Anesthesia: who regulates what?
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Biomedical subjects
Publications and source records attributed to B West.
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Strains of enteropathogenic Escherichia coli (EPEC, 157 strains), enterotoxigenic E. coli (ETEC, 10 strains), enteroinvasive E. coli (EIEC, 40 strains), enterohaemorrhagic E. coli (EHEC, 10 strains), and enteroadherent E. coli (EAEC, 6 strains), all isolated from children and adults with diarrhoea, uropathogenic E. coli (25 strains) and faecal E. coli (36 strains) isolated from healthy persons were tested for binding to subepithelial connective tissue proteins, viz. fibronectin, collagen and vitronectin (S-protein). Strains expressing high and moderate binding to these proteins were found in all groups including normal stools. The highest incidence of binding strains were found among EAEC, EHEC and EPEC strains. Many strains bound collagen only whereas no strain bound vitronectin only. Binding to these proteins was generally best expressed after overnight growth on CFA agar at 37 degrees C. It is not correlated to surface hydrophobicity, and it is not influenced by O antigens or K1 and K5 antigens. The presence of fimbrial adhesins on extraintestinal isolates did not enhance the binding to soluble form of the matrix proteins. During pathological conditions when subepithelial connective tissue proteins are exposed, strains with the ability to bind fibronectin, collagen and/or vitronectin may have a selective advantage to colonize the tissue.
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Forty-one patients with significant pulmonary emboli were reviewed. The presence of heart disease and obesity was found with relatively constant frequency throughout the groups presented. Postoperative infections (wounds or abscess) were frequently associated with fatal or significant pulmonary embolism, particularly after abdominal and pelvic operations. The infection rate (65 per cent) in patients in whom significant pulmonary embolism developed after abdominal and pelvic operations is particularly striking when compared to the overall infection rate of 7 per cent for major operations in our hospital. Recent studies of prophylactic minidose heparinization reveal an increased number of complications due to the heparin [24], and thus the proper selection of cases for prophylactic minidose heparin is mandatory. The data suggest that patients at high risk for the development of postoperative complications of infection are also at high risk for the development of significant pulmonary emboli and should be considered candidates for prophylactic minidose heparinization.
For 29 months the Veterinary Investigation Centres, covering the whole of Great Britain, forwarded trimethoprim-resistant gram negative enteric bacteria to the Wellcome Research Laboratories. These were examined for degree of resistance, presence and type of R factors. Trimethoprim resistance was found in 0.6% of the total number of strains examined by the Veterinary Investigation Centres. Trimethoprim R factors were demonstrated in one quarter of the resistant strains, and R factors were found in two strains of Salmonella typhimurium. It was concluded that while the incidence of trimethoprim resistance revealed by the survey gave no cause for alarm, the detection of resistant strains, and particularly R factors, indicated that the drug should continue to be used only for specific therapeutic purposes.
A serological survey of a random sample of 541 of the population of St Lucia was undertaken. The prevalence of antibodies to dengue, herpes virus, VZ, rotavirus, rubella and syphilis is described and compared with other communities.
Bromocriptine, a dopamine agonist, inhibited secretion of PRL and did not affect GH release from rat anterior pituitary cells in culture. The reversal of this inhibition of PRL release by butaclamol, a dopamine antagonist, was stereospecific; 10 nM d-butaclamol completely reversed the inhibition caused by 10 nM bromocriptine, while l-butaclamol had no effect at concentrations up to 10 microM. However, both enantiomers at 10 microM inhibited PRL release to 30% and GH release to 91% of control values. Two other dopamine antagonists also inhibited hormone release. Haloperidol (10 microM) inhibited PRL release to 23% of control values and did not affect GH release; 3.3 microM pimozide inhibited PRL and GH release to 18% and 38% of control values, respectively. These data indicate that, the inhibition of PRL by antipsychotic drugs is not mediated through the dopamine receptor.
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Clostridia were isolated from human faecal samples from England, Scotland, Wales, USA, Hong Kong, Uganda and Japan. Strains were identified on the basis of various biochemical reactions and on the type of fatty acid produced from glucose. Analysis of these acids was by gas-liquid chromatography. Clostridium paraputrificum was common in stool samples from England, Scotland, Wales, and USA, but rare in samples from Hong Kong, Uganda and Japan.