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Biomedical subjects

D S MacLean

Publications and source records attributed to D S MacLean.

12 recordsLinked to original sources

Monitoring the retention of a protein antigen in complete Freund's adjuvant, alum, and pluronic F-127 gel formulations by X-ray fluorescence.

Adjuvants function by protecting antigens from rapid degradation or dispersal. The effectiveness of experimental adjuvants can be assessed by measuring antibody titers to the antigen of interest or, less frequently, by evaluating the retention and distribution of antigen at the application site. In this study, we used X-ray fluorescence (XRF) to monitor the release of an iodinated protein (I-bovine serum albumin) from several adjuvant formulations after its subcutaneous injection in rats. The interaction of the tagged antigen with an external Am-241 source leads to the emission of iodine X-rays from the application site; the number of these X-rays is proportional to the concentration of the protein remaining at the injection site. The disappearance of the iodine X-rays, and hence the antigen, from the injection site followed first-order kinetics for all adjuvant formulations tested; mean half-life values were as follows: in 50% Freund's adjuvant, 17.1 +/- 1.1 h; in 4-hour-old 25% Alum, 11.78 +/- 0.08 h; in 4-h-old 50% Alum, 13.2 +/- 2 h; in 3-day-old 50% Alum, 15.8 +/- 1.5 h; and in 240 mg/mL Pluronic F-127, 7.9 +/- 0.7 h. We conclude that XRF is an easy, reliable, noninvasive method to monitor the retention of antigens in these adjuvant solutions.

Alum Compounds↗

Neutron activation of NDDP, a liposomal platinum antitumor agent.

UNLABELLED: Cis-bis-neodecanoato-trans-R,R-1,2-diamminocyclohexane platinum (II) [NDDP] is a liposome-entrapped platinum compound currently, in phase II clinical trials, that has been shown to undergo intraliposomal activation. The objective of this study was to determine the feasibility of activating NDDP and using the induced radioactivity to monitor NDDP distribution and penetration. METHODS: Neutron activation analysis (NAA) was done on NDDP using the nuclear reactor at Texas A & M University, College Station, Texas. After a 3-hour irradiation, the NDDP samples were analyzed using an HPGE (high purity germanium) detector to determine the activation of the radioisotopic platinum. This was followed by HPLC-UV analysis to determine the stability of NDDP after exposure to the reactor's core. RESULTS: Platinum radioisotopes were produced along with potassium-40 and sodium-24. Irradiation did not result in any significant degradation of NDDP. CONCLUSIONS: (1) Irradiating fully synthesized NDDP is feasible for diagnostic use if a purification step is taken after the irradiation, and (2) radiation exposure is lessened by irradiating NDDP after synthesis rather than starting with high-specific-activity isotopes.

Antineoplastic Agents↗

Outcome and cost of family physicians' care--pilot study of three diagnosis-related groups in elderly inpatients.

BACKGROUND: Health care analysts have speculated whether a primary-care-based delivery system would improve outcomes and costs for the currently preponderantly specialist-directed United States system. This pilot study compares outcomes and costs of family physicians' care with those of other physicians' care for three diagnosis-related groups (DRGs) and shows the feasibility of a larger scale research program using the Pennsylvania MedisGroups data base. METHODS: A cross-sectional comparison of outcomes and costs of hospital care given by either family physicians or other physicians was conducted using patients aged 65 years and older who were hospitalized during 1990. The study population was 2420 inpatients: 847 with DRG 174 (gastrointestinal bleeding), 628 with DRG 243 (medical back pain), and 945 with DRG 296 (metabolic disorders). Patients were stratified into five admission severity groups for each DRG. Comparison variables were MedisGroups major morbidity classification, in-hospital mortality, mean length of stay, and total charges. RESULTS: The family physician group delivered inpatient care to the elderly with gastrointestinal bleeding at significantly less cost than other physicians without any compromise of effectiveness. There was a similar but less striking trend for medical back pain. Results were variable for metabolic disorders. CONCLUSIONS: The results of this pilot study apply only to the three DRGs in the region at the time investigated. Generalizations should be avoided before additional DRGs are studied throughout the rest of the state. This pilot study demonstrates the feasibility of such research.

Aged↗