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Biomedical subjects

H G Smith

Publications and source records attributed to H G Smith.

At least 55 records · Page 3Linked to original sources

Eradication of microscopic lymph nodes metastases after injection of living BCG adjacent to the primary tumor.

Guinea pigs with established intradermal tumors and microscopic axillary lymph node metastases were treated with a combination of surgery and BCG. The tumors were excised and BCG was given in attempts to eliminate residual malignant disease. Injection of BCG into established intradermal tumors 7 days before local excision successfully eradicated microscopic axillary lymph node metastases and cured significant numbers of animals. Injection of BCG into dermal tumors 20 minutes or 1 day before excision prolonged survival but did not cure a significant number of animals. Injection of BCG into the skin adjacent to the dermal tumor 7 days before local excision eradicated microscopic axillary lymph node metastases. However, such injection 1 day before local excision did not eradicate metastases. BCG administered by intravenous, intra-arterial, or intranodal injection did not eliminate reidual malignant disease. Several factors were evaluated as possible correlates of successful immunotherapy. The development of tuberculin hypersensitivity, the magnitude of regional adenopathy, and the number of BCG organisms in axillary nodes were not useful correlates. Histologically, the presence of tumor cells, multiple focal granuloma, or histiocytosis in axillary nodes faiiled to correlate with results of therapy. The development of tumor-specific transplantation immunity provided the best correlate of successful immunotherapy.

Adjuvants, Immunologic↗

The role of pancreatic resection in the treatment of pancreatic pseudocysts.

Complicated pancreatic pseudocysts, including multiple pseudocysts, those that have failed prior internal or external drainage, those with associated biliary or pancreatic duct strictures, and those where the diagnosis of cystic neoplasm cannot be excluded, pose unique problems in terms of treatment by standard internal or external drainage techniques. In the series reported herein, pancreatic resection (pylorus-sparing pancreaticoduodenectomy or distal pancreatectomy) was used to treat patients with these complicated pseudocysts resulting in a 59% morbidity rate, 3% mortality rate, and 6% recurrence rate. Results from a collective series of 152 patients from the literature support these findings. Although pancreatic resection has a limited role in the management of patients with uncomplicated pancreatic pseudocysts, it is the treatment of choice in patients with complicated pancreatic pseudocysts.

Adult↗

Early nutrition causes persistent effects on pheasant morphology.

Differences in growth conditions during early ontogeny have been suggested to cause permanent effects on the morphology and quality of birds. Yearly variation in growth conditions could thus result in morphological and quality differences between cohorts. In this study, we investigated the effect of small differences in the dietary protein content of captive ring-necked pheasants (Phasianus colchicus) during their first 8 wk posthatching. An experimental increase of the proportion of dietary protein during the first 3 wk of life accelerated growth, whereas a similar manipulation during the following 5 wk had only a limited effect. Compensatory growth during the postexperimental period equalized the size of chicks from different experimental treatments. However, a difference in tarsus length resulting from experimental treatment during the first 3 wk remained into adulthood. Furthermore, the protein content of the diet during the first 3 wk had an effect on the degree of fluctuating asymmetry in tarsus length, suggesting persistent effects on the quality of birds. The results of this study may explain size differences between cohorts that exist in pheasants and may also provide a link between the use of pesticides in agriculture and population effects on pheasants.

Animal Nutritional Physiological Phenomena↗

Regional blood flow during extracorporeal membrane oxygenation in lambs.

To determine changes in blood flow to different organs during extracorporeal membrane oxygenation (ECMO), the authors performed venoarterial ECMO in four young lambs for 71-96 hr (Group 1). Macroaggregated albumin microspheres labeled with technetium 99m were injected through the perfusion cannula before termination of ECMO to determine percent of blood flow by measuring radioactivity from the microspheres lodged in specific organs. The control group (Group 2) consisted of three animals not on bypass; injections were made through a catheter placed in the left ventricle. Relative coronary blood flow from the perfusion cannula was significantly less than relative coronary blood flow in the control group, possibly because of cannula location. Renal flow from the perfusion cannula also was decreased. Contrary to observations in rabbits, cerebral perfusion did not decrease in the bypass group despite ligation of the carotid artery and the external jugular vein. There were no statistically significant differences between the two groups in the relative blood flow to other organs. The authors conclude that ECMO may significantly alter myocardial and renal perfusion, with minimal effects to other organs.

Animals↗