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Biomedical subjects

E Rosen

Publications and source records attributed to E Rosen.

At least 73 records · Page 4Linked to original sources
PubMed1988

Senior adult sexuality in age segregated and age integrated communities.

Middle-income older adults who select to reside in age-segregated (AS) leisure-type retirement communities exhibit significantly more sexual interest, sexual activities, and liberal sexual attitudes than do middle-income older adults residing in age-integrated (AI) mainstream communities. Data from 314 respondents on a senior adult sexuality scale were subjected to a discriminant analysis. Sexual activities and traditional sexual interests respectively make the strongest contribution to the group differences. The implications of these findings are discussed.

Aged↗
PubMed1988

Nursing staff response to a facility's relocation.

RESPONSE RATE--approximately 200 questionnaires were distributed and 101 were returned and collated. The response rate was 51 percent. ORIENTATION--the results were as follows: 89 percent of staff surveyed attended orientation; many staff took more than one tour (55.6 percent had two or more), which may be an important factor in adjustment; 75.2 percent indicated tht orientation was relevant, and those who did not recommended more specific unit orientation; and 31 percent said there was too much information and perhaps this should be examined in future orientation programs. OMISSIONS--many commented that specific, hands-on orientation to the equipment such as telephones and the call system would have been beneficial, as well as orientation to their own specific unit. Smaller orientation groups would also seem to be warranted in light of this information. COMMUNICATION CONCERNING THE MOVE--approximately 79 percent of the staff attended at least one staff meeting prior to the move, and 78 percent knew of the moving schedule. However, subsequent (and frequent) changes in this schedule were mentioned as a source of frustration. About 13 percent indicated a need for more staff input into the move and would suggest more open forums or discussion groups to solicit input as a way of increasing staff participation and commitment to the move. A need for frequent, reliable written communication was mentioned frequently as misinformation or word-of-mouth information led to unnecessary frustrations. It is interesting to note that approximately 80 percent of respondents had no suggestions to improve communication, and it is difficult to know whether this may indicate satisfaction with communication mechanisms or a lack of ideas on how to improve the situation. SENSE OF PREPAREDNESS FOR THE MOVE--80.4 percent gave a high rating to indicate how prepared they felt regarding the move, which is really very positive. PROBLEMS ADJUSTING TO NEW ENVIRONMENT--most of the responses (48%) related to problems with communication systems, particularly the phone system, problems with the phone listing book and lack of directional signs. Suggestions for facilitating adjustment closely followed the above responses in that more and better signs, and more effective means for directing staff, patients and visitors, were frequently cited. CURRENT FRUSTRATIONS--respondents were asked to detail ongoing and current frustrations. Environmental concerns such as excessively dry air and the cleanliness of the building were noted and earmarked for further investigation. It is worthy of note that concerns relating to nurse staffing were mentioned very infrequently both during and after the move.

Anxiety↗
PubMed1987

Gene regulation during dedifferentiation in Dictyostelium discoideum.

During development of Dictyostelium discoideum, cells acquire the capacity to rapidly recapitulate morphogenesis. Therefore, when cells at the loose aggregate stage are disaggregated and challenged to reaggregate, they do so in a tenth of the original time. If loose aggregate cells are disaggregated and resuspended in buffered dextrose solution (erasure medium), they retain the capacity of rapid recapitulation for 80 min, then completely lose this capacity in a single, synchronous step referred to as the "erasure event." The erasure event sets in motion a program of dedifferentiation during which cells lose developmentally acquired characteristics at different times. The erasure event is inhibited by the addition of 10(-4) M cAMP to erasure medium. The synthesis of 33 growth-associated polypeptides, the synthesis of 53 development-associated polypeptides, and the level of 2 development-associated RNAs have been monitored during the erasure program and in cultures inhibited from erasing by the addition of 10(-4) M cAMP. Growth-associated polypeptides begin to be resynthesized and development-associated polypeptides exhibit dramatic decreases in rate of synthesis at different times throughout the first 240 min in erasure medium. Inhibiting the erasure event with cAMP has no major effect in the resynthesis of the majority of growth-associated polypeptides. Only one growth-associated polypeptide, V28, is completely inhibited by cAMP, suggesting that it may play a role in the erasure process. In contrast, inhibiting the erasure event with cAMP has a marked effect on the synthesis of development-associated polypeptides, causing a dramatic reduction in the rate at which synthesis decreases for 6 polypeptides, and completely inhibits the decrease in the synthetic rate of 8 polypeptides. The two development-associated RNAs, 16G1 and 10C3, exhibit two distinctly different patterns of loss during erasure, but in both cases cAMP added at time zero of the erasure process dramatically retards or inhibits loss. In addition, when cAMP is added just prior to the erasure event, it inhibits the erasure event and stimulates a rapid increase in the level of 16G1 RNA back to the developmental level. The level of 16G1 RNA then remains at this level for at least 400 min. When cAMP is added after the erasure event, it causes a low, transient increase in the level of 16G1 RNA. These results are considered both in relation to the program of erasure, and in relation to the role of cAMP in the expression of developmental genes during the forward program of development.

Cell Differentiation↗
PubMed1985

Radiotherapy for prostate carcinoma: the JCRT experience (1968-1978). II. Factors related to tumor control and complications.

We have analyzed treatment failure and complications as a function of radiotherapy technique and other factors in 229 patients irradiated for prostate carcinoma from 1968-1978. Thirty-four patients (15%) developed clinical evidence of local-regional recurrence. In about one-quarter of these recurrences, there was a component of ureteral obstruction, possibly due to marginal miss in the seminal vesicles. Although different parameters of treatment technique were not significantly correlated with local failure, there was a trend toward higher failure rates for Stage B and C patients when the length and/or width of the conedown field was less than 8 cm (p = 0.27 and 0.25, respectively). As in other recent studies, patients with Stage C disease who had undergone trans-urethral resection of the prostate had a lower disease-free survival rate than patients who had only needle biopsy (39 vs. 65% at 5 years, p = 0.055). The use of larger initial fields treating the pelvic lymph nodes did not result in better local tumor control or better overall control. However, the use of larger fields did result in a higher rate of significant complications (8.7 vs. 1.6% for fields greater than or equal to 150 cm2 or less than 150 cm2, respectively, p = 0.013). In view of the higher complication rate and the absence of convincing evidence of benefit for whole pelvic treatment, irradiation of all pelvic lymph nodes can be questioned.

Carcinoma↗
PubMed1983

An unusual transposon encoding heat shock inducible and developmentally regulated transcripts in Dictyostelium.

We have isolated and characterized a transposable element from Dictyostelium discoideum denoted Tdd-1. There are approximately 50 complete copies of the element per haploid genome and approximately 100-150 partial elements. Southern blots of DNA from different Dictyostelium discoideum strains show that Tdd-1 is a mobile element. Tdd-1 is 4.9 kb long, with 313 bp inverted repeats. These repeats lie near the termini, but unlike other transposable elements one end of Tdd-1 extends 36 bp past the repeat and the other extends 1 bp. Tdd-1 encodes a series of developmentally regulated transcripts, all with the same polarity, that increase dramatically in abundance after approximately 10 hr of development. We have also identified a heat shock inducible transcript of the opposite polarity.

Animals↗
PubMed1983

Pulmonary edema occurring after isoxsuprine and dexamethasone treatment for preterm labor: Case report.

A case of maternal pulmonary edema occurring in a patient in the 32nd week of gestation is presented. This was our first case of pulmonary edema seen during a period of five years' usage of isoxsuprine in the treatment of premature labor. The patient presented was 28 years old, gravida 2, para 1, admitted to the maternity ward with premature uterine contractions. Her past history eliminate cardiac or pulmonary disease. Isoxsuprine therapy was begun with initial dose of 0.04 mg/min. and increased to 0.32 mg/min., the total dose administered was 560 mg during 48 hours. During this period she was given in dexamethasone 24 mg. Fluid balance on the first day of the treatment was +1.7 liters and on the second day +5.2 liters. Forty-eight hours from the commencement of the treatment, the patient experienced shortness of breath and chest pain. Physical examination disclosed wet rales over both lungs, sinus tachycardia and tachypnea. Laboratory examination disclosed hypopotassemia of 3 mEq/liter, hypoxemia (PO2 of 80 torr on 0.5 FiO2 face mask) with mild hyperventilation 28 torr PCO2 with normal ph 7.43. Recognition of the early signs of pulmonary edema enable swift clinical diagnosis and steps to be taken to prevent disasterous condition due to progressive hypoxemia. The prompt treatment in this complication includes discontinuation of isoxsuprine and fluid administration, placement of the patient in an erect position, intravenous furosemid 40 mg, oxygen supplement by face mask and 25 mg of meperidine. The patient's condition dramatically improved though the lung fields became completely clear from wet rales only eight hours from the start of dyspneic attack.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1981

Fundus cameras.

The history of fundus cameras is presented together with a description of currently available equipment, which ranges from a portable 30 degree fundus camera to fixed equipment of 30 degrees, stepped 30 degrees to 45 degrees, and zoom focus 20 degrees to 60 degrees capability. The present status of fundus photography is considered and its importance as a diagnostic tool stressed. Wide angle (Equator +) fundus photography is considered in relation to alternative methods of monitoring fundus pathology and treatment. Future developments in the field of fundus photography are discussed.

Fluorescein Angiography↗
PubMed1980

Toxicologic evaluation of streptozotocin (NSC 85998) in mice, dogs and monkeys.

Single intravenous doses of CDF1 mice, and single and five daily intravenous treatment schedules in beagle dogs and rhesus monkeys were used to evaluate the toxicity of Streptozotocin (SZN). The major target organs in the three species were liver, kidney, lymphoid tissue and pancreatic islet beta cells. Moderate bone marrow depression and gastrointestinal toxicity were observed in the large animal species after lethal doses. Monkeys were less sensitive than the dog to the hepatotoxic effects of SZN and clinical signs of liver dysfunction were more severe in dogs after multiple doses. Microscopic lesions in the renal proximal convoluted tubules were present in the three species; these lesions appeared to be irreversible for dogs. The toxic effect on the endocrine pancreas was manifest by hyperglycemia, glucosuria, islet atrophy and beta cell degranulation. Multiple dose regimens were less toxic than single doses in dogs and monkeys in terms of the total dose received.

Animals↗
PubMed1980

Preclinical toxicologic evaluation of ICRF-187 in dogs.

Single- and multiple-treatment schedule in dogs were used to evaluate the toxicity of ICRF-187. The major target organs were the bone marrow, lymphoid tissue, gastrointestinal tract, liver, and kidney. Liver, kidney, and intestinal toxic effects were most severe at lethal doses. Toxic effects on the kidney and intestinal tract were reduced or absent at lower doses. Hepatotoxicity was most severe after single doses and was only slowly reversible at high doses. Repeated dosage regimens had the greatest effect on circulating blood cells, and anemia and neutropenia were most prominent after three series of five daily doses with rest periods between series. ICRF-187 was more toxic to dogs in terms of total dose received when administered in five daily doses than in single doses. A rest period between series of five daily doses allowed a larger total dose to be administered.

Animals↗
PubMed1980

Toxicity of spirogermanium in mice and dogs after iv or im administration.

Toxicity of single-dose spirogermanium was evaluated after iv and im administration to CDF1 mice and beagle dogs. The im LD50 in mice was approximately threefold greater than the iv LD50. The lethal dose in dogs was the same for both routes of administration, but death was delayed after im injection. Convulsive seizures occurred only after the im doses that were lethal, but they were observed after administration of iv doses that were nonlethal. Microscopic evidence of drug toxicity (necrosis and degeneration) was found in mitotically active tissues: intestinal tract, lymphoid tissue, and bone marrow. Necrosis, hemorrhage, edema, and granulation tissue were observed in the muscle injection site.

Animals↗
PubMed1979

Hyperprolactinaemia and hypogonadism in men: response to exogenous gonadotrophins.

Three male patients with pituitary tumours and marked hyperprolactinaemia were investigated. Their prolactin (PRL) levels ranged from 210 to 2500 ng/ml. The subjects had clinical and laboratory characteristics of hypogonadotrophic hypogonadism. All were treated with human chorionic gonadotrophin (HCG) and in one subject human menopausal gonadotrophin (HMG) was given in addition. In all three patients, despite the persistence of hyperprolactinaemia, serum testosterone had risen to normal levels within 4--17 days after starting HCG. Despite the normal testosterone level, impotence persisted in two patients and the third had persistently decreased libido. The hypogonadism in these patients may be related to an absolute reduction in gonadotroph number secondary to destruction by tumour mass. Alternatively, hyperprolactinaemia may inhibit the synthesis or release of the gonadotrophins or LHRH. Despite hyperprolactinaemia, pharmacological doses of HCG induced testosterone secretion in all these three subjects.

Adult↗