Skills training or occupational therapy for persistent schizophrenia.
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Allied Health Personnel↗
Biomedical subjects
P Hester
Publications and source records attributed to P Hester.
Volatile anesthetic additivity and specificity in Saccharomyces cerevisiae: implications for yeast as a model system to study mechanisms of anestheitc action.
BACKGROUND: In animals, combinations of volatile anesthetics are additive for inducing anesthesia. Furthermore, although there is a correlation between lipophilicity and anesthetic potency, not all volatile lipophilic compounds are anesthetic. Previously the authors demonstrated the effects of volatile anesthetics on the eukaryote Saccharomyces cerevisiae (yeast). To further relate anesthetic action in this organism to mammals, anesthetic additivity and effects of volatile, lipophilic nonanesthetics were studied. In addition, yeast pleiotropic drug-resistance (Pdr) mutants, which confer resistance to various lipophilic compounds, were tested to determine if they are involved in anesthetic response. METHODS: Yeast strains were grown to saturation in liquid culture, diluted, plated on various solid media, incubated, and scored for growth. RESULTS: Combinations of volatile anesthetics inhibit growth of wild-type (Zzz+) but not anesthetic-resistant (Zzz-) strains when additive concentrations equal 1 minimum inhibitory concentration (MIC). Two volatile, lipophilic compounds that are nonanesthetic in mammals do not inhibit yeast growth. Zzz- mutants remain sensitive to drugs used to identify yeast PDR genes. Conversely Pdr strains, which are resistant to various lipophilic compounds, remain sensitive to volatile anesthetics. CONCLUSIONS: Yeast growth is inhibited in an additive manner by volatile anesthetics. Volatile, lipophilic compounds devoid of anesthetic activity in mammals do not inhibit yeast growth. Zzz- mutants appear to be specifically resistant to volatile anesthetics and distinct from known Pdr mutants. These results suggest that volatile anesthetics behave in a parallel manner in yeast and mammals, making yeast a useful model to investigate the molecular effects of these compounds in living cells.
Anesthetics, Inhalation↗
Microgravity in the STS-29 space shuttle discovery affected the vestibular system of chick embryos.
Out of 32 embryos flown (16 @ E2 + 16 @ E9) for 5 days, 16 survived. All sixteen E2 were dead at landing. Eight were opened and eight were incubated at 1.0G. Autopsy showed that 4 E2 survived over 24 hours in space. Eight E14 hatched without anatomical malformations, and 8 E14 were fixed. The height of the macular epithelia was 31 mu m (mean) in control and 26 mu m in flight chicks. The cross-sectional area of macular nuclei of control was 17 mu m(2) for hair cells and 14 mu m(2) in supporting cells. In flight, cross-sectional area was 17 mu m(2) in hair cells and 15 mu m(2) in supporting cells (n=250). The shape factor of cartilage cells (1.0 = perfect circle) between control (mean = 0.70) and flight (mean = 0.72), and the area of cartilaginous cells between controls (mean = 9 mu m(2)) and flight (mean = 9 mu m(2)) did not differ (n=300). The nuclei of support cells were closer to the basement membrane in flight than in control chicks. The immunoreactivity of otoconia with anti keratan, fibronectin or chrondroitin sulfate was not different between flight and control ears. There were more afferent fibers inside the macular epithelia of flight (p<0.05) than control. Three of 8 flight animals had elevated vestibular thresholds (VT), with normal mean response amplitudes and latencies. Modified afferent innervation patterns requiring weeks to compensate are sufficient to elevate VT, and should be investigated further. Other reversible (sublethal) microgravity effects on sensory epithelia (vacuoles, swelling, etc) require quantification.
Animals↗
Scoliosis in familial dysautonomia. Operative treatment.
The results of operative treatment of scoliosis were reviewed for twenty-two patients (ten boys and twelve girls) who had familial dysautonomia, an autosomal recessive disorder affecting primarily Ashkenazi Jews. The indication for operative intervention was progressive kyphoscoliosis to 45 degrees or more in a skeletally immature patient for whom bracing had failed. The mean age at the time of the operation was fifteen years and five months (range, eight years and two months to nineteen years). Seventeen patients had a thoracic curve with a mean preoperative Cobb angle of 69 degrees (range, 47 to 112 degrees), and five patients had a double major curve with a mean preoperative Cobb angle of 71 degrees (range, 42 to 87 degrees) for the cephalad curves and 60 degrees (range, 45 to 72 degrees) for the caudad curves. Twenty patients had a rigid kyphosis; in fourteen, the apex was at the seventh thoracic vertebra or more cephalad. Two patients had a lordoscoliosis. The mean preoperative kyphosis was 64 degrees (range, 12 to 110 degrees) in the thirteen patients who had a thoracic curve and for whom information regarding kyphosis was available, and it was 70 degrees (range, 54 to 84 degrees) in the five patients who had a double major curve. Postoperior spinal arthrodesis and instrumentation was performed in all patients. Two patients had an anterior arthrodesis as well because of the severity and rigidity of the curve. Allograft bone was used in eighteen patients. Postoperatively, all patients were managed with a body cast or with a custom-molded thoracolumbar brace.(ABSTRACT TRUNCATED AT 250 WORDS)
Adolescent↗
Abscisic acid increases lipid bilayer permeability to cations as studied by phosphorus-31 NMR.
Using a 31P-NMR lanthanide shift technique, abscisic acid is shown to enhance the permeability to praeseodymium of lipid bilayers composed of 80 mol% phosphatidylcholine and 20 mol% phosphatidylethanolamine. Praeseodymium permeability is immeasurably slow in the absence of the hormone whether or not phosphatidylethanolamine is present in the bilayers. Only in the presence of abscisic acid is praeseodymium permeability observed, the effect being significantly greater when phosphatidylethanolamine is present. These results substantiate prior reports from nonelectrolyte permeability studies that abscisic acid interacts with phosphatidylethanolamine in lipid bilayers.
Abscisic Acid↗
Controlling behavioral techniques in an early intervention program.
Traditionally human service programs have lacked guidelines to safeguard the misapplication of aversive behavioral interventions. The Regional Intervention Program, a parent-implemented early intervention service, developed and instituted guidelines to control the potential abuse of behavioral techniques in the program. The guidelines delineate the behavioral interventions the program endorses and the program's position with regard to severe treatment interventions. The policy consists of interventions that can be used on a daily basis, the interventions that are not permitted under any circumstances, the interventions that require permission of the professional staff, and the interventions that may be tried only when specific conditions have been met. These guidelines provide standards and protection for the program's administration and the clients served and could be used as a guide for community mental health center consultants as well as with community mental health programs for the severely or moderately disturbed child.
Behavior Therapy↗
Comparison of magnesium-aluminum liquid antacids.
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Aluminum↗
Evaluation and accountability in a parent-implemented early intervention service.
Traditionally human-service programs have lacked systematic procedures of evaluation and accountability to the clients served. The Regional Intervention Program, a parent-implemented early intervention service, developed and instituted one system of program evaluation to demonstrate its efficiency and effectiveness. The system as developed incorporates an economic justification in terms of the costs and benefits to the funding source, evaluation of specifically defined organizational and clinet objectives, data-based assessments of child progress, and accountability to a consumer-based evaluation committee. Collectively, these four components provide a means of continuous and reliable feedback to the funding source and to the clients served.
Child, Preschool↗
Cause of long thoracic nerve palsy: a possible dynamic fascial sling cause.
Long thoracic nerve palsy can result from sudden or repetitive external biomechanical forces. This investigation describes a possible dynamic cause from internal forces. Six fresh cadaveric shoulders (3 female, 3 male, 4 left, 2 right) with full range of motion were systematically dissected to evaluate the anatomic course of the long thoracic nerve. In all specimens a tight fascial band of tissue arose from the inferior aspect of the brachial plexus, extended just superior to the middle scalene muscle insertion on the first rib, and presented a digitation that extended to the proximal aspect of the serratus anterior muscle. With progressive manual abduction and external rotation, the long thoracic nerve was found to "bow-string" across the fascial band. Medial and upward migration of the superior most aspect of the scapula was found to further compress the long thoracic nerve. Previous investigations have reported that nerves tolerate a 10% increase in their resting length before a stretch-induced neuropraxia develops. Previous studies postulated that long thoracic nerve palsy resulted from the tethering effect of the scalenus medius muscle as it actively or passively compressed the nerve; however, similar neuromuscular relationships occur in many other anatomic sites without ill effect. We propose that the cause of long thoracic nerve palsy may be this "bow-stringing" phenomenon of the nerve across this tight fascial band. This condition may be further exacerbated with medial and upward migration of the superior aspect of the scapula as is commonly seen with scapulothoracic dyskinesia and fatigue of the scapular stabilizers. Rehabilitation for long thoracic nerve palsy may therefore benefit from special attention to scapulothoracic muscle stabilization.
Adult↗