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Biomedical subjects

J Marx

Publications and source records attributed to J Marx.

At least 19 recordsLinked to original sources
PubMed1995

Day care and the incidence of otitis media in young children.

OBJECTIVE: This study assesses whether day care is a significant risk variable for otitis media in children younger than 2 years in the United States after controlling for the number of children in the day care group. DESIGN: The computerized data source used is the 1988 Child Health Supplement (N = 17,110) of the National Health Interview Survey (NHIS-CH). SETTING: The NHIS-CH data is a multistage probability sample with clustering and stratification. It represents the civilian, noninstitutionalized population of the United States. PARTICIPANTS: The NHIS-CH sample consists of one randomly selected child from each NHIS household containing a child younger than 18 years. The overall response rate for the NHIS-CH was approximately 90%. For this analysis the focus is on children younger than 2 years (N = 2294). MAIN OUTCOME MEASURES: The NHIS-CH includes a direct questioning of an adult member of the household, usually the mother, about whether the child has ever had frequent or repeated ear infections. RESULTS: After controlling for the total size of the day care group for children younger than 12 months, the previously established relationship between attending a day care center and frequent ear infections is reduced from an odds ratio of 3.17 (95% confidence interval, 1.50 to 6.71) to an odds ratio of 1.34 (not significant; p = 0.60). CONCLUSION: The total size of the day care group is an important intervening variable in the relationship between attending day care and frequent ear infections for children younger than 12 months. The size of the day care group rather than the day care per se is the primary "modifiable risk variable" for many working parents.

Child Care↗
PubMed1995

"To grandmother's house we go": health and school adjustment of children raised solely by grandparents.

This study uses data from the 1988 National Children's Health Supplement (N = 17,110) to the National Health Interview Survey to examine the health and school adjustment of children raised solely by grandparents. We find that these children fare quite well relative to children in families with one biological parent present, a category which includes both single-parent and blended families. Furthermore, children raised solely by grandparents are not significantly different, except for academic performance, from children raised in traditional families where two biological parents are present.

Adult↗
PubMed1995

TB exposure: are you prepared?

1. The elderly have the highest case rates for TB disease. 2. Residents need to be screened for TB infection on admission with a Mantoux skin test. 3. Employees need to be screened for TB by the Mantoux skin test on hire and annually. 4. A chest x-ray is not adequate to screen for TB infection.

Humans↗
PubMed1995

Expression of myogenic regulatory proteins (myogenin and MyoD1) in small blue round cell tumors of childhood.

The distinction of rhabdomyosarcoma (RMS) from other small blue round cell tumors of childhood, such as Ewing's sarcoma/peripheral primitive neuroectodermal tumor (pPNET) and neuroblastoma, continues to present a diagnostic challenge to pathologists. The recent recognition of the master role of myogenic regulatory proteins in skeletal muscle commitment and differentiation, and the availability of monoclonal antibodies to two of them (myogenin and MyoD1), has prompted us to test their diagnostic utility in routinely processed, formalin-fixed, and deparaffinized tissue. Preliminary studies had demonstrated that, with the use of heat-induced epitope retrieval techniques, expression of myogenin and MyoD1 could be documented specifically in nuclei of fetal skeletal muscle by the respective antibodies. We performed a retrospective immunohistochemical analysis on 72 cases of small blue round cell tumors, including 33 RMSs, 1 metastatic myogenous Wilms' tumor, 26 Ewing's sarcomas/pPNETs, and 12 neuroblastomas. Nuclear expression of myogenin and MyoD1 were both found in 30/33 non-overlapping cases of RMS, with no significant differences in the sensitivity with respect to histological subtypes, and in 1/1 case of myogenous Wilms' tumor. None of the neuroblastomas or Ewing's sarcomas/pPNETs demonstrated positive nuclear staining with either antibody. However, most of the neuroblastomas, and occasional Ewing's sarcomas/pPNETs, showed variable fibrillary, cytoplasmic immunoreactivity with antibody to MyoD1. We conclude that, with the use of microwave-based epitope retrieval, antibodies to myogenin and MyoD1 are both useful markers for the identification of RMS among other small blue round cell tumors of childhood, but antibodies to myogenin have technical advantages over those to MyoD1, as the latter may cross-react with an unknown cytoplasmic antigen in non-muscle cells and tumors.

Child↗
PubMed1994

Conformational changes of lipoxygenase (LOX) in modified environments. Contribution to the variation in specificity of soybean LOX type 1.

The addition of water-soluble cosolvents in the reaction medium of type 1 soybean lipoxygenase can modify the selectivity of the enzyme in the hydroperoxide synthesis reaction. This also results in changes in secondary reactions such as carbonyl compound formation. The possibility of a conformational change of the enzyme due to variations in its microenvironment was considered. Using enzyme immobilization and laser visible Raman spectroscopy, both indirect and direct observations of such a protein conformational rearrangement are described. Subtle modifications in the secondary and/or tertiary structures, for example in microenvironments of Tyr and Trp residues, in orientations of lateral side chains were evidenced, and their importance to enzyme specificity is discussed.

Linoleic Acid↗