Biomedical subjects
Publications and source records attributed to K M Hildebrandt.
Staff at Group Health Cooperative of Puget Sound have undertaken numerous strategies and community alliances in an effort to decrease violence in their community. Beginning with pilot programs and interventions for their own providers and enrollees, programs now focus on strengthening the community, controlling firearms, and supporting youth.
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Service to the broader community is an important component of Group Health Cooperative's (GHC's) tradition, values, and mission. The role and potential of community services in a staff model HMO requires consensus, careful planning and communication, and attention to results. This paper describes GHC's efforts to define, implement, and sustain its community services initiative.
Teichuronic acid released from its phosphodiester linkage to peptidoglycan in the cell walls of Micrococcus luteus by mild acid treatment is resolved into a ladderlike series of bands by electrophoresis on polyacrylamide gels in the presence of borate. Each band of the ladder differs from its nearest neighbor by one disaccharide repeat unit, ----4)-2-acetamido-2-deoxy-beta-D-mannopyranuronosyl-(1----6)- alpha-D-glucopyranosyl-(1-. Acid-fragmented teichuronic acid, after conversion to the phenylamine derivative, was fractionated by preparative-scale molecular sieve column chromatography, which produced a series of elution peaks. Fast-atom-bombardment mass spectrometry of the smallest member of the series determined its molecular weight and established its identity as the phenylamine derivative of one disaccharide repeat unit of teichuronic acid. Homologous fractions of the same series were used to index the ladder of bands obtained by polyacrylamide gel electrophoresis from samples containing a more extensive distribution of polymer lengths. Nearly native teichuronic acid consists of polymers with a broad range of molecular sizes ranging from 20 to 55 disaccharide units. The most abundant species are those which have 25 to 40 repeat units. Prolonged treatment of teichuronic acid with the acid conditions used to release it from peptidoglycan causes gradual fragmentation of the teichuronic acid.
Cytoplasmic membrane fragments of Micrococcus luteus catalyze in vitro biosynthesis of teichuronic acid from uridine diphosphate D-glucose (UDP-glucose), uridine diphosphate N-acetyl-D-mannosaminuronic acid (UDP-ManNAcA), and uridine diphosphate N-acetyl-D-glucosamine. Membrane fragments solubilized with Thesit (dodecyl alcohol polyoxyethylene ether) can utilize UDP-glucose and UDP-ManNAcA to effect elongation of teichuronic acid isolated from native cell walls. When UDP-glucose is the only substrate supplied, the detergent-solubilized glucosyltransferase incorporates a single glucosyl residue onto each teichuronic acid acceptor. When both UDP-glucose and UDP-ManNAcA are supplied, the glucosyltransferase and the N-acetylmannosaminuronosyltransferase act cooperatively to elongate the teichuronic acid acceptor by multiple additions of the disaccharide repeat unit. As shown by polyacrylamide gel electrophoresis, low-molecular-weight fractions of teichuronic acid are converted to higher-molecular-weight polymers by the addition of as many as 17 disaccharide repeat units.
The effects of varied levels of maternal dietary zinc on growth and immunological development of suckling A/J mice were studied. From 5 days postpartum, lactating dams were fed biotin-fortified egg-white diets containing the following levels of zinc: 1.6 microgram/g (low zinc), 3.6 microgram/g (intermediate zinc), 5.8 microgram/g (moderate zinc) and 30 microgram/g (control). At 17 days of age, low zinc pups exhibited reduced body weight gain (70%), smaller thymuses and spleens, and reduced splenocyte numbers (18%). Intermediate zinc pups had normal body weights but slightly reduced spleens and thymuses; moderate zinc pups were unaffected. Since suckling mice are not fully immunocompetent, splenic mitogenic responses to phytohemagglutinin (PHA), concanavalin A (Con A), lipopolysaccharide (LPS), pokeweed mitogen (PWM), and dextran sulfate (Dx) were used to evaluate the status of various lymphocyte subpopulations. Neonates from the low zinc group gave no Con A response and limited responses to LPS and PWM (50%). Intermediate zinc pups responded satisfactorily to all mitogens except LPS (64%); moderate zinc pups responded normally. It was concluded that 5.8 microgram/g maternal dietary zinc, fed day 5-17 postpartum, is adequate for normal neonatal growth and mitogenic responses. Conversely, 1.6 microgram Zn/g caused neonatal growth retardation and reduced mitogenic responses without excessive mortality.