Acyclovir in immunocompromised patients with cytomegalovirus disease. A controlled trial at one institution.
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Acyclovir↗
Biomedical subjects
B Bean
Publications and source records attributed to B Bean.
Acyclovir therapy for acute herpes zoster.
31 adults took part in a randomised, placebo-controlled, double-blind trial of intravenous acyclovir therapy (500 mg/m2 intravenously 3 times daily for 5 days) for acute herpes zoster. Acyclovir reduced pain, decreased erythema, prevented the formation of new lesions, and healed skin faster than did placebo. The duration of viral shedding was also significantly shorter in acyclovir recipients (2 days versus 5 days). However, 6(35%) of 17 acyclovir recipients had recurrence of pain after the drug was discontinued, and acyclovir did not appear to affect post-herpetic neuralgia. Acyclovir therapy was associated with a transient rise in serum creatinine levels, and may have been related to nausea and vomiting. Intravenous acyclovir was effective therapy for acute herpes zoster but the ideal treatment regimen might be a lower daily dose given for a longer period.
Acute Disease↗
A method to test large numbers of bovine semen samples for viral contamination and results of a study using this method.
A procedure to test large numbers of semen samples for viral contamination is described. The procedure has the advantages of being simple to perform, sensitive and a relatively inexpensive method to test pooled semen samples, but it has the disadvantage of requiring serologically negative calves and sheep, isolation facilities to prevent environmental contamination during the testing procedure and relatively long times to obtain results. Using this in vivo procedure called the "Cornell Semen Test", it was found that of 40,000 ejaculates tested during a four year period none contained Infectious Bovine Rhinotracheitis Virus, Bovine Herpes Mammalitis Virus, Bovine Leukemia Virus nor Bluetongue Virus at infectious levels. The only virus that was found in a limited number of pools of semen was Bovine Virus Diarrhea Virus. It is recommended that if large volumes of pooled semen are to be tested for viral contamination that this procedure be used.
Journal Article↗
Survival of influenza viruses on environmental surfaces.
To investigate the transmission of influenza viruses via hands and environmental surfaces, the survival of laboratory-grown influenza A and influenza B viruses on various surfaces was studied. Both influenza A and B viruses survived for 24-48 hr on hard, nonporous surfaces such as stainless steel and plastic but survived for less than 8-12 hr on cloth, paper, and tissues. Measurable quantities of influenza A virus were transferred from stainless steel surfaces to hands for 24 hr and from tissues to hands for up to 15 min. Virus survived on hands for up to 5 min after transfer from the environmental surfaces. These observations suggest that the transmission of virus from donors who are shedding large amounts could occur for 2-8 hr via stainless steel surfaces and for a few minutes via paper tissues. Thus, under conditions of heavy environmental contamination, the transmission of influenza virus via fomites may be possible.
Gossypium↗
Environmental influences on semen output.
Semen output characteristics of 7,858 ejaculates of 57 commercial Holstein sires in artificial insemination were analyzed to estimate effects of environment over 3-yr. Large differences existed between bulls, first and second ejaculates, and intervals between collections for all measures of semen output. Effects of age of bulls were greatest for sperm concentration per milliliter and total sperm output, peaking at 4 yr of age. Original semen volume was influenced less by age. December was the best month for total sperm production even though June and July were the months for most volume of seminal fluid production. Total sperm output was highest on Fridays and lowest on Wednesdays. Effects of temperature and humidity and changes in temperature and humidity on semen output were small and inconsistent. These results do not support the assumption that semen output could be increased in controlled environment conditions.
Age Factors↗
Acyclovir therapy for mucocutaneous herpes simplex infections in immunocompromised patients.
11 of 24 immunocompromised patients with mucocutaneous herpes simplex virus (HSV) infections were given intravenous acyclovir in a randomised double-blind placebo-controlled study. Patients receiving acyclovir experienced no major adverse effects. The median times to cessation of new lesion formation, lesion crusting, lesion healing, cessation of pain, and termination of viral shedding were shorter in the acyclovir-treated group than in the placebo group. The time-to-event probability curves for the acyclovir and placebo groups were significantly different for cessation of pain (p=0.032) and termination of viral shedding (p=0.004). The median times to termination of viral shedding were also statistically different (p=0.045). Acyclovir seems to be a non-toxic and effective treatment for mucocutaneous HSV infections in immunocompromised patients.
Acyclovir↗
Pharmacokinetics, protein binding, and predicted extravascular distribution of moxalactam in normal and renal failure subjects.
Ten normal subjects and ten patients with chronic renal failure requiring hemodialysis were given intravenous infusions of moxalactam ranging from 500 mg to 2 g. Serum and urine concentrations were measured for up to 12 h. Renal failure subjects were given doses both during and between hemodialysis treatments. Protein binding of moxalactam in both normal and uremic serum was determined by ultracentrifugation. The serum half-life in normal subjects was 2.1 and 2.3 h for the 1- and 2-g doses, respectively. The half-life of moxalactam in patients with renal failure was 13.9 h on the 500-mg dose and 13.3 h on the 1.0-g dose. During hemodialysis the serum half-life fell to 4.4 and 5.7 h, respectively. Moxalactam protein binding ranged from 52% in normal serum to 36% in renal failure patient serum. Unbound moxalactam appeared to distribute with the entire body water based on the serum pharmacokinetics and antibiotic serum protein binding determined in this study.
Blood Proteins↗
Acyclovir: an effective antiviral.
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Acyclovir↗
Diagnosis of carotid artery stenosis: comparison of oculoplethysmography and Doppler supraorbital examination.
Both Doppler supraorbital examination (OSM) and oculoplethysmography (OPG) were administered to 101 patients (202 arteries) to document the presence or absence of hemodynamically significant lesions of the internal carotid artery prior to angiography. There was no significant difference between the OSM and OPG with respect to diagnostic sensitivity or specificity, incidence of false-negative or false-positive results, and overall diagnostic accuracy. The diagnostic accuracy for the OSM and the OPG were 94.2% and 91.6%, respectively. In 171/202 (84.6%) arteries, the OSM and OPG were in diagnostic agreement, and the overall diagnostic accuracy of the combined tests was 97%. However, when the OSM and OPG did not agree (31/202 arteries, 15.4%), the diagnostic accuracy of neither the OSM nor the OPG was acceptable. Although the best diagnostic accuracy was obtained using two means of noninvasive cerebrovascular testing, in those instances where only one test may be available, the OPG would appear to be the test of choice. In those laboratories in which high diagnostic accuracy is obtained with the OSM, the addition of OPG testing will increase the overall diagnostic accuracy to a very high level. The presence of a midcervical bruit was found to have a very poor correlation with the incidence of hemodynamically significant stenoses of the internal carotid artery. Although both the OSM and OPG have minimal value in patients with symptomatic cerebrovascular disease, these tests play a very important role in screening patients for asymptomatic carotid stenosis or atypical cerebrovascular symptoms.
Adult↗
Effects of two simulated semen culling programs on predicted fertility in an artificially inseminated cow population.
Two semen culling programs designed to improve fertility of semen used in an artificial insemination program were compared. First inseminations and return service data on cows inseminated with semen from 21 Holstein bulls during 1 yr were studied. The culling of less fertile ejaculates within bulls, based on any available semen quality test or combination of tests, would bring about less than a 1% increase in nonreturn rate if 40 to 50% of ejaculates were called. If all semen from the 19% low fertility bulls were culled, this would entail culling 22% of the semen used to inseminate the population and would achieve an improvement of 1% in overall fertility. This could be done with no loss in predicted difference for milk yield of bulls used. Culling of bulls is a functionally simpler and less expensive program than is testing and culling ejaculates within bulls, but this requires that fertility of bulls be known and that it will not change substantially from predicted.
Animals↗
Selective inhibition of flagellar activity in Chlamydomonas by nickel.
Flagellar activity in the biflagellate chlorophyte Chlamydomonas reinhardtii is selectively inhibited by Ni2+ or by treatment with Ca2+-chelating agents. Inhibitions of swimming speed, geotaxis, phototaxis, and pattern swimming result from qualitative and quantitative losses in the activity of individual flagella and in the coordination of activity between the 2 flagella of each cell. Addition of Ca2+ (a) prevents inhibition and (b) restores normal flagellar activity in inhibited cells. Mg2+ is partially effective in reversal of inhibition. Other ions do not cause similar inhibition or reversal of nickel inhibition. The characteristics of inhibition and reversal suggest that the primary target for nickel is a component of the flagellar apparatus, and that this component uses Ca2+ to perform its normal function in the regulation of flagellar activity. A 2nd target for nickel is a Ca-requiring process specific to phototaxis (and not involved in the photophobic response).
Animals↗
Sources of variation of semen output.
Data from 5033 ejaculates during 1 yr from 55 mature Holstein bulls were analyzed to determine the effects of ejaculate number, days between ejaculates, month of the year, solunar periods, and sires on spermatozoal output and seminal characteristics. First ejaculates contained 49.7% more sperm and 40.8% more sperm per ml than second ejaculates. Increasing the interval between collections from 2 to 6+ days resulted in 45.9% more sperm per ejaculate, 31.0% more sperm per ml. and 14.0% greater volume. However, daily sperm output was highest when bulls were ejaculated most frequently. Lowest semen output was in February and March, associated with a decrease in sperm per ml. Highest semen output was in April and June, associated with the highest concentration of sperm per ml. Solunar periods had no effect on any measure of semen output. The concentration of sperm per ml varied more than the volume per ejaculate and had the largest influence on variation in total sperm harvested per ejaculate. Frequency of ejaculation was a major factor in total sperm harvested per bull per year.
Animals↗
Bacteremic infectability: a function of vascular graft material and design.
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Animals↗
Choline metabolism in pneumococci.
Phosphorylcholine and cytidine diphosphocholine as well as two enzyme activities, a choline kinase and a cytidine diphosphocholine pyrophosphorylase, were identified in pneumococcal extracts. It is suggested that cytidine diphosphocholine may be a biosynthetic precursor of the choline moiety in the teichoic acids of pneumococcus.
Cell Wall↗
The use of ophthalmosonometry in the diagnosis of carotid artery stenosis.
One hundred and fifty-two patients underwent supraorbital Doppler studies of 304 carotid arteries to determine the presence or absence of hemodynamically significant lesions. Subsequent carotid arteriography was used to validate the accuracy of the test. Of 124 patients having abnormal Doppler examinations, 107 (86%) were angiographically proved to have lesions of the internal carotid artery that produced a stenosis of 50% or more. In the last 80 patients, the accuracy was increased to 94%. Of 115 proved stenoses or occlusions, the supraorbital Doppler examination correctly identified 99, for a diagnostic accuracy of 86%. In the last 50 patients, this accuracy was increased to 93%. Since only 58% of the patients with lesions had a bruit, the Doppler study was of particular value in identifying the patients with significant lesions in the absence of a bruit. Likewise, since only 61% of carotid arteries with bruits had lesions of hemodynamic significance, a normal Doppler examination could have been used to avoid angiographic screening of those arteries with bruits in the absence of major lesions, providing those hemodynamically insignificant lesions were not producing symptoms related to emboli. The technique of ophthalmosonometry and the significance of the test in clinical evaluation is discussed.
Blood Flow Velocity↗
Use of the Doppler flowmeter in stroke prevention.
The directional Doppler flowmeter can be used to identify collateral patterns of extracanial arterial blood flow that are associated with hemodynamically significant lesions of the internal carotid artery. The use of this non-invasive technique can identify accurately those patients who are candidates for angiographic confirmation.
Carotid Arteries↗
The use of fresh tissue arterial substitutes in infected fields.
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Animals↗
Bacteremic infectability of vascular grafts: the influence of pseudointimal integrity and duration of graft function.
This report describes an experimental study in which dogs with prosthetic graft replacement of the infrarenal abdominal aorta were challenged at progressive time intervals following graft placement with a single intravenous infusion of Staphylococcus aureus in order to determine the duration of susceptibility to graft infection of bacteremic origin. The results demonstrate that the susceptibility of a prosthetic graft to infection by bacteremic seeding virtually was 100 percent up to 1 month following graft placement. The incidence of infection then began to progressively drop but never was eliminated as demonstrated by a 30 percent incidence of graft infection in dogs so challenged 1 year graft placement. Careful scrutiny of the intimal surface of the harvested grafts, 3 weeks following bacteremic challenge, revealed that all grafts in which the pseudointimal coverage was complete were insulated effectively from infection by bacteremic seeding in that their cultures were negative. All grafts that had positive cultures for Staphylococcus aureus were noted to have either an incomplete or absent pseudointimal lining.
Animals↗