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Biomedical subjects

B R Miller

Publications and source records attributed to B R Miller.

At least 91 records · Page 5Linked to original sources
PubMed1983

Cardiac valvular replacement in carcinoid heart disease.

A woman with tricuspid regurgitation due to carcinoid heart disease underwent successful tricuspid valvular replacement. This was performed as soon as the patient became symptomatic, enabling her to return to a normal life untroubled by slowly growing liver metastases. Few early valvular replacements have been undertaken in this disease. This case report demonstrates its usefulness.

Carcinoid Heart Disease↗
PubMed1983

A variant of La Crosse virus attenuated for Aedes triseriatus mosquitoes.

A plaque-purified variant was cloned from prototype La Crosse (LAC) virus. This variant (PP-31) was lethal to suckling mice by the intracerebral route, produced "wild-type" plaques in Vero and BHK-21 cells, and grew to high titers (greater than 10(7) PFU/ml) in suckling mice and in cell culture. The variant was able to orally infect the vector, Aedes triseriatus; however, it was unable to escape infected midgut cells and disseminate to secondary target organs. Large, atypical, focal accumulations of viral antigen were detected in these midguts by immunofluorescence. Orally infected mosquitoes were unable to transmit virus by bite to suckling mice or vertically to their progeny. Even after inoculation of the variant virus into mosquitoes, there appeared to be a restriction on cell to cell virus movement. The role such variants may play in the modulation of infection in an arthropod vector is discussed.

Aedes↗
PubMed1982

Molecular basis of bunyavirus per os infection of mosquitoes: role of the middle-sized RNA segment.

The molecular basis of bunyavirus per os infection of mosquitoes was determined; La Crosse (LaC), snowshoe hare (Ssh), and LaC-Ssh reassortment viruses were compared for their ability to infect Aedes triseriatus, the natural vector of the LaC virus. The viruses were comparable in their ability to infect midgut cells; 115 of 117 (98%) mosquitoes ingesting viruses containing the LaC middle-sized RNa segment and 92/100 (92%) of mosquitoes ingesting viruses containing the Ssh middle-sized RNA segment became infected. However, those viruses containing the LaC middle-sized RNA segments disseminated efficiently (113/115, 98%) from the midgut to infect secondary target organs. Those viruses containing the Ssh middle-sized RNA segment efficiently infected the midgut and large amounts of viral antigen were detected in the midgut cells but antigen was detected in the secondary target organs only in 26% (24/92) of the mosquitoes with midgut infection. Thus, the middle-sized RNA segment seems to be the major determinant for successful dissemination of LaC virus from infected A. triseriatus midgut cells.

Aedes↗
PubMed1982

Dengue-2 vaccine: oral infection, transmission, and lack of evidence for reversion in the mosquito, Aedes aegypti.

The dengue-2 vaccine virus (S-1), and its parent virus (PR-159), were compared for their ability to infect orally, to replicate in, and subsequently to be transmitted by Aedes aegypti mosquitoes. The vaccine virus was markedly less efficient in its ability to infect mosquitoes orally. After ingesting infectious bloodmeals containing 3, 7 to 8.2 log10MID50/ml of the respective viruses, 56% (220/396) of the mosquitoes became orally infected with the parent virus contrasted with 16% (66/397) for the vaccine virus. None of the 16 infected mosquitoes transmitted the vaccine virus, while 14% (3/22) of the mosquitoes transmitted the parent virus. The vaccine virus remained temperature-sensitive (restrictive temperature 39 degrees C) after orally infecting and replicating in Ae. aegypti mosquitoes.

Administration, Oral↗
PubMed1982

Evaluation of the bones and bone marrow in patients with metastatic carcinoma of the prostate: radiologic, cytologic and cytogenetic findings.

We assessed the presence of bone and bone marrow involvement in seven men with advanced carcinoma of the prostate. The routine methods of history-taking, skeletal radiography, and radionuclide bone scans were supplemented by bone marrow aspiration, bone marrow biopsy, and performance of cytogenetic studies upon the aspirated bone marrow, without culture in vitro. Only radiology, bone scan, and marrow biopsy possessed adequate sensitivity. Definite cytogenetic abnormalities (45, XO) were found in two patients but the chromosome studies did not increase the rate of detection of marrow involvement by tumor.

Aged↗
PubMed1981

Biochemical analysis of specific histamine HI and H2 receptors on lymphocytes.

It is increasingly clear that histamine mediates a variety of lymphocyte functions. Further understanding of these mechanisms requires a method for the analysis of histamine membrane receptors on the lymphocyte surface. We report now a biochemical technique for the identification and quantitation of specific histamine H1 and H2 receptors of lymphocytes. The method can be performed on small numbers of formaldehyde-fixed cells. The data this assay yields, together with that resulting from the flow cytometric analysis of histamine receptor distribution (a technique we have previously described), will be a powerful tool in the study of histamine mediation of lymphocyte function.

Histamine↗
PubMed1980

Auxotypes and antimicrobial susceptibilities of Neisseria gonorrhoeae in black and white patients.

Isolates of Neisseria gonorrhoeae from 100 white and 113 black patients attending a venereal disease clinic were examined for their susceptibility to ampicillin, penicillin, tetracycline, and spectinomycin. The isolates were also characterised by gonococcal auxotyping. Gonococcal isolates from black patients were more resistant to the antibiotics than those from white patients, since the former were infected with the more antibiotic-resistant auxotypes (Pro, Zero, and Arg) whereas the latter were infected with the more antibiotic-susceptible auxotypes (AHU and others). These data indicate a preferential infection by sub-populations of Neisseria gonorrhoeae in two racial groups.

Anti-Bacterial Agents↗
PubMed1980

Congenital combined factor VII and factor VIII deficiency.

This paper describes two family members who have a combined hereditary deficiency of factors VII and VIII. The propositus, a 16-year-old male, presented with recurrent gastrointestinal bleeding. He and his mother had moderate defects of factors VII and VIII. The propositus received factor VIII cover, during and after a laparatomy. The possible hereditary transmission pattern of the combined defect is discussed.

Adolescent↗
PubMed1979

Pharyngeal colonisation by Neisseria gonorrhoeae and Neisseria meningitidis in black and white patients attending a venereal disease clinic.

Pharyngeal colonisation by Neisseria gonorrhoeae and Neisseria meningitidis was studies in 2000 patients attending a venereal disease clinic. Of these patients, 64% were white and 36% were black. The incidence of gonococcal infections was highest in the period from June to August. The incidence of genital or rectal infections or both was higher in the black patients. Pharyngeal colonisation by gonococci was present in 1.3% of the patients. There was no significant associations between pharyngeal colonisation and the pharyngeal symptoms, race, sex, or marital state of the patients. Pharyngeal colonisation was more frequent in patients with gonococcal infections at other sites. However, in 40.7% of the patients with pharyngeal colonisation, the pharynx was the only culture-positive site. There was no significant difference in the auxotypes or in the antibiotic susceptibility of the pharyngeal and the rectal-genital isolates except in the susceptibility to spectinomycin. Our findings do not indicate that gonococci isolated from the pharynx differ significantly from gonococci isolated from rectal or genital sites. It was notable that meningococcal colonisation of the pharynx was significantly more frequent in the white patients. This may be a genetically determined phenomenon.

Adult↗
PubMed1979

Infection rates of Ascocystis-infected Aedes triseriatus following ingestion of La Crosse virus by the larvae.

The La Crosse (LAC) virus infection rate of Aedes triseriatus larvae that ingest LAC virus does not appear to be increased by concomitant infection of larvae by the gregarine parasite, Ascocystis barretti. Infection rates ranged only from 0--2.6% in adult Ae. triseriatus reared from groups of A. barretti-infected larvae that had ingested LAC virus (California encephalitis group) at dosages of 2.0--7.7 log10 SMICLD50/ml. Females resulting from orally infected larvae transmitted LAC virus to suckling mice. Larvae that were infected with A. barretti and devoured carcasses of adult mosquitoes containing 4.7 log10 SMICLD50/ml failed to become infected. A. barretti spores developing in transovarially infected mosquitoes did not harbor LAC virus; thus, A. barretti does not appear to be a mechanism for virus dispersal.

Aedes↗
PubMed1979

Aedes triseriatus and La Crosse virus: lack of infection in eggs of the first ovarian cycle following oral infection of females.

La Crosse (LAC) virus filial infection rates were 0% for 279 first ovarian cycle larvae, 43% for 380 second ovarian cycle larvae, and 58% for 363 third ovarian cycle larvae from orally infected mosquitoes representing 14 Wisconsin populations of Aedes triseriatus. LAC virus was not detected in 72 pools representing 2,250 first ovarian cycle larvae, while 35 pools and 16 pools each containing 30 second and third ovarian cycle larvae, respectively, were all positive for LAC virus. Similar results were obtained when the extrinsic incubation period temperature was 25 degrees C, 27 degrees C, or variable (17, 23, and 29 degrees C for 8 hours each). LAC virus was not detected in 240 second ovarian cycle larvae in which the bloodmeal for the first ovarian cycle was non-infectious. Infection was not detected in 337 first ovarian cycle larvae from female mosquitoes that had been injected intrathoracically with LAC virus concomitantly with receiving a non-infectious bloodmeal. After an extrinsic incubation temperature of 25 degrees C, LAC virus was discovered in dissected mosquito ovarian tissue 7 days postfeeding on an infectious bloodmeal. The epidemiological implications of these findings are discussed.

Aedes↗
PubMed1978

Infection rates of Aedes triseriatus following ingestion of La Crosse virus by the larvae.

Infection rates ranged from 0-2.1% in adults of Aedes triseriaus reared from groups of larvae that had ingested La Crosse (LAC) virus (Clifornia encephalitis group) at dosages of 7.0-8.3 log 10 SMICLD50/ml. Females form orally infected larvae transmitted the virus to suckling mice. Larvae that devoured carcasses of transovarially infected larvae containing 3.0 log 10 SMICLD 50/ml failed to become infected. Ingestion by larvae of infected carcasses appears, therefore, to be unimportant as a method of horizontal amplification of LAC virus.

Aedes↗
PubMed1978

Hospital pharmacy in Australia.

Hospital pharmacy practice in Australia is reviewed. Topics covered include pharmaceutical education, drug distribution, purchasing of pharmaceuticals, and hospital pharmacy staffing and services. Australia has a national health insurance system which directly affects both community and hospital pharmacy practice. While traditionally Australian hospital pharmacy practice has followed the British system of drug delivery, practitioners have tried to introduce innovations such as intravenous admixture services, unit dose drug distribution systems and drug information services. The limitations imposed by restricted governmental funds have inhibited the introduction of innovations. The Society of Hospital Pharmacists of Australia offers a continuing education correspondence course which leads to the granting of a Fellowship in Hospital Pharmacy.

Australia↗