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Biomedical subjects

J Jacob

Publications and source records attributed to J Jacob.

At least 325 records · Page 18Linked to original sources

Serious bioavailability problems with a generic prolonged-release quinidine gluconate product.

A recently marketed prolonged-release quinidine gluconate tablet was compared with the innovator's tablet in a single-dose bioavailability study with 12 healthy male subjects. The extent of absorption of quinidine from the new marketed product was only 50 per cent of the innovator's product. This finding, as well as projections of steady-state plasma concentrations to be expected during multiple-dose administration, indicated a bioequivalence problem with medically significant implications. The data obtained in this study resulted in a Class I recall of the less completely absorbed product by the U.S. Food and Drug Administration.

Adult↗

Chemical composition of the nasal gland secretions from the marsh deer Odocoileus (Dorcelaphus) dichotomus (Illiger).

The secretion of the nasal gland from the marsh deer (Odocoileus dichotomus) has shown to be a lipid mixture predominantly containing cholesterol esters, mono- and diester waxes, the latter of which containing 2-hydroxy fatty acids. The alcoholic constituents of the mono- and diester waxes contain considerable amounts of mono-unsaturated homologues, all with the double bonds in (omega-9)-position.

Alcohols↗

Composition of the ventral gland-pad sebum from the Mongolian gerbil, Meriones unguiculatus.

The chemical composition of the gland-pad sebum of gerbils of both sexes is analysed using gas-liquid chromatographical and mass spectroscopical techniques and compared with the lipids from distal skin areas. Cholesterol esters, with (omega-1)-methyl-substituted fatty acids as acidic constituents, were shown to occur in the gland-pad sebum of both sexes in high concentrations, whereas cholesta-3,5-diene could be detected in the males only.

Animals↗

Composition of the surface lipids from the European mole (Talpa europaea).

The surface lipids of the European mole consist of squalene, monoester waxes, triglycerides and cholesterol. As shown by GC/MS analysis, the fatty acid moieties of both monoester waxes and triglycerides belong to saturated unbranched (omega-1)- and (omega-2)-methyl-substituted and unsaturated homologous series. Double bonds are located at the 7/8- and 9/10-position. Apart from the cis- also trans-isomers were found. The alcohol moieties of the monoester waxes consisted of saturated unbranched, (omega-1)- and (omega-2)-methyl-substituted homologous series exclusively.

Animals↗

Racial differences in newborn intensive care morbidity in Alaska.

Birthweight-specific neonatal mortality for Alaska Natives is higher than for non-natives for the years 1987-1996. We investigated the reasons for this based on Level III Neonatal Intensive Care Unit information available from 1991-1996. We also investigated whether differences in mortality extended to measures of morbidity. There were less Native patients born at the tertiary care center for babies with birthweight < 1500 grams and 1500-2499 grams (64% for Natives and 87% for non-natives, p = .000). Differences in antenatal referral were only apparent for the population residing within the Anchorage/Mat-Su area. There were also less cesarean deliveries for Native infants that were born outside of the tertiary care center for both birthweight categories (25% for Native vs. 53% for non-native infants < 1500 grams, p = .01; 27% for Native vs. 48% for non-native infants 1500-2499 grams, p = .01). For Alaska Native babies < 1500 grams there was more necrotizing enterocolitis (13% in Native vs. 4.9% in non-native, p = .01), more severe retinopathy of prematurity (12% in Native vs. 4.6% in non-native, p = .01), and more bronchopulmonary dysplasia (49% in Native vs. 34% in non-native, p = .04). For Alaska Native babies 1500-2499 grams that needed ventilatory assistance there was more intraventricular hemorrhage (19% in Native vs. 7.4% in non-native, p = .003), more severe (grade 3-4) intraventricular hemorrhage (9.5% in Native vs. 0.9% in nonnative, p = .001), and more acquired sepsis (7.1% in Native vs. 1.7% in non-native, p = .02). Differences in access to Level III perinatal care and intrapartum care (cesarean delivery rates) are likely factors that contribute to the worse outcomes in the Alaska Native population.

Alaska↗

Racial differences in birthweight-specific neonatal mortality in Alaska: 1987-1996.

OBJECTIVES: This study compared the neonatal mortality in the Alaska Native and non-native (primarily white) population in Alaska for a 10-year period (1987-1996). METHODS: Natality, mortality, and cause of death data were obtained from the State of Alaska's Bureau of Vital Statistics (BVS). Birthweight-specific and preventable birthweight-specific mortality were analyzed for babies < 1500 grams, 1500-2499 grams, and > or = 2500 grams birthweight. RESULTS: The low birthweight (LBW) and very low birthweight (VLBW) rates were similar for the Alaska Native and non-native populations. The neonatal mortality rate for the Alaska Native population was higher than for the non-native population (6.4 per 1,000 live births for Alaska Native vs. 4.1 for non-native for 1987-1991; 5.5 for Alaska Native vs. 3.5 for non-native for 1992-1996). Birthweight-specific mortality was higher in the Alaska Native population for all birthweight groups. The exclusion of non-preventable conditions accentuated the differences in mortality rates between the Alaska Native and non-native population for infants < 2500 grams birthweight. CONCLUSION: The higher neonatal mortality in the Alaska Native population is associated with a higher overall and preventable birthweight-specific neonatal mortality. The differences are therefore likely to reflect differences in access to and quality of perinatal care.

Alaska↗

Infant mortality in Alaska: evidence of high postneonatal mortality rate.

Improvements in infant mortality (death less than 1 year of age) have been experienced by the United States and Alaska over the past decade. The decline in the Alaska neonatal mortality (death less than 28 days of age) rate has been the major factor in our improved infant mortality rate. Alaska's neonatal mortality rate is one of the lowest in the U.S. However, postneonatal mortality (28 days to 1 year of age) rate has not declined and is one of the highest in the U.S. In this study we used vital statistics records to examine socio-demographic and inter-regional factors that may help to explain Alaska's apparently high postneonatal mortality rate. The study population consisted of all live born infants in Alaska for 1975 to 1985, who died in infancy. The Alaska neonatal mortality rate has been lower, but postneonatal mortality rate has been higher than the U.S. average for the period under consideration (p less than .05). Comparison of alaska postneonatal mortality rate from 1975 to 1985 with the U.S. found Alaska Non-natives have higher postneonatal mortality rates than U.S. White, and Alaska Native have higher postneonatal mortality rates than other U.S. minorities. The rural areas of Alaska have a higher postneonatal mortality rate than urban areas, a phenomenon also observed for the U.S. as a whole.

Alaska↗