Letter written by Herbert E. Kaufman to Deckle Taylor, November 6, 1969

This letter discusses medical teaching and training in ophthalmology at the Duval Medical Center and other collaborations with the University Medical Center and the Duval Medical Center

Mathematical description of causative factors and prevention of elevated intraocular pressure after keratoplasty

Journal ArticleIn keratoplasty with grafts the same size as the recipient bed, tight sutures and thick recipient corneal periphery distort the angle and may collapse the filtering meshwork. This can cause very high postoperative pressures, which can be avoided by the use of donor grafts larger than the recipient bed. These relationships can be mathematically predicted

Increased Severity of HSV-1 Keratitis and Mortality in Mice Lacking The 2–5A-Dependent RNase L Gene

Purpose: The2′,5′-oligoadenylate-dependent RNase L gene functions in the interferon-inducible RNA decay pathway known as the 2–5A system. The purpose of this study was to determine whether the absence of this gene affects the pathogenesis of herpes simplex virus type 1 (HSV-1) ocular infection in the mouse. Methods: HSV-1 (strain McKrae) was applied bilaterally to unscarified corneas of RNase L–null mice and congenic controls. To evaluate the severity of herpetic keratitis, slit lamp examinations (SLE) were performed every other day for 14 days. To study corneal histology and apoptosis, HSV-1–inoculated RNase-L-null and congenic control mice, as well as mock-inoculated mice (apoptosis negative control), were killed at 6 and 18 hours postinoculation (PI). Uninoculated mice that underwent corneal scarification (apoptosis positive control) were killed 2 hours after scarification. Eyes were dissected and the corneas processed for light and transmission electron microscopy and the TUNEL assay. Results: In comparison with the congenic control mice, RNase L–null mice showed significantly more severe herpetic keratitis (PI day 8, SLE score, mean ± SEM: 3.27 ± 0.10 vs. 2.34 ± 0.06; P \u3c 0.001) and significantly higher mortality (PI day 14, 70% vs. 20%; P \u3c 0.001). Few apoptotic cells were seen in HSV-1–infected RNase L–null mice, although DNA fragmentation consistent with apoptosis was detected in the corneas of congenic control mice 6 and 18 hours after HSV-1 inoculation and in uninfected mice with scarified corneas. Signs of apoptosis were not present in the mock-infected corneas. Electron microscopic evidence of keratocytic apoptosis was detected only in the uninfected scarified corneas and the HSV-1–infected congenic control corneas. Conclusions: The increased severity of ocular disease and increased mortality in the RNase L–null mice provides evidence, for the first time, that the 2–5A system contributes to protection during ocular herpetic infection. The reduced frequency of apoptosis in these mice suggests that one possible mechanism for this protective effect could be the induction of apoptosis in corneal cells as a means of reducing the spread of infectious virus

Evolution on a smooth landscape

We study in detail a recently proposed simple discrete model for evolution on smooth landscapes. An asymptotic solution of this model for long times is constructed. We find that the dynamics of the population are governed by correlation functions that although being formally down by powers of $N$ (the population size) nonetheless control the evolution process after a very short transient. The long-time behavior can be found analytically since only one of these higher-order correlators (the two-point function) is relevant. We compare and contrast the exact findings derived herein with a previously proposed phenomenological treatment employing mean field theory supplemented with a cutoff at small population density. Finally, we relate our results to the recently studied case of mutation on a totally flat landscape.Comment: Revtex, 15 pages, + 4 embedded PS figure

Corneal Healing after Uncomplicated LASIK and Its Relationship to Refractive Changes: A Six-Month Prospective Confocal Study

PURPOSE. To investigate corneal healing and the factor(s) possibly responsible for refractive changes after laser in situ keratomileusis (LASIK). METHODS. Twenty eyes of 10 patients who underwent LASIK for myopia were examined clinically and by real-time confocal microscopy for 6 months. Epithelial and posterior stromal thicknesses and the thickness of the keratocyte activation zone were measured, and refractive changes were compared with these values. Keratocyte morphology, flap thickness, and subbasal nerve fiber bundle morphology after LASIK were also investigated. RESULTS. No significant change was detected over time in epithelial thickness after LASIK treatment; however, the posterior stromal thickness was found to be significantly higher 1 month after surgery. A slight but statistically significant negative correlation was detected between the thickness of the keratocyte activation zone and the spheroequivalent refraction after LASIK. The subbasal nerve fiber bundle's morphology returned to its preoperative appearance 6 months after LASIK, but in the flap stroma the nerve fiber bundle morphology remained abnormal at 6 months after LASIK surgery. CONCLUSIONS. A weak but significant negative correlation between the thickness of the keratocyte activation zone and spheroequivalent refraction was found after LASIK. The different refractive properties of activated keratocytes may be responsible for the myopic shift after LASIK. Further studies are needed to clarify this hypothesis. (Invest Ophthalmol Vis Sci. 2004;45:1334 -1339) DOI:10.1167/iovs.03-1025 L aser in situ keratomileusis (LASIK) is a relatively new technique for correction of myopia. A hinged flap (consisting of epithelium, Bowman's layer, and anterior stroma) is created first, and the exposed stroma is photoablated after the flap is folded back. Although many studies have been published on the clinical outcome after LASIK, 1-4 relatively few reports address the biological changes associated with the procedure. 10,11 Keratocyte activation was strongest at 1 to 2 weeks and persisted until 3 months after LASIK surgery. 10,13 Neither LASIK nor PRK has been shown superior in efficacy outcomes 14 -16 A recent confocal microscopic study revealed that keratocyte-mediated regrowth of the photoablated stroma was a key biological factor responsible for post-PRK refractive instability in humans treated with PRK. The purpose of this study was to investigate the factor(s) responsible for the refractive changes after LASIK. For this purpose, epithelial thickness, posterior stromal thickness, and the thickness of the keratocyte activation zone were measured by confocal microscopy, and we sought to establish a correlation between refractive changes and these measurements. We also investigated keratocyte morphology, flap thickness, and subbasal nerve fiber bundle morphology after LASIK. METHODS Design This prospective, interventional cohort study was begun after approval was obtained from the LSU Health Sciences Center institutional review board. Each patient gave written informed consent, and the research followed the tenets of the Declaration of Helsinki. Patients Twenty eyes of 10 patients who underwent LASIK for myopia were included in the study. All eyes had normal anterior ocular segments, intraocular pressure (Ͻ20 mm Hg), and fundi. Contact lens wear was discontinued 2 weeks (soft lenses) or 3 weeks (hard lenses) before the LASIK operation. There were six women and four men (mean age, 35.4 Ϯ 8.7 years). All patients were 21years of age or older and had stable refractive errors at least 1 year before the laser procedure. Patients who had undergone reoperation, those with diabetes mellitus or glaucoma, or those using any topical ophthalmic medication were excluded. Patients with corneas thinner than 500 m centrally and/or with a severe systemic disorder that could cause them to miss examinations were also excluded. The average preoperative spheroequivalent refraction was Ϫ5.87 Ϯ 3.45 D (range, Ϫ1.75-11.00 D) and the planned ablation depth was 59.8 Ϯ 27.1 m (range, 16 -110 m). Each patient was examined in the pre-and postoperative period. Preoperative examinaFrom th

BMQ

BMQ: Boston Medical Quarterly was published from 1950-1966 by the Boston University School of Medicine and the Massachusetts Memorial Hospitals

Calibration and performance of the Galileo solid-state imaging system in Jupiter orbit

The solid-state imaging subsystem (SSI) on the National Aeronautics and Space Administration’s (NASA’s) Galileo Jupiter orbiter spacecraft has successfully completed its 2-yr primary mission exploring the Jovian system. The SSI has remained in remarkably stable calibration during the 8-yr flight, and the quality of the returned images is exceptional. Absolute spectral radiometric calibration has been determined to 4 to 6% across its eight spectral filters. Software and calibration files are available to enable radiometric, geometric, modulation transfer function (MTF), and scattered light image calibration. The charge-coupled device (CCD) detector endured the harsh radiation environment at Jupiter without significant damage and exhibited transient image noise effects at about the expected levels. A lossy integer cosine transform (ICT) data compressor proved essential to achieving the SSI science objectives given the low data transmission rate available from Jupiter due to a communication antenna failure. The ICT compressor does introduce certain artifacts in the images that must be controlled to acceptable levels by judicious choice of compression control parameter settings. The SSI team’s expertise in using the compressor improved throughout the orbital operations phase and, coupled with a strategy using multiple playback passes of the spacecraft tape recorder, resulted in the successful return of 1645 unique images of Jupiter and its satellites

The Impossibility of a Perfectly Competitive Labor Market

Using the institutional theory of transaction cost, I demonstrate that the assumptions of the competitive labor market model are internally contradictory and lead to the conclusion that on purely theoretical grounds a perfectly competitive labor market is a logical impossibility. By extension, the familiar diagram of wage determination by supply and demand is also a logical impossibility and the neoclassical labor demand curve is not a well-defined construct. The reason is that the perfectly competitive market model presumes zero transaction cost and with zero transaction cost all labor is hired as independent contractors, implying multi-person firms, the employment relationship, and labor market disappear. With positive transaction cost, on the other hand, employment contracts are incomplete and the labor supply curve to the firm is upward sloping, again causing the labor demand curve to be ill-defined. As a result, theory suggests that wage rates are always and everywhere an amalgam of an administered and bargained price. Working Paper 06-0

Diversification of T Cell Responses to Carboxy-terminal Determinants within the 65-kD Heat-shock Protein Is Involved in Regulation of Autoimmune Arthritis

The T cell response to the 65-kD mycobacterial heat-shock protein (Bhsp65) has been implicated in the pathogenesis of autoimmune arthritis. Adjuvant arthritis (AA) induced in the Lewis rat (RT-1l) by injection of Mycobacterium tuberculosis serves as an experimental model for human rheumatoid arthritis (RA). However, the immunological basis of regulation of acute AA, or of susceptibility/resistance to AA is not known. We have defined the specificity of the proliferative T cell responses to Bhsp65 during the course of AA in the Lewis rat. During the early phase of the disease (6–9 d after onset of AA), Lewis rats raised T cell responses to many determinants within Bhsp65, spread throughout the molecule. Importantly, in the late phase of the disease (8–10 wk after onset of AA), there was evidence for diversification of the T cell responses toward Bhsp65 carboxy-terminal determinants (BCTD) (namely, 417–431, 441–455, 465–479, 513–527, and 521–535). Moreover, arthritic rats in the late phase of AA also raised vigorous T cell responses to those carboxy-terminal determinants within self(rat) hsp65 (Rhsp65) that correspond in position to the above BCTD. These results suggest that the observed diversification is possibly triggered in vivo by induction of self(Rhsp65)-reactive T cells. Interestingly, another strain of rat, the Wistar Kyoto (WKY/NHsd) rat (RT-1l), with the same major histocompatibility complex class II molecules as the Lewis rat, was found to be resistant to AA. In WKY rats, vigorous responses to the BCTD, to which the Lewis rat responded only in the late phase of AA, were observed very early, 10 d after injection of M. tuberculosis. Strikingly, pretreatment with the peptides comprising the set of BCTD, but not its amino-terminal determinants, provided significant protection to naive Lewis rats from subsequent induction of AA. Thus, T cell responses to the BCTD are involved in regulating inflammatory arthritis in the Lewis rat and in conferring resistance to AA in the WKY rat. These results have important implications in understanding the pathogenesis of RA and in devising new immunotherapeutic strategies for this disease

Calibration and performance of the Galileo solid-state imaging system in Jupiter orbit

The solid-state imaging subsystem (SSI) on the National Aeronautics and Space Administration’s (NASA’s) Galileo Jupiter orbiter spacecraft has successfully completed its 2-yr primary mission exploring the Jovian system. The SSI has remained in remarkably stable calibration during the 8-yr flight, and the quality of the returned images is exceptional. Absolute spectral radiometric calibration has been determined to 4 to 6% across its eight spectral filters. Software and calibration files are available to enable radiometric, geometric, modulation transfer function (MTF), and scattered light image calibration. The charge-coupled device (CCD) detector endured the harsh radiation environment at Jupiter without significant damage and exhibited transient image noise effects at about the expected levels. A lossy integer cosine transform (ICT) data compressor proved essential to achieving the SSI science objectives given the low data transmission rate available from Jupiter due to a communication antenna failure. The ICT compressor does introduce certain artifacts in the images that must be controlled to acceptable levels by judicious choice of compression control parameter settings. The SSI team’s expertise in using the compressor improved throughout the orbital operations phase and, coupled with a strategy using multiple playback passes of the spacecraft tape recorder, resulted in the successful return of 1645 unique images of Jupiter and its satellites