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Biomedical subjects

B Goldman

Publications and source records attributed to B Goldman.

At least 271 records · Page 15Linked to original sources

Trisomy-D in a cyclops with cardiovascular defects.

A case report of cyclops with trisomy-D in a female infant, associated with cardiovascular defects is presented. A survey of the literature pertaining to other reported cases of cyclopia is presented to establish the probablity of the existence of at least two distinct etiologic groups of cyclopia--those associated with trisomy-D and those associated with other chromosomal aberrations, single gene mutations, or non-genetic factors.

Abnormalities, Severe Teratoid↗

Chromosomal mosaicism in amniotic cell culture. A diagnostic Dilemma.

Chromosomal mosaicism, with supernumerary C or C group elements, was observed in the cultured amniotic fluid cells of four fetuses undergoing prenatal diagnosis. There were discrepancies in the karyotypes of cells from different culture flasts of a single fluid sample, between cultures from successive uterine aspirations, and between cultures of amniotic fluid and fetal tissues obtained by pregnancy interruption. Most alarming was the finding, in one case, of identical mosaicism in different culture flasks as well as in repeated amniocenteses derived from a phenytypically normal fetus. In each instance, the aborted fetus or newborn infant proved to be phenotypically and cytogenetically normal. This suggests that mosaicism, demonstrated in cultured amniotic fluid cells, may not reflect the chromosomal constitution of the fetus and may pose a dilemma regarding an accurate diagnosis.

Abortion, Induced↗

Late results of aortocoronary bypass grafts in 100 patients with stable angina pectoris.

From March 1969 to December 1972, 314 patients underwent elective aortocoronary saphenous vein bypass graft surgery at the Toronto General Hospital for the relief of stable disabling angina refractory to medical management. Inhospital mortality was 2.5%. Of these patients 100 agreed to return for follow-up hemodynamic and angiographic assessment at a mean interval of 19.7 months after operation. Seventy-four percent of patients were asymptomatic or had angina only with strenuous exertion at the time of follow-up. Seventy-five percent of the 142 grafts were patent, though a few had significant narrowings. Clinical improvement could be correlated with successful myocardial revascularization. Myocardial infarction was diagnosed by the presence of new Q waves after operation in 15% of patients. Many of these patients had patent grafts at follow-up and all were improved. Dyslipoproteinemia was not found to be a factor affecting late graft patency. Total left ventricular function was not shown to be improved by segmental revascularization. The trend toward improved survival in the intervening period for the total operated group is encouraging.

Adult↗

Hibernation: an opioid-dependent state?

Hibernation reduces substantially the heart rate of hamsters as well as the respiratory rate, the body temperature and the arousal level. The heart rate is reversed dramatically by the injection of low doses of Naloxone and in some cases the hamster arouses prematurely from hibernation. The effect is not due to the pain of the injection because saline injections do not produce such changes. The effect requires a pre-existing state of hibernation because Naloxone has no cardioacceleratory or arousal effect in non-hibernating hamsters that have had their heart rate and body temperature decreased substantially during hypothermia. These results suggest that endogenous opioids may contribute specifically to the state of hibernation. Moreover, a physiological role may exist for an anti-opioid system in the promotion of arousal from hibernation.

Animals↗