring. Ictal events were recorded and compared with the pre-, intra-, and postictal periods for cerebral oxygen availability, as defined by oxygenated hemoglobin (HbO2), deoxygenated hemoglobin (Hb), and the redox state of cytochrome oxidase (cytox). RESULTS: Several important preliminary observations were made by using this technology. First, a preictal increase in cerebral oxygenation began between 1 and 2 h and >10 h before the ictal event. Second, despite adequate perfusion, based on an observed increased HbO2, reduction in cytox indicates a perfusion-metabolism mismatch during seizure activity. Third, continued seizure activity and even isolated ictal events were associated with decreased cerebral oxygen availability. Fourth, differences in cerebral oxygen availability were noted between different types of seizures (e.g., electrographic seizures were accompanied by rapid reductions in HbO2 and cerebral blood volume without reduction of cytox, whereas electroclinical seizures were characterized by marked increases in HbO2 with or without reduction of cytox). CONCLUSIONS: In this preliminary report on the use of NIRS for patients with seizures, we believe that NIRS allows continuous and noninvasive monitoring of changes in cerebral oxygenation periictally, thereby permitting investigations into the pathophysiology of seizures and the exploration of the potential of cerebral oximetry as a tool for seizure localization.

Brain↗
PubMed1998

The use of near infrared spectroscopy (NIRS) in children after traumatic brain injury: a preliminary report.

Children commonly develop diffuse cerebral swelling after traumatic brain injury (TBI) which is believed due to a secondary response to the injury. Near infrared spectroscopy (NIRS), a continuous, direct, and noninvasive monitor of cerebral oxygenation and cerebral blood volume (CBV), could be helpful in understanding these secondary responses. The aims of our study were to determine whether NIRS used in children with severe TBI will provide insight into the pathophysiology of injury. Ten children (1 mo to 15 years old) with severe TBI (admission GCS < or = 7) were continuously monitored by NIRS by placing optodes over the frontalparietal region. Relative values of oxyhemoglobin (HbO2), deoxyhemoglobin (Hb), and total hemoglobin (THb) were obtained and compared to intracranial pressure (ICP), mean arterial pressure (MAP), electroencephalography (EEG), and arterial PCO2 (PaCO2). Episodes of intracranial hypertension (ICP > 20 Torr [T]), changes in ICP > 10 T, changes in PaCO2 > or = 8 T, and changes in MAP > 20 T frequently resulted in changes in HbO2, Hb, and THb. Hyperventilation with decreased PaCO2 always resulted in cerebral oxygen desaturation irregardless of ICP. Often, high ICP correlated with increased THb and HbO2 indicating increased CBV and cerebrovascular dilatation. In two children, posttraumatic seizures were preceded by an unexplained rapid cerebral hyperoxygenation several hours prior to the onset of the clinical seizures. NIRS reliably detects changes in cerebral hemodynamics in children and may be used to further understand the etiology of the diffuse cerebral swelling seen in children after severe TBI.

Adolescent↗
PubMed1997

Time course of attentional bias for threat information in non-clinical anxiety.

A modified version of the probe detection task was used to investigate the effect of stimulus exposure duration on attentional bias for threat stimuli in a non-clinical sample of subjects. Stimulus duration was manipulated in order to examine different components of the anxiety-related attentional bias, i.e. initial orienting versus maintenance of attention to threat. Word pairs were presented on a computer screen for 100, 500 or 1,500 msec, and immediately after the termination of the display of each pair, a dot probe appeared in the position of one of the words. Higher levels of state anxiety were associated with faster response latencies for probes that replaced threat words, rather than neutral words (i.e. attentional vigilance for threat). This bias was not significantly affected by the exposure duration of the word stimuli. Thus, the attentional bias for threat does not appear to vary significantly over this range (100-1,500 msec) in non-clinical anxiety; it is recommended that the time course of the attentional bias be investigated further in clinical anxiety.

Adult↗
PubMed1980

Pontosubicular necrosis and hyperoxemia.

Pontosubicular necrosis (PSN) is confined to a short perinatal developmental period and is apparently related to asphyxia at birth. Neuronal necrosis with karyorrhexis and proliferative changes in astrocytes are most prominent in the pontine gray matter and subiculum of the hippocampus. We have observed a striking association of PSN in neonates with high arterial blood oxygen (PO2) levels during the first week of life. All autopsies performed on neonates in 1977 at Magee-Womens Hospital (University Health Center of Pittsburgh) were reviewed, and all 64 neonates who survived long enough to have multiple PO2 determinations were studied. All had severe hypoxia, respiratory distress, and/or apnea. Twenty-seven (group I) did not have PO2 levels higher than 150 torr whereas 37 (group II) had PO2 levels higher than 150 torr for a sustained period. PSN was not seen in group I; it was prominent in group II. PSN was most severe between the gestational ages of 26 to 36 weeks. Hyperoxemia may decrease cerebral blood flow selectively at this critical phase of development or there may be a greater sensitivity to the toxic action of high blood oxygen levels in the presence of acidosis and hypoxia. A combination of these factors seems most probable.

Cerebrovascular Circulation↗
PubMed1978

Phenobarbital pharmacokinetics in neonates.

Phenobarbital pharmacokinetics after intravenous injection were studied in 8 neonates with seizures. Subjects ranged in gestational age from 30 to 40 wk. Plasma concentrations of phenobarbital were measured by enzyme-multiplied immunoassay (EMIT). The volume of distribution (Vd) of phenobarbital was 0.97 +/- .15 L/kg which was independent of the dose administered. Vd and gestational age did not correlate. Phenobarbital clearance calculated from average concentrations in patients maintained on phenobarbital for 1 to 4 wks was consistent, with a decrease in t1/2 from 115 hr after 1 wk to 67 hr after 4 wk of therapy. The elimination of phenobarbital decreased at an exponential rate with a t1/2 of 4.6 days. A pharmacokinetic model with an exponentially increasing elimination rate term was used to describe the data. Average concentrations predicted with the use of the model corresponded adequately with experimental results. The increases in clearance observed are thought to be related to rates of turnover of drug-metabolizing enzymes in the neonate.

Aging↗
PubMed1976

The nature of the phosphorus linkage in component I, a phosphoprotein isolated from the blood serum of DES-treated cockerels.

The nature of the phosphorus linkage in electrophoretic component I of the blood serum of DES-treated cockerels was investigated by enzymatic and partial acid and alkali dephosphorylation. The C-P bond was excluded because this bond is stable to 6 N HCl at 110 degrees C. for 20 hours, and all the phosphorus was released under these conditions. No phosphorus was released when diesterase, pyrophosphatase and 0.25 N HCl were employed, and this excludes the diester, pyrophosphate and N-P bonds. The presence of the O-P bond was supported by the release of phosphate by the phosphatases and 0.25 N NaOH. The hydrolysate produced upon hydrolysis with pronase and papain contained phosphoserine. No phosphothreonine was present.

Animals↗
PubMedDate not supplied

Streptomycin-specific antibody coincident with a developing warm autoantibody.

The presence of an antibody with specificity against streptomycin-sensitized red blood cells in the serum of a patient with tuberculous pericarditis is reported. Hemolysis and significant anemia were absent. The antibody appeared to develop together with an evolving warm autoantibody, but was clearly separable from the latter. The streptomycin-specific antibody was "penicillin-like" by being totally neutralized in the presence of streptomycin. Red blood cells had to be separately sensitized with streptomycin prior to incubation with the antibody. The antibody cross-reacted with neomycin-sensitized cells and was also neutralized by the presence of neomycin. In addition, a possible cross-reactivity of the streptomycin-specific antibody and the warm autoantibody is suggested. The association of a drug-induced antibody and autoimmune antibody of IgG type is most unusual. In our experience, we have encountered only one similar example.

ABO Blood-Group System↗