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Biomedical subjects

J F Martin

Publications and source records attributed to J F Martin.

At least 307 records · Page 17Linked to original sources
PubMed1975

Attempted suicide with a pesticide mixture.

An attemped suicide with a pesticide mixture containing pentachlorophenol, benzene hexachloride, dieldrin, metaldehyde phenoxyacetate esters, paraquat, diquat and petroleum distillates, is reported. The prognosis initially seemed hopeless, but the patient was treated successfully by intensive care with early respiratory assistance.

Adult↗
PubMed1975

Sequence of biosynthesis of the components of the polyene macrolides candidin and candihexin: macrolide aglycones as intracellular components.

A sequential formation of the single components of the polyene macrolide candidin complex (heptaene) has been found. In addition to the three components occurring in the candidin complex at the end of the fermentation, two other "early" all-trans heptaene components have been characterized. They exist only during the phase of active biosynthesis of candidin. Two of the components of the polyene macrolide candihexin complex (hexaene) that have been described as lacking amino sugar were the only intracellular (mycelium-associated) components observed under conditions in which no extracellular polyene remained attached to the producing cell. The results indicate that glycosylation of the macrolide ring takes place during the secretion process.

Antifungal Agents↗
PubMed1975

Candihexin polyene macrolide complex: physicochemical characterization and antifungal activities of the single components.

The candihexin complex produced by a natural mutant of Streptomyces viridoflavus has been resolved into eight components. At least six of them, having hexaene chromophores, can be separated directly by thin-layer chromatography. The four major components, candihexins A, B, E, and F, account for about 90% of the total complex. They have been isolated and purified to homogeneity. All the major components were found to have macrolide lactone rings with all-trans hexaene chromophores. Candihexins A and B have compositions and molecular weights similar to candidin, the heptaene polyene macrolide produced by the parent S. viridoflavus, whereas candihexins E and F show smaller molecular weights and rather different elementary compositions. Candihexins A and B yield the amino sugar mycosamine upon hydrolysis, but no sugar was found in hydrolysates of candihexins E and F. Candihexins A and B have high antifungal activity against yeasts and filamentous fungi. The amino sugar-lacking candihexins E and F show no antifungal activity at levels of 100 mug/ml.

Aminoglycosides↗
PubMed1975

Health and society in Amazonian Peru.

During his work in a jungle hospital of the Amazonian part of Peru, the author was able to study the health care delivery system in the area. He was impressed by its inadequacy, which seemed to be due less to medical, technological, and manpower deficiencies than to social and economic factors. An attempt is made to identify and classify these constraints. A systems view of the health care insufficiencies is outlined, showing how some barriers prevent the patient from making contact with the health system (input level), how others interfere with its working (processor level), while others limit the efficiency of its actions (output level). Finally, some measures for its improvement are considered.

Attitude to Health↗
PubMed1975

Unconjugated hyperbilirubinemia. Physiologic evaluation and experimental approaches to therapy.

The plasma concentration of unconjugated bilirubin is determined by the rate at which newly synthesized bilirubin enters the plasma (bilirubin turnover) and the rate of irreversible bilirubin removal by the liver (hepatic bilirubin clearance). Measurement of each of these variables by kinetic studies with radiolabeled bilirubin permits a precise classification of cases of unconjugated hyperbilirubinemia into those due to increased bilirubin turnover (for example, hemolysis), those due to decreased bilirubin clearance (for example, Gilbert's syndrome), and those in which both mechanisms operate. The ability to quantitate hepatic bilirubin clearance makes it possible to detect gilbert's syndrome even in the presence of concomitant hemolysis. Of the hereditary disorders of bilirubin metabolism, Gilbert's syndrome is common but innocuous, whereas Crigler-Najjar syndrome is rare but devastating. An unusual case of Crigler-Najjar syndrome is described in which bilirubin encephalopathy developed at age 10. Various modalities used in an attempt to reduce her plasma bilirubin concentration by either increasing bilirubin clearance or reducing bilirubin turnover are described.

Adult↗