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Biomedical subjects

J F Walker

Publications and source records attributed to J F Walker.

At least 109 records · Page 6Linked to original sources

Tuberculosis affecting a cadaveric renal allograft.

Tuberculosis is one of the more serious infections complicating renal transplantation. Although the incidence appears to be low, a dose of prednisone greater than 10 mg daily has been associated with a more severe form of disease. A case of tuberculosis with renal allograft involvement is described with documented bacteriological and radiological involvement in which treatment was successful with anti-tuberculosis chemotherapy. Deterioration in renal function did not occur. The prophylaxis of patients undergoing transplantation with a history of tuberculosis and the features, diagnosis and treatment of tuberculosis affecting a renal allograft are discussed.

Adult↗

Carcinoma of the oesophagus associated with membrano-proliferative glomerulonephritis.

Nephrotic syndrome has been observed in association with different types of neoplasia. This appears to be the first report of the occurrence of the nephrotic syndrome due to membrano proliferative glomerulonephritis in association with carcinoma of the oesophagus. Although proteinuria was present before excision of the tumour, the nephrotic phase occurred subsequently. Eventually it disappeared leaving the patient with a clear urine and biochemical and histological improvement of the renal lesion (including immunofluorescent and electronmicroscopy studies). Possible mechanisms responsible for the nephrotic syndrome in this case are discussed.

Carcinoma, Squamous Cell↗

The zoonosis-prone veterinarian.

A study of 1,182 Illinois veterinarians revealed that 833 had experienced an accident, and of these 833, 42.7% also had experienced a zoonosis. Brucellosis and animal bites were especially prevalent zoonoses. This percentage differed significantly (P less than 0.01) from the 32.4% of 349 accident-free veterinarians who had experienced zoonoses. The prevalence of zoonoses was even higher (50%) among veterinarians with a history of 3 or more accidents. The prevalence of 16 nonzoonotic health conditions was similar in veterinarians who had experienced an accident and in the total veterinary population, demonstrating a degree of specificity to the accident-zoonosis association. Of the subjects studied, 5.7% had experienced 16.5% of the events, accidents or zoonoses. The subgroup that had experienced 5 or more events and the subgroup that experienced no events differed in many characteristics from the total veterinary population. The biological importance of the characteristics of these veterinarians remains to be determined. The hypothesis was advanced that zoonoses can be considered occupational accidents in veterinarians and that certain veterinarians are zoonosis prone. If true, this hypothesis also might apply to certain communicable diseases in the general human population.

Accident Proneness↗

Brucella infections in Illinois veterinarians.

Serums collected from Illinois veterinarians at 6 state conventions between 1956 and 1972 were tested for Brucella antibodies, with 70 of 394 (17.8%) samples reactive. Interviews with 1,261 veterinarians in 1967 and 1968 yielded 175 (13.9%) with a history of a prior clinical illness diagnosed as brucellosis. When duplicates were eliminated, there was a 17.0% (224/1,315) infection ratio. The prevalence of infection was found to be decreasing, as reflected by decreasing serologic reactor rates and by decreasing numbers of clinical diagnoses during the period. Strain 19 brucella vaccine appeared to be increasing in relative importance as a source of infection for veterinarians. Most of the small animal practitioners with a history of clinical brucellosis had been infected either as students or in an earlier practice type. Onset of clinical illness occurred the year of graduation for 21 (13%) veterinarians, with 62% between 4 years before and 4 years after graduation. Part of the explanation for the decreasing infection rates following graduation might have been the existence of a group of veterinarians at high risk of infection because of personal habits. Early infection, because of their high risk, would have resulted in rapid depletion of susceptible individuals from this group. As a result, in a few years the infection rate of the total veterinary population would no longer be dominated by this high risk group but would more nearly reflect the infection probability for the average veterinarian. There was no significant difference in death rates or cause of death between infected and noninfected veterinarians.

Age Factors↗