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Biomedical subjects

Peter Scott

Publications and source records attributed to Peter Scott.

At least 19 recordsLinked to original sources
PubMed2006

Knowledge work in nursing and midwifery: an evaluation through computer-mediated communication.

Recent changes in policy and culture require health workers to incorporate "knowledge work" as a routine component of professional practice. Innovative computer-mediated communication technologies provide the opportunity to evaluate the nature of "knowledge work" within nursing and midwifery. This study embedded an online discussion system into an acute NHS Trust to support interaction within communities of practice. The complete record of online communications was analysed. Nurses were found to predominantly engage in information work with knowledge work restricted to senior-to-senior level exchanges. In contrast, midwives were observed to employ the technology to support knowledge work between all grades. The study indicates that technology can support knowledge work, including conveying tacit knowledge effectively.

Acute Disease↗
PubMed2005

Agrobacterium-mediated genetic transformation of the desiccation tolerant resurrection plant Ramonda myconi (L.) Rchb.

In this paper we describe the first procedure for Agrobacterium tumefaciens-mediated genetic transformation of the desiccation tolerant plant Ramonda myconi (L.) Rchb. Previously, we reported the establishment of a reliable and effective tissue culture system based on the integrated optimisation of antioxidant and growth regulator composition and the stabilisation of the pH of the culture media by means of a potassium phosphate buffer. This efficient plant regeneration via callus phase provided a basis for the optimisation of the genetic transformation in R. myconi. For gene delivery, both a standard (method A) and a modified protocol (method B) have been applied. Since the latter has previously resulted in successful transformation of another resurrection plant, Craterostigma plantagineum, an identical protocol was utilized in transformation of R. myconi, as this method may prove general for dicotyledonous resurrection plants. On this basis, physical and biochemical key variables in transformation were evaluated such as mechanical microwounding of plant explants and in vitro preinduction of vir genes. While the physical enhancement of bacterial penetration was proved to be essential for successful genetic transformation of R. myconi, an additional two-fold increase in the transformation frequency was obtained when the above physical and biochemical treatments were applied in combination. All R0 and R1 transgenic plants were fertile, and no morphological abnormalities were observed on the whole-plant level.

Agrobacterium tumefaciens↗
PubMed2005

Group 4 salicyloxazolines are potent polymerization catalysts.

Octahedral titanium and zirconium complexes based on salicyloxazoline ligands with sterically demanding ortho-substituents provide a new family of extremely active ethene polymerization catalysts [up to 10(8) g PE (mol bar h)(-1)] which are in some cases "single site".

Journal Article↗
PubMed2005

Innate immunity conferred by Toll-like receptors 2 and 4 and myeloid differentiation factor 88 expression is pivotal to monosodium urate monohydrate crystal-induced inflammation.

OBJECTIVE: In gout, incompletely defined molecular factors alter recognition of dormant articular and bursal monosodium urate monohydrate (MSU) crystal deposits, thereby inducing self-limiting bouts of characteristically severe neutrophilic inflammation. To define primary determinants of cellular recognition, uptake, and inflammatory responses to MSU crystals, we conducted a study to test the role of Toll-like receptor 2 (TLR-2), TLR-4, and the cytosolic TLR adapter protein myeloid differentiation factor 88 (MyD88), which are centrally involved in innate immune recognition of microbial pathogens. METHODS: We isolated bone marrow-derived macrophages (BMDMs) in TLR-2-/-, TLR-4-/-, MyD88-/-, and congenic wild-type mice, and assessed phagocytosis and cytokine expression in response to endotoxin-free MSU crystals under serum-free conditions. MSU crystals also were injected into mouse synovium-like subcutaneous air pouches. RESULTS: TLR-2-/-, TLR-4-/-, and MyD88-/- BMDMs demonstrated impaired uptake of MSU crystals in vitro. MSU crystal-induced production of interleukin-1beta (IL-1beta), tumor necrosis factor alpha, keratinocyte-derived cytokine/growth-related oncogene alpha, and transforming growth factor beta1 also were significantly suppressed in TLR-2-/- and TLR-4-/- BMDMs and were blunted in MyD88-/- BMDMs in vitro. Neutrophil influx and local induction of IL-1beta in subcutaneous air pouches were suppressed 6 hours after injection of MSU crystals in TLR-2-/- and TLR-4-/- mice and were attenuated in MyD88-/- mice. CONCLUSION: The murine host requires TLR-2, TLR-4, and MyD88 for macrophage activation and development of full-blown neutrophilic, air pouch inflammation in response to MSU crystals. Our findings implicate innate immune cellular recognition of naked MSU crystals by specific TLRs as a major factor in determining the inflammatory potential of MSU crystal deposits and the course of gouty arthritis.

Adaptor Proteins, Signal Transducing↗
PubMed2004

Chiral metal architectures in aminopyridinato complexes of zirconium.

Optically pure 2-alkylaminopyridines (HL) are synthesised readily from bromopyridines and chiral amines [(S)-1,2,3,4-tetrahydro-1-naphthylamine and (S)-(-)-alpha-methylbenzylamine] using palladium-catalysed amination. Protonolysis reactions of these proligands with ZrX(4)(X = NMe(2), CH(2)Ph, CH(2)Bu(t)) yield zirconium aminopyridinates, usually of the type [ML(2)X(2)], some of which have been characterised by X-ray crystallography. Control of absolute configuration at the metal centre is pursued by investigation of the effects of chiral amine substituent, substitution at the pyridine rings and the identity of co-ligands. Surprisingly the conformationally flexible [small alpha]-methylbenzyl based aminopyridinato ligands promote much better control of chirality-at-zirconium than do the cyclic tetrahydronaphthyl analogues. One complex of the former class displays complete control of stereochemistry at 193 K; only one diastereomer out of eight possible structures is observed. It is found that there is an excellent correlation between observed selectivities and calculated diastereomer energy differences from DFT. All the complexes studied are in dynamic exchange between diastereomers. The rate of these processes (DeltaH ca. 40 kJ mol(-1)) as studied by Selective Polarisation Transfer-Selective Inversion Recovery experiments (SPT-SIR) and lineshape analyses are significantly faster than those for aminopyridines containing bulkier amido substituents (DeltaH ca. 70 kJ mol(-1)). This type of dependence on steric effects, and the impact of the trans effect, is consistent with an N-dissociative mechanism, i.e. conversion from six- to five-coordinate structure followed by rapid intramolecular scrambling.

Amines↗
PubMed2004

Arylaminopyridinato complexes of zirconium.

A range of 2-arylaminopyridines (HL) are synthesised readily from bromopyridines and amines using palladium-catalysed amination. Protonolysis reactions of these proligands with ZrX(4)(X = NMe(2), CH(2)Ph, CH(2)Bu(t)) yield zirconium complexes of the type [ML(n)X(4-n)], several of which have been characterised by X-ray crystallography. Control of metal/ligand stoichiometry and structure is pursued by investigation of the effects on substitution patterns of the pyridine and aryl rings. Some distinct patterns emerged; (i) the 6-methyl position on the pyridine appears to be particularly important with regards to control of stoichiometry, although there are co-ligand effects; (ii) structures of the metal alkyl derivatives [Zr(n)(CH(2)R)(4-n)] are dominated by aromatic pi-pi stacking, even when bulky arene substituents are employed at. This leads to the complexes adopting a C(2v)-symmetric core; (iii) the amides [Zr(2)(NMe(2))(2)] have structures for which aromatic pi-pi stacking is unfeasible, and correspondingly C(2)-symmetric or similar structures are adopted. All the structural data presented is consistent with a trans influence order at zirconium Me(2)N > RCH(2) > py.

Journal Article↗
PubMed2004

Chiral biarylamido/anisole complexes of yttrium in enantioselective aminoalkene hydaroamination/cyclisation.

A group of chiral, dibasic, biaryl-bridged amido proligands containing peripheral methoxyphenyl (anisole) ligation are developed for the synthesis of new amide complexes of yttrium and lanthanum. A potentially tetradentate bis(amidoanisole) system gives, on reaction with [Y[N(SiMe(2)H)(2)](3)(THF)] a crystallographically-characterised bis complex [Y(H)] presumably as a result of low steric demand, since a more bulky version gives the target [Y[N(SiMe(2)H)(2)](THF)]. The molecular structure of the latter reveals a similar cis-alpha structure to our recently reported Schiff-base analogue. Variable-temperature NMR studies are consistent with low rigidity in the molecular structure. A potentially tridentate, amidoanisolyl/amido proligand gives complexes [M[N(SiMe(2)H)(2)](THF)(n)](M = Y, n= 1; M = La, n= 2). Chiral non-racemic versions of the above complexes were tested in the hydroamination/cyclisation of 2,2'-dimethylaminopentane to the corresponding pyrrolidine. Activities were relatively low compared to recently reported examples, and ee values were in the range 20-40% despite the well-expressed chirality of the catalysts.

Journal Article↗
PubMed2004

Psychological morbidity after myocardial infarction in an area of deprivation in the UK: evaluation of a self-help package.

BACKGROUND: Psychological morbidity after an acute myocardial infarction (AMI) is known to be common, but can be addressed by appropriate rehabilitation. The area in which this research was conducted experiences high rates of deprivation and of coronary heart disease and limited access to hospital-based rehabilitation. Responding to concern about psychological needs of AMI patients, a self-help package was introduced and evaluated alongside standard hospital-based cardiac rehabilitation. AIMS: To evaluate the impact of a home-based self-help package (the Heart Manual), alongside existing cardiac rehabilitation provision, on psychological morbidity and health status after AMI. A secondary aim was to assess the suitability of the Heart Manual for older patients aged over 80 years. METHODS: A controlled observational study, comparing two cohorts of patients discharged from hospital after AMI. The intervention group was given the self-help package in addition to standard care. The control group received standard care alone. Outcome measures used were the Hospital Anxiety and Depression Scale and the EuroQol. RESULTS: The intervention group showed significant improvement in anxiety and depression scores after 3 months and nonsignificant improvement in general health status. Patients who attended hospital-based rehabilitation classes, and those aged over 80 years, also benefited from the intervention. CONCLUSION: A home-based self-help rehabilitation package is an effective tool alongside hospital-based rehabilitation classes and can be given to all age groups.

Aftercare↗
PubMed2003

The ethical implications of the new research paradigm.

Research is now an increasingly heterogeneous activity involving an expanded range of new actors and stake-holders and employing an eclectic range of epistemologies and methodologies. The emergence of these new research paradigms--and, in particular, of so-called 'Mode 2' knowledge production that is highly contextualised and socially distributed--raises new and challenging ethical issues and also important questions about the autonomy of science and the social responsibilities of scientists.

Ethics, Research↗
PubMed2003

Implementing an office system to improve primary care management of depression.

Studies have shown that many patients treated for depression in primary care settings do not achieve the outcomes demonstrated to be possible in randomized controlled trials. In general, multifaceted interventions have been more successful than single focus interventions in improving care of depression in this setting. This article reports on the implementation of such a mulitfaceted intervention in primary care practices. Part of the strategy in this case is to introduce the intervention through an intermediary organization that has a relationship with the practices and has a quality improvement infrastructure to support the implementation and help to sustain changes.

Case Management↗