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Biomedical subjects

K Waldron

Publications and source records attributed to K Waldron.

11 recordsLinked to original sources

Use of two varieties of hard-to-cook beans (Phaseolus vulgaris) and cowpeas (Vigna unguiculata) in the processing of koki (a steamed legume product).

Koki is a nutritious cowpea-based food product usually processed by steam cooking whipped cowpea (Vigna unguiculata) paste mixed with spices and palm oil. A study was carried out to investigate the effect of the partial replacement of cowpeas (CP) with hard-to-cook (HTC) beans on the chemical, nutritional and sensory characteristics of koki. Towards this objective, two varieties of beans--Phaseolus vulgaris (red kidney beans--RKB and mottled brown beans--MBB), each with the HTC defect, were separately incorporated into cowpea paste in the following Bean:CP ratios 0:100, 20:80, 30:70, 40:60, 50:50, 60:40 and processed into koki. Incorporation of dry HTC beans into cowpeas in the making of koki affected the bulking properties of the uncooked paste, the nutrient composition, essential amino acid content, antinutritional factors, digestibility as well as the sensory attributes of cooked koki. Sensory tests showed that a highly acceptable, nutritious and digestible koki can be processed from cowpeas partially replaced with dry HTC bean paste up to levels of about 40-50% depending on the variety of dry bean used.

Amino Acids↗

Atomic force microscopy of plant cell walls, plant cell wall polysaccharides and gels.

Methods developed for the routine imaging of polysaccharides by atomic force microscopy (AFM) have been used to image plant polysaccharides from higher plants (pectin) and algae (carrageenan). These methods have been extended to image K-carrageenan association in hydrated films. Finally, AFM has been used to image polysaccharide architecture in moist plant cell walls. Simple experimental and image processing methods have been used to enhance molecular structure in 'rough' cell wall surfaces.

Cell Wall↗

An Aspergillus niger esterase (ferulic acid esterase III) and a recombinant Pseudomonas fluorescens subsp. cellulosa esterase (Xy1D) release a 5-5' ferulic dehydrodimer (diferulic acid) from barley and wheat cell walls.

Diferulate esters strengthen and cross-link primary plant cell walls and help to defend the plant from invading microbes. Phenolics also limit the degradation of plant cell walls by saprophytic microbes and by anaerobic microorganisms in the rumen. We show that incubation of wheat and barley cell walls with ferulic acid esterase from Aspergillus niger (FAE-III) or Pseudomonas fluorescens (Xy1D), together with either xylanase I from Aspergillus niger, Trichoderma viride xylanase, or xylanase from Pseudomonas fluorescens (XylA), leads to release of the ferulate dimer 5-5' diFA [(E,E)-4,4'-dihydroxy-5,5'-dimethoxy-3,3'-bicinnamic acid]. Direct saponification of the cell walls without enzyme treatment released the following five identifiable ferulate dimers (in order of abundance): (Z)-beta-(4-[(E)-2-carboxyvinyl]-2-methoxyphenoxy)-4-hydroxy-3-methoxycinnamic acid, trans-5-[(E)-2-carboxyvinyl]-2-(4-hydroxy-3-methoxy-phenyl) -7-methoxy-2, 3-dihydrobenzofuran-3-carboxylic acid, 5-5' diFA, (E,E)-4, 4'-dihydroxy-3, 5'-dimethoxy-beta, 3'-bicinnamic acid, and trans-7-hydroxy-1-(4-hydroxy-3-methoxyphenyl) -6-methoxy-1, 2-dihydronaphthalene-2, 3-dicarboxylic acid. Incubation of the wheat or barley cell walls with xylanase, followed by saponification of the solubilized fraction, yielded 5-5'diFA and, in some cases, certain of the above dimers, depending on the xylanase used. These experiments demonstrate that FAE-III and XYLD specifically release only esters of 5-5'diFA from either xylanase-treated or insoluble fractions of cell walls, even though other esterified dimers were solubilized by preincubation with xylanase. It is also concluded that the esterified dimer content of the xylanase-solubilized fraction depends on the source of the xylanase.

Aspergillus niger↗

Do performance indicators make a difference?

BACKGROUND: The Maryland Hospital Association, Inc (MHA) Quality Indicator (QI) Project, a program of indicator development and application, includes more than 1,100 participating hospitals. Access to data is limited to participants to promote improvement through comparison across hospitals. Participating hospitals have identified and acted on opportunities for improvement in information systems, communication across departments and functions, processes of care, identification of appropriateness of practice, and improvement ¿beyond the hospital door¿. CASE STUDY 1: Two teams were formed to address waiting time in the emergency department and failure of patients to find treatment. Improvements, including rapid notification of available inpatient beds, additional staffing during high-census periods, and streamlined processes for lab work and imaging turnaround times, were followed by better indicator performance. CASE STUDY 2: A hospital discovered three causes for a high rate of unscheduled admissions following ambulatory surgery. Interventions included extending the hours of the Same Day Surgery Unit (to solve a urination problem) and changing the anesthesia used (to reduce nausea and vomiting). CASE STUDY 4: To successfully bring its cesarean section (C-section) rate down closer to the statewide rate, one hospital had physicians encourage patients with previous C-sections to undergo a trial of labor, promoted the use of epidural anesthesia, and took advantage of new packaging to facilitate the use of prostaglandin gel to induce cervical dilation. CONCLUSIONS: The QI Project continues to deal with issues concerning quality of data versus quality of care, the correlation between indicator rates and care processes, and the usefulness of severity adjustment.

Adult↗

Readmission study leads to continuum of care.

A "continuum of care" project has been developed with the goal of decreasing the rate of unplanned readmissions. In addition to reducing these readmissions from 5.0% to 3.45% annually, the project has fostered excellent communication among nurses, social workers and physicians. Also, many patients are communicating more effectively with their health care providers. Our patient care delivery system has become an integrated, collaborative model through meeting patient care needs beyond the walls of our facility.

Communication↗

Intrauterine devices: insertion and removal: practical procedures.

Intrauterine devices (IUDs) remain a popular and common method of contraception in Australia. Their insertion and removal are commonplace in general practice. Dr Ken Waldron believes the success of the IUD depends, in part, on observing correct insertion techniques.

Female↗