Biomedical subjects
Publications and source records attributed to J Hall.
The daily sodium content in the diets of infants was determined. Milk and milk products were the main contributor of sodium during early infancy. Commercial baby foods contributed little sodium. As table foods were introduced, the daily sodium intake of the infants rose dramatically. The main sources of sodium in table foods were salt-containing canned foods and added table salt.
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Since 1976 many baby foods have been reformulated and the iron used to fortify infant cereals has been changed to a more bioavailable form. Therefore, the dietary intake of iron by infants from 1 to 18 months of age was assessed in a longitudinal survey conducted in Toronto and Montreal between 1977 and 1979. Except in the 1st and 18th months the mean daily iron consumption of the infants was above that recommended in the Dietary Standard for Canada. The main source of this nutrient was infant cereals. Examination of the diets of the infants who did not have the recommended daily intake of iron showed that they did not consume sufficient amounts of infant cereals and other iron-rich foods. These results indicate that without such cereals it is difficult to provide infants with the amount of iron they need. Therefore, infants should receive these cereals during the first 2 years of life.
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Diastrophic dysplasia is a distinct autosomal recessive disorder originally described in 1960. Since that time, a number of patients with similar but less severe involvement have been diagnosed as having a "diastrophic variant" disorder. This study reviews the radiological features of classic diastrophic dysplasia and compares them with the radiological findings in 26 patients with the diastrophic variant disorder. It is concluded that there is a wide variability in the phenotypic expression of diastrophic dysplasia even within sibships, and that cases of diastrophic variant disorder are actually mild forms of diastrophic dysplasia.
We have evaluated the use of an acoustic gas analyzer (AGA) for the measurement of total lung capacity (TLC) by single-breath helium dilution. The AGA has a rapid response time (0-90% response = 160 ms for 10% He), is linear for helium concentration of 0.1-10%, is stable over a wide range of ambient temperatures, and is small and portable. We plotted the output of the AGA vs. expired lung volume after a vital capacity breath of 10% He. However, since the AGA is sensitive to changes in speed of sound relative to air, the AGA output signal also reports an artifact due to alveolar gases. We corrected for this artifact by replotting a single-breath expiration after a vital capacity breath of room air. Mean alveolar helium concentration (HeA) was then measured by planimetry, using this alveolar gas curve as the base line. TLC was calculated using the HeA from the corrected AGA output and compared with TLC calculated from HeA simultaneously measured using a mass spectrometer (MS). In 12 normal subjects and 9 patients with chronic obstructive pulmonary disease (COPD) TLC-AGA and TLC-MS were compared by linear regression analysis; correlation coefficient (r) was 0.973 for normals and 0.968 for COPD patients (P less than 0.001). This single-breath; estimation of TLC using the corrected signal of the AGA vs. Expired volume seems ideally suited for the measurement of subdivisions of lung volume in field studies.
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The normal intestinal secretion of 9-15% of an administered dose of gallium-67 may prevent early detection of intra-abdominal disease. We randomized 50 patients to receive either no bowel preparation or 30 cc of milk of magnesia plus 5 cc of cascara. No significant difference was found between the two groups in frequency with which gallium interfered with readings or time to complete the study.
In recent years, bottle feeding and the early introduction of solid foods in infants' diets have been proposed as factors contributing to overweight in infancy that might continue into childhood. These hypotheses were examined in a longitudinal survey of 403 infants from birth to 18 months of age. Results from this survey do not support either (a) a relationship between type of milk feeding or time of introduction of solid food and fatness at 6 months of age or (b) the hypothesis that fat infants remain fat.
We examined amplitude and latency of the auditory brainstem response (ABR) waveform as functions of chronological age in 182 male and 137 female subjects. Hearing sensitivity was within normal limits in 98 subjects. The remaining 221 subjects had varying degrees of sensorineural hearing loss. Age had a slight effect on both latency and amplitude of wave V. In subjects with normal hearing, latency increased about 0.2 ms over the age range from 25 to 55 years. In the same group, wave V amplitude decreased about 10%. In subjects with sensorineural hearing loss, the latency increase was smaller, but the amplitude decrease was equivalent. Sex also affected the ABR. In both normal and hearing-impaired subjects, female subjects showed consistently shorter latency and larger amplitude at all age levels. Wave V latency was about 0.2 ms shorter and wave V amplitude was about 25% larger in female subjects.
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A new crossed-vs-uncrossed acoustic reflex pattern has been observed in four patients with retrocochlear disorder. The new reflex pattern is characterized by a unique "uni-box" configuration. Reflexes are abnormal with sound to the affected ear on crossed stimulation only. In one additional patient, a variation of the uni-box pattern was found on suprathreshold reflex amplitude measures. WE observed a large ear difference between reflex amplitude functions in the crossed condition, but not in the uncrossed condition. This observation suggests that reflex amplitude measures may be a valuable addition to threshold measures in some patients.
A case of septicemia caused by Pseudomonas paucimobilis is reported. This represents the first definitive case of disease produced by this yellow-pigmented, nonfermentative bacillus.
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During the last 15 years evidence has accumulated which shows that the B immunoblasts generated in the gut associated lymphoid tissue (GALT) in response to antigenic stimuli from the intestinal tract are discharged into the intestinal lymph. The lymph stream carries them to the blood but most of them soon extravasate in the gut (and some other mucosae) and develop into plasma cells which synthesise secretory immunoglobulins. In sheep, there is some evidence that these cells may be derived initially from a sub-set of small lymphocytes which circulate preferentially through the GALT, but the situation in rodents is less clear. However, in most species it is becoming clear that although some of the antibodies produced by the sub-mucosal plasma cells are secreted directly into the lumen of the gut many find their way, via the lymph, into the blood and, if in the form of polymeric IgA, they are rapidly and actively transported by the hepatocytes into the bile and thus gain direct access to the duodenum in concert with the entry of freshly ingested food and bacteria.