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Biomedical subjects

E Berg

Publications and source records attributed to E Berg.

At least 55 records · Page 3Linked to original sources

Proteoglycan metabolism in normal and inflammatory human macrophages.

To study proteoglycan metabolism in inflammatory macrophages, primary cultures of human macrophages were cultured in the absence and presence of bacterial lipopolysaccharide (LPS). When exposed to [35S]sulfate, the cells incorporated the label almost exclusively into chondroitin sulfate proteoglycan (CSPG), which was recovered from the culture medium and the cell layer. Cells stimulated with LPS secreted approximately three times more [35]CSPG into the culture medium than control cells. Furthermore, cell adhesion was also found to promote proteoglycan secretion; when nonadherent monocytic cells were induced to adhere, the release of proteoglycan increased two times. The increased secretion seen in LPS-stimulated macrophages was partly due to increased biosynthesis, but was mostly due to increased sorting of CSPG to the secretory pathway. Only about 20% of the CSPG synthesized in unstimulated cells was secreted, whereas the corresponding figure in LPS-treated cells was 35%. In both cell types, the remaining [35S]CSPG was degraded, probably in the lysosomes. The degradation was a two-step process. First, the [35S]CSPG was rapidly cleaved to yield free glycosaminoglycan (GAG) chains (t1/2 = 15 to 30 minutes). Secondly, the GAG chains were completely depolymerized (t1/2 = 2 to 3 hours). Neither resting nor LPS-stimulated cells sorted CSPG to intracellular storage, as is evident in many hematopoietic cells. The LPS-treated cells synthesized [35S]CSPG of smaller molecular size than did control cells, with GAG chains of approximate molecular mass of 12 kD versus 16 kD in control cells. No difference was seen in the disaccharide composition of the GAG chains; both LPS-stimulated and unstimulated cells expressed a mixture of 80% to 90% chondroitin 4-sulfate and 10% to 20% chondroitin 4,6-disulfate. N-terminal sequence and Northern blot analysis indicate that the core protein of the CSPG secreted by human macrophages is serglycin.

Amino Acid Sequence↗

How a sex pheromone might act at a concentration below 10(-16) M.

The sex-inducing pheromone of Volvox carteri is a glycoprotein that triggers development of males and females at a concentration below 10(-16) M. Evidence is presented for the existence of a novel mechanism of signal amplification operating within the extracellular matrix of this multicellular organism. A family of 70 kDa matrix glycoproteins denoted pherophorins bear a C-terminal domain being homologous to the sex-inducing pheromone. Under the influence of the pheromone, this domain is liberated by highly specific proteolysis.

Algal Proteins↗

Leaching of organic additives from dentures in vivo.

Samples of saliva were collected from subjects with dentures. These samples were collected both before the dentures were replaced and 1 week after the subjects had received their new dentures. Dibutylphthalate and phenyl benzoate were detected in the saliva samples with a gas-chromatography and a gas-chromatography/mass-spectrometry technique. We also quantified the dibutylphthalate in the saliva. In addition, in an in vitro study, we identified biphenyl leached from heat-cured denture base polymer plates. Our study suggests that subjects with dentures have higher contents of the above organic substances in saliva than subjects without dentures and that organic additives leach from new heat-cured dentures.

Adult↗

Acceptance of full dentures.

The wearing of even technically perfect full dentures is associated with a significant deterioration of most, if not all, oral functions. The fact that between 85 and 90 per cent of patients receiving new and technically well made dentures and between 65 and 75 per cent of patients with older dentures are generally satisfied with the treatment result is therefore more of a tribute to human adaptation than to prosthodontic skill. Research has shown that variables claimed to play an important role in patient acceptance of full dentures, such as the quality of the dentures, the oral condition, the patient-dentist relationship, the patients' attitude toward dentures, the patients' personality, socio-economic factors, demographic variables, previous denture experience and oral stereognosis, have in fact no or negligible effects in this respect. Nor has the degree of prediction been appreciably improved by combining the effects of such variables. Variables of theoretical importance for acceptance of dentures such as the patients' motory ability and the quality and quantity of saliva have still to be studied. At the present time research has yet failed to furnish the clinician with a practical method whereby patients who are unlikely to accept full dentures can be identified with any degree of certainty. The clinician has therefore still no option but to base his prediction on an individual estimate of his patient's adaptive ability.

Adaptation, Psychological↗

Hospitals signing onto data bases to help set sights as they target potential patients.

Hospitals are beginning to improve the focus of their marketing efforts by using information they already have--from billing records, physician referrals and patient visits to urgent-care centers. Such data bases help spot potential repeat customers. Tactical marketing has been practiced in other industries for years, but it's relatively new to healthcare.

Cost Control↗

Form, function and flexibility by design.

From a children's residential psychiatric unit in California to a medical campus in Japan, this year's winners in MODERN HEALTHCARE'S sixth annual design awards competition showed great innovation and skill in blending the projects into surrounding communities, cultures or existing structures.

Architecture↗

Benefits plans focus on flexibility. Hospitals increase choices for employees as emphasis moves from recruitment to retention.

As hospitals turn their attention from employee recruitment to employee retention, flexible benefits plans are becoming increasingly popular as a means of meeting workers' preference for choice when it comes to issues such as healthcare coverage, insurance and vacation days. At the same time, such programs can help hospitals hold down their long-term costs.

Employee Incentive Plans↗

Up and comers: Lt. Cmdr. Robert J. Burg, Maura Loughlin Carley, Pete Delgado, John P. Glaser, Glen Nessel, Kevin Potter, Laura J. Redoutey, Vicki Romero, Nancy Schlichting, Paul Viviano, Greg Wozniak, Lorraine Zippiroli.

Modern Healthcare's 1991 Up and Comers, the fifth annual group, are scattered all over the map, from Boston to the Bay Area, from Flint, Mich., to El Paso, Texas. They work in managed care, associations and specialty hospitals; one even administers the office that cares for members of Congress. At least two are "healthcare brats" whose fathers managed hospitals. One spent time working in a salmon cannery; another was a Peace Corps volunteer in Swaziland. Despite their differences, they share many common traits. They are bright, committed and know how to motivate and involve others. Maura Loughlin Carley, an area administrator for Kaiser Permanente Foundation Health Plans, put it best when she said her goal is to "hire the best people, develop them and keep them happy." They're also committed to seeking new ways to improve healthcare delivery. As Kevin Potter said, "What keeps me humble is that there's so much that I'm learning every day." Each of these emerging leaders is making a mark on the healthcare industry. They were chosen from a field of almost 50 candidates, all 40 or younger, compiled by the editorial staff of Modern Healthcare and readers.

History, 20th Century↗

Teaming up to improve quality of patient care.

A philosophy of care that involves family members or friends in patients' medical treatment is beginning to catch on at hospitals. Advocates say cooperative care increases quality and reduces costs because family members perform myriad tasks. Patients are involved in decisions about their own treatment and even have access to their medical records. But some question whether patients are ready to take on that much control.

Cooperative Behavior↗

Hay/Modern Healthcare compensation survey.

Healthcare chief executives' base salaries overtook those of their industrial counterparts, but they still lagged when comparing total pay, according to this year's Hay/Modern Healthcare Compensation Survey. Even in total compensation, however, healthcare execs were narrowing the gap. The survey also found disparities in pay levels reflected regional factors such as the competitive environment and high cost of living.

Data Collection↗