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1.
Environ Monit Assess ; 187(5): 278, 2015 May.
Article in English | MEDLINE | ID: mdl-25893765

ABSTRACT

Increasingly, natural resource management agencies and nongovernmental organizations are sharing monitoring data across geographic and jurisdictional boundaries. Doing so improves their abilities to assess local-, regional-, and landscape-level environmental conditions, particularly status and trends, and to improve their ability to make short- and long-term management decisions. Status monitoring assesses the current condition of a population or environmental condition across an area. Monitoring for trends aims at monitoring changes in populations or environmental condition through time. We wrote this paper to inform agency and nongovernmental organization managers, analysts, and consultants regarding the kinds of environmental data that can be combined with suitable techniques and statistically aggregated for new assessments. By doing so, they can increase the (1) use of available data and (2) the validity and reliability of the assessments. Increased awareness of the difficulties inherent in combining and aggregating data for local- and regional-level analyses can increase the likelihood that future monitoring efforts will be modified and/or planned to accommodate data from multiple sources.


Subject(s)
Environmental Monitoring/methods , Conservation of Natural Resources/methods , Data Collection , Environmental Pollution/statistics & numerical data , Reproducibility of Results
2.
Oecologia ; 173(2): 363-74, 2013 Oct.
Article in English | MEDLINE | ID: mdl-23636458

ABSTRACT

The ability of some introduced plant species to outperform native species under altered resource conditions makes them highly productive in ecosystems with surplus resources. However, ruderal native species are also productive when resources are available. The differences in abundance among invasive and non-invasive ruderal plants may be related to differences in ability to maintain access to or store resources for continual use. For a group of ruderal species in the Pacific Northwest of North America (invasive Rubus armeniacus; non-invasive R. ursinus, R. parviflorus, R. spectabilis, and Rosa nutkana), we sought to determine whether differences in functional morphological traits, especially metrics of water access and storage, were consistent with differences in water conductance and growth rate. We also investigated the changes in these traits in response to abundant vs. limited water availability. Rubus armeniacus had among the largest root systems and cane cross-sectional areas, the lowest cane tissue densities, and the most plastic ratios of leaf area to plant mass and of xylem area to leaf area, often sharing its rank with R. ursinus or Rosa nutkana. These three species had the highest water conductance and relative growth rates, though Rubus armeniacus grew the most rapidly when water was not limited. Our results suggest that water access and storage abilities vary with morphology among the ruderal species investigated, and that these abilities, in combination, are greatest in the invasive. In turn, functional morphological traits allow R. armeniacus to maintain rapid gas exchange rates during the dry summers in its invaded range, conferring on it high productivity.


Subject(s)
Introduced Species , Rosaceae/anatomy & histology , Rosaceae/growth & development , Northwestern United States , Phenotype , Plant Leaves/anatomy & histology , Plant Leaves/growth & development , Plant Leaves/metabolism , Plant Roots/anatomy & histology , Plant Roots/growth & development , Plant Roots/metabolism , Plant Stems/anatomy & histology , Plant Stems/growth & development , Plant Stems/metabolism , Rosaceae/genetics , Rosaceae/metabolism , Seasons , Species Specificity , Water/metabolism
3.
J Environ Qual ; 36(1): 144-54, 2007.
Article in English | MEDLINE | ID: mdl-17215222

ABSTRACT

Elevated levels of P in urban streams can pose significant water quality problems. Sources of P in urban streams, however, are difficult to identify. It is important to recognize both natural and anthropogenic sources of P. We investigated near-stream chemistry and land use factors on stream water P in the urbanizing Johnson Creek watershed in Portland, OR, USA. We sampled stream water and shallow groundwater soluble reactive P (SRP) and total P (TP) and estimated P flux at 13 sites along the main stem of Johnson Creek, with eight sites in urban land use areas and five sites in nonurban land use areas. At each site, we sampled the A and B horizons, measuring soil pH, water-soluble P, acid-soluble P, base-soluble P, total P, Fe, and Al. We found continuous input of P to the stream water via shallow groundwater throughout the Johnson Creek watershed. The shallow groundwater P concentrations were correlated with stream water P within the nonurban area; however, this correlation was not found in the urban area, suggesting that other factors in the urban area masked the relationship between groundwater P and stream water P. Aluminum and Fe concentrations were inversely correlated with shallow groundwater P, suggesting that greater P adsorption to Al and Fe oxides in the nonurban area reduced availability of shallow groundwater P. Using stepwise multiple regression analysis, however, we concluded that while riparian soil chemistry was related to stream water P, land use patterns had a more significant relationship with stream water P concentrations in this urbanizing system.


Subject(s)
Fresh Water/chemistry , Phosphorus/analysis , Oregon , Soil/analysis
4.
Cortex ; 35(3): 315-36, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10440072

ABSTRACT

We evaluated the relationship of corpus callosum atrophy and/or lesions on magnetic resonance imaging (MRI) to functional hemispheric disconnection following closed head injury (CHI) in 51 pediatric patients, including mild CHI, moderate to severe CHI with extracallosal lesions, and moderate to severe CHI with callosal atrophy and/or lesions. Interhemispheric transfer of information was assessed using auditory, motor, tactile, and visual tests in patients and in 16 uninjured children. Total and regional callosal areas were measured from the midsagittal MRI slice by morphometry. The corpus callosum lesion group demonstrated a greater right ear advantage on verbal dichotic listening than all other groups. Areas of the posterior corpus callosum were negatively correlated with laterality indices of verbal dichotic listening performance and tachistoscopic identification of verbal material. The relationship of corpus callosum atrophy and/or lesions to asymmetry in dichotic listening is consistent with previous investigation of posttraumatic hemispheric disconnection effects in adults.


Subject(s)
Brain Damage, Chronic/diagnosis , Corpus Callosum/injuries , Dominance, Cerebral/physiology , Head Injuries, Closed/diagnosis , Transfer, Psychology , Adolescent , Adult , Atrophy , Brain Damage, Chronic/physiopathology , Brain Damage, Chronic/psychology , Brain Mapping , Cerebral Cortex/pathology , Cerebral Cortex/physiopathology , Child , Corpus Callosum/pathology , Corpus Callosum/physiopathology , Dichotic Listening Tests , Female , Head Injuries, Closed/physiopathology , Head Injuries, Closed/psychology , Humans , Magnetic Resonance Imaging , Male , Neuropsychological Tests
5.
Curr Probl Diagn Radiol ; 28(3): 65-98, 1999.
Article in English | MEDLINE | ID: mdl-10327292

ABSTRACT

High-resolution technique is essential to the evolution of temporal bone fractures. Axial and coronal scan planes are optimal but may not be possible in acutely traumatized patients. A knowledge of normal temporal bone anatomy is important and can be obtained from standard texts, so it will not be considered in detail in this article. Classically, petrous temporal bone fractures have been classified as longitudinal, transverse, or mixed. Recent publications have emphasized the importance of describing fractures in terms of planes rather than lines. According to this concept, most temporal bone fractures are actually oblique, and true longitudinal fractures are rare. Petrous temporal bone fractures may be associated with cranial nerve or vascular injuries when the fracture extends to the skull base. This is particularly true of the oblique fracture, which characteristically extends anteromedially to the skull base through weak places in that area, thus avoiding the compact bone of the otic capsule surrounding the labyrinth. The most common associated injury is to the facial nerve in its geniculate or proximal tympanic segment. Transverse fractures frequently involve the labyrinth. A careful search for various types of ossicular dislocation should be performed in association with temporal bone fractures, because this may result in conductive hearing loss. The site of cerebrospinal fluid otorhinorrhea resulting from temporal bone fractures can usually be defined on plain high-resolution temporal bone images, but intrathecal contrast may be helpful. Temporal bone fractures caused by gunshot wounds are frequently complex and may be limited by metallic streak artifacts. Pediatric patients have different proportions of facial nerve injury and types of hearing loss as compared with adults.


Subject(s)
Skull Fractures/diagnostic imaging , Temporal Bone/injuries , Adult , Artifacts , Cerebrospinal Fluid Otorrhea/diagnostic imaging , Cerebrospinal Fluid Rhinorrhea/diagnostic imaging , Child , Contrast Media/administration & dosage , Ear Ossicles/injuries , Ear, Inner/injuries , Ear, Middle/injuries , Ear, Middle/innervation , Facial Nerve Injuries , Geniculate Ganglion/injuries , Hearing Loss, Conductive/etiology , Humans , Injections, Spinal , Joint Dislocations/diagnostic imaging , Petrous Bone/blood supply , Petrous Bone/diagnostic imaging , Petrous Bone/injuries , Petrous Bone/innervation , Radiography , Skull Base/injuries , Skull Fractures/classification , Temporal Bone/blood supply , Temporal Bone/diagnostic imaging , Temporal Bone/innervation , Wounds, Gunshot/diagnostic imaging
6.
J Cell Biol ; 145(3): 447-55, 1999 May 03.
Article in English | MEDLINE | ID: mdl-10225947

ABSTRACT

The SR superfamily of splicing factors and regulators is characterized by arginine/serine (RS)-rich domains, which are extensively modified by phosphorylation in cells. In vitro binding studies revealed that RS domain-mediated protein interactions can be differentially affected by phosphorylation. Taking advantage of the single nonessential SR protein-specific kinase Sky1p in Saccharomyces cerevisiae, we investigated RS domain interactions in vivo using the two-hybrid assay. Strikingly, all RS domain-mediated interactions were abolished by SKY1 deletion and were rescuable by yeast or mammalian SR protein-specific kinases, indicating that phosphorylation has a far greater impact on RS domain interactions in vivo than in vitro. To understand this dramatic effect, we examined the localization of SR proteins and found that SC35 was shifted to the cytoplasm in sky1Delta yeast, although this phenomenon was not obvious with ASF/SF2, indicating that nuclear import of SR proteins may be differentially regulated by phosphorylation. Using a transcriptional repression assay, we further showed that most LexA-SR fusion proteins depend on Sky1p to efficiently recognize the LexA binding site in a reporter, suggesting that molecular targeting of RS domain-containing proteins within the nucleus was also affected. Together, these results reveal multiple phosphorylation-dependent steps for SR proteins to interact with one another efficiently and specifically, which may ultimately determine the splicing activity and specificity of these factors in mammalian cells.


Subject(s)
Protein Serine-Threonine Kinases/genetics , Protein Serine-Threonine Kinases/metabolism , RNA Precursors/genetics , RNA Splicing/physiology , Saccharomyces cerevisiae Proteins , Saccharomyces cerevisiae/genetics , Animals , Arginine , Fungal Proteins/chemistry , Fungal Proteins/genetics , Fungal Proteins/metabolism , Gene Deletion , In Vitro Techniques , Mammals , Nuclear Localization Signals/physiology , Nuclear Proteins/chemistry , Nuclear Proteins/genetics , Nuclear Proteins/metabolism , Phosphorylation , Protein Serine-Threonine Kinases/chemistry , Protein Structure, Tertiary , Protein-Tyrosine Kinases/chemistry , Protein-Tyrosine Kinases/genetics , Protein-Tyrosine Kinases/metabolism , RNA, Fungal/genetics , Saccharomyces cerevisiae/enzymology , Serine
7.
J Magn Reson Imaging ; 9(3): 491-6, 1999 Mar.
Article in English | MEDLINE | ID: mdl-10194723

ABSTRACT

Two patients with onset of hemiparesis 3 weeks following primary varicella infection demonstrated contralateral temporal lobe and basal ganglia infarctions on magnetic resonance imaging. In both cases, magnetic resonance angiography (MRA) was performed and demonstrated flow abnormalities ipsilateral to the infarcts. Digital subtraction angiography was performed in one case; however, the findings were significantly less conspicuous than those of the MRA. MRA proved to be sensitive to the diagnosis of varicella-induced vasculitis in two consecutive cases and provided a noninvasive means of following the progression of the disease process in response to therapy.


Subject(s)
Arteritis/diagnosis , Carotid Arteries/pathology , Chickenpox/diagnosis , Hemiplegia/etiology , Magnetic Resonance Angiography/methods , Arteritis/complications , Arteritis/drug therapy , Arteritis/etiology , Aspirin/therapeutic use , Carotid Arteries/drug effects , Chickenpox/complications , Chickenpox/drug therapy , Child , Child, Preschool , Follow-Up Studies , Humans , Male , Steroids/therapeutic use , Treatment Outcome
8.
J Child Neurol ; 13(7): 313-21, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9701479

ABSTRACT

Magnetic resonance images (MRIs) of the brains of 11 patients aged from 1 week to 12 years with a distinctive type of cerebral palsy were selected based on distribution of cerebral lesions, which were restricted to bilateral perirolandic cortical and subcortical regions, including frequent symmetric involvement of basal ganglia and ventrolateral nucleus of thalami. Retrospectively, the perinatal history and clinical features were reviewed to correlate clinical data with this distinctive pattern of brain injury. Clinically affected neonates had an encephalopathy associated with a severe perinatal asphyxial event. Older children with cerebral palsy survived a similar perinatal course and demonstrated spastic quadriparesis with bulbar or pseudobulbar involvement, lack of verbal speech and variable delays in cognitive development. The distribution of hypoxic-ischemic lesions involving bilateral perirolandic regions, basal ganglia, and thalami, appears to correlate with increased metabolic areas of primary myelination in full-term neonates, but not with arterial border zones nor a single cerebral artery distribution. Myelination is a critical process in maturing brain associated with marked increase in tissue respiration and thus greater susceptibility to oxygen deprivation. It is believed that the extent of hypoxic-ischemic brain injury is determined principally by brain maturity and regional metabolic rates at time of insult and this correlates with active myelination in full-term neonates. This study confirms previous data from neuropathologic literature and recent reports of neuroimaging studies of asphyxiated neonates. In addition, retrospective analysis of the clinical data enables recognition of a type of cerebral palsy that might be the hallmark of hypoxic-ischemic injury in term neonates.


Subject(s)
Asphyxia Neonatorum/diagnosis , Cerebral Palsy/diagnosis , Hypoxia, Brain/diagnosis , Magnetic Resonance Imaging , Basal Ganglia/pathology , Cerebral Cortex/pathology , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Nerve Fibers, Myelinated/pathology , Neurologic Examination , Thalamic Nuclei/pathology
9.
J Cell Biol ; 140(4): 737-50, 1998 Feb 23.
Article in English | MEDLINE | ID: mdl-9472028

ABSTRACT

Reversible phosphorylation plays an important role in pre-mRNA splicing in mammalian cells. Two kinases, SR protein-specific kinase (SRPK1) and Clk/Sty, have been shown to phosphorylate the SR family of splicing factors. We report here the cloning and characterization of SRPK2, which is highly related to SRPK1 in sequence, kinase activity, and substrate specificity. Random peptide selection for preferred phosphorylation sites revealed a stringent preference of SRPK2 for SR dipeptides, and the consensus derived may be used to predict potential phosphorylation sites in candidate arginine and serine-rich (RS) domain-containing proteins. Phosphorylation of an SR protein (ASF/SF2) by either SRPK1 or 2 enhanced its interaction with another RS domain-containing protein (U1 70K), and overexpression of either kinase induced specific redistribution of splicing factors in the nucleus. These observations likely reflect the function of the SRPK family of kinases in spliceosome assembly and in mediating the trafficking of splicing factors in mammalian cells. The biochemical and functional similarities between SRPK1 and 2, however, are in contrast to their differences in expression. SRPK1 is highly expressed in pancreas, whereas SRPK2 is highly expressed in brain, although both are coexpressed in other human tissues and in many experimental cell lines. Interestingly, SRPK2 also contains a proline-rich sequence at its NH2 terminus, and a recent study showed that this NH2-terminal sequence has the capacity to interact with a WW domain protein in vitro. Together, our studies suggest that different SRPK family members may be uniquely regulated and targeted, thereby contributing to splicing regulation in different tissues, during development, or in response to signaling.


Subject(s)
Genes/genetics , Protein Serine-Threonine Kinases/genetics , Amino Acid Sequence , Animals , Arginine/metabolism , Base Sequence , Cells, Cultured , Cloning, Molecular , Cricetinae , Gene Expression Regulation , HeLa Cells , Humans , Molecular Sequence Data , Protein Serine-Threonine Kinases/analysis , Protein Serine-Threonine Kinases/chemistry , Protein Serine-Threonine Kinases/metabolism , Protein Structure, Tertiary , RNA Precursors/genetics , RNA Splicing/genetics , Sequence Homology, Amino Acid , Serine/metabolism , Structure-Activity Relationship , Substrate Specificity
10.
Proc Natl Acad Sci U S A ; 94(23): 12343-7, 1997 Nov 11.
Article in English | MEDLINE | ID: mdl-9356451

ABSTRACT

Multiple copies of the hexamer TGCATG have been shown to regulate fibronectin pre-mRNA alternative splicing. GCATG repeats also are clustered near the regulated calcitonin-specific 3' splice site in the rat calcitonin/CGRP gene. Specific mutagenesis of these repeats in calcitonin/CGRP pre-mRNA resulted in the loss of calcitonin-specific splicing, suggesting that the native repeats act to enhance alternative exon inclusion. Mutation of subsets of these elements implies that alternative splicing requires a minimum of two repeats, and that the combination of one intronic and one exonic repeat is necessary for optimal cell-specific splicing. However, multimerized intronic repeats inhibited calcitonin-specific splicing in both the wild-type context and in a transcript lacking endogenous repeats. These results suggest that both the number and distribution of repeats may be important features for the regulation of tissue-specific alternative splicing. Further, RNA containing a single repeat bound cell-specific protein complexes, but tissue-specific differences in protein binding were not detected by using multimerized repeats. Together, these data support a novel model for alternative splicing regulation that requires the cell-specific recognition of multiple, distributed sequence elements.


Subject(s)
Alternative Splicing , Calcitonin/genetics , RNA Precursors/genetics , Repetitive Sequences, Nucleic Acid/genetics , Animals , Calcitonin/biosynthesis , HeLa Cells , Humans , Rats
11.
AJNR Am J Neuroradiol ; 18(8): 1432-4, 1997 Sep.
Article in English | MEDLINE | ID: mdl-9296183

ABSTRACT

Prenatal MR findings of a case of extracranial capillary hemangioma simulating an encephalocele at sonography are reported. MR imaging had an adjunctive diagnostic role in excluding the possibility of an encephalocele. The capillary hemangioma had diffuse T2 hypointensity prenatally, which is atypical of postnatal imaging findings.


Subject(s)
Head and Neck Neoplasms/congenital , Hemangioma, Capillary/congenital , Prenatal Diagnosis , Adult , Female , Head and Neck Neoplasms/diagnosis , Head and Neck Neoplasms/pathology , Hemangioma, Capillary/diagnosis , Hemangioma, Capillary/pathology , Humans , Infant, Newborn , Neck Muscles/pathology , Pregnancy , Pregnancy Trimester, Second , Ultrasonography, Prenatal
12.
Proc Natl Acad Sci U S A ; 94(8): 3596-601, 1997 Apr 15.
Article in English | MEDLINE | ID: mdl-9108022

ABSTRACT

Pre-mRNA splicing requires a large number of RNA-binding proteins that have one or more RNA-recognition motifs (RRMs). Among these is the SR protein family, whose members are essential for splicing and are able to commit pre-mRNAs to the splicing pathway with overlapping but distinct substrate specificity. Some SR proteins, such as SC35, contain an N-terminal RRM and a C-terminal arginine/serine-rich (RS) domain, whereas others, such as SF2/ASF, also contain a second, atypical RRM. Although both the RRMs and the RS domain of SR proteins are required for constitutive splicing, it is unclear which domain(s) defines their substrate specificity, and whether two RRMs in a given SR protein function independently or act coordinately. Using domain swaps between SC35 and SF2/ASF and a functional commitment assay, we demonstrate that individual domains are functional modules, RS domains are interchangeable, and substrate specificity is defined by the RRMs. The atypical RRM of SF2/ASF does not appear to function alone in splicing, but can either activate or suppress the splicing specificity of an N-terminal RRM. Therefore, multiple RRMs in SR proteins act coordinately to achieve a unique spectrum of pre-mRNA substrate specificity.


Subject(s)
RNA Splicing , RNA-Binding Proteins/chemistry , Ribonucleoproteins/chemistry , Binding Sites , Gene Deletion , RNA-Binding Proteins/genetics , Ribonucleoproteins/genetics , Substrate Specificity , Transcription, Genetic
13.
Neurosurgery ; 40(3): 432-40; discussion 440-1, 1997 Mar.
Article in English | MEDLINE | ID: mdl-9055281

ABSTRACT

OBJECTIVE: To characterize late neuropathological findings of pediatric closed head injury (CHI), to assess depth of brain lesion in relation to acute severity, and to assess long-term outcome to test the Ommaya-Gennarelli model. METHODS: Magnetic resonance imaging (MRI) at least 3 months postinjury in a prospective sample (n 5 169) and at least 3 years after CHI in a retrospective sample (n 5 82) was studied. Lesion volume was measured by planimetry. Acute CHI severity was measured by the Glasgow Coma Scale. Patients were classified according to the depth of the deepest parenchymal lesion into no lesion, subcortical, and deep central gray/brain stem groups. The outcomes were assessed by the Glasgow Outcome Scale and the Vineland Adaptive Behavior Scale, which were performed at the time of the MRI in the retrospective sample and up to 3 years postinjury in the prospective sample. RESULTS: Focal brain lesions were present in 55.4% of the total sample. Depth of brain lesion was directly related to severity of acute impairment of consciousness and inversely related to outcome, as measured by both the Glasgow Outcome Scale and the Vineland Adaptive Behavior Scale. A rostrocaudal gradient of hemispheric lesion frequency was observed, whereas the posterior lesions of the corpus callosum were particularly common. Total lesion volume could not explain the depth of lesion effect. CONCLUSION: Our findings extend support for the Ommaya-Gennarelli model to pediatric CHI, indicating that depth of brain lesion is related to functional outcome. The relative frequency of focal brain lesions revealed by late MRI is higher than that of previous findings using acute computed tomography. Future investigations could explore whether depth of lesion observed using late MRI is sensitive to neuroprotective interventions.


Subject(s)
Brain Damage, Chronic/diagnosis , Head Injuries, Closed/diagnosis , Magnetic Resonance Imaging , Models, Neurological , Adolescent , Brain/pathology , Brain Damage, Chronic/classification , Child , Child, Preschool , Dominance, Cerebral/physiology , Female , Follow-Up Studies , Glasgow Coma Scale , Head Injuries, Closed/classification , Humans , Male , Neurologic Examination , Prospective Studies , Retrospective Studies
14.
J Biol Chem ; 271(40): 24569-75, 1996 Oct 04.
Article in English | MEDLINE | ID: mdl-8798720

ABSTRACT

Serine/arginine-rich (SR) proteins are essential for pre-mRNA splicing, and modify the choice of splice site during alternative splicing in a process apparently regulated by protein phosphorylation. Two protein kinases have been cloned that can phosphorylate SR proteins in vitro: SRPK1 and Clk/Sty. Here, we show that these two kinases phosphorylate the same SR proteins in vitro, but that SRPK1 has the higher specific activity toward ASF/SF2. SRPK1, like Clk/Sty, phosphorylates ASF/SF2 in vitro on sites that are also phosphorylated in vivo. Tryptic peptide mapping of ASF/SF2 revealed that three of the phosphopeptides from full-length ASF/SF2 phosphorylated in vitro contain consecutive phosphoserine-arginine residues or phosphoserine-proline residues. In vitro, the Clk/Sty kinase phosphorylated Ser-Arg, Ser-Lys, or Ser-Pro sites, whereas SRPK1 had a strong preference for Ser-Arg sites. These results suggest that SRPK1 and Clk/Sty may play different roles in regulating SR splicing factors, and suggest that Clk/Sty has a broader substrate specificity than SRPK1.


Subject(s)
Alternative Splicing , Arginine/metabolism , Nuclear Proteins/metabolism , Protein Serine-Threonine Kinases/metabolism , Protein-Tyrosine Kinases/metabolism , Serine/metabolism , Amino Acid Sequence , Molecular Sequence Data , Mutagenesis , Nuclear Proteins/chemistry , Nuclear Proteins/genetics , Peptide Mapping , Phosphorylation , RNA-Binding Proteins , Serine-Arginine Splicing Factors , Substrate Specificity
15.
J Comput Assist Tomogr ; 20(5): 724-31, 1996.
Article in English | MEDLINE | ID: mdl-8797901

ABSTRACT

PURPOSE: The preoperative evaluation of aural atresia and stenosis is strongly dependent upon high resolution CT. We have devised a 10 point surgical rating scale based on high resolution CT of the temporal bone that will provide radiologists with a stepwise method of evaluating these scans and will allow them to communicate these findings to otologic surgeons in a consistent fashion. METHOD: We prospectively evaluated 1,500 patients with aural atresia or stenosis for eight critical areas of temporal bone anatomy, each area receiving 1 rating scale point, with the exception of the presence of a stapes, which received 2 points. The appearance of the external ear received the final point on the rating scale since the external ear is formed earlier than the middle ear and helps to predict its deformities. The presurgical score was utilized in selecting surgical candidates and was correlated with the intraoperative findings as well as the postsurgical results by comparing pre- and postoperative speech reception threshold. Patients with a presurgical rating of < or = 5 were not considered surgical candidates. Otherwise, the percentage of successful surgeries corresponded roughly to the rating scale. RESULTS AND CONCLUSION: Thus, a presurgical rating of 8 points translates into an 80% chance of restoring hearing to normal or near-normal levels.


Subject(s)
Ear/abnormalities , Ear/diagnostic imaging , Tomography, X-Ray Computed , Constriction, Pathologic , Ear/surgery , Ear, External/abnormalities , Ear, External/surgery , Ear, Inner/abnormalities , Ear, Inner/diagnostic imaging , Ear, Middle/abnormalities , Ear, Middle/diagnostic imaging , Ear, Middle/surgery , Facial Nerve/diagnostic imaging , Humans , Prospective Studies , Temporal Bone/abnormalities , Temporal Bone/diagnostic imaging
16.
Proc Natl Acad Sci U S A ; 93(15): 7582-7, 1996 Jul 23.
Article in English | MEDLINE | ID: mdl-8755518

ABSTRACT

A purine-rich splicing enhancer from a constitutive exon has been shown to shift the alternative splicing of calcitonin/CGRP pre-mRNA in vivo. Here, we demonstrate that the native repetitive GAA sequence comprises the optimal enhancer element and specifically binds a saturable complex of proteins required for general splicing in vitro. This complex contains a 37-kDa protein that directly binds the repetitive GAA sequence and SRp40, a member of the SR family of non-snRNP splicing factors. While purified SR proteins do not stably bind the repetitive GAA element, exogenous SR proteins become associated with the GAA element in the presence of nuclear extracts and stimulate GAA-dependent splicing. These results suggest that repetitive GAA sequences enhance splicing by binding a protein complex containing a sequence-specific RNA binding protein and a general splicing activator that, in turn, recruit additional SR proteins. This type of mechanism resembles the tra/tra-2-dependent recruitment of SR proteins to the Drosophila doublesex alternative splicing regulatory element.


Subject(s)
Calcitonin Gene-Related Peptide/biosynthesis , Calcitonin/biosynthesis , Enhancer Elements, Genetic , Globins/biosynthesis , Nuclear Proteins/metabolism , Phosphoproteins/metabolism , RNA Precursors/metabolism , RNA Splicing , Transcription, Genetic , Animals , Base Sequence , Binding Sites , Cell Line , Exons , Glutathione Transferase/biosynthesis , HeLa Cells , Humans , Mice , Molecular Sequence Data , Molecular Weight , Mutagenesis, Site-Directed , Nuclear Proteins/isolation & purification , Phosphoproteins/isolation & purification , RNA, Messenger/biosynthesis , RNA-Binding Proteins , Rats , Recombinant Fusion Proteins/biosynthesis , Serine-Arginine Splicing Factors , Transfection , Trinucleotide Repeats
17.
Neurosurgery ; 37(3): 392-9; discussion 399-400, 1995 Sep.
Article in English | MEDLINE | ID: mdl-7501101

ABSTRACT

In view of the pathophysiology and biomechanics of severe closed head injury (CHI) in children, we postulated that the frontal lobes sustain diffuse injury, even in the absence of focal brain lesions detected by magnetic resonance imaging (MRI). This study quantitated the morphological effects of CHI on the frontal lobes in children who sustained head trauma of varying severity. The MRI findings of 14 children who had sustained severe CHIs (Glasgow Coma Scale score of < or = 8) were compared with the findings in a matched group of 14 children having sustained mild head injuries (Glasgow Coma Scale score of 13-15). The patients ranged in age from 5 to 15 years at the time of their MRIs, which were acquired at least 3 months postinjury. MRI findings revealed no focal areas of abnormal signal in the frontal lobes. Volumetric analysis disclosed that the total prefrontal cerebrospinal fluid increased and the gray matter volume decreased in the patients with severe CHI, relative to the mildly injured comparison group. Gray matter volume was also reduced in the orbitofrontal and dorsolateral regions of the brains of children with severe CHI, relative to the children who sustained mild head trauma. These volumetric findings indicate that prefrontal tissue loss occurs after severe CHI in children, even in the absence of focal brain lesions in this area. Nearly two-thirds of the children who sustained severe CHIs were moderately disabled after an average postinjury interval of 3 years or more, whereas 12 of the 14 patients with mild CHIs attained a good recovery (2 were moderately disabled) by the time of study.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Brain Concussion/pathology , Brain Damage, Chronic/pathology , Frontal Lobe/injuries , Magnetic Resonance Imaging , Adolescent , Atrophy , Brain/pathology , Child , Child, Preschool , Female , Follow-Up Studies , Frontal Lobe/pathology , Glasgow Coma Scale , Humans , Male , Neurologic Examination
18.
Am J Otol ; 16(3): 387-92, 1995 May.
Article in English | MEDLINE | ID: mdl-8588636

ABSTRACT

This report presents a new sign of ossicular dislocation utilizing high resolution computed tomography of the temporal bone. In the case of lateral dislocation of the incus, a "Y" shaped configuration (Y sign) of the malleoincudal complex is seen in the coronal views even though the axial views present a normal "ice cream cone" configurations.


Subject(s)
Incus , Skull Fractures/diagnostic imaging , Temporal Bone/diagnostic imaging , Temporal Bone/injuries , Adolescent , Adult , Female , Humans , Incus/diagnostic imaging , Infant , Joint Dislocations/diagnostic imaging , Male , Retrospective Studies , Sensitivity and Specificity , Tomography, X-Ray Computed
20.
South Med J ; 87(8): 851-4, 1994 Aug.
Article in English | MEDLINE | ID: mdl-8052903

ABSTRACT

A 37-year-old female physician was admitted to the hospital with severe headache, facial and hand paresthesias, dysarthria, and ataxia. Neurologic examination disclosed signs of brain stem dysfunction. There was rapid neurologic deterioration, and she died in 28 hours. Postmortem studies showed the characteristic features of acute hemorrhagic leukoencephalitis.


Subject(s)
Brain Stem/pathology , Cerebral Hemorrhage/complications , Encephalitis/complications , Acute Disease , Adult , Brain Diseases/etiology , Cerebral Hemorrhage/pathology , Encephalitis/pathology , Fatal Outcome , Female , Headache/etiology , Humans , Movement Disorders/etiology , Paresthesia/etiology
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