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Biomedical subjects

N C Silver

Publications and source records attributed to N C Silver.

29 records · Page 2Linked to original sources
PubMed1997

Raised serum nitrate and nitrite levels in patients with multiple sclerosis.

Nitric oxide and its highly reactive derivative peroxynitrite have been implicated as non-specific inflammatory mediators of neuronal and oligodendrocyte damage and death in multiple sclerosis. In a cross-sectional study we found levels of the nitric oxide metabolites nitrate and nitrite to be raised in the serum of patients with demyelinating disease (65.6 microM (SD 32.9)), acquired immune deficiency syndrome (57.9 microM (SD 34.9)) and inflammatory neurological disease (57.5 microM (SD 31.3)), compared with normal control subjects (32.8 microM (SD 12.2)) and patients with non-inflammatory neurological disease (41.1 microM (SD 12.3), p < 0.001). Nitric oxide metabolites were raised in all clinical subtypes of multiple sclerosis, as well as in clinically isolated syndromes compatible with demyelination, and were not related to progressive disease or disability. This study provides further evidence for a role of nitric oxide in the immunopathogenesis of inflammatory diseases of the central nervous system, including multiple sclerosis.

Acquired Immunodeficiency Syndrome↗
PubMed1997

Sensitivity of contrast enhanced MRI in multiple sclerosis. Effects of gadolinium dose, magnetization transfer contrast and delayed imaging.

Although clinical end points remain the definitive measure of therapeutic efficacy in multiple sclerosis, more sensitive markers of disease activity are required to screen potential disease-modifying agents. The use of gadolinium contrast-media in MRI studies increases both the reliability and sensitivity of detecting active lesions in multiple sclerosis. We studied three potential methods for further improving sensitivity; the use of 0.3 mmol/kg (triple dose) gadolinium-diethylenetriaminepenta-acetic acid (Gd-DTPA), magnetization transfer (MT) contrast imaging and the introduction of a delay between contrast-medium injection and imaging. Fifty patients were studied (seven with benign, 14 with relapsing-remitting, 10 with secondary progressive, 16 with primary progressive and three with transitional multiple sclerosis). Imaging was performed on two occasions, 24-72 h apart, with triple- and single-dose Gd-DTPA. Pairs of contrast-enhanced T 1-weighted studies, with and without MT, were obtained at three different times, i.e. within early (0-20 min), short-delay (20-40 min) and long-delay (40-60 min) time-windows. Nineteen patients did not have the full complement of studies. Seven patients suffered minor self-limiting adverse events possibly related to triple-dose Gd-DTPA. Overall, triple-dose Gd-DTPA resulted in a 75% increase in the number of enhancing lesions detected compared with the single dose (P < 0.002). The use of MT or delay alone did not significantly increase the sensitivity of either single- or triple-dose studies. The combination of MT and short delay increased the number of enhancing lesions detected with single-dose Gd-DTPA by 47% (P < 0.05) and with triple-dose Gd-DTPA by 27% (P < 0.01). Detection was not significantly further improved by a long delay. The most sensitive modality was MT imaging with a long delay following triple-dose Gd-DTPA, resulting in the detection of 126% more enhancing lesions than in standard single-dose imaging (P < 0.05). This applies to all subgroups except for primary progressive multiple sclerosis, in which none of these methods alone or in combination improved the sensitivity. We conclude that for relapsing-remitting and secondary progressive multiple sclerosis, the combination of triple-dose Gd-DTPA and delayed MT imaging more than doubles the sensitivity to contrast-enhancing lesions.

Adult↗
PubMed1997

Magnetisation transfer ratio of normal brain white matter: a normative database spanning four decades of life.

OBJECTIVES: To establish a normative database for magnetisation transfer ratio (MTR) measurements in the white matter of healthy adult brains. Such MTR values were evaluated for regional variation and evidence of differences associated with aging, sex, and handedness. METHODS: Forty one healthy volunteers, ranging in age from 16 to 55 years, underwent axial brain magnetisation transfer (MT) imaging on a 1.5 Tesla magnetic resonance scanner. Calculated MT images allowed evaluation of MTR from specific regions within the corpus callosum, cerebral hemispheres, and pons. RESULTS: Highest values were noted in the corpus callosum. No significant sex differences were seen for any region studied. Small but significant age related reductions in MTR were noted in the corpus callosum and other cerebral white matter regions studied. Comparing MTR values between young (16-35 years) and older (36-55 years) age groups, this was most apparent in the corpus callosum (40.82% units in the young group v 40.28% units in the older group, P < 0.05) and frontal white matter (39.65% units in the young group v 39.18% units in the older group, P < 0.005). In addition, values for MTR were analysed for evidence of hemispheric asymmetry. MTR values were higher in the left hemisphere for all regions studied, reaching significance in the centrum semiovale (37.75% units v 37.57% units, P < 0.05) and parieto-occipital white matter (37.67% units v 37.43% units, P < 0.05). No relation between such interhemispheric MTR differences and handedness was noted. CONCLUSIONS: Magnetisation transfer imaging shows significant age related changes in normal brain white matter. In addition to regional variations in MTR in the normal brain, there seem to be small but significant variations in MTR between the cerebral hemispheres. It is important to consider such normal variations when evaluating MTR in pathological states.

Adolescent↗
PubMed1997

Sexual esteem, sexual depression, and sexual preoccupation in the exchange approach to sexuality.

A sample of 124 undergraduate students completed the Sexuality Scale and the Sexual Approach Questionnaire developed by Snell. The analysis indicated that those who scored high on the Exchange approach to sexuality (n = 43) scored lower on Sexual Esteem and higher on Sexual Depression and Sexual Preoccupation than those who scored low on Exchange (n = 43). Furthermore, men (n = 49) scored higher on preoccupation with sex than did women (n = 75).

Adolescent↗
PubMed1995

Warning signal words: connoted strength and understandability by children, elders, and non-native English speakers.

Signal words, such as DANGER, WARNING and CAUTION, are commonly used in sign and product label warnings for the purpose of conveying different levels of hazard. Previous research has focused on whether people's perceptions of connoted hazard are consistent with the levels suggested by design standards and guidelines. Most investigations have used college students to evaluate the terms; other populations who may be at greater risk have not been adequately studied. One purpose of the present research was to determine whether young children, the elderly, and non-native English speakers perceive similar connoted hazard levels from the terms as undergraduates and published guidelines. A second purpose was to assess the terms' comprehensibility using various metrics such as missing values (i.e. ratings left blank) and understandability ratings. A third purpose was to develop a list of potential signal words that probably would be understandable to members of special populations. In the first experiment, 298 fourth- to eighth-grade students and 70 undergraduates rated 43 potential signal words on how careful they would be after seeing each term. The undergraduates also rated the terms on strength and understandability. In the second experiment, 98 elders and 135 non-native English speakers rated the same set of terms. The rank ordering of the words was found to be consistent across the participant groups. In general, the younger students gave higher carefulness ratings than the undergraduates. The words that the younger children and the non-native English speakers frequently left blank were given lower understandability ratings. Finally, a short list of terms was derived that 95% or 99% of the youngest students (fourth- and fifth-graders) and 80% of the non-native English speakers understood. Implications of hazard communication are discussed.

Adult↗
PubMed1995

Interaction of signal word and colour on warning labels: differences in perceived hazard and behavioural compliance.

Previous research has examined the connoted hazard of various colour and signal words separately. The purpose of the present research was to examine the interaction of signal words and colours. Two separate experiments examined the influence of colour on perceptions of hazard and on compliance to printed warnings. In experiment 1, a sample of 30 undergraduates rated the perceived hazard of signal words printed in specific hazard colours. Results indicated that the level of hazard varied as a function of the signal word and the colour in which it was presented. Of the colours used, red conveyed the highest level of perceived hazard followed by orange, black, green and blue. More importantly, it was noted that a signal word such as DEADLY connoted less hazard when printed in green than in red ink. Experiment 2 examined the effect of colour on compliance with printed warnings. Sixty-five undergraduates interacted with a pool-water test kit and a two-part adhesive. The warning on each product was factorial for colour (i.e. red, green and black). Behavioural compliance was assessed by indicating if subjects donned protective gloves as directed by the warning. The data indicated that warnings printed in red resulted in a higher proportion of compliant behaviour than green and black combined. Implications for warning design are discussed.

Adult↗
PubMed1995

Sex differences in color preferences among an elderly sample.

The purpose of the study was to assess differences in color preferences between the sexes. A sample of 193 retirees were asked to report their favorite colors. The pattern of frequencies for preferred color differed as a function of sex. Blue was chosen as the most preferred color by both sexes. Women preferred black and purple more than men did. Moreover, the men preferred red over pink, whereas the women preferred red and pink equally. The rank order of color preferences for this elderly group were very similar to the findings of Silver, et al. who sampled young adults in 1988.

Aged↗
PubMed1988

Response variations to Stroop color-word stimuli.

Reaction times (RTs) and net interference measures were obtained for 64 Stroop color-word stimuli from 8 common colors. Subjects were 64 college students, 32 of each sex. The incongruous stimulus was designated as either the ink interpretation different from the word or the word interpretation different from the ink. Consistently large variations within Stroop stimuli and Word x Ink interactions were found. Complex qualitative and quantitative differences were revealed between sexes. Females had faster RTs, but showed no significant superiority in measured net interference. The derived rank orders of net interference between sexes were correlated when using the ink, but not when using the word. Neither word nor ink were related in ranking RTs. For net interference, however, derived RTs were highly related for women using the ink interpretation, but not when using the word; they were unrelated for men using either interpretation. Two interrference types were highly correlated for women, but not for men. An additional experiment with a color-blind group cast an interesting light on the issue. Our Stroop data, rank ordered by sex for each measure, may assist viable theory constructions, including the context-dependent interaction hypothesis.

Adult↗