Search PubMed⌕ Search

Biomedical subjects

D Kirkpatrick

Publications and source records attributed to D Kirkpatrick.

11 recordsLinked to original sources
PubMed1992

Development of the ostiomeatal unit in childhood: a radiological study.

The role of surgery in the management of sinus disease is in a state of evolution. With the advent of the endoscope, functional sinus surgery has become a reality. This type of surgery is recently being utilized as a therapeutic modality for sinus disease in children. The sinus surgeon should be aware of the differences between adult and pediatric sinus anatomy. This study utilizes the CT scanner to chart the anatomy and development of the ostiomeatal unit area in childhood, from the age of one through 16. This study may provide a more comprehensive understanding of the ostiomeatal unit in the pediatric population.

Adolescent↗
PubMed1979

Association between pre-transplant natural kill and graft-versus-host disease after stem-cell transplantation.

Natural killer activity against herpes simplex virus type 1 infected fibroblasts NK(HSV-1) was studied prospectively in patients undergoing allogenic bone-marrow or fetal-tissue stem-cell transplantation. Thirteen patients showed evidence of engraftment and survived long enough to develop graft-versus-host disease (GvHD). Of this group, all of the seven having normal NK(HSV-1) activity before transplantation acquired GvHD and the six having low NK(HSV-1) had no evidence of GvHD. These results were independent of mode of preparation of patients for transplantation, source of stem cells used, or cytomegalovirus infections, and they suggest that this assay reflects a host-determined function capable of stimulating GvHD.

Anemia, Aplastic↗
PubMed1979

Case report 86.

Explore the source record for details and available documents.

Adolescent↗
PubMed1978

Successful transplantation of marrow from an HLA-A, -B, -D mismatched heterozygous sibling donor into an HLA-D-homozygous patient with aplastic anemia.

A patient with aplastic anemia who was found to be homozygous for an HLA-D determinant shared by her unrelated parents achieved sustained engraftment and full restoration of hematopoietic and lymphoid function following a transplant from an HLA-A and -B nonidentical, ABO incompatible sibling who was heterozygous for the shared HLA-D specificity. Transplantation was complicated by transient graft-versus-host disease of moderate severity, which resolved completely following treatment with antithymocyte globulin and prednisone. The case indicates that patients found to be HLA-D-homozygous may be successfully transplanted from HLA-D-heterozygous sibling donors despite HLA-A and HLA-B incompatibilities, and thus further demonstrates the importance of the HLA-D region as a marker of donor-host histocompatibility.

Anemia, Aplastic↗
PubMed1977

Renal and bone uptake of tartaric acid in rats: comparison of L(+) and DL-Forms.

Plasma concentrations of radioactivity declined biphasically with half-lives of about 15 and 58 h respectively in rats dosed with monosodium DL-[14C]tartrate for 7 days at a dose level of 2.73 g/kg/day. Uptake and retention of radioactivity occurred in blood cells, kidneys and bones where it was detected for at least 12 days after dosing. Renal retention (11202 +/- 4469 ppm at 6 h, n = 7) was probably due to precipitation of the poorly soluble calcium DL-tartrate in the tubules leading to increased kidney weight, nephrotoxicity and even death. The more soluble, naturally-occurring L(+)-[14C] tartrate was not retained in the kidneys (1287 +/- 118 ppm at 6 h, n = 8) when administered to rats under the same conditions, and the initial decline of plasma concentrations of radioactivity was more rapid (t 0.5 approx. 3 h). For this reason, monosodium L(+)-tartrate was non-toxic at 2.73 g/kg/day whereas monosodium DL-tartrate was toxic at this dosage.

Animals↗
PubMed1977

Identification of an N-oxide as the major metabolite of the analgesic O-(diethylaminoethyl)-4-chlorobenzaldoxime hydrochloride in dogs.

1. After oral administration to dogs of the analgesic O-(diethylaminoethyl)-4-chloro[7-14C]benzaldoxime hydrochloride together with piperazine hydrochloride (2:1, w/w), at a dose of 4.5 mg/kg, the radioactivity was well absorbed and rapidly excreted. During 5 days, 81 percent of the dose (ca. 50 percent in 12 h) was excreted in urine and 10 percent in faeces. 2. Rates and routes of excretion of radioactivity were not altered in animals pre-treated with the drug for fourteen days. 3. Peak mean plasma concentrations of radioactivity (5.5 microgram equiv./ml) occurred at 90 min after an oral dose and were higher than those at 2 min following an equivalent intravenous (3.4 microgram equiv./ml) or rectal (4.0 microgram equiv./ml) dose which gave a max. at 45 min. 4. The drug was rapidly and extensively metabolized and no unchanged drug was detected in the plasma or urine. The major urinary metabolite was the N-oxide of the parent compound accounting for 34 percent and 23 percent dose excreted in the urine of males and females respectively during 12 h after administration.

Analgesics↗
PubMed1977

A superoxide-producing system in the conjunctival mucus thread.

In normal sterile eyes, the conjunctival mucus thread is capable of reducing the vital stain iodonitrotetrazolium (INT). The greatly increased amount of INT reduction in bacterial conjunctivitis has been used as a clinical test for this disorder. We find that native superoxide dismutase, but not the heat inactivated enzyme, inhibits INT reduction by the conjunctival mucus thread in vitro as well as in vivo in sterile rabbit eyes. Furthermore, 3,4-dihydroxybenzoic acid (DHBA), a scavenger of superoxide radical (O2-), inhibits INT reduction by the mucus thread. We conclude that INT reduction by the mucus thread is due to a superoxide radical-producing system similar to that apparently responsible for the tetrazolium-reducing properties of granulocytes and other phagocytes. This oxygen radical-producing system may serve as a defense against infection and possibly as a mediator of the conjunctival inflammatory response.

Animals↗
PubMed1975

Combined subarachnoid and subdural spinal hematoma following spinal puncture.

A case of combined subarachnoid and subdural spinal hematomas secondary to lumbar puncture during myelography is described. Contributing factors to this particular syndrome are discussed and the separate clinical syndromes of epidural and subarachnoid spinal hematomas are described. The incidence of all spinal hematomas appears to be increasing, due to the combined factors of spinal trauma and anticoagulant therapy. Spinal hematomas typically present with severe and localized back pain, rapidly progressive myelopathy and a poor prognosis for functional recovery unless immediate decompression is performed.

Female↗
PubMed1975

Large bowel perforation by intrauterine contraceptive devices.

Two cases of large bowel perforation by intrauterine contraceptive devices are presented. Both the Lippes LoopTM and Dalkon ShieldTM have the potential of evoking omental adhesions and causing bowel perforation. These serious complications justify the immediate removal of a contraceptive device from the peritoneal cavity by either laparoscopy or laparatomy.

Adult↗