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Biomedical subjects

J N Johnson

Publications and source records attributed to J N Johnson.

At least 19 recordsLinked to original sources
PubMed2007

Prevalence of glucose intolerance in primary hyperparathyroidism and the benefit of parathyroidectomy.

BACKGROUND: Increased prevalence of diabetes mellitus (DM) in primary hyperparathyroidism (PHPT) is established, but not glucose intolerance (GI), nor benefit from parathyroidectomy on GI. We determined these during management of a continuous series of patients with PHPT routinely followed after surgery. PATIENTS AND METHODS: WHO criteria classified 75 g oral glucose tolerance tests (OGTT) in 51/54 consecutively proven PHPT patients, into normal glucose tolerance (NGT), DM, impaired glucose tolerance (IGT) or impaired fasting glucose (IFG); GI was derived by adding those with DM and IGT/IFG. OGTT were repeated after parathyroidectomy (mean follow up 2.4 +/- SD 1.6 years). Paired student t tests were used to compare fasting and 2-h plasma glucose (PG). RESULTS: At presentation 32/54 patients (59%) had NGT, 10 IGT/IFG (19%) and 12 type 2 DM (22%), nine newly diagnosed. Before parathyroidectomy 17/35 patients had NGT (49%), 18 GI (51%), 12 DM (34%) and 6 IGT/IFG (17%). Five out of six patients with IGT/IFG had NGT, one with NGT developed IGT. At completion 23 patients (66%) had NGT, 12 GI (34%), 4 IGT/IFG (11%) and 8 DM (23%). After parathyroidectomy fasting and 2-h. PG fell in 30/34 normocalcaemic patients not on hypoglycaemic agents, 5.6 +/- 1.0 to 5.4 +/- 0.8 mmol/l, 7.2 +/- 3.0 to 6.3 +/- 3.1 mmol/l (p < 0.05, p < 0.01). CONCLUSIONS: 1. At presentation with PHPT, OGTT commonly identifies Type 2 DM and GI.2. After successful parathyroidectomy fasting and 2-h. PG fall significantly (p < 0.05, p < 0.01). DM and IGT/IFG often ameliorates to IGT or NGT, persistently.

Adult↗
PubMed2005

Nanosecond freezing of water under multiple shock wave compression: continuum modeling and wave profile measurements.

Using real time optical transmission and imaging measurements in multiple shock wave compression experiments, water was shown to solidify on nanosecond time scales [D. H. Dolan and Y. M. Gupta, J. Chem. Phys. 121, 9050 (2004)]. Continuum modeling and wave profile measurements, presented here, provide a complementary approach to examine the freezing of shocked water. The water model consisted of thermodynamically consistent descriptions of liquid and solid (ice VII) water, relationships for phase coexistence, and a time-dependent transition description to simulate freezing dynamics. Continuum calculations using the water model demonstrate that, unlike single shock compression, multiple shock compression results in pressure-temperature conditions where the ice VIII phase is thermodynamically favored over the liquid phase. Wave profile measurements, using laser interferometry, were obtained with quartz and sapphire windows at a peak pressure of 5 GPa. For water confined between sapphire windows, numerical simulations corresponding to a purely liquid response are in excellent agreement with the measured wave profile. For water confined between quartz windows (to provide a nucleating surface), wave profile measurements demonstrate a pure liquid response for an incubation time of approximately 100 ns followed by a time-dependent transformation. Analysis of the wave profiles after the onset of transformation suggests that water changes from a metastable liquid to a denser phase, consistent with the formation of a high-pressure ice phase. Continuum analyses and simulations underscore the need for multiple time scales to model the freezing transition. Findings from the present continuum work are extremely consistent with optical results reported previously. These studies constitute the first comprehensive investigation reported for freezing of a liquid at very short time scales.

Journal Article↗
PubMed1985

Effects of propranolol on hepatic haemodynamics in the cirrhotic and non-cirrhotic rat.

The effects of systemic and intraportal administration of propranolol on hepatic haemodynamics were studied in cirrhotic and non-cirrhotic rats. In the non-cirrhotic rat systemic infusion of 4 micrograms (kg body wt)-1 min-1 propranolol significantly decreased portal pressure, wedged hepatic venous pressure, portal venous flow and liver blood flow without affecting heart rate. Similar changes were observed in the cirrhotic rat following an infusion of 2 micrograms (kg body wt)-1 min-1 propranolol. Higher rates of propranolol infusion produced greater reductions in portal pressure, wedged hepatic venous pressure, portal venous flow and liver blood flow in cirrhotic and non-cirrhotic rats but these changes were accompanied by a bradycardia. The reduction in portal pressure effected by propranolol was accompanied by an increased splanchnic vascular resistance. Intraportal injection of propranolol resulted in a rapid but transient fall in portal pressure. The decrease in portal pressure was sustained if propranolol was infused intraportally. The results indicate that propranolol effects a reduction in portal pressure via a combination of increased splanchnic vascular resistance, increased hepatic arterial resistance and reduced cardiac output. The observation that propranolol can significantly reduce portal pressure without affecting heart rate may be clinically important in the long-term management of portal hypertension. Furthermore, the rapid reduction in portal pressure following intravenous administration suggests that propranolol may be of value in the acute control of variceal haemorrhage.

Animals↗
PubMed1985

The effect of povidone-iodine irrigation on perineal wound healing following proctectomy for carcinoma.

Fifty-six patients undergoing abdomino-perineal excision of the rectum for carcinoma were randomized to receive twice daily irrigation of the perineal wound with either 1% povidone-iodine (PVP-I) or normal saline for 5 days following surgery. The incidence of perineal wound infection, primary and delayed wound healing and persistent sinus formation was recorded. There was a highly significant reduction in perineal wound infection in the PVP-I group (P less than 0.01) and this was true even if perineal wound contamination had occurred during operation (P less than 0.05). Primary wound healing was significantly improved in the treatment group (P less than 0.02) and this was found also in the presence of contamination (P less than 0.005). There was no significant difference between the treated and control group in the incidence of delayed wound healing and persistent sinus formation.

Aged↗
PubMed1985

The effect of repeated mating at short intervals on reproductive performance of gilts.

Three trials involving 87 gilts were completed to investigate the role of additional sexual stimulation on various reproductive parameters. Forty-five gilts were mated twice at 12-h intervals at second pubertal estrus with intact boars beginning 12 h after detection of sexual receptivity (control group). Forty-two gilts were exposed to a vasectomized boar 15 min following each fertile mating to provide additional copulatory stimulus (treatment group). This additional exposure improved (P less than .01) conception rate (100 vs 84%). No statistical differences were observed in number of corpora lutea (CL), number of viable embryos (VE) or number of total embryos (TE) at d 30. These results suggest that additional mating stimuli may have a beneficial effect on conception rate. While the use of additional males resulted in more pregnant females, it likely did not have an effect on litter size.

Animals↗
PubMed1979

School nurse certification with a health education minor option.

Undergraduate nursing students, graduate nurses and practicing school nurses may enter a program of study at the University of Wisconsin-Madison leading to eligibility for certification as a school nurse. The option of attaining a minor in health education and certification eligibility as a teacher of health is available in conjunction with the school nurse program. The program and potentials are described and discussed.

Certification↗
PubMed1977

Herpes zoster and paralytic ileus: a case report.

A case of herpes zoster presenting as intestinal obstruction is described. Clinical and radiological evidence of intestinal obstruction was obtained. The mechanisms by which herpes zoster may cause an ileus are discussed.

Herpes Zoster↗