Biomedical subjects
C A Wilson
Publications and source records attributed to C A Wilson.
Surgical management of priapism and its sequelae in sickle cell disease.
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Ethelbert Withrow Stafford 1888-1963.
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Effects of preconceptual caffeine exposure on pregnancy and progeny viability.
OBJECTIVE: A previous study demonstrated for the first time that a drug such as caffeine, administered prior to ovulation and genomic activation, causes a quantitative difference in growth-promoting energy utilization in a proportion of 5-day-old blastocysts. The objective of the present study was to investigate whether developmental changes induced by caffeine administered throughout the estrus cycle prior to fertilization are sustained throughout pregnancy and after birth. METHODS: Caffeine was administered to rats throughout the estrus cycle prior to fertilization, with control and experimental groups subdivided into preimplantation and postimplantation categories. Preimplantation fertilization rate was assessed on day 4 of pregnancy by a pregnancy-induced elevation in maternal plasma progesterone concentration, or by flushing each uterine horn on day 5 of pregnancy to determine the presence or absence of a litter. Postimplantation fetuses were collected on gestational day 12 or allowed to go to term. RESULTS: Preconceptual caffeine exposure significantly reduced maternal fertility by the failure of a proportion of the litters to implant, rather than curtailing preimplantation development or postimplantation losses. Postnatal mortality between weeks 0 and 1 was elevated and the weekly incremental growth rate of the pups from week 3 through week 7 was significantly reduced in the preconceptually caffeine-treated offspring. Experimental females reached puberty at the same age as the controls but at a significantly lower body weight. Gestation length, hirthweight, litter size, sex ratio, and anogenital distance (a measure of prenatal androgenization) were not affected by preconceptual caffeine treatment. CONCLUSIONS: It was concluded that the reduced fertility rate in preconceptually caffeine-exposed rats was due to the failure of litters to implant rather than to a reduced fertilization rate, which was normal. It was further concluded that the growth rate over the neonatal and prepubertal periods of surviving pups in the caffeine-treated group was subnormal.
Perfluorocarbon temperature measurements using 19F NMR.
Measuring the T1 of the fluorine resonances of perfluorocarbons (PFC) is a unique method for monitoring oxygen tension in vivo. However, because T1 is also temperature sensitive, error in the pO2 determination due to animal-to-animal temperature variation may arise. Pathophysiologic conditions, such as ischemia, where temperature is not known a priori may also introduce error. Thus, measuring the PFC temperature is clearly desirable in order to correct for tissue temperature variations during the pO2 determination. Because the fluorine chemical shift of various fluorinated compounds has a significant temperature dependence, we evaluated the effect of temperature on the chemical shift of the fluorine resonances of perfluorotributylamine (FTBA). A linear relationship was found between chemical shift and temperature in vitro. In addition, the relative FTBA chemical shifts were essentially independent of pO2. Chemical shift temperature measurements in vivo, obtained from a 10 microL FTBA bubble in the preretinal vitreous space of the rabbit eye, were in good agreement (+/- 0.5 degrees C) with thermocouple measurements from the same location. Good agreement between the NMR determined temperature and core body temperature was also found. The implication of such temperature measurements for the ultimate accuracy of the pO2 determination based on PFC T1 measurements is discussed. To the best of our knowledge, this report describes the first absolute temperature measurement in vivo by NMR.
Preretinal neovascularization in diabetic retinopathy: a preliminary investigation using contrast-enhanced magnetic resonance imaging.
Preretinal neovascularization is a well-described feature of advanced diabetic retinopathy. In this study, contrast-enhanced magnetic resonance imaging was used to examine blood-retinal barrier breakdown associated with preretinal neovascularization in three subjects with proliferative diabetic retinopathy. Using a standard imaging protocol, a varying degree of vitreous enhancement was observed in these eyes. The location and severity of enhancement, judged by visual inspection of the images, corresponded to the fluorescein angiographic and/or clinical appearance of preretinal neovascularization. This result suggests that contrast-enhanced magnetic resonance imaging may prove a reasonable approach to the identification of preretinal neovascularization in eyes with significant media opacities.
Nutritional evaluation of seashore mallow seed, Kosteletzkya virginica.
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A perinatal education consortium: improved resource utilization.
Maternal Newborn Nurse Professionals of Southeastern Michigan is an organization of nurses from more than 30 hospitals. The organization formed a committee to provide a comprehensive, cost-effective educational program for new nurses or nurses who were being cross trained, which would improve resource utilization in the region. Twice a year the organization offers a 5-day educational program covering antepartum, fetal monitoring, intrapartum, postpartum, and neonatal issues. The development, implementation, and evaluation of the program are outlined.
Lipid tolerance in the very low birth weight infant on intravenous and enteral feedings.
Nutrition is of critical importance to very low birth weight (VLBW) survival. Intravenous (iv) lipid tolerance has been studied using a soybean or safflower-based lipid emulsion. We studied lipid levels in a group of VLBW infants on both intravenous lipids (soybean-safflower emulsion) and on enteral feedings (24 cal/oz premature formula). Levels were obtained on 1, 2, and 3 g/kg/day of iv lipid and after 3 and 10 days of feeding. Triglyceride (TG) and free fatty acid (FFA) proved the most sensitive indicator of both iv and enteral tolerance. The higher the lipid dose, the more likely there would be elevated lipid levels, especially FFA. Mean lipid levels for the group of enteral-fed infants were normal. Comparison of lipid levels on iv to those on enteral feedings showed significant differences in trough iv levels of TG compared to preprandial TG. FFAs tended to be significantly higher on iv feedings. Monitoring lipid levels on iv and enteral feedings is appropriate to document tolerance.
Reporting and investigating child sexual abuse.
This article describes the process for reporting and investigating child sexual abuse cases. Reporting mandates are discussed, as well as several concerns and criticisms about how these are implemented. The article also discusses a number of key issues related to the investigation of claims. The authors recommend greater use of multidisciplinary investigative teams and the development of comprehensive investigative protocols. Specific controversies, such as those concerning the use of video-taping, anatomical dolls, and validation tests, are also addressed.