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Biomedical subjects

T A Larsen

Publications and source records attributed to T A Larsen.

At least 19 recordsLinked to original sources

Self-organizing map in recognition of topographic patterns of EEG spectra.

The self-organizing map, a neural network algorithm, was applied to the recognition of topographic patterns in clinical 22-channel EEG. Inputs to the map were extracted from short-time power spectra of all channels. Each location on a self-organized map entails a model for a cluster of similar input patterns; the best-matching model determines the location of a sample on the map. Thus, an instantaneous topographic EEG pattern corresponds to the location of the sample, and changes with time correspond to the trajectories of consecutive samples. EEG segments of "alpha," "alpha attenuation," "theta of drowsiness," "eye movements," "EMG artifact," and "electrode artifacts" were selected and labeled by visual inspection of the original records. The map locations of the labeled segments were different; the map thus distinguished between them. The locations of individual EEG's on the "alpha-area" of the map were also different. The clustering and easily understandable visualization of topographic EEG patterns are obtainable on a self-organized map in real time.

Adolescent

[Prevalence of stroke. A study from 5 municipalities in Troms].

Age-specific prevalence of stroke in a population above 15 years was examined in five municipalities in Northern Norway. The examined population included 16,115 individuals of a total population of 19,850. The WHO-definition of stroke was applied. Average prevalence of stroke in the populations 15 years and over was 18.4 per 1,000. Males debutated five years earlier than females. 79% of stroke patients lived at home and 21% in nursing homes and hospitals.

Adult

Crystal structure analysis of the B-DNA dodecamer CGTGAATTCACG.

The crystal structure of the DNA dodecamer C-G-T-G-A-A-T-T-C-A-C-G has been determined at a resolution of 2.5 A, with a final R factor of 15.8% for 1475 nonzero reflections measured at 0 degrees C. The structure is isomorphous with that of the Drew dodecamer, with the space group P2(1)2(1)2(1) and cell dimensions of a = 24.94 A, b = 40.78 A, and c = 66.13 A. The asymmetric unit contains all 12 base pairs of the B-DNA double helix and 36 water molecules. The structure of C-G-T-G-A-A-T-T-C-A-C-G is very similar to that of C-G-C-G-A-A-T-T-C-G-C-G, with no major alterations in helix parameters. Water peaks in the refined structure appear to represent a selection of peaks that were observed in the Drew dodecamer. The minor-groove spine of hydration at 2.5 A is fragmentary, but as Narendra et al. (1991) [Biochemistry (following paper in this issue)] have observed, lowering the temperature leads to a more complete representation of the spine.

Base Sequence

The structure of DAPI bound to DNA.

The structure of the DNA fluorochrome 4'-6-diamidine-2-phenyl indole (DAPI) bound to the synthetic B-DNA oligonucleotide C-G-C-G-A-A-T-T-C-G-C-G has been solved by single crystal x-ray diffraction methods, at a resolution of 2.4 A. The structure is nearly isomorphous with that of the native DNA molecule alone. With one DAPI and 25 waters per DNA double helix, the residual error is 21.5% for the 2428 reflections above the 2-sigma level. DAPI inserts itself edgewise into the narrow minor groove, displacing the ordered spine of hydration. DAPI and a single water molecule together span the four AT base pairs at the center of the duplex. The indole nitrogen forms a bifurcated hydrogen bond with the thymine O2 atoms of the two central base pairs, as with netropsin and Hoechst 33258. The preference of all three of these drugs for AT regions of B-DNA is a consequence of three factors: (1) The intrinsically narrower minor groove in AT regions than in GC regions of B-DNA, leading to a snug fit of the flat aromatic drug rings between the walls of the groove. (2) The more negative electrostatic potential within the minor groove in AT regions, attributable in part to the absence of electropositive-NH2 groups along the floor of the groove, and (3) The steric advantage of the absence of those same guanine-NH2 groups, thus permitting the drug molecule to sink deeper into the groove. Groove width and electrostatic factors are regional, and define the relative receptiveness of a section of DNA since they operate over several contiguous base pairs. The steric factor is local, varying from one base pair to the next, and hence is the means of fine-tuning sequence specificity.

Base Sequence

Effect of interferon-gamma on biogenic amine metabolism, electroencephalographic recordings, and transient potentials.

For assessment of the underlying central mechanisms of interferon (IFN), measurements have been made of the neurotoxicity, cerebrospinal fluid (CSF) 5-hydroxyindoleacetic acid (5-HIAA) and homovanillic acid (HVA) concentrations, along with electroencephalographic (EEG) recordings and visual evoked potentials (VEP) during recombinant IFN-gamma therapy. Interferon-gamma was administered intravenously to 14 patients with non-small-cell lung cancer as 2 mg/m2 (48 X 10(6) IU/m2) three times weekly with 4 h infusion for 12 weeks. The cerebrospinal fluid (CSF) samples were taken by means of lumbar puncture prior to treatment and during the end of the second week of IFN-gamma infusions. During the course of treatment, CSF 5-HIAA diminished from 129.6 +/- 10.9 to 84.5 +/- 10.4 nmol/L (p less than 0.001), while no significant changes were observed in HVA, EEG, and VEPs. These results suggest that IFN-gamma has an effect on the central serotonergic neurotransmission.

Biogenic Amines

Diagnostic value of electroencephalography and brainstem auditory evoked potentials in dizziness.

Electroencephalogram (EEG) and brainstem auditory evoked potentials (BAEP) were recorded from 142 dizzy patients. The results were compared with those obtained by other neurological examinations of the same patients. Thirty-three percent (N = 44) of the patients had an abnormal EEG: 21% (28) showed focal abnormality, 12% (16) irritative features, and 10% (13) generalized disturbance. There were no differences in the distribution of abnormal EEGs in different diagnostic categories of dizziness, but irritative findings were not found in the cases of peripheral vestibular or psychogenic disturbances. EEG findings in 3 patients suggested temporal epilepsy, correlating with the clinical picture. BAEPs were abnormal in 18% (N = 21) of the recordings. There were 3 cases of MS and 5 ischaemic lesions in the vertebro-basilar region. Twelve of the 13 other patients with abnormal BAEP showed evidence of CNS pathology with other methods. EEG abnormalities were mostly non-specific; however, the irritative findings suggested cerebral pathology, such as epilepsy. An abnormal BAEP offers reliable evidence for brainstem lesion and is thus a useful examination in dizziness.

Adolescent

A controlled trial of isoniazid therapy for action tremor in multiple sclerosis.

Ten patients with clinically definite multiple sclerosis (MS) and action tremor were treated with isoniazid (INH) in a double-blind single crossover trial. The daily dose of INH administered during the 4-week treatment phase of the trial was determined by acetylator phenotype with slow acetylators receiving 12 mg/kg per day and rapid acetylators 20 mg/kg per day. Six of eight patients who completed the trial showed clinical improvement in the postural (alternating) tremor while on INH but the degree was minimal in all cases. Results of tremograms indicated that improvement also occurred in the intentional (synchronous) component of three patients while on INH, but this did not achieve statistical significance. Cerebrospinal fluid (CSF) levels of gamma-aminobutyric acid (GABA) homocarnosine and ornithine were markedly elevated with INH therapy (providing evidence for substantial inhibition of GABA aminotransferase activity and increase in GABA in the CNS), but no correlation was found between the degree of GABA elevation in the CSF and the clinical response. Side effects were minimal and well tolerated. Although INH appears to have a limited therapeutic role, a trial is warranted in MS patients with postural tremor.

Adult

Changes of electrically elicited reflexes in hand and forearm muscles in man.

Cutaneo-muscular reflexes with short and long latency excitatory phases following digital nerve stimulation were observed in the first dorsal interosseus muscle of the hand in healthy subjects. The short latency reflex was obtained also with the H-reflex method in the flexor carpi radialis muscle, stimulating the median nerve, with a mean latency (+/- SE) of 15.4 +/- 0.5 ms. The height of the subject correlated with the H-reflex latency. The amplitudes of maximal M-response and maximal H-reflex were higher in athletes than in normals. During weak voluntary contraction of the muscle studied the 50% H-reflex amplitude increased and during passive stretching of wrist flexors the resting amplitude of the 50% H-reflex decreased.

Adult

Carpal tunnel syndrome in childhood.

Carpal tunnel syndrome is extremely rare in childhood and in almost all previously reported cases it has been secondary to some underlying condition. Three 13- to 14-year-old girls are described with idiopathic carpal tunnel syndrome, confirmed by EMG and relieved by surgical decompression. A noteworthy feature in children is short-lasting but severe attacks of pain, which may be the main symptom. Correct diagnosis is important to avoid unnecessary examinations and, if indicated, the syndrome can be cured by surgery.

Adolescent

Selective adrenergic beta-2-receptor blocking drug, ICI-118.551, is effective in essential tremor.

Eighteen patients with essential tremor were treated for 2 days with a non-selective adrenergic beta-blocking drug (dl-propranolol, 80 mg X 3), a beta-2-selective blocker (ICI-118.551, 50 mg X 3) and placebo (X 3) in a randomized double blind cross-over study. Postural hand tremor was recorded with an accelerometer before administration of the drugs and at the end of each treatment period. Compared with placebo, both the beta-blocking drugs caused a statistically significant decrease in tremor intensity and they possessed approximately similar antitremor potency. Subjective benefit was reported by 12 of the 18 patients receiving ICI-118.551, 13 when on propranolol and 3 when on placebo.

Adrenergic beta-Antagonists

Short and long latency reflex responses elicited by electrical and mechanical stimulation in human hand muscle.

The relationship between electrically and mechanically induced reflex responses in the rectified, averaged surface electromyogram of the first interosseus dorsalis muscle was examined in 18 healthy human subjects. Both methods evoked identifiable short and long latency reflex responses. The onset latencies for short latency reflexes with electrical and mechanical stimulations were 30.6 ms (+/- 2.2 ms) and 28.9 ms (+/- 2.2 ms) and for long latency reflexes 50.0 ms (+/- 2.8 ms) and 51.2 ms (+/- 5.2 ms), respectively. The correlation of the onset latencies of the reflexes revealed significant correspondence between the electrical and mechanical methods implying at least partly mutual mechanisms.

Adolescent

Elevated levels of erythrocyte hypoxanthine phosphoribosyltransferase associated with allelic variation of murine Hprt.

Murine stocks with wild-derived hypoxanthine phosphoribosyltransferase (HPRT) A alleles (Hprt a) have erythrocyte HPRT activity levels that are approximately 25-fold (Mus musculus castaneus) and 70-fold (Mus spretus) higher than those of laboratory strains of mice with the common Hprt b allele (Mus musculus: C3H/HeHa or C57B1/6). Since the purified HPRT A and B enzymes have substantially similar maximal specific activities (64 and 46 units/mg of protein, respectively), we infer that these HPRT activity levels closely approximate the relative levels of HPRT protein in these cells. Red blood cells of HPRT A and B mice have similar levels of adenine phosphoribosyltransferase activity (APRT; EC 2.4.2.7) and reticulocyte percentages, which suggests that the elevated levels of HPRT in erythrocytes of HPRT A mice are not secondary consequences of abnormal erythroid cell development. The HPRT activity levels in reticulocytes of HPRT B mice are approximately 35-fold higher than the levels in their erythrocytes and approach the HPRT activity levels in reticulocytes of HPRT A mice. Thus, the marked differences in the levels of HPRT protein in erythrocytes of HPRT A and B mice result from differences in the extent to which the HPRT A and B proteins are retained as reticulocytes mature to erythrocytes. The substantial and preferential loss of HPRT B activity from reticulocytes is paralleled by an equivalent loss of HPRT immunoreactive protein (i.e., CRM) from that cell, and we infer that the HPRT B protein is degraded or extruded as reticulocytes mature to erythrocytes.(ABSTRACT TRUNCATED AT 250 WORDS)

Alleles

Electromyographic responses elicited by cutaneous and mixed nerve stimulation in human tibialis anterior muscle.

The rectified and averaged myoelectrical responses of the anterior tibial muscle to stimulation of the posterior tibial, peroneal and sural nerves at the ankle were recorded during a weak isometric contraction in man. The stimulation of the posterior tibial nerve elicited two excitatory phases (short and long latency excitations) at 40 ms and 78 ms latencies, respectively, separated by a phase of reduced activity. With peroneal and sural nerve stimulation such triphasic responses were less consistent; only a monophasic inhibitory response occurred in some recordings. These results indicate that well-identifiable responses with distinct latencies can be obtained in human leg muscle with cutaneous and mixed nerve stimulation distal to the muscle.

Adult

Dystonia and calcification of the basal ganglia.

We studied a family with dominantly inherited dystonia and intracranial calcification. Thirty-seven members were examined; 13 were affected by dystonia that was segmental in most patients, affecting especially the voice, face, neck, and limbs. Intracranial calcification involved the putamen, pallidum, cerebral white matter and cortex, and cerebellar nuclei. Several patients had both dystonia and calcification, but others had either dystonia or calcification alone.

Adult

Motor function in the normal aging population: treatment with levodopa.

In normal elderly humans there is progressive motor dysfunction and loss of nigrostriatal neurons and brain dopamine similar to, although of a milder degree than, that seen in Parkinson's disease. Ten healthy elderly volunteers were given carbidopa/levodopa or placebo in a double-blind crossover study. We measured movement velocity, reaction time, tremor, visual evoked response (VER), and electroretinography (ERG). Significant changes were seen only in ERG. Motor functions and VER were unchanged. Although there appeared to be pharmacologic activity (ie, changes in ERG), levodopa, in adequate antiparkinson dosage, had no impact on the mild extrapyramidal impairment of normal elderly subjects.

Aged