Biomedical subjects
Publications and source records attributed to C L Sanders.
The use of continuous SvO2 monitoring in the critically ill pediatric patient helps guide the critical care nurse to make clinical decisions that individualize care and improve patient outcome. This article examines SvO2 and its components, oxygen delivery and oxygen consumption, as they apply to the pediatric intensive care patient.
Female young adult, SPF, Wistar rats, obtained from the same supplier over an 18-month period, were examined in a life-span study with inhaled 239PuO2. Nonpulmonary tumors were evaluated both in 1052 rats comprising 16 controls groups and in 2105 exposed rats. Tumors in the pituitary gland, mammary glands, uterus, and thyroid glands, in order of decreasing prevalence, accounted for 90% of all tumors. Uterine tumors comprised 55% of all nonpulmonary malignant tumors. A substantial variability in tumor incidence was seen in most organs and for most tumor types among the 16 cohort subgroups, which was not explained by husbandry conditions or mortality patterns. The incidence of thyroid tumors ranged from 0 to 21% and uterine tumors from 14 to 45% among control cohorts. Pulmonary metastases were seen in 12% of all rats irrespective of treatment, two thirds of which were uterine adenocarcinomas that appeared histologically similar to some primary lung adenocarcinomas. A tumor incidence of about 1.5% was associated with metal identification ear tags. Except in the lung, no significant difference was found in tumor location or type between control and exposed rats. A twofold or greater increase in tumors in exposed rats was found in Zymbal gland, bladder, brain, and liver; tumor incidence in each organ was < 1%.
The malignancy of pulmonary lesions induced by inhaled 239PuO2 in the Syrian hamster was tested by transplantation in the hamster cheek pouch. Serving as negative and positive controls, 42 female hamsters were given either 0.9% sodium chloride (NaCl), ferric oxide suspended in NaCl (Fe2O3), or benzo(a)pyrene + Fe2O3 suspended in NaCl (BP), by intratracheal instillation. One hundred female hamsters were given a single, nose-only inhalation exposure to high-fired 239PuO2 (initial lung burden, 2.4 kBq). At intervals from 160 to 425 days after Pu inhalation or instillation, ten 1-mm3 tissue cubes were removed from the lung of each hamster and transplanted into the cheek pouch of male hamsters, for a total of 1320 transplantations. None of the lung transplants from hamsters receiving 239PuO2, NaCl, or Fe2O3 grew in recipient cheek pouches, but 14% of transplants from BP hamsters grew rapidly in the cheek pouch. Lung carcinomas were histologically identified only in BP hamsters and BP transplants. It was concluded that proliferative pulmonary lesions induced by a-irradiation of the lung of hamsters were not malignant, and that the malignancy of lung lesions in the hamster induced by ionizing radiation should be evaluated by transplantation.
The percutaneous penetration, tissue distribution and excretion of 14C-labeled benzo[a]pyrene (BP) and dimethylbenz[a]anthracene (DMBA) were studied in mice. Both BP and DMBA rapidly penetrated the skin and were excreted more in the feces than in the urine. The proportion of BP and DMBA absorbed was less with increasing applied dose due to apparent saturation of the uptake process. Uptake from the dorsal skin of the nose was similar to uptake from the dorsal nuchal skin.