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61.
62.
Jason B. Mattingley Louise A. Corben John L. Bradshaw Judy A. Bradshaw Jim G. Phillips Malcolm K. Horne 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》1998,120(2):243-256
Patients with unilateral neglect following right hemisphere damage may have difficulty in moving towards contralesional targets.
To test the hypothesis that this impairment arises from competing motor programs triggered by irrelevant ipsilesional stimuli,
we examined 16 right hemisphere patients, eight with left visual neglect and eight without, in addition to eight healthy control
subjects. In experiment 1 subjects performed sequences of movements using their right hand to targets on the contralesional
or ipsilesional side of the responding limb. The locations of successive targets in each sequence were either predictable
or unpredictable. In separate blocks of trials, targets appeared either alone or with a simultaneous distractor located at
the immediately preceding target location. Neglect patients were significantly slower to execute movements to contralesional
targets, but only for unpredictable movements and in the presence of a concurrent ipsilesional distractor. In contrast, healthy
controls and right hemisphere patients without neglect showed no directional asymmetries of movement execution. In experiment
2 subjects were required to interrupt a predictable, reciprocating sequence of leftward and rightward movements in order to
move to an occasional, unpredictable target that occurred either in the direction opposite to that expected, or in the same
direction but twice the extent. Neglect patients were significantly slower in reprogramming the direction and extent of movements
towards contralesional versus ipsilesional targets, and they also made significantly more errors when executing such movements.
Right hemisphere patients without neglect showed a similar bias in reprogramming direction (but not extent) for contralesional
targets, whereas healthy controls showed no directional asymmetry in either condition. On the basis of these findings we propose
that neglect involves a competitive bias in favour of motor programs for actions directed towards ipsilesional versus contralesional
events. We suggest that programming errors and increased latencies for contralesional movements arise because the damaged
right hemisphere can no longer effectively inhibit the release of inappropriate motor programs towards ipsilesional events.
Received: 1 October 1996 / Accepted: 21 October 1997 相似文献
63.
Summary The mechanism of quinidine action on rabbit cardiac and skeletal muscle was examined with functionally skinned muscle-fiber preparations. By using these preparations we could correlate measurements of muscle tension with the effect of quinidine on the Ca2+ activation of the contractile proteins and on the Ca2+ uptake and release from the sarcoplasmic reticulum (SR).
Effect of quinidine on the contractile proteins. Quinidine concentrations above 0.5 mmol/l increased the maximal Ca2+-activated tension development 12% for papillary muscle and 5% for soleus (slow-twitch). Adductor magnus (fast-twitch) showed no significant change. Quinidine (0.1–1.0 mmol/l) also increased the submaximal Ca2+-activated tension development for the three muscle types (papillary muscle=soleus>adductor magnus) and shifted the [Ca2+]-tension curves to the left in a dose-dependent fashion.
Effects of quinidine on the Ca
2+ uptake and release from the SR. Sarcoplasmic reticulum of skinned fibers was loaded with Ca2+ (uptake phase), then Ca2+ was released by 25 mmol/l caffeine (release phase) giving a tension transient. The area under the tension transient was used to estimate the amount of Ca2+ released. Quinidine (>0.5 mmol/l) decreased the Ca2+ uptake (soleus>adductor magnus>papillary muscle) and increased the Ca2+ release [papillary muscle=soleus adductor magnus (only at 1.5 mmol/l, the highest concentration tested)] from the SR of all three muscles in a dose-dependent manner. Quinidine at low concentration (0.1 and 0.5 mmol/l) increased the caffeine-induced tension transient of papillary muscle and higher quinidine concentrations (1.0 and 1.5 mmol/l) decreased the caffeine-induced tension transient of soleus and adductor magnus during both the uptake and release phases. The decreased Ca2+ uptake of papillary muscle in 1.5 mmol/l quinidine was antagonized by increasing the free Mg2+ from 0.032 to 0.32 mmol/l.In summary, quinidine has similar mechanisms of action in all three muscles: increased Ca2+ activation of the contractile proteins, decreased Ca2+ uptake and increased Ca2+ release from the SR in functionally skinned muscle fibers. We conclude that quinidine-induced decreases in Ca2+ uptake by the SR could be responsible for quinidine-induced myocardial depression and that quinidine-induced increases in Ca2+ activation of the contractile proteins and Ca2+ release from the SR could be responsible for the increases in skeletal muscle contraction caused by quinidine. 相似文献
64.
Winnie K. W. So Judy Y. W. Chan Bernard M. H. Law Kai Chow Choi Jessica Y. L. Ching Kam Leung Chan Raymond S. Y. Tang Carmen W. H. Chan Justin C. Y. Wu Stephen K. W. Tsui 《Nutrients》2021,13(2)
Rice bran exhibits chemopreventive properties that may help to prevent colorectal cancer (CRC), and a short-term rice bran dietary intervention may promote intestinal health via modification of the intestinal microbiota. We conducted a pilot, double-blind, randomised placebo-controlled trial to assess the feasibility of implementing a long-term (24-week) rice bran dietary intervention in Chinese subjects with a high risk of CRC, and to examine its effects on the composition of their intestinal microbiota. Forty subjects were randomised into the intervention group (n = 19) or the control group (n = 20). The intervention participants consumed 30 g of rice bran over 24-h intervals for 24 weeks, whilst the control participants consumed 30 g of rice powder on the same schedule. High rates of retention (97.5%) and compliance (≥91.3%) were observed. No adverse effects were reported. The intervention significantly enhanced the intestinal abundance of Firmicutes and Lactobacillus, and tended to increase the Firmicutes/Bacteroidetes ratio and the intestinal abundance of Prevotella_9 and the health-promoting Lactobacillales and Bifidobacteria, but had no effect on bacterial diversity. Overall, a 24-week rice bran dietary intervention was feasible, and may increase intestinal health by inducing health-promoting modification of the intestinal microbiota. Further larger-scale studies involving a longer intervention duration and multiple follow-up outcome assessments are recommended. 相似文献
65.
66.
67.
Waiting times from abnormal breast screen to diagnosis in 7 Canadian provinces 总被引:5,自引:4,他引:1 下载免费PDF全文
68.
Ari Whiteman Alice Wang Kelly McCain Betsy Gunnels Robin Toblin James Tseryuan Lee Carolyn Bridges Laura Reynolds Bhavini Patel Murthy Judy Qualters James A. Singleton Kimberley Fox Shannon Stokley LaTreace Harris Lynn Gibbs-Scharf Neetu Abad Kathryn A. Brookmeyer Susan Farrall Cassandra Pingali Anita Patel Ruth Link-Gelles Sharoda Dasgupta Radhika Gharpure Matthew D. Ritchey Kamil. E. Barbour 《MMWR. Morbidity and mortality weekly report》2021,70(19):725
69.
Kristina Nikolova Jordan J. Steiner Judy L. Postmus Andrea Hetling Laura Johnson 《Health & social care in the community》2021,29(1):66-77
The Family Violence Option (FVO) was designed to help survivors of domestic violence (DV) more easily secure income support in the United States (U.S.), without placing them at risk of further abuse. The objective of this study is to determine whether the decision-making of advocates responsible for determining waiver recommendations under the FVO is influenced by the relationship status of DV survivors. Recursive partitioning was used to analyse data from a sample of 237 survivor risk assessments from four New Jersey counties to determine which women receive waiver recommendations and which do not. Advocates completed risk assessments for the women and were instructed to make recommendations on waivers based on their assessment. Workers’ decision-making was examined using classification and regression trees (CART) to determine what case factors made it more or less likely for survivors to be recommended waivers. The CART results were supplemented with logistic regression analyses to ensure validity. For two of three waivers, survivors who reported currently residing with their abuser or who had ended the relationship recently were less likely to receive waiver recommendations than those who had been out of the relationship for a longer period of time (OR = 0.09–0.21), even when accounting for the type and severity of DV and the impacts of the violence on survivors’ mental health. The results indicate that DV advocates’ decision-making is complicated by factors independent of survivors’ case characteristics. This can affect the safety and well-being of women attempting to leave violent relationships by affecting their access to resources. 相似文献
70.
A mouse model of AChR deficiency syndrome with a phenotype reflecting the human condition 总被引:2,自引:0,他引:2
Cossins J Webster R Maxwell S Burke G Vincent A Beeson D 《Human molecular genetics》2004,13(23):2947-2957
The two subtypes of mammalian muscle nicotinic acetylcholine receptors (AChR) are generated by the substitution of the epsilon (adult) subunit for the gamma (fetal) subunit within the AChR pentamer. Null mutations of the adult AChR epsilon-subunit gene are the most common cause of the AChR deficiency syndrome. This is a disorder of neuromuscular transmission characterized by non-progressive fatigable muscle weakness present throughout life. In contrast with the human disorder, mice with AChR epsilon-subunit null mutations die between 10 and 14 weeks of age. We generated transgenic mice that constitutively express the human AChR gamma-subunit in an AChR epsilon-subunit 'knock-out' background. These mice, in which neuromuscular transmission is mediated by fetal AChR, live well into adult life but show striking similarities to human AChR deficiency syndrome. They display fatigable muscle weakness, reduced miniature endplate potentials and endplate potentials, reduced motor endplate AChR number and altered endplate morphology. Our results illustrate how species differences in the control of ion-channel gene expression may affect disease phenotype, demonstrate that expression of adult AChR subtype is not essential for long-term survival, and suggest that in patients with AChR deficiency syndrome, up-regulation of the gamma-subunit could be a beneficial therapeutic strategy. 相似文献