Postpartum hypertensive heart failure in Nepalese women.
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Biomedical subjects
Publications and source records attributed to A Henderson.
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Simian virus 40 (SV40)-mediated transformation of human diploid fibroblasts has provided an effective experimental system for studies of both "senescence" in cell culture and carcinogenesis. Previous interpretations may have been complicated, however, by the semipermissive virus-cell interaction. In earlier studies, we previously demonstrated that the human diploid fibroblast line HS74 can be efficiently transformed by DNA from replication-defective mutants of SV40 containing a deletion in the viral origin for DNA synthesis (SVori-). In the current study, we found that such SVori- transformants show a significantly increased life span in culture, as compared with either HS74 or an independent transformant containing an intact viral genome, but they nonetheless undergo senescence. We have clonally isolated six immortalized derivatives of one such transformant (SV/HF-5). Growth studies indicate that the immortalized cell lines do not invariably grow better than SV/HF-5 or HS74. Genetic studies involving karyotypic analysis and Southern analysis of integrated viral sequences demonstrated both random and nonrandom alterations. All immortalized derivatives conserved one of the two copies of SV40 sequences which expressed a truncated T antigen. These cloned SV40-transformed cell lines, pre- and postimmortalization, should be useful in defining molecular changes associated with immortalization.
Malaria poses the greatest health threat to British soldiers engaged in jungle training in Papua New Guinea. This paper provides detailed epidemiological information gained following a visit to the Papua New Guinea Malaria Research Unit in January 1986.
We report two Nepalese patients with tuberculosis, in whom the sole chest X-ray abnormality was hilar lymphadenopathy. This rare variant of tuberculosis, not previously described in Nepalese patients, may easily be mistaken for malignant lymphoma.
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Whole body glucose uptake and oxidation during a hyperglycemic clamp have been shown to be depressed in hypermetabolic septic patients compared to control subjects despite similar plasma insulin concentrations. Forearm glucose uptake was similarly impaired. Metabolic rate was not increased further by the glucose infusion in the patients although a 20% rise was elicited in the controls. This resistance to the effects of insulin was also clearly demonstrated in trauma patients using the euglycemic clamp technique. The maximal rate of glucose disposal after injury was half that found in controls and the pattern of response was consistent with the insulin resistance being a post-receptor defect.
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During the early months of 1985 and 1986, 408 non-immune British soldiers undertook training in the jungles north of Kota Tinggi, in southern Malaysia. In this geographical location, where malaria transmission is now light, a combination of strict personal antimosquito measures plus proguanil 200 mg daily produced effective, safe protection, with only a single case of vivax malaria occurring. Given the limited malaria risk, however, the results of this study should be extrapolated only with caution to other areas of Malaysia.
Proguanil 200 mg daily and chloroquine base 300 mg weekly were used as prophylaxis for 120 British Army soldiers from Hong Kong on a seven-week jungle exercise in the highly malarious Sepik district of Papua New Guinea. Compliance was rigidly enforced. Four men developed falciparum malaria whilst in Papua New Guinea and one within a few days of returning to Hong Kong. After stopping chloroquine four weeks after returning to Hong Kong 11 cases of mixed vivax and falciparum malaria and three cases of falciparum alone occurred within a 16-week period. This proguanil-chloroquine combination allows an unacceptably high level of breakthrough malaria and cannot be recommended for visitors to the highly malarious areas of Papua New Guinea.
The characteristics of isometric and isotonic contraction were studied in isolated papillary muscle preparations from the right ventricle of the ferret and compared with those previously reported for comparable preparations from cat and rat. The effects of stimulation rate, temperature, extracellular calcium concentration, caffeine, verapamil, and ouabain were measured. Afterloaded contractions and load clamps were used to study the mechanics of relaxation. The contractile characteristics of ferret papillary muscle preparation appear to be intermediate in many respects between those reported for cat and rat preparations.
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Two company strength exercises to Papua New Guinea produced 21 malaria casualties of whom 16 had potentially fatal falciparum infections. The chemotherapy and prevention of polyresistant malaria from Papua New Guinea and the threat posed to the Hong Kong environment regarding malaria re-introduction are discussed.
During the summer of 1985, 45 soldiers with heat illness were admitted to the British Military Hospital, Hong Kong. Twelve had severe heat stroke, the remainder heat exhaustion. This paper discusses the management and prevention of heat illness in the military context.
Changes in mosquito ecology and active anti-vector measures abolished endemic malaria transmission in Hong Kong by 1969. Unfortunately, endemic transmission of P. vivax reappeared in 1977. The threat posed to the British Army in Hong Kong however, appears to be small (5 cases since 1983), and restricted to areas close to the border with the Peoples Republic of China. Malaria biology and protective measures are discussed.
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