Visual field dependence influences balance in patients with stroke.

To compare the occurrence of visual field independence/dependence in healthy subjects with patients who are post-stroke using the Rod and Frame Test, and determine whether increased visual dependence is reflected in their postural responses when immersed in a moving visual environment. Eight older and twelve young adults, and twelve patients with cortical or sub-cortical stroke, were asked to align a rod enclosed in a tilted frame to vertical and horizontal. Angular deviations of rod position were calculated and compared. Center-of-mass (COM) of the body was calculated for two patients and two young adults standing in the dark and in an immersive virtual environment to examine their postural responses. Balance of the patients did not appear different from healthy subjects when standing in the dark suggesting they were not dependent on the presence of vision, but more rapid and larger COM displacements emerged in the patients when immersed in a moving visual scene. Patients also exhibited greater errors when aligning the rod compared to both healthy groups. Thus, patients with stroke may be more dependent on visual inputs when they are present, and have more difficulty resolving conflict between the visual and somatosensory cues compared to healthy young or older subjects. This impaired conflict resolution may underlie the rapid instability observed in patients when they were placed in a moving visual environment.

Simultaneous light scattering and intrinsic fluorescence measurement for the classification of airborne particles.

We describe a prototype laboratory light-scattering instrument that integrates two approaches to airborne particle characterization: spatial light-scattering analysis and intrinsic fluorescence measurement, with the aim of providing an effective means of classifying biological particles within an ambient aerosol. The system uses a single continuous-wave 266-nm ultraviolet laser to generate both the spatial elastic scatter data (from which an assessment of particle size and shape is made) and the particle intrinsic fluorescence data from particles in the approximate size range of 1-10-mum diameter carried in a sample airflow through the laser beam. Preliminary results suggest that this multiparameter measurement approach can provide an effective means of classifying different particle types and can reduce occurrences of false-positive detection of biological aerosols.

Expression of HBV surface antigen or HIV envelope protein using recombinant adenovirus vectors.

Recombinant adenoviruses were constructed that contained either the HBsAg coding sequence or the HIV envelope protein coding sequence. The recombinant adenoviruses can replicate normally in cultured human cells. Cells infected with the adenovirus-HBV recombinant secreted HBsAg into the tissue culture medium. This HBsAg had immunological and physical properties similar to those of the 22-nm particles found in human serum. Expression of HIV envelope protein in cells infected with the adenovirus-HIV recombinant was demonstrated using cytoimmunofluorescence and immunoprecipitation. A hamster model was developed to evaluate the immunogenic properties of adenovirus-HBV recombinants. Hamsters inoculated intranasally with live adenovirus-HBV recombinant produced antibody against both adenovirus and hepatitis B virus surface antigen.

The use of Teflon-embedded calcium sulphate: dysprosium thermoluminescent dosimeters for chest radiography.

As part of a U.S. multi-regional pilot study conducted by the six Centers for Radiological Physics, 12-mm-diameter by 0.4-mm-thick CaSO4:Dy Teflon-embedded discs were evaluated and used to measure patient entrance exposure on 60 "average" patients at 12 clinical centers. The discs were found to have adequate sensitivity, reproducibility and linearity up to 69.7 microC kg-1 (270 mR). The minimum measurable exposure was estimated as 0.4 microC kg-1 (1.5 mR). All responses were corrected for energy dependence, which varied +/- 20% from 1.7 to 6.5 mm Al half-value layer. Patient entrance exposure values ranged from 1.3 to 28 microC kg-1 (5 to 110 mR), with a median value of 5.2 microC kg-1 (20 mR). This value agreed with exposure measurements made on the chest radiography equipment using an ionization chamber and a phantom which simulated an "average" patient, and with published Nationwide Evaluation of X-Ray Trends (NEXT) data for the same period.

Recombinant adenovirus induces antibody response to hepatitis B virus surface antigen in hamsters.

Recombinant adenoviruses carrying the hepatitis B virus surface antigen coding sequence in the adenovirus E3 region were constructed using DNA from either adenovirus type 5 or an adenovirus type 5 E3-region deletion mutant. Both of these recombinant adenoviruses replicated as efficiently as wild-type adenovirus in all human cells tested, including the human diploid cell strain WI-38. This indicates that insertion of the hepatitis B virus surface antigen gene into the E3 region does not significantly affect viral replication. Human cells infected with these recombinant adenoviruses secreted immunoreactive hepatitis B virus surface antigen. Since a practical small animal model for human adenoviruses was lacking, a hamster model was developed to evaluate the immunogenic potential of these recombinant adenoviruses. Upon intranasal inoculation, both wild-type adenovirus and the adenovirus E3-region deletion mutant replicated in the lungs of these animals and induced an antibody response against adenovirus. Hamsters similarly immunized with the live recombinant adenoviruses produced antibody against both adenovirus and hepatitis B virus surface antigen.

Recent findings concerning inhalant use.

The main focus of this study is to present some historical information on inhalant use as well as to review certain findings from the last three decades concerning the "sniffing" of volatile hydrocarbons. Additionally, in order to examine some suggested hypotheses which have emerged from prior inhalant studies, an analysis of 248 inhalant users who were treated in the emergency room of Jackson Memorial Hospital for reactions to the use of volatile hydrocarbons during a five-year period is presented. These "sniffers" appear to include individuals older than those previously studied and members of a large minority group, to be predominantly Caucasian, and to use primarily a locally manufactured transmission fluid "sealer" known as Transmission-Go.

Esterase 13, a new mouse esterase locus with recessive expression and its genetic location on chromosome 9.

A new esterase locus (Es-13) has been identified in Musculus. Strains AEJ/GnRk, LG/J, SJL/J, and SWR/J carry a recessive allele, Es-13b, for a locus possibly involved in the posttranslational modification of a kidney esterase. All other strains observed carried the dominant Es-13a allele. Es-13 was mapped on Chr 9 by recombinant inbred lines and by conventional backcrossing experiments. Backcross data produced the following gene order and map distances: Lap-1 (31.6 +/- 7.5 cM) Es-13 (2.6 +/- 2.6 cM) Mod-1.

Low back pain in the primary care setting.

A study of the natural presentation, course, and treatment of low back pain in the primary care setting was undertaken. One hundred and forty-four charts listing low back pain as a problem were reviewed at a family practice center for a period of one year. A profile of the patient evaluated by the primary care physician emerged, revealing a high incidence of associated weight problems (70 percent), psychologic problems (33 percent), and hypertension (19 percent). The rate of actual or suspected disc disease (1.4 percent) was much lower than that reported in series from referral centers. This study of low back pain in the primary care setting illustrates the usefulness of outpatient study in defining a problem category, recognizing disease as a symptom complex, suggesting modalities of treatment, and designing a curriculum for the primary care physician.