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Biomedical subjects

L Bailey

Publications and source records attributed to L Bailey.

At least 73 records · Page 4Linked to original sources
PubMed1990

[Direct removal of dentobacterial plaque using an oral rinse before brushing].

A study was conducted to evaluate the ability of a dental rinse to remove dental plaque. The hypothesis was tested that plaque, as a complex soil comprising microorganisms, cell debris, salivary deposits and other ill-defined organic and inorganic components, would be susceptible to removal by a rinse with high detersive action. A rinse was prepared based on the principles applied to formulation of products for cleansing biologic surfaces, including anionic and nonionic surfactants, sodium benzoate, and auxiliary cleansing agents. Subjects randomly selected from a dental clinic population were scored for plaque area on the lingual and buccal surfaces of the Ramfjord teeth using the Turesky modification of the Quigley-Hein Index. The subjects then rinsed 30 seconds with 15 ml of product, and stainable plaque area was scored again. The rinsing reduced average plaque scores by an average of 13-20%, a very high level of significance. A placebo rinse and a conventional mouthwash removed 2.0% and 1.3% stainable plaque, respectively. The experimental rinse substantially Increased the number of surfaces that were totally free of plaque.

Adult↗
PubMed1990

The effect of a detergent-based pre-brushing dental rinse on plaque accumulation.

A pre-brushing dental rinse, based on the principle of non-specific removal and modification of dental plaque by detergent action, was studied. The rinse had previously been shown to have the ability to remove a limited amount of plaque without intervention of the toothbrush. In this study, the effect of the rinse on routine plaque control was evaluated over a 3-week period. The protocol sought to minimize the Hawthorne effect. A regimen involving use of the rinse prior to toothbrushing produced a significant decrease in mean plaque score of 50% compared to baseline. A normal oral hygiene regimen (i.e., toothbrushing without the pre-brushing rinse) resulted in a non-significant decrease in plaque area score of 11%. The difference in plaque reduction between the two regimens was significant at p less than .001.

Analysis of Variance↗
PubMed1989

Anesthetic management of neonatal cardiac transplantation.

Anesthetic management of thirteen neonatal heart transplant patients is reviewed. Donor management, preoperative, operative and early postoperative management is discussed. Ten of 13 patients in this series survived the operation and appear to be developing normally.

Anesthesia, General↗
PubMed1989

Staffing in cardiology in the United Kingdom 1988. Fifth biennial survey.

This is the fifth survey of staffing (consultants and senior registrars) in cardiology in the United Kingdom. Data from previous years--including the fourth survey (1986) that was not published separately--are used to show the trends over the past decade. In 1988 there were less than six cardiologists per million population. The United Kingdom, with Ireland, has fewer cardiologists than all other European countries with reliable figures. The ratio for Europe as a whole is approximately 45 per million population; the recommended figure for the United States of America is 60 per million. The distribution of cardiologists in England and Wales is still very uneven. Seven million people--nearly 15% of the population--have no immediate access to special expertise in cardiology. Women are particularly poorly represented in the specialty. This survey indicates that the crisis in staffing for cardiology continues. It will worsen as the possibilities grow for effective management of heart disease and as needs increase with the greater average age of the population. Resolution of this crisis should be a major priority in policies aimed at countering the ravages of heart disease.

Cardiology↗
PubMed1989

Synovial T lymphocyte recognition of organisms that trigger reactive arthritis.

Reactive arthritis (ReA) is believed to be "triggered' by infection with certain bacteria. When the proliferative responses of mononuclear cells (MC) obtained from the synovial fluid (SF) of ReA patients were examined, it was found that they responded maximally to the specific organism responsible for the preceding infection. The response was shown to be due to Class II MHC-restricted T cells by inhibition experiments using cyclosporin A and monoclonal antibodies. Significant SFMC responses to additional organisms associated with ReA were also recorded; since there was no serological evidence of preceding infection by these organisms, this finding suggests that these bacteria share common T cell-recognized antigenic epitopes. The corresponding responses by peripheral blood mononuclear cells (PBMC) were much lower and often barely detectable, whereas their responses to PHA were consistently higher than those of SFMC. These results, combined with evidence that bacterial antigens localize in the joint, indicate that a bacteria-specific, T-cell-mediated response may play a central role in the pathogenesis of ReA.

Antigens, Bacterial↗
PubMed1988

Lower doses of human menopausal gonadotropin are associated with improved success with in vitro fertilization in women with low body weight.

Since previous data suggested hyperresponsiveness to human menopausal gonadotropin by women with low body weight, the daily dose was reduced to 1.5 ampules in patients undergoing in vitro fertilization weighing less than 55 kg. This allowed the extension of treatment to a minimum of 6 days. These changes were associated with improved results in in vitro fertilization in these women.

Body Weight↗
PubMed1988

Stromal corneal scar following YAG capsulotomy.

The case of a 70-year-old patient who suffered inadvertant YAG laser burns to the central corneal stroma is presented. Although focal stromal scarring resulted, no endothelial damage or corneal decompensation was noted, and the patient was asymptomatic.

Aged↗
PubMed1987

Candida epiglottitis in an adult with acute nonlymphocytic leukemia.

A 40-year-old white woman presented with fever, otalgia, and odynophagia and was found to have a peripheral white blood cell count of 90,000/mm3. A diagnosis of acute myelogenous leukemia was made. Further evaluation of symptoms and source for fever led to the diagnosis of Candida albicans epiglottitis. This is the first reported case of fungal epiglottitis in an immunocompromised adult.

Adult↗
PubMed1987

Mechanical assistance for cardiogenic shock following cardiac surgery, myocardial infarction, and cardiac transplantation.

From January, 1982, to October, 1986, 33 patients were treated with either the Pierce-Donachy prosthetic ventricle or the Bio-Medicus ventricular assist device for cardiogenic shock following a cardiac operation, myocardial infarction, or cardiac transplantation. Twenty-five patients required the assistance for postcardiotomy shock and 8, for a variety of conditions including myocardial infarction shock and myocarditis, and as a bridge to cardiac transplantation. Complications were frequent and usually secondary to prolonged cardiopulmonary bypass. Results were poorest in the group with postcardiotomy shock. Earlier application of an assist device could lead to more frequent survival and avoidance of the detrimental effects of prolonged extracorporeal circulation.

Acute Disease↗
PubMed1986

Septic atrial thrombosis. A potentially lethal complication of Broviac catheters in infants.

Even though the use of Silastic catheters for long-term parenteral nutrition has decreased the incidence of catheter-related thrombosis and infection, these serious complications still occur. We describe three infants with septic atrial thrombosis secondary to use of Broviac catheters. One of the infants had pulmonary embolism and Budd-Chiari syndrome. The use of echocardiography in the diagnosis of this potentially fatal complication and aggressive treatment--which included open heart removal of thrombi--are discussed. The three infants recovered fully from this complication.

Budd-Chiari Syndrome↗
PubMed1986

Thyroid hormone administration in irradiated patients.

In a recall clinic for patients at risk for thyroid carcinoma due to a history of radiation in infancy or childhood, a group of patients were randomly offered prospective suppressive L-thyroxine therapy and matched to a radiated nontreated group. With an average of more than two years' follow-up, the thyroid hormone-treated radiated group developed fewer nodules and abnormalities to palpation and also had a statistically significant lessening of minimal palpable abnormalities compared to the nonthyroxine-treated radiated group.

Adult↗
PubMed1986

Positive correlation between body weight, length of human menopausal gonadotropin stimulation, and oocyte fertilization rate.

One hundred four normally cycling women were treated with fixed low-dose human menopausal gonadotropin (hMG) (2 ampules/day) in preparation for oocyte aspiration for in vitro fertilization. The response rate was related to age, weight, and the ratios weight/height2 and weight/height. The required dose of hMG was related to total body weight, but not to age or either of the weight/height ratios. In patients who required fewer than 5 days of hMG (rapid responders), a significantly higher number (P less than 0.02) of oocytes were harvested, compared with slow responders. However, a smaller percentage of the oocytes from rapid responders fertilized (P less than 0.003) and resulted in a reduced rate of embryo transfer. The difference in pregnancy rates was not statistically significant. The results of the study suggest that patients undergoing in vitro fertilization who weigh less than 55 kg may benefit from treatment with a lower dose of hMG to prolong the stimulation cycle.

Adult↗
PubMed1986

Clinical studies of intestinal folate conjugases.

Clinical differences between the two human intestinal mucosal folate conjugases were assessed by measurement of their activities in normal individuals and in patients with chronic diarrhea of differing causes. Intracellular folate conjugase (ICFC) was 15-fold more active than brush border folate conjugase (BBFC) in jejunal mucosa from seven obese patients undergoing elective gastric bypass surgery. The activity of ICFC was similar among normal volunteers and patients with diarrhea of unknown origin (DUO), gluten-sensitive enteropathy (GSE), inflammatory bowel disease (IBD), and the short bowel syndrome (IBD-SBS). By contrast, BBFC, sucrase, and lactase were decreased significantly in GSE, and BBFC was increased in IBD-SBS. The activity of BBFC correlated with lactase and with sucrase in the normal subjects and in patients with DUO, whereas no correlations were found with the activity of ICFC in any group. Our clinical studies confirm that ICFC and BBFC are different enzymes. ICFC is not affected by intestinal disease, whereas the activity of jejunal BBFC, like that of other brush border enzymes, is decreased by mucosal injury and is also capable of adapting to distal small intestinal disease or surgical resection.

Adult↗
PubMed1986

Method of heart transplantation for treatment of hypoplastic left heart syndrome.

Technical details of investigational orthotopic cardiac transplantation for management of hypoplastic left heart syndrome in a neonate are presented. Extracorporeal perfusion technique and need for extensive aortic arch reconstruction are emphasized. Although this experience was with a subhuman primate (baboon) donor, source of donor graft makes little difference with regards to the unique technical aspects of cardiac transplantation in a ductus-dependent newborn infant with a diminutive aortic arch.

Animals↗