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Biomedical subjects

K Carlson

Publications and source records attributed to K Carlson.

At least 127 records · Page 7Linked to original sources

Escherichia coli Rho factor is involved in lysis of bacteriophage T4-infected cells.

A Rid (Rho interaction deficient) phenotype of bacteriophage T4 mutants was defined by cold-sensitive restriction (lack of plaque formation) on rho+ hosts carrying additional polar mutations in unrelated genes, coupled to suppression (plaque formation) in otherwise isogenic strains carrying either a polarity-suppressing rho or a multicopy plasmid expressing the rho+ allele. This suggests that the restriction may be due to lower levels of Rho than what is available to T4 in the suppressing strains.--Rid394 X 4 was isolated upon hydroxylamine mutagenesis and mapped in the t gene; other t mutants (and mot, as well as dda dexA double mutants) also showed a Rid phenotype. In liquid culture in strains that restricted plaque formation Rid394 X 4 showed strong lysis inhibition (a known t- phenotype) but no prolonged phage production (another well-known t- phenotype). This implies that when Rho is limiting the t mutant shuts off phage production at the normal time. Lysis inhibition was partially relieved, and phage production prolonged to varying extents depending on growth conditions in strains that allowed plaque formation. No significant effect on early gene expression were found. Apparently, both mutant (polarity-suppressing) and wild-type Rho can function in prolonging phage production and partially relieving lysis inhibition of Rid394 X 4 when present at a sufficiently high level, and Rho may play other role(s) in T4 development than in early gene regulation.

Chromosome Mapping↗

Antibiotic resistance and small R plasmids among Escherichia coli isolates from outpatient urinary tract infections in northern Norway.

Escherichia coli strains from outpatient urinary tract infections in northern Norway over a period of 1 year were examined for resistance to nine commonly used antibiotics. Strains collected during 4.5 months were examined for R plasmid content by using conjugation and in vitro transformation. Of the E. coli strains, 42% were resistant to one or more antibiotics. Resistance was highest to sulfonamide (20.8% of all strains), nitrofurantoin (14.5%), and tetracycline (10.1%), whereas less than 6% of the strains were resistant to ampicillin, carbenicillin, cephalothin, nalidixic acid, or trimethoprim-sulfamethoxazole. No strain was resistant to gentamicin. Tetracycline resistance was more common in men than in women. Resistance to cephalothin, nalidixic acid, and sulfonamide was higher in strains from older people. Resistance to sulfonamide was more frequent in the urban community. These was no seasonal variation in antibiotic resistance, although the incidence of urinary tract infection varied with seasons. Plasmid-determined resistance to ampicillin, streptomycin, sulfonamide, and tetracycline was found. About 18% of the resistant strains from the urban municipality carried R plasmids, most of which were small plasmids mediating resistance to sulfonamide and streptomycin. The overall frequency of resistance in strains collected from rural areas was similar to the urban frequency, but in the rural strains, R plasmids were found in only 5% of the resistant strains.

Adolescent↗

An epidemiological survey of urinary tract infections among outpatients in Northern Norway.

Urinary tract infections (UTI) in all outpatients from several municipalities in Northern Norway were examined during 1 year. Comparatively high frequencies of UTI were found among women of all ages, among people greater than 60 years of both sexes, in coastline municipalities, and during the fall and winter. About 70% of all UTI were caused by Escherichia coli, more in women than in men. Other gram-negative enterobacteria (Klebsiella, Proteus) and gram-positive cocci (Staphylococcus epidermidis, Staph. saprophyticus, Staph. aureus, Streptococcus faecalis) caused the majority of remaining infections. Relatively more gram-positive cocci (except Staph. saprophyticus) than gram-negative enterobacteria were from males. Patients with gram-positive cocci, except Strep. faecalis, were generally younger than those with gram-negative enterobacteria.

Age Factors↗

Lipoprotein abnormalities in patients with early primary biliary cirrhosis.

In twelve females with early forms of primary biliary cirrhosis (PBC) serum lipoproteins, the intravenous fat tolerance test ( IVFTT ) and the lecithin: cholesterol acyl transferase (LCAT) rate were determined and compared to healthy controls. The cholestatic LDL (LP-X) test was negative in all cases. PBC patients had lower very low density lipoprotein TG concentrations than controls and had levels of (high-density lipoprotein) HDL-TG, -cholesterol and -phospholipids that were about 50% higher than in controls. In PBC the HDL2-cholesterol concentration was double but the HDL3-cholesterol concentration was 60% of control values (P less than 0.001 for both). The LCAT rate and the IVFTT value did not differ between the groups. A typical finding on agarose gel electrophoresis was the appearance of a slow-moving alpha-band. Several interpretations of these results are possible. In PBC the hepatic lipase activity may be impaired leading to a shift of the HDL2/HDL3 relation. The transport of HDL2 to the liver lipase site may also be affected and HDL3 production reduced due to malabsorption in the intestine.

Adult↗

The value of annual medical examinations in the nursing home.

Although annual medical examinations are required in many nursing homes for all residents, little is known about the value of these examinations. To investigate this, 732 annual examinations were evaluated for frequency of positive findings and clinical importance of the findings. Although 51 per cent of examinations yielded a finding that was new or related to a known chronic disease process, only 3 per cent of findings were judged by primary care physicians to be of major importance. Approximately a fourth of findings were considered to be of intermediate importance. These results provide only modest support for endorsing annual medical examinations for nursing home residents.

Aged↗

Determining staffing for pharmacy chemotherapy admixture program.

This study was designed to assist the hospital pharmacy administrator in assessing personnel and staffing requirements for a pharmacy chemotherapy admixture service. Time study data was collected on 250 consecutive new and refill chemotherapy admixtures. Both pharmacists and technicians admixed during the 32-day study period. Protective clothing and a vertical hood were utilized. The admixtures were divided into three categories depending on the drug's original packaging (ampul or vial) and the delivery system used for the final solution (syringe or IV bag). Total processing time (compounding time plus auxiliary time plus allowance and absentee time) for all admixtures was determined. The average total processing time for new orders was determined to be 16.75 minutes with refill orders requiring 14.61 minutes. From the results of this study, it was found that an average of eight chemotherapeutic admixtures per day would require approximately 0.4 FTEs.

Drug Compounding↗

Neuropsychological test performance and hypnotic susceptibility.

Treated 70 patients for alcohol dependency. Various degrees of cortical dysfunctioning were represented as measured by the Halstead-Reitan Neuropsychological Battery. The study's purpose was to determine whether there was a relationship between brain-behavior and hypnotic susceptibility as measured by the Stanford Hypnotic Susceptibility Scale and its Fromm-Weingarten modification. It was found that the two scales were interchangeable insofar as they measured the same ability. Results indicate that hypnotic susceptibility is related to cognitive ability independent of lateralization. Further studies that use the same instruments with more precisely neurologically impaired patients are needed.

Adult↗

Clinical characteristics and results of noninvasive tests in 60 diabetic patients after acute myocardial infarction.

Diabetic patients who survive myocardial infarction have more similarities than differences when compared with nondiabetic patients. Silent myocardial infarctions were not more common in the diabetic population. The higher percentage of women among diabetic patients with infarction has been well recognized. Of the primary risk factors, hypertension was more common in diabetic patients. Clearly, a history of ischemic heart disease was more common in diabetic patients. The course in the coronary care unit was similar for both the diabetic and nondiabetic patient groups. Likewise, there were no striking differences in left ventricular ejection fractions or results of 24-hour Holter monitoring between the groups. The fact that a higher percentage of diabetic patients were excluded from taking the limited activity treadmill test, primarily because of angina after infarction, may account for the observation that the percent of patients with an ischemic response to exercise and the percent with exercise-induced ventricular ectopy did not differ between diabetic and nondiabetic groups.

Coronary Care Units↗

In vivo cleavage of cytosine-containing bacteriophage T4 DNA to genetically distinct, discretely sized fragments.

Mutants of bacteriophage T4D that are defective in genes 42 (dCMP hydroxymethylase), 46 (DNA exonuclease), and 56 (dCTPase) produce limited amounts of phage DNA in Escherichia coli B. In this DNA, glucoylated 5-hydroxymethylcytosine is completely replaced by cytosine. We found that this DNA rapidly becomes fragmented in vivo to at least 16 discrete bands as visualized on agarose gels subjected to electrophoresis. The sizes of the fragments ranged from more than 20 to less than 2 kilobase pairs. When DNAs from two of these bands were radioactively labeled in vitro by nick translation and hybridized to XbaI restriction fragments of cytosine-containing T4 DNA, evidence was obtained that the two bands are genetically distinct, i.e., they contain DNA from different parts of the T4 genome. Mutational inactivation of T4 endonuclease II (gene denA) prevented the fragmentation. Three different mutations in T4 endonuclease IV (gene denB) caused the same minor changes in the pattern of fragments. We conclude that T4 endonuclease II is required, and endonuclease IV is involved to a minor extent, in the in vivo production of these cytosine-containing T4 DNA fragments. We view these DNA fragments as "restriction fragments" since they represent degradation products of DNA "foreign" to T4, they are of discrete size, and they are genetically distinct. Thus, this report may represent the first, direct in vivo demonstration of discretely sized genetically distinct DNA restriction fragments.

Base Sequence↗

Clinical correlations in patients with acute myocardial infarction and left ventricular thrombus detected by two-dimensional echocardiography.

Eleven of forty-nine patients with acute myocardial infarction had left ventricular thrombus identified by two-dimensional echocardiography. The patients with thrombi had a greater incidence of transmural infarction, high-grade ventricular ectopy on ambulatory monitoring and lower radionuclide ejection fractions than the patients without thrombi. Most of the patients were receiving full-dose heparin and/or warfarin anticoagulation from the time of admission to the hospital. Thus the thrombi either developed prior to hospital admission or developed during anticoagulation therapy. Two patients with thrombi had peripheral emboli complicating their infarction. One of these patients was undergoing anticoagulation at the time of his embolus.

Aged↗

Plasma levels of phenylacetic acid, m- and p-hydroxyphenylacetic acid, and platelet monoamine oxidase activity in schizophrenic and other patients.

Blood from chronic schizophrenic patients in two hospitals (A and B) and from institutional and noninstitutional controls was analyzed for platelet monoamine oxidase (MAO) activity toward three different substrates (tryptamine, phenylethylamine, and p-tyramine) and for plasma levels of conjugated and unconjugated phenylacetic acid (PAA) and m- and p-hydroxyphenylacetic acids (mHPA and pHPA). Compared to the controls, schizophrenic patients were found to have significantly reduced MAO activity. Although significant differences were found between unconjugated PAA (reduced) in Hospital B, conjugated pHPA (increased) in Hospital A, and conjugated PAA (increased) in Hospitals A and B and noninstitutional controls, the most consistent significant finding was a reduced unconjugated mHPA in both groups of schizophrenic patients compared with both control groups.

Antipsychotic Agents↗

Comparison of biochemical properties of platelet monoamine oxidase in mentally disordered and healthy individuals.

We have investigated some biochemical properties of platelet monoamine oxidase (MAO) isolated from chronic schizophrenic and agoraphobic patients, nonschizophrenic institutional controls, and healthy volunteers. The enzyme activity level in the healthy population was reasonably constant over at least a 6-week period. High correlations were found between MAO activity assessed for different substrates (p-tyramine, beta-phenylethylamine, and tryptamine). Some heterogeneity of the platelet MAO may exist, however, at least in some of the chronic schizophrenics, since the substrate specificities were changed and the Km values reduced. The half-life of the enzyme at 58 degrees C was 2-3 minutes and the transition temperature derived from Arrhenius plots was 16-17 degrees C with respect to beta-phenylethylamine. Platelet MAO from chronic schizophrenics was not significantly different from control values with respect to temperature effects. SDS-polyacrylamide gel electrophoresis of the 3H-pargyline-MAO adduct revealed that the subunit of platelet MAO is a single band protein with a molar individuals. The adjacent structure of the flavine site of the platelet MAO was chromatographically identical to the penta-peptide isolated from MAOs from other tissues. The response of platelet MAO to thimerosal, a new differential type A MAO inhibitor, could be distinguished not only from type A MAO isolated from human placenta, but also from type B MAO isolated from bovine liver.

Agoraphobia↗

Serum carotene, vitamin A, retinol-binding protein and lipoproteins before and after jejunoileal bypass surgery.

The plasma vitamin A and carotene transport in 45 obese patients was examined before and at various times after bypass surgery. The serum levels of lipoproteins, carotene, vitamin A and retinol-binding protein (RBP) were monitored and compared to those of healthy controls. LDL-cholesterol levels were decreased by 40 per cent (P less than 0.001) within the first year after surgery and remained low thereafter. The reduction of serum carotene (from a mean of 64 to 17 micrograms/dl) was rapid and constant. This change was observed already within 1-2 weeks post-surgery. The serum concentrations of carotene and LDL-cholesterol were highly correlated (r = 0.74). The concentrations of vitamin A and RBP were normal before the operation and remained so until 30 months after surgery, when slight reductions were observed compared to the control values [46 +/- 28 vs 66 +/- 11 micrograms/dl for vitamin A (P less than 0.01) and 32 +/- 8 vs 41 +/- 6 mg/l for RBP (P less than 0.01)]. No overt signs of vitamin A deficiency were observed. The mechanisms by which carotene (but not vitamin A) decreases so rapidly after bypass surgery cannot be explained by the decreased LDL levels.

Adult↗

Determination of the cholesterol content of high density lipoprotein subfractions HDL2 and HDL3, without contamination of Lp(a), in human plasma.

A method for the determination of the cholesterol content of human plasma high density lipoprotein (HDL) subfractions HDL2 and HDL3 is presented. The method is based on one preparative ultracentrifugal spin at density 1.125 to obtain HDL3 and heparin/manganese precipitation to obtain total HDL. From this spin in a fixed angle rotor at density 1.125 HDL3 is obtained as a bottom fraction in which cholesterol is determined. The total HDL cholesterol concentration is determined in the supernatant of the heparin/manganese precipitation of VLDL-free serum. HDL2 cholesterol is calculated as the difference between total HDL and HDL3 cholesterol. One of the advantages of this method is that falsely high HDL2 cholesterol levels due to incorporation of LP(a) containing B-protein in the HDL2 fraction is avoided. Some validation of the 1.125-spin is given. Results are presented from small samples of normal of both sexes as well as men with different kinds of hyperlipoproteinaemia.

Cholesterol↗

Changes in high density lipoprotein subfractions and other lipoproteins by exercise.

Seventeen previously sedentary men (aged 30-45) were exercised approximately twice weekly over a 10-week period during which time there was a significant fall in low density lipoprotein cholesterol, but total high density lipoprotein (HDL) did not change. The subfraction HDL2 showed an initial fall at two weeks of training with a subsequent rise above the baseline by 10 weeks. HDL3 cholesterol tended to change in an opposite direction to HDL2 thus accounting for no significant change in total HDL cholesterol. Smoking or drinking habits did not change throughout the study. As body weights did not change significantly through the study, energy intake must have increased with probable increased very low density lipoprotein (VLDL) production. Loss of apoprotein C-peptides from HDL2 associated with activation of lipoprotein lipase, and clearance of VLDL, could have caused redistribution of C-apoproteins between HDL3 leading to the changes seen, with the establishment of a new equilibrium with continued training by 10 weeks.

Adult↗