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Biomedical subjects

A Morris

Publications and source records attributed to A Morris.

At least 181 records · Page 10Linked to original sources
PubMed1992

Urinary incontinence: correlates among cognitively impaired elderly veterans.

1. Although a range of factors can contribute to urinary incontinence in long-term care residents, it is more closely associated with a decline in both cognitive and functional status. 2. Although all subjects had to be cognitively impaired to participate in the study, the incontinent group had a significantly lower mean score on the mental status examination than did the continent group. 3. Incontinent subjects were more dependent in activities of daily living and took significantly longer to carry out functional tasks specifically related to toileting. 4. Urinary incontinence was strongly associated with a history of urinary tract infections, positive urine cultures, epididymitis, hematuria, and fecal incontinence. Medical diagnosis, medications, and affective status were not associated with the problem.

Case-Control Studies↗
PubMed1991

Two isoforms of the muscle acetylcholine receptor alpha-subunit are translated in the human cell line TE671.

We have previously reported the existence of 2 forms of mRNA for the human muscle acetylcholine receptor (AChR) alpha-subunit, thought to be generated by alternate splicing of a primary transcript and to encode 2 alpha-subunit protein isoforms. The 2 predicted alpha-subunit isoforms, differing by the insertion of 25 amino acids at position 58/59, have been synthesized from cRNA transcripts using rabbit reticulocyte lysates; these protein isoforms could be differentiated by immunoprecipitation using antibodies raised against synthetic peptides. The antibodies were used to demonstrate translation of both AChR alpha-subunit isoforms in the rhabdomyosarcoma (muscle) cell line TE671, in an approximate 1:1 ratio.

Amino Acid Sequence↗
PubMed1991

Duodenal ulcer relapse after eradication of Helicobacter pylori.

Thirty-six patients with healed duodenal ulcers, 27 infected with Helicobacter pylori and nine uninfected, were followed for up to 12 months to determine the rate of ulcer relapse. Eight patients withdrew over the follow up period. At one year, 15 of 20 (75%) infected patients and one of eight (13%) uninfected patients had relapsed, p less than 0.05. Eradication of H pylori favourably influences the natural history of duodenal ulcer recurrence. Significant patient morbidity may be prevented by using measures to eradicate H pylori during or after duodenal ulcer healing.

Amoxicillin↗
PubMed1991

Catfish trauma.

Explore the source record for details and available documents.

Adolescent↗
PubMed1991

Measuring environmental health status in Oukasie, 1987.

This article reports on some aspects of the physical environment and on environmental health services at Oukasie. The data were collected over a weekend in August 1987 by an interview and by direct inspection of the environment using a standard schedule. We had a 100% response rate on the interviews. There was a mean of 2.2 +/- 1.6 persons per room in the households, with brick houses being less crowded than non-brick houses. Private yards were generally kept very clean. Bucket latrines were unhygienic and used by an average of 4 families. No latrine was built to accepted standards. Garbage collection and emptying of the bucket latrines by the municipality seemed to be unsatisfactory. Our overall impression was that where responsibility for maintenance of hygiene is either undefined, such as the collection chambers of bucket latrines, or a responsibility of the public authorities, such as garbage collection and water drainage, there is an unsatisfactory state of hygiene. Where maintenance of cleanliness is clearly a private responsibility, such as the maintenance of the cleanliness of private yards, the general status of hygiene is good.

Black or African American↗
PubMed1991

Community health survey of Oukasie, 1987.

A series of surveys were conducted at the request of the community of Oukasie to determine certain public health information in the township, a peri-urban black community. This article describes two of these surveys. The first, a census and partial demographic survey, showed that the total black population was around 6,300 with a mean household occupancy of 4.1. Some of the estimated vital statistics calculated were an infant mortality rate of 36.6/1,000, a crude birth rate of 28.0/1,000, a crude death rate of 6.5/1,000, and a general fertility rate of 99.3/1,000. The second survey into the nutritional and immunisation status of children aged under 5 years showed that 20% of children were underweight and nearly half were incompletely immunised at 1 year of age. These studies, involving local community and student volunteers, were rapidly and inexpensively done and provide basic public health information.

Adolescent↗
PubMed1991

Enalapril versus digoxin in patients with congestive heart failure: a multicenter study. Canadian Enalapril Versus Digoxin Study Group.

Patients with New York Heart Association functional class II or III heart failure stabilized on furosemide therapy were entered into a randomized controlled trial comparing enalapril (n = 72) and digoxin (n = 73). End points were clinical outcome, treadmill exercise capacity and echocardiographic left ventricular dimensions. Improvement in clinical outcome was defined as a reduction of at least one functional class or withdrawal because of an adverse clinical event. After 4 weeks, 13 patients receiving enalapril showed improvement, 55 had no change and 9 manifested deterioration compared with 7, 49 and 17, respectively, in the digoxin group (p less than 0.01). After 14 weeks, 13 patients receiving enalapril showed improvement, 50 had no change and 9 manifested deterioration, compared with 14, 37 and 22, respectively, in the digoxin group (p less than 0.025). More patients in the digoxin group were withdrawn because of an adverse clinical event (p less than 0.05). Exercise time and percent fractional shortening improved in both groups (p less than 0.001 and less than 0.05, respectively), with no significant difference between groups (p greater than 0.50). Both rate-pressure product and subjectively evaluated exertion during submaximal exercise were reduced only in the enalapril group. Although the majority of patients in both groups did well, those receiving enalapril experienced fewer adverse clinical events and had less fatigue during submaximal exercise.

Adult↗
PubMed1991

High incidence of vancomycin-associated leucopenia and neutropenia in a cardiothoracic surgical unit.

A retrospective case record review was undertaken to determine the incidence of vancomycin-associated leucopenia in a cardiothoracic surgical unit. Forty-nine patients received 50 courses of vancomycin therapy. Nine patients (18%) developed reversible leucopenia (white cell count less than 4000 x 10(6)/l) or neutropenia (polymorphonuclear leucocyte count less than 1500 x 10(6)/l). Four patients (8%) had severe neutropenia (less than 1000 x 10(6)/l). The median total dosage associated with leucopenia and neutropenia was 30 g, range 22-56 g. The median duration of treatment in leucopenic and neutropenic patients was 22 days, range 6-28 days. The median recovery time to a normal white cell count was 4 days, range 1-11 days. Patients who developed leucopenia on vancomycin therapy did not differ from those who did not with respect to age, total vancomycin dose, length of therapy, underlying illness, incidence of cardiac surgery or use of concomitant medications. Vancomycin-associated leucopenia and neutropenia is common in patients with cardiothoracic infections, many of whom are on several other medications. White cell counts should be estimated regularly in such patients.

Adult↗
PubMed1991

Visual contrast sensitivity of U.S. Navy jet pilots.

Good visual contrast sensitivity (CS) is often described as a visual capability important for success as a military aviator and so has been suggested as a physical standard for personnel selection and retention. To evaluate this idea, we measured the CS of 135 U.S. Navy fighter pilots ranging in age from 24 to 44 years (mean = 30.20, S.D. = 4.06) and compared these to the CS of non-aviators. We obtained the non-aviator data from published studies of other investigators who used similar procedures with the same widely used, commercially available apparatus (Nicolet CST 2000). In addition to this comparison, we correlated the pilots' CS with their air-to-air target detection distances measured during air combat maneuver training and to their night carrier landing performance scores. The major findings were: 1) The mean CS of the aviators and the non-aviators were within +/- 1.0 S.D. of each other in most instances, and those few instances where a greater difference was found were parsimoniously explained by methodological and procedural factors; 2) sensitivities to different spatial frequencies were highly correlated among themselves, indicating much redundancy among the measurements; 3) there was no evidence of a relationship between CS and air-to-air target detection distances or night carrier landing performance.

Adult↗
PubMed1991

Visual acuity of the U.S. Navy jet pilot and the use of the helmet sun visor.

Visor wear habits, evaluative comments and vision test data were obtained from interviews of 126 Navy fighter pilots. The interviews revealed that many pilots use their helmet sun visor whenever they fly, some use it only during certain flight operations, and others never use it. Study 1 (conducted at 343 cd/m2) revealed a decrease in low contrast visual acuity attributable to helmet sun visor use in the presence of a glare source. These findings prompted a second study of the visual effects of visor transmittance. Low-contrast spot detection, acuity, and contrast sensitivity were measured at an operationally realistic daytime illumination level (6870 cd/m2) in subjects viewing through filters ranging from 6.3% to 50.1% transmission. (Standard visor transmission is 12 +/- 4%.) Results showed that filter density, and consequently the illuminance reaching the eyes, could be varied over a wide range without critically affecting these visual functions. Prevailing environmental illuminance should be considered when selecting sun visors or sunglasses. These results have implications for optimizing visual performance through visors.

Adult↗
PubMed1990

The human muscle nicotinic acetylcholine receptor alpha-subunit exist as two isoforms: a novel exon.

Analysis of acetylcholine receptor clones isolated from a human leg muscle cDNA library, revealed that the alpha-subunit existed as two isoforms. A novel exon, coding for 25 amino acids, was located in the human genomic DNA sequence; its insertion into the alpha-subunit gives the new isoform of 462 amino acids. In addition, mRNAs for the two isoforms were found in equal proportions in poly(A)+ RNA obtained from three further sources including partially denervated and innervated human muscle and the rhabdomyosarcoma cell line TE671. Both protein isoforms can be expressed in E. coli. No evidence of a sequence related to that of the new exon was found in cDNA derived from poly(A)+ RNA isolated from fetal calf or embryonic chick muscle or Torpedo marmorata electric organ.

Amino Acid Sequence↗
PubMed1990

Study of the mechanisms of BUdR-induced cleft palate in the mouse.

This study was designed to examine the pathogenesis of bromodeoxyuridine (BUdR)-induced clefts of the secondary palate in the LACA mouse. Intraperitoneal injections of BUdR (500 mg/kg body weight) were given at various days and combinations of days between E11 and E15 (plug day = E1). Treatment on E11 alone resulted in approximately 22% of fetuses with cleft palate when the latter were examined either on E16 or E19. Treatment on E11 and E12 approximately doubled the above incidence, and treatment on E11, 12 and 13 raised it to 100%. However, no treatment, either single or multiple, caused cleft palate when given later than E11. This suggests that the cellular changes caused by BUdR that lead to cleft palate must be inflicted during E11 and that such damage can be repaired in about 80% of embryos. All fetuses with cleft palate had severe micrognathia on E16 and E19, which skeletal staining showed to be the result of a bilateral sigmoid buckling of Meckel's cartilage. Studies with the scanning electron microscope (SEM) on E15, 16, and 19 suggested strongly that the micrognathia caused a relative macroglossia and hence mechanical interference with palatal shelf reorientation. Histological studies with the light microscope showed that BUdR caused cellular necrosis in many embryonic tissues during the 24 hours after its administration. This necrosis was strikingly more severe in the mandibular rudiment of the first branchial arch than in the maxillary. The latter observation accords well with findings by other workers that cell proliferation is more rapid in the mandibular blastema than in the maxillary. Transmission electron microscope (TEM) studies of the buckled region of Meckel's cartilage failed to reveal any ultrastructural differences from control Meckel's cartilage. Hence BUdR had only interfered with the shape of the cartilage but not with its histiogenesis. We conclude that BUdR, by its cytotoxicity or antidifferentiative effects, interfered with the formation of the anterior end of Meckel's cartilage, initiating a chain of events leading through micrognathia and relative macroglossia to failure of palatal shelf reorientation and cleft palate.

Animals↗
PubMed1990

Quantitative effects of dietary polyunsaturated fats on the composition of fatty acids in rat tissues.

A method combining data on fatty acid composition into subsets is used to illustrate general relative competitive selectivities in the metabolic and transport events that maintain fatty acid compositions in tissue lipids and to minimize differences among tissues or species in the amount of individual fatty acids. Fatty acid compositions of triglycerides and phospholipids in several tissues of the rat were maintained with simple relationships between the exogenous n-3 and n-6 dietary polyunsaturated fatty acids and the endogenous n-7 and n-9 types of fatty acid. The general pattern of fatty acids in triglycerides was similar for liver, plasma and adipose tissue, averaging about 30% as saturated acids, 67% as 16- and 18-carbon unsaturated acids and only about 2% as 20- and 22-carbon highly unsaturated acids. The tissues maintained a linear relationship between the amount of 18-carbon polyunsaturated fatty acids in the diet and in the tissue triglycerides, with the proportionality constant for 18:3n-3 being 60% of that for 18:2n-6. The total phospholipids of liver, plasma and red blood cells maintained about 45% of the fatty acids in the form of saturated fatty acids and 20-30% as 20- and 22-carbon highly unsaturated fatty acids irrespective of very different proportions of n-3, n-6 and n-9 types of fatty acids. In all three tissues, the 20-carbon highly unsaturated fatty acids of the n-3, n-6 and n-9 type were maintained in a competitive hyperbolic relationship with apparent EC50 values for dietary 18:2n-6 and 18:3n-3 near 0.1% of dietary calories. The consistent quantitative relationships described in this study illustrate an underlying principle of competition among fatty acids for a limited number of esterification sites. This approach may be useful in predicting the influence of diet upon tissue levels of the substrates and antagonists of eicosanoid biosynthesis.

Adipose Tissue↗
PubMed1990

Use of aortic valve allografts from hepatitis B surface antigen-positive donors.

Over a 28-month period, 31 patients undergoing aortic valve replacement received valve allografts from hepatitis B surface antigen-positive, hepatitis B e antigen-negative donors. At the time of operation, 22 recipients were immune to hepatitis B infection; 19 had antibodies to hepatitis B surface antigen, and 3 were hepatitis B surface antigen positive. Nine patients were regarded as being susceptible to hepatitis B; 7 lacked hepatitis B markers, and records of serological status could not be found for the other 2. Four of the susceptible patients received hepatitis B immunoglobulin postoperatively, and 1 of them also received one 10-micrograms dose of hepatitis B vaccine. The 9 susceptible patients underwent hepatitis B serological studies a mean of 17 months (range, 4 to 31 months) postoperatively. In only 1 patient, tested 29 months after operation, had antibodies to hepatitis B surface, hepatitis B core, and hepatitis B e antigens developed. He had not experienced a clinical episode of hepatitis, and results of liver function tests were normal. He had not received prophylaxis. Because hepatitis B virus may be transmitted by hepatitis B surface antigen-positive, hepatitis B e antigen-negative valves, prophylaxis should be given whenever they are used and follow-up serological studies undertaken.

Adolescent↗
PubMed1990

Transgenic mosquitoes: a future vector control strategy?

Transgenic mosquitoes may provide a new way of dealing with the old problem of diseases transmitted by insects. Although many technical, and perhaps ethical, problems associated with the wild-release of transgenic insects have yet to be overcome, Julian Crampton and colleagues explore the potential of this technology in the continuing battle to control insect-borne disease.

Journal Article↗
PubMed1990

Tightly spiral shaped bacteria in the human stomach: another cause of active chronic gastritis?

Tightly spiral shaped Gram negative bacteria were seen in the gastric biopsies obtained from two patients undergoing gastroscopy. Active chronic gastritis was present in both patients and one patient also had gastric ulceration. Attempts to culture the organism by a number of methods were unsuccessful but positive urease results were obtained in both patients. Both patients were treated with colloidal bismuth subcitrate. Biopsies taken after treatment showed resolution of infection and histological gastritis. These results suggest that Helicobacter pylori is not the only organism associated with chronic active gastritis in man.

Adult↗