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Biomedical subjects

E Austin

Publications and source records attributed to E Austin.

50 records · Page 3Linked to original sources

Family abuse of the elderly.

In 12 cases of family abuse of disabled elderly persons, the majority of the abused were women. Caretakers included spouses, children, siblings or other relatives. Abuse was both physical and verbal/psychologic. Neglect, the most common form of physical abuse, sometimes resulted in decubitus ulcers and vermin infestation. Misuse of medical therapy and nutrition were other areas of physical abuse. Psychologic abuse included derogation, infantilization, and threats of institutionalization, abandonment, and homicide. Possible causes of abuse included alcoholism in the caretaker, financial concerns, and long-term family conflicts. Various recommendations are made for the management of abusive families.

Aged↗

Identification of anastomotic sites with radiopaque markers.

Routine marking of the anastomotic site in gastrointestinal and biliary tract operations by hemoclips is a useful adjunct in the study and interpretation of postoperative roentgenologic studies. The addition of this simple maneuver has been greeted with enthusiasm by our radiologists. We suggest that the use of hemoclips be made routine in gastrointestinal and biliary tract operations.

Biliary Tract Surgical Procedures↗

A model for deposition of stable and unstable aerosols in the human respiratory tract.

A model has been developed for deposition of stable and unstable aerosols in the human respiratory tract. This model has the advantages of employing a realistic asymmetric lung model and utilizing actual breath curves. Results from the model are presented for normal and abnormal breath patterns for both stable and unstable particles. Insofar as comparison is possible, agreement between model calculations and experiment appears to be reasonable.

Aerosols↗

Periplasmic localization of nicotinate phosphoribosyltransferase in Escherichia coli.

Nicotinate phosphoribosyltransferase (NAPRTase) in Escherichia coli mediates the formation of nicotinate mononucleotide, a direct precursor of nicotinamide adenine dinucleotide (NAD), from nicotinate and 5-phosphoribosyl-1-pyrophosphate. Specifically, NAPRTase contributes to NAD synthesis by utilizing intracellular nicotinate formed from NAD degradation products, which are recycled by NAD cycle enzymes and exogenous nicotinate when it is available. In previous studies, it has been tacitly assumed that almost all NAD cycle enzymes are localized in the cytoplasm of E. coli. The results of this investigation provide evidence that NAPRTase is a periplasmic (extracytoplasmic) enzyme. The osmotic shock of exponential-phase cells of E. coli K-12 and ML 308-225 resulted in the release of 63 to 72% and 42 to 48%, respectively, of the NAPRTase into the shock medium. In addition, when exponential cells of strains K-12 and ML 308-225 were converted into spheroplasts, 75 to 84% and 54 to 68%, respectively, of the enzyme was released into the spheroplast medium. Since previous estimates of the effective levels of NAPRTase present in putative repressed and derepressed E. coli cells appeared to be very low, a more convenient and accurate alternative method for the evaluation of NAPRTase in whole cells was developed. The results show that NAPRTase is subject only to a modest degree of enzyme repression. In addition, no evidence was found for the presence of a protein or low-molecular-weight inhibitor of the enzyme in repressed cells.

Cytoplasm↗

Control of hepatic bleeding with microfibrillar collagen.

Microfibrillar (Avitene) is a new absorbable topical hemostatic agent whose mechanism of action is platelet entrapment and activation of platelet clotting factors. It adheres to moist tissue surfaces to form a firm, flexible hemostatic coagulum. It has been used clinically in 36 patients with hepatic bleeding of diverse etiology, including bleeding from the gallbladder fossa, lacerations, resectional surfaces, biopsy sites, capsular denudations, and hepatic tumors. Although not intended to control major hemorrhage were major vessel ligation or resection is properly indicated, its topical use for diffuse small vessel bleeding may be life-saving. It is exceptionally useful in such conditions as cirrhosis and in thrombocytopenic or thrombasthenic coagulopathies. One treatment failure out of 36 occurred.

Aged↗

Whole body health.

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Complementary Therapies↗