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Biomedical subjects

K Quinn

Publications and source records attributed to K Quinn.

At least 55 records · Page 3Linked to original sources
PubMed1989

Levels of interleukin-2 receptor in serum of patients during the menstrual cycle and following embryo/gamete transfer.

In an attempt to establish whether nidation elicits a measureable systemic immunologic response in vivo, levels of interleukin-2 receptor (IL-2R) have been determined in serum drawn from 34 pregnant patients (IUP) immediately before embryo/gamete transfer, and 7 and 14 days later. For comparison, these same values were determined for 41 subjects who did not conceive, and for 18 who spontaneously aborted (SAB) during the first trimester of gestation. Serum IL-2R values were near 320 U/ml and did not differ between days within outcomes, or within days between outcomes. Furthermore, levels of IL-2R and beta-hCG in serum were not interrelated on days 7 or 14 of pregnancy (SAB or IUP). Serum IL-2R levels did not change during the menstrual cycle. The present results appear to traverse presumptive elements of existing hypotheses of "placental immunotropism."

Chorionic Gonadotropin↗
PubMed1989

Dihydrocodeine--a reversible cause of renal failure?

Two patients who developed severe narcosis and acute renal failure following therapeutic doses of dihydrocodeine are reported. The administration of naloxone produced an increase in respiratory minute volume and an improved level of consciousness. In addition, there was evidence of reversal of their renal failure with an increased urine output and creatinine clearance during the period of naloxone administration. Although the antidiuretic effect of opioids is well documented, opioids have not previously been incriminated in the aetiology of renal failure. The possible mechanism for this is discussed and the risks associated with the administration of dihydrocodeine to patients with renal failure or the elderly are emphasized.

Acute Kidney Injury↗
PubMed1988

Luteotropic activity in serum of women following embryo or gamete transfer in a program of assisted conception.

In an attempt to track the proliferation/demise of trophoblastic tissues in women following gamete transfer (GT) or in vitro fertilization/embryo transfer (IVF/ET), we have measured levels of human chorionic gonadotropin (hCG) in serum of 180 patients on days 7 and 14 following oocyte pickup (OPU). Serum hCG levels were measured by immunoassay and by a bioassay based on the capacity of the sample to stimulate testosterone secretion by cultured mouse Leydig cells. Based on determinations of bioactive and immunoactive hCG in serum from 18 of 180 patients who subsequently delivered (12 of 73 GT, 6 of 107 IVF/ET; P less than 0.05) and classification of patients in accord with their compliance or noncompliance with these ranges of values, about 70% of all patients in the present study were classified as "pregnant" 7 days following OPU. Based on these same criteria, about 23% were pregnant 7 days later. Biochemical pregnancy rates on days 7 and 14 following GT (near 73 and 27%, respectively) were not different from the respective values following IVF/ET (near 68 and 20%, respectively; P greater than 0.05). The luteotropin bioassay described is highly sensitive to hCG (to 0.02 mIU/ml serum) and appears appropriate to the characterization of proliferation/demise of embryonic tissues during the 14 days after gamete/embryo transfer. In addition, through its representation of the cumulative luteotropic properties of human serum and its insensitivity to biologically inactive hCG subunits, this bioassay appears more appropriate than hCG immunoassay in the monitoring of early embryonic signalling following assisted (or spontaneous) conception in the woman.

Chorionic Gonadotropin↗
PubMed1988

Determination of morphine in human plasma by radioimmunoassay utilising a preliminary liquid-solid extraction.

Numerous assays are available for the pharmacokinetic study of morphine. Two of these methods are compared with a new assay procedure, which involves a solid-phase extraction to clean up human plasma before radioimmunoassay allowing the determination of morphine levels to a sensitivity of 1 mugl(-1). Data are presented to show the importance of correct method choice if clinical studies are to be used in pharmacokinetic interpretations.

Journal Article↗
PubMed1988

The effect of metoclopramide on the absorption of oral controlled release morphine.

The pharmacokinetics of oral controlled release morphine and metoclopramide were investigated in 20 patients in a double-blind, randomly allocated study. The concurrent administration of metoclopramide and oral controlled release morphine led to a faster onset and increased level of sedation compared with the administration of oral controlled release morphine alone. Whilst the increased sedation may be advantageous in anaesthetic practice, it may be a potential problem in patients starting longer term therapy with these drugs.

Administration, Oral↗
PubMed1986

The development of tactile transfer of information.

A finger localization task was used to investigate interhemispheric transfer of tactile information in children aged 5, 7, 9 and 11 yr. Other-hand responses (cross-localization) were less accurate than same-hand responses for all ages tested. However, the size of the cross-localization deficit was strongly age-dependent, and provided evidence for a developmental improvement in interhemispheric transfer which is consistent with the sequence of myelination of the corpus callosum during the first decade of life. Transfer with mirror-imaged finger positions on the opposite hands was more accurate for younger children, whereas older children were more accurate when finger positions were spatially aligned.

Brain Mapping↗
PubMed1985

The effect of lesions of the corpus callosum on finger localization.

Finger localization was studied in 10 cases of cerebral commissurotomy (four complete, six partial) and 24 normal subjects. Stimulation of one finger with the same hand responding produced ceiling performance in all subjects. Responses with the other hand (cross-localization) were 82% worse with full commissurotomy, 28% worse with the trunk of the corpus callosum sectioned, and 7% worse in the controls. The trunk of the corpus callosum normally transfers tactile information, but the splenium can subsume 50% of this function and tactile transfer with complete commissurotomy exceeded chance levels. The partially sectioned and normal male subjects showed a right-hand stimulation advantage for sequences. In both normals and partially sectioned subjects, cross-localization was poorest when mirror-image transfer of finger sequences was required, while spatial alignment of the fingers facilitated transfer. With complete commissurotomy, response hand orientation did not affect cross-localization. Thus the corpus callosum transmits the position of each hand between the hemispheres.

Adolescent↗
PubMed1984

The surgical management of left ventricular outflow tract obstruction due to tricuspid valve pouch in complete transposition of the great arteries.

Subpulmonary stenosis in transposition of the great arteries, resulting from a tricuspid valve pouch bulging into the left ventricular outflow tract through a ventricular septal defect, can be missed at the time of operation in the flaccid, nonbeating heart unless preoperative diagnosis has been established. In our experience, six patients were found to have this lesion. In four patients the tricuspid valve pouch was recognized preoperatively. At operation, retraction of the tricuspid valve pouch into the right ventricle, patch closure of the ventricular septal defect, and a Mustard procedure were performed in three patients; the fourth is awaiting correction following initial palliation with a subclavian-pulmonary shunt. In the other two, the ventricular septal defect was partially or completely obliterated by a tricuspid valve pouch that was missed preoperatively and during exploration at the time of the Mustard procedure. Residual left ventricular outflow tract obstruction was subsequently corrected with a left ventricle-pulmonary artery valved conduit. Echocardiographic and angiocardiographic examinations offer helpful signs for the diagnosis of tricuspid valve pouch. Transatrial retraction of the redundant tricuspid valve tissue into the right ventricle, patch closure of the ventricular septal defect, and Mustard operation are the procedures of choice. A left ventricle-pulmonary artery valved conduit may be required for residual unresectable left ventricular outflow tract obstruction.

Cardiomyopathy, Hypertrophic↗
PubMed1982

Effect of increased arterial blood flow on localization and progression of atherosclerosis.

Unilateral femoral arteriovenous fistulas were constructed in New Zealand white female rabbits that were subsequently placed on a 1% cholesterol diet for two months. Experimental animals were divided into three groups: group 1 (N = 7), the fistula remained patent for two months; group 2 (N = 7), the fistula occluded after the first month of the observation period; and group 3 (N = 6), the fistula closed after the first month, but the rabbits were maintained on the cholesterol diet for a total of three months. In group 1, 59% (+/- 13%) of the surface area of the donor iliac artery had atherosclerotic lesions compared with 18% (+/- 3%) of the contralateral iliac artery. A similar distribution of atherosclerotic lesions was noted in groups 2 and 3. Increasing arterial blood flow did not have a protective effect on the donor artery but seemed to promote atherosclerosis.

Animals↗
PubMed1982

Detection of moving stimuli in the binocular and nasal visual fields by infants three and four months old.

A technique of monocular eye patching was used to measure the response of infants three and four months old to nasally and temporally placed stimuli at various eccentricities in the visual field. The results indicated a field of field of binocular overlap of approximately 60 deg in infants three months old and 80 deg in infants four months old. These figures compare with visual field widths obtained under binocular viewing conditions of at least 140 deg in infants three months old and of at least 150 deg in infants four months old.

Child Development↗
PubMed1982

Lymphocyte cyclic AMP levels antepartum and postpartum as an indirect assessment of the immune system during pregnancy.

The literature dealing with the immunological state of the pregnant woman has been conflicting. The concentrations and activity of a number of hormones and proteins which modify lymphocytic activity have been measured both in vivo and in vitro during pregnancy. Most of the differences between reported studies can be reconciled to technical or experimental variations. In some instances, the purported suppressive effects of embryonic proteins such as HCG have actually been caused by the impurity of the preparation studied. We have attempted to approach the question of whether or not the pregnant woman is immunosuppressed by studying a regulatory material in the lymphocytes. It is known that cAMP is a mirror of lymphocytic activity and that low levels of cAMP may indicate a high degree of reactivity, while high levels are present when lymphocyte reactivity is low. In an initial study, ten women volunteered to have blood drawn in the last trimester and two months postpartum. Cyclic AMP was extracted from lymphocyte-enriched leukocytes and stored until all samples were available from all patients so that the analysis could be made simultaneously. Five samples were obtained from healthy nonpregnant women in the same age range. Postpartum and nonpregnant women were found to have significantly elevated levels of cAMP as compared to the lymphocytes obtained in the third trimester of pregnancy. The experiments were then repeated using seven more patients. The same significant increase in postpartum lymphocyte cAMP concentrations were found. The precise reason(s) for this is not known, but may be due to increased suppressor cell activity.

Cyclic AMP↗
PubMed1981

Pulmonary artery pressure monitoring in the surgical intensive care unit. Benefits vs difficulties.

The process of pulmonary artery pressure monitoring in 50 consecutive patients in the surgical intensive care unit was analyzed to determine the number and types of problems that occurred in relation to the benefit obtained. Twenty-six percent of the patients had a change in their cardiorespiratory therapy and their conditions were improved after the pressure data were obtained. Many technical and interpretative problems that tended to decrease the desirability of using pulmonary artery pressure monitoring were identified. Most problems could be avoided by carefully calibrating the monitor system, clearing the catheter system of air bubbles and blood clots, learning to property interpret pulmonary artery pressure tracings despite large respiratory variations, and obtaining a hard-copy printout of the pressure tracing with the simultaneous ECG signal. A protocol for avoiding many difficulties was developed.

Blood Pressure↗
PubMedDate not supplied

The treatment of men with a learning disability convicted of exhibitionism.

This paper reviews work on the treatment of men convicted of exhibitionism or indecent exposure. Recidivism is extremely high after treatments, with true figures on recidivism unavailable until 4 years after conviction. It is extremely difficult to control for treatment effects because of the ethical issues surrounding withholding of treatment, but cognitive techniques provide a promising treatment approach. The present study attempted to address all these issues for men with a learning disability. A cognitive treatment is presented and data are available for at least 5 years after conviction. An AB design was used and treatment effects were monitored carefully. Treatment dealt with the issues of accepting that the offense took place, taking responsibility for the offense, accepting the intention of the offending behavior, victim awareness, and behavior consistent with offending for four offenders. All the men responded to treatment, although one offender with only 1 year of probation responded less convincingly than others. Beliefs relating to indecent exposure being fun or not causing harm to women seemed most open to alteration. The beliefs in which the perpetrator thought that the victim shared responsibility for the offense and that women may take a long while to recover from such an incident, seemed the most difficult to alter. Individual characteristics of the case examples are discussed in terms of these general trends.

Adult↗
PubMedDate not supplied

Prehospital blood transfusion versus crystalloid alone in the air medical transport of trauma patients.

INTRODUCTION: Differences in prehospital resuscitation measures and outcomes of trauma patients transported by two air medical programs were assessed comparing the prehospital administration of crystalloid only (Group A) with the administration of 2 liters of crystalloid followed by blood (Group B). METHODS: A 1-year retrospective review of flight and hospital records of patients taken to Level I trauma centers by two separate air medical programs was completed. Physiologic variables, total fluids infused, and flight times were compared. RESULTS: Thirty-one patients (Group A) received crystalloids in flight, and 17 patients received in-flight blood (Group B). No statistical differences were found between the two groups when comparing age, ISS, PS, RTS, GCS, survival, and total fluid volume. Group B had statistically greater mean flight times compared with Group A (P < .05). A difference was demonstrated between groups A and B in pH and HCO3 measurements (P < .05), with Group B presenting in a more acidotic state on admission to the hospital. CONCLUSION: Patients with lengthy flight times, despite the administration of blood products, presented to the trauma center more acidotic than trauma patients receiving only crystalloid. The true impact of blood products on outcome could not be demonstrated because of statistical differences in flight times between the groups. A multicenter study matching flight times, head injury status, and flight type of assess benefit of prehospital utilization of blood products is warranted.

Adult↗