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Biomedical subjects

J M Lindsay

Publications and source records attributed to J M Lindsay.

7 recordsLinked to original sources

Fever in the nursing home resident.

Body temperature is a convenient and objective indicator of the body's physiologic state. Typical and atypical febrile responses are discussed and their sources reviewed. Diagnosis, treatment, and prevention of fever in nursing home patients are highlighted.

Aged

Can vitamin D deficiency produce an unusual pain syndrome?

An unusual pain occurred in five patients in the presence of compromised vitamin D status and resolved 5 to 7 days after supplementation with vitamin D in the form of ergocalciferol. The pain had a hyperesthetic quality and did not respond to the use of analgesics, including opiate derivatives. Treatment with therapeutic levels of a tricyclic antidepressant did not bring relief of symptoms. In one case, months after treatment and subsequent improvement of vitamin D status and pain, the vitamin D status again declined and the pain recurred. The pain again resolved with vitamin D replacement and improvement of levels. There may be a pain syndrome associated with vitamin D depletion that appears as hyperesthesia worsened by light, superficial pressure or even small increments of movement. This pain restricts mobility and function and may lead to further complications, such as pressure sores.

Adult

Optical properties of composite resins.

The translucency and colour of a composite resin are characterized by two wavelength-dependent parameters: the absorption coefficient, K and the scattering coefficient, S. These parameters were calculated according to the Kubelka-Munk (1931) equations for two commercial resins. The calculations were based on reflectance spectra of samples of different thicknesses which were placed on a black and a white background. Employing the values of these parameters, calculated spectra were obtained of samples on the same as well as different backgrounds. The difference between the experimental and the calculated spectra was evaluated in terms of Friele-MacAdam-Chickering (Hemmendinger, 1970) colour differences. The Munsell colour values, corresponding to the spectra were evaluated. It was found that the colour of a resin sample of a specified thickness which is placed on a particular background may be predicted to a fair degree of accuracy from calculations employing the K and S values of the resin and the reflectance spectrum of the background. It has been demonstrated that illuminating the sample at 45 degrees instead of using diffuse illumination, affected the results only to a small extent. The effect of internal reflections at the resin surface on the relfectivity on the sample is discussed. An expression has been derived for computing the reflectivity of a sample on any background from its transmittance and reflectivity on a completely absorbing background.

Color

Exclusive binding of immunoglobulin to Fc gamma receptors on macrophages in 3-methylcholanthrene-induced murine tumors.

Immunogenic, chemically induced, murine tumors generally are infiltrated with large numbers of Fc gamma receptor (Fc gamma R)-positive cells, most of which are mononuclear phagocytes. This study demonstrates in inbred C3H/HeN mice that such immunogenic tumors contain large amounts of cell-bound immunoglobulin (Ig) and that, within the sensitivity limits of indirect immunofluorescence, the tumor-associated Ig is bound exclusively to host-derived Fc gamma R-positive cells. Depletion of Fc gamma R-positive cells from tumor cell suspensions removed all Ig-bearing cells. Specific competitive elution of the endogenous Ig with heterologous nonimmune IgG established that the endogenous Ig was bound through the Fc gamma R. Tumor-associated Fc gamma R-positive, Ig-bearing cells could be detected with soluble antigen-antibody complexes, and mononuclear phagocytes to which the exogenous complexes were bound expressed Fc gamma R at a level significantly above normal. The role of this macrophage-associated Ig in determining the level of interaction between host cells and the tumor remains to be determined.

Animals