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Biomedical subjects

J Stanfield

Publications and source records attributed to J Stanfield.

7 recordsLinked to original sources
PubMed2003

Efficacy of a single intravenous dose of amphotericin B for Candida urinary tract infections: further favorable experience.

Studies in experimental animals and humans have shown that Amphotericin B (AmB) persists in urine for days to weeks after a single IV dose in levels that should inhibit candidal organisms and thereby obviate the need for frequent dosing. Including data from four previously described patients, we have now treated a total of 11 patients (12 episodes) with Candida urinary tract infections with single-dose AmB (six, Candida albicans; two, C. tropicalis; four, other nonalbicans Candida). The duration of candiduria prior to entry ranged from 18 to 180 days. Predisposing conditions included renal transplantation (1), diabetes mellitus (8), genitourinary stones (1) or anomalies (4), catheterization (2), and antibacterial therapy (11). A single patient was intolerant of AmB. Out of 11 evaluable candiduric episodes, eight resolved. Failure occurred in one patient with a chronic indwelling bladder catheter and in the allograft recipient. The data suggest that the sustained urinary excretion of AmB may permit successful single- or paucidose therapy of Candida urinary tract infections in some patients with a minimum of toxicity.

Adult↗
PubMed2001

Sunscreen standards tested with differently filtered solar simulators.

BACKGROUND: The COLIPA standard for solar simulators permits a range of spectral filtration. Published studies comparing the SPFs of sunscreen formulas show that a range of SPFs is generally expected between laboratories. Specifically, three studies determining the SPFs of sunscreen standards have been performed in a series of laboratories and differences exceeding 50% have been reported. No studies to date have specifically examined potential differences in performance of Standard Sunscreen Test Formulas with varying solar simulator spectra within the permitted range of optical filtration. METHODS: In a paired clinical trial, two SPF standard sunscreen formulas were tested using two solar simulators that complied with the COLIPA standard for solar simulators but were filtered differently. One solar simulator was filtered as supplied by the manufacturer and delivered a high percentage of UVB; the other solar simulator was modified by removing the visible absorbing filter to deliver energy more closely resembling sunlight in the UVA-1 part of the spectrum, with a lower percentage of UVB. RESULTS AND CONCLUSION: The result was that the SPF of each standard sunscreen was almost 50% greater with the unmodified solar simulator than with the modified solar simulator. In vitro evaluation of the sunscreen standards predicted similar differences due to the spectral differences of the solar simulators, which appears to rule out reciprocity failure. However, reciprocity failure of the control MEDs was observed. The total intensity of the modified lamp was approximately 3 times that of the unmodified lamp.

Adult↗
PubMed1990

Spectral comparison of solar simulators and sunlight.

In evaluating sunscreen efficacy, spectral distribution of the irradiation sources can influence the sun protection factor (SPF). The purpose of this investigation was to examine the uniformity of ultraviolet (UV) spectral irradiance of solar simulators used in various SPF testing laboratories, compare them with natural sunlight UV radiation (UVR), and recommend performance limits to ensure that the variability of radiation sources in the UVB region minimally affects SPF estimates. The critical portion of the solar erythemogenic spectrum was identified as the UVB portion, defined as the region between 280 and 320 nm. The spectral irradiance of 26 solar simulators and other UV sources was measured and compared with a summer noon solar spectrum measured in Albuquerque, NM. Proposed spectral limits were developed as a 6-nm "acceptance band" centered on this standard spectrum normalized at 320 nm. The results indicated that the xenon-arc solar simulators currently used in the United States in testing sunscreens either meet the proposed standard solar spectrum or can be readily modified with available UV filters to meet this standard. The devices that have spectral characteristics not resembling sunlight fail to meet the proposed standard and should not be used for sunscreen SPF testing.

Filtration↗
PubMed1990

Identifying clinical nursing research priorities.

This paper describes a project conducted by a nursing research committee to identify and prioritize nursing research questions or topics that are most significant to the welfare of patients at a Southern university hospital. Ninety-seven nurses representing clinical staff, administration, and education were invited to participate in three rounds using the Delphi survey technique. Group consensus was reached on priority areas for nursing research at this particular institution. The purpose of this article is to outline the process of developing the project and discuss recommendations resulting from the survey.

Clinical Nursing Research↗
PubMed1990

A prospective study of patient-controlled analgesia. Impact on overall hospital course.

Previous studies have shown that patient-controlled analgesia (PCA) provides effective pain control in the postoperative patient. To determine the impact of PCA technology on the overall hospital course, we designed a randomized controlled study comparing patients receiving analgesia using PCA infusion (Abbott Lifecare, Abbott Laboratories; Chicago, IL) with patients receiving analgesia by traditional intramuscular or intravenous methods. All patients had undergone elective cholecystectomy. Sixty-nine patients completed the study, 35 received traditional postoperative analgesia, and 34 received analgesia using the PCA infuser. Comparison of both groups demonstrated no significant difference in postoperative bowel activity with both groups receiving liquids on the first postoperative day. There was no significant difference between the two groups with respect to postoperative length of stay (3.4 days for PCA vs 3.6 days for traditional). Patients demonstrated a wide range of analgesic requirement in the first 24 hours but the average of the total analgesic required was higher in the PCA group (average, 29.5 mg) than the traditional group (22.8 mg). Urinary complications occurred more commonly in the group of patients receiving traditional analgesia than in the group of patients receiving analgesia with the PCA device. When compared with patients receiving analgesia by traditional methods, patients receiving the PCA infusion required more analgesia with fewer urinary complications and similar postoperative length of stay.

Adult↗
PubMed1987

Relationship of age and season and consumption of Senecio vulgaris to LH/hCG receptors in the stallion testis.

Testes were obtained from 70 colts and stallions and were pooled according to age (4 months to 23 years) to determine the relationship of age to LH/hCG receptor kinetics. The receptor concentration (Rt) increased from 0.069 x 10(-11) M/mg crude membrane fraction (CMF) for the 4-14-month pools to 0.464 x 10(-11) M for the 2-3-year-old pools. A 10-fold increase in testicular size also occurred, and so the total number of receptors per testis was significantly increased. A further increase to 1.237 x 10(-11) M/mg CMF was observed for stallions older than 5 years. No differences in binding affinities (Ka) were observed for the various age groups: Ka values varied from 0.19 to 2.19 x 10(11) M-1. A seasonal effect was not (P less than 0.28) observed for Rt [0.74 x 10(-11) M vs 1.15 x 10(-11) M/mg CMF, winter (N = 5) vs summer (N = 4)] or for Ka (0.259 x 10(11) M-1 vs 0.393 x 10(11) M-1, winter vs summer). Immediately before death resulting from inadvertent long-term consumption of Senecio vulgaris, testes were removed from 5 stallions and pooled. An Rt of 0.046 x 10(-11) M/mg CMF was observed. Therefore, a decrease to 2.7% was observed when compared with values for normal stallions. The Ka, 0.036 x 10(11) M-1, was decreased to less than 10%. Stallions consuming sublethal amounts may have altered reproductive functions.

Aging↗