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Biomedical subjects

A A Rivas

Publications and source records attributed to A A Rivas.

4 recordsLinked to original sources

Interaction of bovine myelin basic protein with triphosphoinositide.

Despite the essential role played by myelin basic protein (MBP) in stabilizing the multilamellar structure of the myelin membrane, attempts at deciphering the structure of MPB have so far failed. Given that MBP is known to specifically interact with the membrane's lipid components, this study was designed to explore the effects of these lipids on the conformation of the protein by examining its interaction with the lipid triphosphoinositide (TPI). MBP was identified by high-performance liquid chromatography (HPLC) in myelin extracted from cow's brain and its molecular weight determined. In aqueous solution, MBP showed a random coil structure confirmed by its circular dichroism (CD) spectra. Possible structural changes to the protein induced by different proportions of TPI were also explored. The CD spectra of these mixtures indicated that this lipid fails to induce the adoption of a secondary structure by MBP. We then performed monolayer experiments to evaluate the type of interaction that occurs between MBP and TPI. First, the molecular weight of the protein sample was established to determine the state of the MBP within the monolayer by applying the equation for gases to the so-called gaseous zone of the monolayer for the conditions under which the expression holds. The similar molecular weights yielded by HPLC performed on dissolved samples and by the monolayers suggests that, as in solution, in the membrane the protein exists as a monomer. Monolayer data suggest forces of attraction between the two components and, through thermodynamic calculations, it was established that this interaction is spontaneous and the interaction is of the electrostatic type.

Animals↗

Cholecystectomy with closed suction drainage.

In this prospective, consecutive, and nonrandomized study, 200 patients had cholecystectomy in a seven-month period. Half of them had drainage with Penrose drains and the other half with a closed suction system. The average hospitalization was one day shorter in the latter. No complications related to its use were found. Retrospective evaluation appears to indicate some conservation of medical care expenditures.

Cholecystectomy↗

Volvulus of the cecum.

Twenty-one cases of volvulus of the cecum are discussed; mortality was 9.5%. Eight patients underwent right hemicolectomy, but gangrenous changes were found in only one of these cases. No distal obstruction was found. The female-to-male ratio was 16:5. The roentgenographic diagnosis is highly suggestive in flat film of the abdomen and conclusive in contrast examination. Treatment of cecal volvulus by simple detorsion or cecopexy is inadequate and associated with a high recurrence rate. Primary resection of the right colon with ileotransverse colostomy is the treatment of choice for all types of cecal volvulus.

Adult↗