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  • 1
    ISSN: 1365-2214
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine , Psychology
    Notes: Cystic fibrosis (CF) is a progressive disease with no known cure. Advances in diagnosis and treatment have resulted in patients living longer and thus families live with the illness for longer. Treatments are becoming increasingly demanding and are largely performed in the family home. Mothers are often reported to experience greater stress and poorer adjustment than mothers of well children or population norms. Patients and siblings are also reported to display adjustment difficulties. Siblings have rarely been included in research designs. This qualitative study investigates the impact of CF and treatment on eight patients, eight mothers, one father and eight siblings. A family systems perspective was adopted. Each individual was interviewed independently using semistructured interviews. Patients and siblings were aged between 9 and 21 years. Qualitative analyses revealed high levels of non-adherence (intentional and unintentional) and parental involvement in treatment, minimal involvement of siblings, and preferential treatment towards patients. Demanding treatment, coupled with the progressive nature of CF, promote high levels of parental involvement for younger children as well as older teenagers, often due to attempted or actual non-adherence. Siblings may receive less attention while patients' needs take priority. Future development of a measure of adherence suitable for children and adolescents should take into account different motivations for non-adherence, particularly regarding the level of personal control over adherence to treatment. In addition, the potential impact of having a brother or sister with CF should not be underestimated and the needs of siblings should not go unnoticed.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    European journal of neuroscience 8 (1996), S. 0 
    ISSN: 1460-9568
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The olivocerebellar and corticonuclear connections of the forelimb area of the paravermal medial C3 zone were studied in the cat using a combined electrophysiological and fluorescent tracer technique. During an initial operation under barbiturate anaesthesia, lobules IV/V of the cerebellar anterior lobe were exposed and small injections of dextran amines tagged with rhodamine or fluorescein were made into areas selected from four different electrophysiologically defined parts of the zone. The inferior olive and the deep cerebellar nuclei were then scrutinized for retrogradely labelled cells and anterogradely labelled axon terminals respectively. The findings demonstrate a detailed topographical organization within the olivocerebellar projection to the medial C3 zone and provide some evidence for a topographical organization of its projection to nucleus interpositus anterior. Both projections are described at a level of resolution not previously attained in neuroanatomical studies and the results strongly support the notion of a micro-compartmentalization of cerebellar olivo-corticonuclear circuits.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of periodontal research 4 (1969), S. 0 
    ISSN: 1600-0765
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The local immune response to challenge antigen injection in sensitized mice was investigated. Challenge injection was administered through the maxillary labial mucosa.The influence of non-specific inflammation on the challenge response was studied when both were present simultaneously in a local oral tissue site. The results indicate that inflamed tissues react more violently to the presence of horse ferritin-anti horse ferritin complexes than do non-inflamed tissues. Although the challenge reaction in non-inflamed tissues incited an acute inflammatory lesion, this same reaction occurring in inflamed tissue induced an Arthus reaction.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of periodontal research 4 (1969), S. 0 
    ISSN: 1600-0765
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Within the limits of these experiments there appeared to be a difference in quality of the immune response of mice to Bovine Serum Albumin and Horse Ferritin. A primary injection of Bovine Serum Albumin in the mandibular labial sulcus was followed by cell replication and plasma cell differentiation in the cervical lymph nodes and a rise in serum antibody.No similar quantitatively measurable cellular response was found in the cervical lymph nodes to a primary injection of Horse Ferritin in the same site, although detectable quantities of serum antibody were present in the same animals.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-1106
    Keywords: Cerebellar cortex ; Cerebellar nuclei ; Vermis ; Sagittal zones ; Purkinje cells ; Olivocerebellar zones
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The present study is an investigation of the efferent pathways from Purkinje cells within particular sagittal zones of the vermal region of the cat cerebellar cortex. A combined electrophysiological/ autoradiographic technique was used, in which a small volume (10–120 nl) of 3H-leucine was injected into the centre of a chosen cortical zone after the mediolateral extent of the zone had been delimited electrophysiologically on the basis of its climbing fibre input. Study of the uptake and orthograde transport of labelled material by the Purkinje cells showed that the smallest injections gave rise to injection sites which were restricted to a single zone and to terminal labelling which was very reproducible between cases. Larger injections usually resulted in spread of labelled material to neighbouring zones but the resultant distribution of terminal labelling was nevertheless consistent with that arising from smaller injections. The x zone, which receives climbing fibre input transmitted from the ipsilateral forelimb via a dorsal funiculus spino-olivo-cerebellar pathway (DF-SOCP), was found to project to the junctional region between nucleus fastigius and nucleus interpositus posterior (NIP). The b zone, which lies laterally in the vermis and receives climbing fibre input transmitted from both forelimbs (and both hindlimbs) via a slower conducting SOCP, was found to project, not to the cerebellar nuclei proper, but to the ipsilateral lateral vestibular nucleus. The projection of the third zone within the vermis, the a zone, was not examined but it is generally agreed that this zone projects mainly to nucleus fastigius.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Experimental brain research 87 (1991), S. 126-140 
    ISSN: 1432-1106
    Keywords: Inferior olive ; Cerebellum ; Climbing fibres ; Cerebellar zones ; Cat
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The olivocerebellar projection to the c1,c2 and c3 zones in the paravermal cortex of lobule Vb/c has been investigated in the cat using a combined electrophysiological/neuroanatomical tracing technique. The zonal boundaries in the paravermal cortex were located by recording, on the cerebellar surface, climbing fibre field potentials evoked in response to percutaneous stimulation of one or more paws. A small (10–30 nl) injection of WGA-HRP was then made either into the centre or into the medial or lateral geographical half of a chosen zone and the resultant distribution of retrogradely labelled cells within the contralateral inferior olive was plotted. The c1 and c3 zones were each found to consist of two mediolaterally oriented ‘sub-zones’ which could be distinguished by their olivocerebellar input. The medial part of the c1 zone received climbing fibre input from the rostromedial part of the dorsal accessory olive (DAO) while the lateral part of the c1 zone received climbing fibre input from middle/rostral regions of the medial accessory olive (MAO). Both medial and lateral ‘sub-zones’ within the c3 zone were found to receive climbing fibre input from the rostral pole of DAO but, whereas there was heavy overlap between the olivary territories projecting to the medial c1 and medial c3 subzones, olivary cells projecting to the lateral part of c3 were located more rostrally within DAO. The c2 zone was found not to be divisible into mediolaterally oriented subzones and to receive climbing fibre input from a region of MAO located rostral and somewhat lateral to the region projecting to the lateral part of the c1 zone. The sub-zonal organisation of the olivocerebellar projection to the c1, c2 and c3 zones is discussed in relation to the functional properties of the different zones.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1432-1106
    Keywords: Nucleocortical ; Corticonuclear ; Cerebellar nuclei ; Cerebellar zonation ; Cat
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The projection from the intracerebellar nuclei to the paravermal (intermediate) cerebellar cortex of lobule Vb/c has been investigated in the cat using a combined electrophysiological and neuroanatomical technique. A small (10–30 nl) injection of WGA-HRP was made into one of the three paravermal zones (c1, c2 or c3) after the mediolateral boundaries of the zones had been delimited on the cerebellar surface by recording climbing fibre field potentials evoked in response to percutaneous stimulation of one or more paws. The distribution of retrogradely labelled cell bodies within the intracerebellar nuclei was compared with the distribution of terminal labelling arising from anterograde transport by cerebellar Purkinje cells. The three paravermal zones displayed marked heterogeneity in their receipt of a projection from the intracerebellar nuclei. The c1 and c3 zones received virtually no such input, although injections in either zone resulted in significant terminal labelling (which was largely restricted to nucleus interpositus anterior). By contrast, the intervening c2 zone received a much heavier nucleocortical input which arose almost exclusively from nucleus interpositus posterior (to which the zone also projected). A sparse contralateral nucleocortical input to the c2 zone was also demonstrated. This arose primarily from nucleus fastigius. It is concluded that the nucleocortical projection to the paravermal cortex of lobule Vb/c displays marked topographical specificity and some functional implications of this are discussed.
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1432-1106
    Keywords: Inferior olive ; Cerebellum ; Climbing fibres ; Branching ; Fluorescent tracers
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The pattern of transverse branching in the olivocerebellar projection to the x zone in the vermis and the lateral c1 zone in the paravermis of the cat anterior lobe was studied using a combined electrophysiological and retrograde double-labelling tracer technique. Fluorochrome-tagged latex microspheres were well suited for this purpose. The results show that the region of olive that supplies climbing fibres to the two zones forms a continuous, rostrocaudally directed column about 2.25 mm in length, in a caudo-lateral to rostromedial part of the medial accessory olive (MAO), on average between A-P levels 12.50-10.50. This column may be divided into caudal and rostral halves that project respectively to the x and lateral c1 zones in the apical folia of lobules V/VIa. Partial overlap between these two territories occurs in an intermediate region (A-P levels 12.00-11.00) in middle MAO where olive cells that supply climbing fibres to either x or lateral c1 are intermingled with a smaller population of cells whose axons branch to provide climbing fibres to both zones. Quantitative analysis showed that, when different tracers were injected into each zone in the same animal, double-labelled cells represented only 5–7% of either single-labelled cell population within this area of overlap. It is concluded that, although some transverse branching is present within the olivocerebellar projection to the x and lateral c1 zones in the apical folia of lobule V, such branching is not extensive.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1432-1106
    Keywords: Key words Purkinje cells ; Cerebellar nuclei ; Cerebellar zonation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  The cortico-nuclear (C–N) and nucleo-cortical (N–C) projections of the C1 cortical zone in pars anterior (pa) and pars copularis (pc) of the paramedian lobule (PML) in the posterior lobe of the cat cerebellum were investigated with a combined electrophysiological and neuroanatomical technique. In each experiment the medio-lateral boundaries of the zone were located on the cortical surface by recording field potentials mediated via climbing fibres and evoked in the zone by activity elicited in spino-olivocerebellar paths through percutaneous stimulation of fore- and hindlimbs; a small (15–30 nl) injection of WGA-HRP was then made into the zone. The distributions in the deep cerebellar nuclei were determined (with light microscopy) both for terminal labelling due to anterograde axonal transport by Purkinje cells and for cell bodies labelled due to retrograde transport in N–C axons. The extent to which injection sites were confined to the C1 zone was assessed both by comparing injection site and zone widths and by determining the distributions of retrogradely labelled neurones within the contralateral inferior olive. The C–N projection from the part of the zone in PML pa (a forelimb part) terminates almost exclusively (perhaps exclusively) in nucleus interpositus anterior (NIA), primarily in caudal and dorsal parts, where it overlaps heavily with the C–N projections from the lobule V parts (also forelimb parts) of the C1 and C3 zones as previously defined. The C–N projection from the part of the zone in PML pc (a hindlimb part) also terminates virtually exclusively in NIA but primarily in almost all parts of the medial third of the nucleus. There is, nevertheless, sufficient overlap between the PML pa and PML pc projections that approximately one third of the termination territory of each projection overlaps that of the other. The PML pc part of the zone is almost entirely lacking in a N–C projection, as previously found for the lobule V part of the C1 zone (and C3 zone). However, the PML pa part of the zone receives N–C projections that arise, in descending order of size, from nucleus interpositus posterior (NIP), from NIA, from the NIA/nucleus lateralis (NL) fusion area and (perhaps) NL. The projection from NIP is similar in size to that provided by the nucleus to the C2 zone in lobule V of the anterior lobe. The findings are discussed, with particular emphasis on their implications for the hypothesis that the cerebellum is divisible into a number of olivo-cortico-nuclear complexes or compartments.
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1432-1106
    Keywords: Key words Purkinje cells ; Cerebellar nuclei ; Cerebellar zonation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  The cortico-nuclear (C-N) and nucleo-cortical (N-C) projections of the C2 cortical zone in pars anterior (pa) and pars posterior (pp) of the paramedian lobule (PML) in the posterior lobe of the cat cerebellum were investigated with a combined electrophysiological and neuroanatomical technique. In each experiment the medio-lateral boundaries of the zone were localized on the cortical surface by recording field potentials mediated via climbing fibres and evoked in the zone by activity elicited in spino-olivocerebellar paths through percutaneous stimulation of the fore- and hindlimbs; a small (15–30 nl) injection of 1–2% WGA-HRP was then made into the zone. Distributions in the deep cerebellar nuclei were determined with light microscopy both for C-N terminal labelling due to anterograde axonal transport by Purkinje cells and for cell bodies labelled due to retrograde transport in N-C axons. The extent to which retrogradely labelled olivary neurones were confined to the part of the rostral medial accessory olive that innervates the C2 zone was estimated to provide an indication of the degree to which the injected tracer might have spread beyond the boundaries of the zone. The C-N projection from the part of the C2 zone in PML pa terminates almost exclusively (probably exclusively) in nucleus interpositus posterior (NIP) at all medio-lateral levels of the nucleus but most extensively at middle and lateral levels. At most levels the C-N termination territory forms a crescent with its outer curve following the caudal, dorsal and rostral borders of the nucleus and as a result it is mainly in the dorsal half of the nucleus. There is heavy overlap with the projection from the lobule V part of the C2 zone previously studied by us. The projection from the C2 zone in PML pp terminates entirely in NIP, but although at middle medio-lateral levels in the nucleus there is substantial overlap with the PML pa and lobule V projections, the projection territory is confined to the medial half of the nucleus. Evidence was obtained compatible with the view that throughout the C2 zone its lateral and medial parts project to different parts of NIP. In both PML pa and pp the C2 zone receives N-C projections from NIP. Most of the N-C cells concerned are in the dorsal half of NIP and the great majority lie within the corresponding C-N projection territory. However, the N-C projection to PML pa appears c. 6 times heavier than that to PML pp and the PML pa part of the zone also receives a minor additional projection from nucleus lateralis (NL). The findings are discussed in relation to the hypothesis of olivo-cortico-nuclear complexes or compartments, with particular reference to the internal organization of the C2 complex.
    Type of Medium: Electronic Resource
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