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Biomedical subjects

A Harris

Publications and source records attributed to A Harris.

567 records · Page 32Linked to original sources

Memory consolidation for contextual and auditory fear conditioning is dependent on protein synthesis, PKA, and MAP kinase.

Fear conditioning has received extensive experimental attention. However, little is known about the molecular mechanisms that underlie fear memory consolidation. Previous studies have shown that long-term potentiation (LTP) exists in pathways known to be relevant to fear conditioning and that fear conditioning modifies neural processing in these pathways in a manner similar to LTP induction. The present experiments examined whether inhibition of protein synthesis, PKA, and MAP kinase activity, treatments that block LTP, also interfere with the consolidation of fear conditioning. Rats were injected intraventricularly with Anisomycin (100 or 300 microg), Rp-cAMPS (90 or 180 microg), or PD098059 (1 or 3 microg) prior to conditioning and assessed for retention of contextual and auditory fear memory both within an hour and 24 hr later. Results indicated that injection of these compounds selectively interfered with long-term memory for contextual and auditory fear, while leaving short-term memory intact. Additional control groups indicated that this effect was likely due to impaired memory consolidation rather than to nonspecific effects of the drugs on fear expression. Results suggest that fear conditioning and LTP may share common molecular mechanisms.

Acoustic Stimulation↗

Key elements of government contracting: an untapped resource for hospital outreach revenues.

Historically, hospitals hesitate to compete against commercial laboratories for public sector and managed care market opportunities that would increase a hospital's revenue base. Hospital laboratories perceive that they cannot compete in the scope and complexity of testing, the service requirements, or commodity pricing strategies of commercial laboratories. Since 1997, the Department of Pathology Laboratories at Virginia Commonwealth University Health System's Medical College of Virginia Hospitals and Physicians has been awarded major contracts with government agencies and managed care companies to provide laboratory services for local and regional networks. This article reviews the key elements and ongoing price and service strategies in a sequential, easily followed format that hospital outreach programs can use as a resource when expanding their sales effort into the public sector market. Readers instantly should realize the immediate financial rewards from public sector contracts that offset the industry's declining reimbursements from third party payers.

Competitive Bidding↗

Autotransfusion systems (ATS).

Due to the large number of patients undergoing cardiac surgical procedures and the subsequent increase in demand for blood volume replacement, the use of autotransfusion is increasing in the postoperative setting. In a study conducted by Roche and Stengel it was estimated that the country's blood resources could be depleted by these surgical procedures. The use of autotransfusion offers a viable solution for this problem. Studies suggest that with autotransfusion, bank blood requirements may decrease as much as 50 percent. The ready availability and economic advantages associated with autotransfusion may also ensure continued use of systems of this type. It has been the authors' experience thus far that both systems presented have been safe and effective when used in postoperative management of the cardiac surgical patient.

Blood Transfusion, Autologous↗

[Comparative study of pancreatic resections and drainage procedures in the treatment of chronic pancreatitis. Experience with 145 cases (author's transl)].

The authors report on 145 cases treated surgically for chronic pancreatitis. 128 cases were operated on principle for association of pain and weight loss, 17 cases under necessity for complications. Surgical procedures were most often pancreatico-duodenectomies (75 cases), left pancreatectomies (34 cases) or rarely total pancreatectomies (4 cases), more rarely wirsungo-jejunostomies (32 cases). Choice of surgical procedures were based on anatomical and clinical arguments, but mainly on E.R.C.P. Post-operative mortality, was 8.2% after pancreatic resections and 3.7 after pancreatico-jejunostomies. Secondary mortality were respectively 13% and 11.5%. The overall mortality was 21% after resection and 15% after drainage. Late fonctional results (after 5 years) were in favour of resection (good results 51%). After drainage (good results 22%) initial good results deteriored with time.

Adult↗

Quality and quantity: staffing and skill mix in neonatal care.

The delivery of front-line care in an acute sector of the health care system, the neonatal service, was the focus for a large-scale investigation. The aim was to carry out a major study that could inform policy and identify possible improvements in practice and organisation in the context of concerns about stress in neonatal nursing, staffing levels, skill mix and training. Fifty-six neonatal units and more than 700 nurses participated. Large inter-units differences were found and in many neonatal units the staffing levels and qualification in specialty rates were found to be lower than those recommended. The implementation of the findings are discussed and recommendations made.

England↗

Linkage analysis in 16 families with incontinentia pigmenti.

A locus for the X-linked dominant genodermatosis incontinentia pigmenti (IP) has been linked to markers in Xq28. Here we report high lod scores for markers spanning the interval DXS52-DXYS154 using 16 families, providing further evidence for a single major X-linked IP locus.

Chromosome Mapping↗