Daniel Lewis - Academia.edu (original) (raw)
Papers by Daniel Lewis
Journal of Toxicology and Environmental Health, 1984
The effects on the immune system of rats that had been exposed to a 2-mg/m3 dose of either respir... more The effects on the immune system of rats that had been exposed to a 2-mg/m3 dose of either respirable coal dust, diesel exhaust fumes and particulates, or the combination of these were studied. Animals that were housed similarly but exposed only to filtered air served as controls. After 12 and 24 mo of exposure, the rats were tested for immunocompetency by enumerating antibody-producing cells in the spleen 4 d after immunization with sheep erythrocytes and by monitoring the proliferative response of splenic T-lymphocytes to the mitogens concanavalin A and phytohemagglutinin. The results of this study indicate that no major alterations occurred in the immunologic functions measured as a result of exposure to either coal dust, diesel exhaust fumes and particulates, or their combination.
Journal of Toxicology and Environmental Health, 1985
Initial epidemiologic studies of acquired immunodeficiency syndrome (AIDS) occurring in homosexua... more Initial epidemiologic studies of acquired immunodeficiency syndrome (AIDS) occurring in homosexual men identified the use of the inhalants amyl, butyl, and isobutyl nitrite as possible risk factors contributing to the disease. Because of the lack of immunotoxicological data on these chemicals, we studied the effects of subchronic exposure to isobutyl nitrite (IBN) on the immune system. BALB/c mice were exposed to either 50 or 300 ppm IBN for 6.5 h/d, 5 d/wk for up to 18 wk. After 7, 13, or 18 wk of exposure, mice were killed and the following assays were performed. Antibody producing cells were enumerated by a slide plaque assay on animals immunized with sheep red blood cells while still in exposure chambers. The lymphocyte proliferative response to mitogens (phytohemagglutinin, concanavalin A, pokeweed mitogen, and lipopolysaccharide) was tested using several concentrations of each mitogen. Additional mice were immunized with Freund's complete adjuvant 21 d prior to death and were tested for delayed hypersensitivity response to purified protein derivative by a radiometric skin test. Finally, the relative numbers of T cells and T-cell subsets among splenic lymphocytes from exposed and control animals were determined. At the time periods tested there were no discernable immunotoxic effects observed in the exposed animals in any of the assays performed. These results indicate that IBN, at the dosages tested, had no discernable detrimental effect on the immune system of mice.
Pain, 1995
We describe a clinical procedure for assessing knee pain: 10 standardised movements of the knee a... more We describe a clinical procedure for assessing knee pain: 10 standardised movements of the knee are made (4 active and 6 passive), and the subject's behavioural response to each is scored by the assessor on a 0-3 scale. The total score is the Pain Index of the Knee (PIK). We report investigations of repeatability, inter-assessor agreement, and validity of components of the PIK compared with VAS ratings by the subject. We conclude from these results and from our experience of the PIK in practice that it is useful both clinically and for research purposes. It is a simple and efficient procedure for pain measurement in terms of behavioural response, with good reliability and validity, at least at low and medium levels of pain.
Bipolar Disorders, 2010
Objectives-The Interactive Computer Interview for Mania (ICI-M) is a computer-administered interv... more Objectives-The Interactive Computer Interview for Mania (ICI-M) is a computer-administered interview that presents probes to assess symptom severity and utilizes a scoring algorithm to select follow-up questions and rate subject responses in accordance with rating scale anchor points. The current study examines the acceptability, feasibility, and reliability of the ICI-M as a potential method for evaluating the performance of human raters. Methods-Participants with a diagnosis of bipolar I or II disorder completed both a live interview of the Young Mania Rating Scale with a human rater (LR) and the ICI-M. A panel of three expert raters reviewed each videotaped LR and assigned a consensus rating (CR). Participants completed a modified version of the Client Satisfaction Questionnaire to assess each method. Results-Intraclass correlation coefficients were 0.91 between the ICI-M and CR and 0.97 between the LR and CR (n = 100), providing empirical support for the inter-rater reliability of each approach. Coefficient alphas indicated comparable internal consistency reliability: ICI-M = 0.82, LR = 0.83, and CR = 0.84. The ICI-M was significantly more sensitive in detecting symptomatology than the LR (p < 0.001) and the CR (p < 0.001), and resulted in significantly higher ratings than CR on mood, speech, psychotic content, and disruptive-aggressive behavior. While participants endorsed significantly higher overall satisfaction with LR, no significant differences emerged between ICI-M and LR regarding willingness to participate again or ability to understand the questions. Conclusions-The ICI-M is a well-accepted and reliable method for assessing manic symptoms. The ICI-M is a tool with adequate sensitivity to elicit symptoms and rate severity and
Journal of Toxicology and Environmental Health, 1984
The effects on the immune system of rats that had been exposed to a 2-mg/m3 dose of either respir... more The effects on the immune system of rats that had been exposed to a 2-mg/m3 dose of either respirable coal dust, diesel exhaust fumes and particulates, or the combination of these were studied. Animals that were housed similarly but exposed only to filtered air served as controls. After 12 and 24 mo of exposure, the rats were tested for immunocompetency by enumerating antibody-producing cells in the spleen 4 d after immunization with sheep erythrocytes and by monitoring the proliferative response of splenic T-lymphocytes to the mitogens concanavalin A and phytohemagglutinin. The results of this study indicate that no major alterations occurred in the immunologic functions measured as a result of exposure to either coal dust, diesel exhaust fumes and particulates, or their combination.
Journal of Toxicology and Environmental Health, 1985
Initial epidemiologic studies of acquired immunodeficiency syndrome (AIDS) occurring in homosexua... more Initial epidemiologic studies of acquired immunodeficiency syndrome (AIDS) occurring in homosexual men identified the use of the inhalants amyl, butyl, and isobutyl nitrite as possible risk factors contributing to the disease. Because of the lack of immunotoxicological data on these chemicals, we studied the effects of subchronic exposure to isobutyl nitrite (IBN) on the immune system. BALB/c mice were exposed to either 50 or 300 ppm IBN for 6.5 h/d, 5 d/wk for up to 18 wk. After 7, 13, or 18 wk of exposure, mice were killed and the following assays were performed. Antibody producing cells were enumerated by a slide plaque assay on animals immunized with sheep red blood cells while still in exposure chambers. The lymphocyte proliferative response to mitogens (phytohemagglutinin, concanavalin A, pokeweed mitogen, and lipopolysaccharide) was tested using several concentrations of each mitogen. Additional mice were immunized with Freund's complete adjuvant 21 d prior to death and were tested for delayed hypersensitivity response to purified protein derivative by a radiometric skin test. Finally, the relative numbers of T cells and T-cell subsets among splenic lymphocytes from exposed and control animals were determined. At the time periods tested there were no discernable immunotoxic effects observed in the exposed animals in any of the assays performed. These results indicate that IBN, at the dosages tested, had no discernable detrimental effect on the immune system of mice.
Pain, 1995
We describe a clinical procedure for assessing knee pain: 10 standardised movements of the knee a... more We describe a clinical procedure for assessing knee pain: 10 standardised movements of the knee are made (4 active and 6 passive), and the subject's behavioural response to each is scored by the assessor on a 0-3 scale. The total score is the Pain Index of the Knee (PIK). We report investigations of repeatability, inter-assessor agreement, and validity of components of the PIK compared with VAS ratings by the subject. We conclude from these results and from our experience of the PIK in practice that it is useful both clinically and for research purposes. It is a simple and efficient procedure for pain measurement in terms of behavioural response, with good reliability and validity, at least at low and medium levels of pain.
Bipolar Disorders, 2010
Objectives-The Interactive Computer Interview for Mania (ICI-M) is a computer-administered interv... more Objectives-The Interactive Computer Interview for Mania (ICI-M) is a computer-administered interview that presents probes to assess symptom severity and utilizes a scoring algorithm to select follow-up questions and rate subject responses in accordance with rating scale anchor points. The current study examines the acceptability, feasibility, and reliability of the ICI-M as a potential method for evaluating the performance of human raters. Methods-Participants with a diagnosis of bipolar I or II disorder completed both a live interview of the Young Mania Rating Scale with a human rater (LR) and the ICI-M. A panel of three expert raters reviewed each videotaped LR and assigned a consensus rating (CR). Participants completed a modified version of the Client Satisfaction Questionnaire to assess each method. Results-Intraclass correlation coefficients were 0.91 between the ICI-M and CR and 0.97 between the LR and CR (n = 100), providing empirical support for the inter-rater reliability of each approach. Coefficient alphas indicated comparable internal consistency reliability: ICI-M = 0.82, LR = 0.83, and CR = 0.84. The ICI-M was significantly more sensitive in detecting symptomatology than the LR (p < 0.001) and the CR (p < 0.001), and resulted in significantly higher ratings than CR on mood, speech, psychotic content, and disruptive-aggressive behavior. While participants endorsed significantly higher overall satisfaction with LR, no significant differences emerged between ICI-M and LR regarding willingness to participate again or ability to understand the questions. Conclusions-The ICI-M is a well-accepted and reliable method for assessing manic symptoms. The ICI-M is a tool with adequate sensitivity to elicit symptoms and rate severity and