PubMed Health⌕ Search

Biomedical subjects

M Stone

Publications and source records attributed to M Stone.

At least 55 records · Page 3Linked to original sources

What proportion of patients refuse consent to data collection from their records for research purposes?

In a randomised trial of the implementation of guidelines for asthma and angina, we sent questionnaires that included a request for consent to collect data from the patient's clinical records to 5069 patients in 81 general practices. Of these 3429 (67.6%) responded, of whom 335 (9.8% [95%, CI = 8.8%-10.8%]) refused consent. We conclude that consent should always be sought unless a research ethics committee has waived this requirement for pressing reasons.

Aged↗

Cost effectiveness analysis of BMD referral for DXA using ultrasound as a selective pre-screen in a group of women with low trauma Colles' fractures.

Measurements of bone density (BMD) are central to the World Health Organisation (WHO) approach to the definition of osteoporosis. Dual energy X- ray absorptiometry (DXA) remains the gold standard technique for measuring the bone mineral density (BMD) but Quantitative Ultrasound (QUS) is an attractive alternative method of bone assessment because it is easy to use and relatively inexpensive. It has been suggested that QUS could be used as a selective population pre-screen, to maximise the cost effectiveness of referral for DXA assessment of BMD. We set out to examine how such an approach might perform in the assessment of women with low trauma Colles' fracture. In 46 women aged 50-80 (mean 67) years we used DXA to measure BMD at lumbar spine and hip, and heel bone ultrasound to measure Broad Band Attenuation (BUA) and Velocity of Sound (VOS). We calculated local costs of pounds sterling 45 for DXA and pounds sterling 15 for QUS. We identified a BUA threshold of 60 dB/MHz as most cost effective as pre-screen, and calculated a sensitivity of 93% and specificity of 84% in identifying those subjects who were subsequently identified as having osteoporosis by DXA. DXA assessment of all patients had a cost of pounds sterling 77 per osteoporotic subject identified. We examined the cost-effectiveness of using QUS as a pre-screen, only referring subjects for more expensive DXA assessment if BUA was less than 60 dB/MHz. However this approach had no advantage, still costing pounds sterling 78 per osteoporotic subject identified. QUS assessment does not appear cost-effective as a pre-screen for DXA, even in this high risk group of women with low trauma Colles' fracture. A QUS pre-screen would only be cost-effective if the scan could be performed at a substantially lower cost.

Absorptiometry, Photon↗

Nanoscale design of snake skin for reptation locomotions via friction anisotropy.

Multi-mode scanning probe microscopy is employed to investigate the nanostructure of dermal samples from three types of snakes. Sophisticated friction modifying nanostructures are described. These include an ordered microfibrillar array that can function to achieve mission adaptable friction characteristics. Significant reduction of adhesive forces in the contact areas caused by the 'double-ridge' nanoscale microfibrillar geometry provides ideal conditions for sliding in forward direction with minimum adhesive forces and friction. Low surface adhesion in these local contact points may reduce local wear and skin contamination by environmental debris. The highly asymmetric, 'pawl-like' profile of the microfibrillar ends with radius of curvature 20-40 nm induces friction anisotropy in forward backward motions and serves as an effective stopper for backward motion preserving low friction for forward motion. The system of continuous micropores penetrating through the snake skin may serve as a delivery system for lubrication/anti-adhesive lipid mixture that provides for boundary lubrication of snake skins.

Actin Cytoskeleton↗

Convergent behavioral and neuropsychological evidence for a distinction between identification and production forms of repetition priming.

Four experiments examined a distinction between kinds of repetition priming which involve either the identification of the form or meaning of a stimulus or the production of a response on the basis of a cue. Patients with Alzheimer's disease had intact priming on picture-naming and category-exemplar identification tasks and impaired priming on word-stem completion and category-exemplar production tasks. Division of study-phase attention in healthy participants reduced priming on word-stem completion and category-exemplar production tasks but not on picture-naming and category-exemplar identification tasks. The parallel dissociations in normal and abnormal memory cannot be explained by implicit-explicit or perceptual-conceptual distinctions but are explained by an identification-production distinction. There may be separable cognitive and neural bases for implicit modulation of identification and production forms of knowledge.

Adult↗

Automatic extraction and tracking of the tongue contours.

Computerized analysis of the tongue surface movement can provide valuable information to speech and swallowing research. Ultrasound technology is currently the most attractive modality for the tongue imaging mainly because of its high video frame rate. However, problems with ultrasound imaging, such as noise and echo artifacts, refractions, and unrelated reflections pose significant challenges for computer analysis of the tongue images and hence specific methods must be developed. This paper presents a system that is developed for automatic extraction and tracking of the tongue surface movements from ultrasound image sequences. The ultrasound images are supplied by the head and transducer support system (HATS), which was developed in order to fix the head and support the transducer under the chin in a known position without disturbing speech. In this work, we propose a novel scheme for the analysis of the tongue images using deformable contours. We incorporate novel mechanisms to 1) impose speech related constraints on the deformations; 2) perform spatiotemporal smoothing using a contour postprocessing stage; 3) utilize optical flow techniques to speed up the search process; and 4) propagate user supplied information to the analysis of all image frames. We tested the system's performance qualitatively and quantitatively in consultation with speech scientists. Our system produced contours that are within the range of manual measurement variations. The results of our system are extremely encouraging and the system can be used in practical speech and swallowing research in the field of otolaryngology.

Artifacts↗

Three-dimensional tongue surface reconstruction: practical considerations for ultrasound data.

This paper discusses methods for reconstructing the tongue from sparse data sets. Sixty ultrasound slices already have been used to reconstruct three-dimensional (3D) tongue surface shapes [Stone and Lundberg, J. Acoust. Soc. Am. 99, 3728-3737 (1996)]. To reconstruct 3D surfaces, particularly in motion, collecting 60 slices would be impractical, and possibly unnecessary. The goal of this study was to select a sparse set of slices that would best reconstruct the 18 measured speech sounds. First a coronal sparse set was calculated from 3D surface reconstructions. Selection of contours was globally optimized using coarse to fine search. Sparse and dense reconstructions were compared using maximum error, standard deviation error, and surface coverage. For all speech sounds, maximum error was less than 1.5 mm, standard deviation error was less than 0.32 mm, and average reconstruction coverage was 80%. To generalize the method across subjects, optimal slice locations were calculated from only the midsagittal contour. Six midsagittal points were optimized to reconstruct the midsagittal contour. Corresponding coronal slices were then used to reconstruct 3D surfaces. For data collection planning, a midsagittal sample can be collected first and optimal coronal slices can be determined from it. Errors and reconstruction coverage from the midsagittal source set were comparable to the optimized coronal sparse set. These sparse surfaces reconstructed static 3D surfaces, and should be usable for motion sequences as well.

Adult↗

The latency-related gene of bovine herpesvirus 1 inhibits programmed cell death.

Although viral gene expression occurs in the peripheral nervous system during acute infection, bovine herpesvirus 1 (BHV-1) gene expression is extinguished, many neurons survive, and latency ensues. The only abundant viral transcript expressed during latency is the latency-related (LR) RNA, which is alternatively spliced in trigeminal ganglia during acute infection (L. Devireddy and C. Jones, J. Virol. 72:7294-7301, 1998). A subset of neurons express a protein encoded by the LR gene and the LR protein (LRP) is associated with cyclin-dependent kinase 2 (Cdk2)/cyclin complexes during productive infection (Y. Jiang, A. Hossain, M. T. Winkler, T. Holt, A. Doster, and C. Jones, J. Virol. 72:8133-8142, 1998). LR gene products inhibit cell cycle progression, perhaps as a result of LRP interacting with Cdk2/cyclin complexes. During acute infection, expression of cyclin A occurs in trigeminal ganglionic neurons (L. M. Schang, A. Hossain, and C. Jones, J. Virol. 70:3807-3814, 1996). Inappropriate expression of G(1)- and S-phase cyclins can initiate programmed cell death (PCD), apoptosis, in neurons, suggesting that LR gene products inhibit PCD. To test this hypothesis, we modified an assay to measure PCD frequency in transiently transfected cells. C(6)-ceramide, fumonisin B(1) (FB(1)), or etoposide was used to initiate PCD following transfection of cells with plasmids expressing LR gene products and the beta-galactosidase gene. Transfected cells that survived were quantified by counting beta-galactosidase-positive cells. Plasmids that expressed LR gene products promoted survival of monkey kidney (CV-1), human lung (IMR-90), or mouse neuroblastoma (neuro-2A) cells after induction of PCD. Plasmids with termination codons at the beginning of LR open reading frames or deletion of sequences that mediate splicing of LR RNA did not promote cell survival following PCD induction. We hypothesize that LR gene products play a role in promoting survival of postmitotic neurons during acute infection or reactivation.

Animals↗

Minimum requirements for remote realtime fetal tele-ultrasound consultation.

We studied the transmission bandwidth required for accurate diagnoses when performing realtime fetal tele-ultrasound consultations. The study was divided into three phases. In phase I, three experienced clinicians evaluated the quality of ultrasound images transmitted at various bandwidths (internally looped back within Brisbane) using eight commercially available codecs at random. The two codecs that performed best proceeded to phase 2, in which a realtime video-link of up to 2 Mbit/s was set up between Brisbane and Townsville (1,500 km apart). Testing with a standard video-tape was performed at seven different bandwidths selected at random, with four clinicians (who were blinded to the equipment and bandwidths used). The optimum line rates for transmission were determined, and testing was then performed using these line rates for fetuses with various anomalies (phase 3). The results showed significant differences in performance according to bandwidths used, but not according to observers. Bandwidths were grouped into three levels. At level I (256 kbit/s) the performance was significantly worse than at level II (384, 512 or 768 kbit/s), which was in turn worse than that at level III (1, 1.5 or 2 Mbit/s). However, within each level, performance at one bandwidth was not significantly different from that at the others. The most cost-effective transmission rates therefore appeared to be 384 kbit/s and 1 Mbit/s. Further testing with fetuses affected by various anomalies confirmed that the majority could be diagnosed using a 384 kbit/s link, with slight improvement in evaluation when the bandwidth was increased to 1 Mbit/s.

Analysis of Variance↗

Cloning and characterization of human Jak-2 kinase: high mRNA expression in immune cells and muscle tissue.

We report on the cloning and sequence analysis of the mRNA coding for full-length human Janus kinase 2 (Jak2). The human form of Jak2 is 1132 amino acids in length with a M(r) of 131 KDa. It has 95% sequence similarity to pig and rat Jak2. The highest level of mRNA expression was found in the spleen, peripheral blood leukocytes, and testis. Also a significantly high level of Jak2 mRNA was found in heart and skeletal muscle. Northern blot analysis showed three mRNA species in all tissues tested, except heart and skeletal muscle, of 7.6, 5.9, and 4.8 Kb. In skeletal muscle and heart, three mRNA species of 7.6, 4.8, and 3.9 Kb were identified. The catalytic domain of the human Jak2 was expressed and its specificity for phosphorylating peptide substrates derived from the gp130, STAT, and Jak3 molecules was determined and compared to that for human Jak1 and Jak3.

Amino Acid Sequence↗

hUBC9 associates with MEKK1 and type I TNF-alpha receptor and stimulates NFkappaB activity.

hUBC9, an E2 ubiquitin conjugating enzyme, was identified by yeast two-hybrid screening and coprecipitation studies to interact with MEKK1 and the type I TNF-alpha receptor, respectively. Because both of these proteins regulate NFkappaB activity, the role of hUBC9 in modulating NFkappaB activity was investigated. Overexpression of hUBC9 in HeLa cells stimulated the activity of NFkappaB as determined by NFkappaB reporter and IL-6 secretion assays. hUBC9 also synergized with MEKK1 to activate NFkappaB reporter activity. Thus, hUBC9 modulates NFkappaB activity which, at least in part, can be attributed to its interaction with MEKK1 and the type I TNF-alpha receptor.

Antigens, CD↗

Dissecting room problem: prevalence of latex allergy among medical students.

Latex gloves are in widespread use among preclinical medical and dental students in the dissecting room. Increasing numbers of cases of severe latex sensitivity are being reported. This study was carried out to assess the size of this problem among preclinical and clinical students. First-year students (196) and fifth-year students (155) of the United Medical and Dental Schools of Guy's and St. Thomas's Hospitals (UMDS) were asked to complete a questionnaire about symptoms related to allergy to latex gloves and associated risk factors. The prevalence of all self-reported symptoms was 9.6% overall with no significant difference between first- and fifth-year students. The prevalence of rash was significantly different; 2.6% in first-year and 8.5% in fifth-year students. Of those who reported symptoms, there was a significant excess of females and of individuals with eczema, hay fever, or a family history of atopic conditions, compared with those without symptoms. There was no difference between racial groups and no demonstrable link with a history of food allergy, previous surgery, or sensitivity to household rubber products. Only 2 of the 29 individuals with symptoms reported for skin-prick testing, one of whom demonstrated Type I hypersensitivity.

Dermatitis, Atopic↗

Word-identification priming for ignored and attended words.

Three experiments examined contributions of study phase awareness of word identity to subsequent word-identification priming by manipulating visual attention to words at study. In Experiment 1, word-identification priming was reduced for ignored relative to attended words, even though ignored words were identified sufficiently to produce negative priming in the study phase. Word-identification priming was also reduced after color naming relative to emotional valence rating (Experiment 2) or word reading (Experiment 3), even though an effect of emotional valence upon color naming (Experiment 2) indicated that words were identified at study. Thus, word-identification priming was reduced even when word identification occurred at study. Word-identification priming may depend on awareness of word identity at the time of study.

Adolescent↗