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Biomedical subjects

K Coll

Publications and source records attributed to K Coll.

4 recordsLinked to original sources

Specialized beds program: diversification options in skilled nursing facilities.

Serving patients in the SNF who need specialized, highly skilled care demands strong commitment, intensive planning, cooperative research, and continuous reassessment and evaluation. Specialty care programs are necessary to provide viable alternatives to acute care hospitalization for patients who need long term care. Health care organizations should continue their cooperative efforts to ensure the appropriate and cost effective use of services. Based on CCM's successful history of operating special care programs, providers should be encouraged to become leaders in developing specialized care alternatives. The appropriate use of long term care as well as acute care settings is in the best interest of patients, communities, and the health care industry itself.

Cost Control↗

Energetics of citrulline synthesis by rat liver mitochondria.

The energetics of flux through carbamyl phosphate synthetase and of citrulline formation from added ammonia, bicarbonate, and ornithine have been investigated in liver mitochondria from rats fed a high protein diet. In the presence of an oxidizable substrate, but in the absence of ornithine, carbamyl phosphate accumulated as a function of the medium phosphate concentration (K'm approximately 1.5 mM) up to values of 30 nmol/mg of protein. Upon addition of ornithine, citrulline was produced at the rate of 70 nmol/mg/min, and the carbamyl phosphate content fell to below 1 nmol/mg. The intramitochondrial ATP/ADP ratio decreased after ornithine addition, indicating that release of inhibition of carbamyl phosphate synthetase by carbamyl phosphate predominated over the expected inhibition due to the fall of the ATP/ADP ratio. Under partially uncoupled conditions in the presence of ornithine, citrulline formation decreased linearly with a fall of the calculated intramitochondrial MgATP/MgADP ratio. Changes of the thermodynamic parameters of mitochondrial phosphorylation potential, delta Gp(m), proton electrochemical gradient, delta mu H+, and oxidation-reduction potential difference between NAD+ and cytochrome c, delta Eh, were measured under conditions of enhanced respiration induced by citrulline synthesis and compared with ADP-stimulated respiration. Under both conditions, delta Gp(m) decreased and delta Eh also decreased due to a net oxidation of NADH and reduction of cytochrome c. However, delta mu H+ showed no change after citrulline addition although it decreased during ADP-stimulated respiration. The average H+/2e stoichiometry over the first two phosphorylation sites calculated from the delta Eh/delta mu H+ ratio ranged from 3.0 to 3.5, while the H+/ATP stoichiometry calculated from the delta Gp(m)/delta mu H+ ratio ranged from 2.0 to 2.5. The calculated ratios of H+/2e and H+/ATP both increased as delta mu H+ was lowered by addition of an uncoupling agent. The overall data are apparently not in accordance with the commonly held view that delta mu H+ is an obligatory intermediate between the oxidation-reduction pumps of the respiratory chain and ATP synthase.

Adenosine Diphosphate↗