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Biomedical subjects

G Smith

Publications and source records attributed to G Smith.

At least 865 records · Page 48Linked to original sources
PubMed1978

Corneal topography and monocular diplopia following near work.

Monocular diplopia, reported by a subject following near work, was shown to be caused by changes in the corneal topography. Prior slit lamp biomicroscopy had revealed no corneal abnormality. The degree of corneal distortion and ray tracing calculations confirmed the presence and position of the resultant diplopia.

Adult↗
PubMed1978

Inhibition of cell-mediated microcytotoxicity and stimulation of mixed lymphocyte reactivity by mouse pregnancy serum.

Blocking activity of mouse pregnancy serum was investigated using a well defined one-way mixed lymphocyte culture and a cell-mediated microcytotoxicity test. Allogeneic (C57BL (H-2b) X CBA/Ca (H-2k)) and syngeneic (C57BL (H-2b) X C57BL (H-2b)) pregnancy and postpartum sera were found to stimulate rather than inhibit the mixed lymphocyte response. In contrast, the same sera were able to abrogate target cell killing by hyperimmune lymphocytes in a cell-mediated microcytotoxicity test. Although inhibitory activity was present in both allogeneic and syngeneic 18-day pregnancy sera, indicating a non-specific effect, only allogeneic postpartum sera had significant blocking activity when compared with either the equivalent syngeneic group or the normal serum control. The specificity implied by this gained support from preliminary third-party experiments. Blocking activity was found in primiparous as well as multiparous sera. These results provide further evidence for the existence of maternal serum-blocking factors which may operate to protect the conceptus against maternal cell-mediated immunity during pregnancy, and indicate that they may act at the efferent rather than the afferent phase of the immune response.

Animals↗
PubMed1978

Oxygen toxicity.

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Anesthesiology↗
PubMed1978

Gastro-oesophageal pressure gradient changes produced by induction of anaesthesia and suxamethonium.

The pressures in the lower oesophageal sphincter (high pressure zone or HPZ) and stomach were measured in 15 patients with duodenal ulcer and 14 patients with no gastrointestinal disease. All the patients were premedicated with morphine 10 mg i.m. In the patients without duodenal ulcer, the pressure gradient between HPZ and stomach was 6.6 +/- 0.62 mm Hg (mean +/- SEM) before diminishing to 4.9 +/- 0.86 after induction of anaesthesia with thiopentone. During fasciculations following i.v. suxamethonium, the gradient increased to 7.1 +/- 1.0 mm Hg. In patients with duodenal ulcer, although the absolute pressures were less, the gradients during the study were similar to those in healthy patients. We conclude that there is no increased risk of regurgitation during fasciculations induced by suxamethonium.

Anesthesia, Intravenous↗
PubMed1977

Composite hyoid sternohyoid muscle grafts in humans. Its use in reconstruction of subglottic stenosis and the anterior tracheal wall.

Successful results were achieved in three of four human cases of glottic, subglottic, and tracheal stenosis by using composite hyoid bone-muscle pedicle. A technique is used to create and interposition the grafts to widen the lumen and to provide structural support. The vital composite hyoid bone-muscle graft interposition technique offers a promising method for the solution of difficult cases of glottic, subglottic, and tracheal stenosis. Abandonment of previous long-term dilations is recommended in favor of early surgical restoration of a widened airway.

Adult↗
PubMed1977

Experience with incompatible maternal donors for bone marrow transplantation.

Marrow transplantation in aplastic anemia and leukemia has generally been limited to siblings who have been histocompatible at both the serological (A and B) and lymphocyte determined (D or MLC) loci of the HLA system. We studied three male patients, two with aplastic anemia and one with acute myelogenous leukemia, who received transplants from their histoincompatible mothers. MLC studies between donors and recipients showed varying degrees of stimulation. Definite engraftment occurred in one patient and transient engraftment in another. Engraftment in the third patient could not be evaluated. In the patient with sustained engraftment, there was clinical evidence of severe graft versus host disease (GVHD) however, this was not substantiated by histologic findings. This preliminary study suggests that MLC incompatibility may be more of an indicator of the risk of GVHD than of bone marrow rejection. If more effective control of GVHD can be accomplished, marrow transplantation between MLC-reactive individuals may become feasible.

Adult↗