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Biomedical subjects

J D Thomas

Publications and source records attributed to J D Thomas.

At least 325 records · Page 18Linked to original sources

An evaluation of the interactions between freshwater pulmonate snail hosts of human schistosomes and macrophytes.

An account is given of a laboratory investigation designed to evaluate the extent to which the freshwater pulmonate snail Biomphalaria glabrata (Say) can utilize various species of aquatic plants, mainly macrophytes, when presented in the following forms over different time scales: normal plants; dried plant material; homogenized plant material in calcium alginate matrices; water-soluble filtrates of plant homogenates in the medium. The following propositions, derived from the theory of phased coevolution of components of the module consisting of the epiphytic bacteria, algae, snails and macrophytes, are evaluated on the basis of the present results and others including those obtained in this laboratory. That as the snails had become specialized to exploit surface communities of epiphytic algae, decaying plant material and dissolved organic matter (DOM) early in their evolutionary history they would continue to exploit these resources when they later become associated with aquatic macrophytes. That pulmonate snails would tend to be feeding generalists capable of adapting to food of varying chemical composition, given sufficient time, provided it was sufficiently small or flaccid. That although macrophytes and snails show a strong positive relationship, the living macrophyte tissue would be little used by the snails. That the hard outer envelope, inherited from their terrestrial ancestors, would remain as the major defence mechanism of aquatic macrophytes against attack by snails and other aquatic invertebrates. That aquatic macrophytes would invest little in the nutrient deficiency strategy to reduce attack by invertebrates such as snails. That truly aquatic submerged macrophytes would not possess secondary plant compounds (SPC) that would be molluscicidal. Emergent parts of subaquatic or aquatic plants might be expected to be better sources of SPC with molluscicidal factors than submerged aquatic plants. Species of epiphytic or planktonic algae might be better sources of SPC with molluscicidal effects than aquatic macrophytes. That the strategies developed by pulmonate snails for obtaining their energy supplies would not be conducive to rapid speciation. The analysis of the present and other related results supports these propositions. Predictions based on the theory of mutualism involving the snails, macrophytes and other components of the module also receive some support from an analysis of the present results. The additional empirical work that could be undertaken to test this theory is briefly discussed.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Atrial septal defect with right to left shunt despite normal pulmonary artery pressure.

A 74 year old woman had right to left shunting through an atrial septal defect despite normal right heart pressures. Acute volume expansion temporarily reduced the shunt. Contrast echocardiography and angiography demonstrated that this shunting occurred almost exclusively from the inferior vena cava. At surgery a redundant flap of septum secundum was found that was adjacent to the inferior vena cava orifice, intercepting its blood return like a spinnaker and shunting it into the left atrium.

Aged↗

Doppler mitral pressure half-time: a clinical tool in search of theoretical justification.

The Doppler determination of the mitral pressure half-time has gained widespread acceptance as a reliable estimate for mitral valve area, despite little theoretical basis for its "independence" of other hemodynamic variables. A simple model of the left atrium and mitral valve has been developed and a governing equation derived from fluid dynamics fundamentals. Solution of this equation indicates that the pressure half-time should vary inversely with mitral valve area, but also proportionally to net left atrial and ventricular compliance and to the square root of the peak transmitral gradient. This complex relation is apparently masked in the typical clinical situation because pressure and compliance tend to change in opposite directions, thereby partly offsetting each other. In several clinical settings, such as balloon mitral valvotomy, left ventricular hypertrophy and aortic regurgitation, changes in initial pressure and compliance may be large enough to alter the relation between mitral area and pressure half-time. This study reviews the development of the pressure half-time concept, presents an overall method for studying mitral valve flow using mathematical modeling and describes the effects of factors other than mitral valve area on pressure half-time.

Blood Flow Velocity↗

Myocardial preservation with alternate coronary artery occlusion and reversal of flow through collateral vessels.

In 1980, a 46-year-old man suffered occlusion of his left anterior descending coronary artery with preservation of myocardium due to collateral flow from a patent right coronary artery. Six years later, unstable angina recurred, this time due to right coronary occlusion but with myocardial preservation due to reversal of collateral flow from his now recanalized left anterior descending artery.

Angina, Unstable↗

The carboxylic and amino acid chemoreception niche of Bulinus rohlfsi (Clessin), the snail host of Schistosoma haematobium.

The response of the freshwater snail, Bulinus rohlfsi, to gradients of carboxylic acids, amino acids and some related compounds was investigated by means of diffusion olfactometers. The snails proved to be very discriminating in their responses to the chemical species tested and there were also very marked ontogenetic differences. Although 15 distinctive types of amino and carboxylic acids proved to be attractants and arrestants, only octanoic acid proved effective for snails of all ages. Possible mechanisms involved in the chemoreception of active compounds, the ecological, physiological and biochemical relevance of the responses and possible application to controlled release technology are discussed.

Amino Acids↗

Gypsies and American medical care.

Gypsies are a cohesive cultural group who may have difficult relations with the American medical community. There are several hundred thousand Gypsies in this country; they maintain a private society with an internal moral code and legal system. There is a strong cultural basis for obesity, tobacco use, fatty diet, and inbreeding among Gypsies. These traits predispose them to hypertension, diabetes, hyperlipidemia, and occlusive vascular disease. When ill they present a striking dichotomy of primitive fears of disease process with surprising sophistication for medical terms and the workings of the hospital hierarchy. Specific recommendations are made for more effective and compassionate relations with Gypsy patients.

Attitude to Death↗

General anesthesia.

The general anesthetic course has been made acceptably safe with the development of modern anesthetic agents and techniques and increased capabilities for monitoring patient organ systems. Each area of surgery has features unique to its specialty. Consideration of these aspects when planning an anesthetic and surgical course, as well as the importance of the team effort, cannot be overemphasized.

Anesthesia, General↗

Biological monitoring of workers exposed to 4,4'-methylenebis (2-chloroaniline) (MBOCA).

A biological monitoring programme has been developed for assessing occupational exposure to 4,4'-methylenebis (2-chloroaniline) (MBOCA) in a factory which manufactures polyurethane elastomers. In a systematic programme of biological monitoring over a five year period urinary MBOCA concentrations have been used to provide evidence of absorption of MBOCA. Improvements in the handling and use of MBOCA have coincided with a steady reduction in the urinary MBOCA concentrations.

Benzhydryl Compounds↗

Drug therapy in resuscitation from electromechanical dissociation.

Electromechanical dissociation (EMD) (organized ECG activity without myocardial contractions) is thought to be rare and associated with poor prognosis. Epinephrine, calcium chloride, and atropine are recommended during attempted resuscitation. Epinephrine's effectiveness in other forms of cardiac arrest is due to its alpha-adrenergic action. Its beta-adrenergic effect may be a disadvantage which is not characteristic of methoxamine, a pure alpha-agonist. Forty anesthetized dogs were asphyxiated until asystolic. Five min later each had slow organized ECG activity. Ventilation with air and sternal compressions were started; 10 dogs each received saline, atropine, calcium chloride, or methoxamine iv. Resuscitation was discontinued after 10 min. Two dogs were resuscitated after saline. Results were not significantly better after atropine or calcium chloride. All 10 which received methoxamine were resuscitated; methoxamine, given at the end of the protocol to all dogs not resuscitated with atropine or calcium chloride, promptly restored spontaneous circulation.

Animals↗