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Biomedical subjects

L Clarke

Publications and source records attributed to L Clarke.

At least 199 records · Page 11Linked to original sources

A colony bank containing synthetic Col El hybrid plasmids representative of the entire E. coli genome.

Using the poly(dA-dT) "connector" method (Lobbanand Kaiser, 1973), a population of annealed hybrid circular DNAs was constructed in vitro; each hybrid DNA circle contained one molecule of poly(dT)-tailed Col El-DNA (LRI) annealed to any one of a collection of poly(dA)-tailed linear DNA fragments, produced originally by shearing total E. coli DNA to an average size of 8.5 x 10(6) daltons. This annealed DNA preparation (12 mug) was used to transform an F+ recA E. coli strain (JA200), selecting transformants by their resistance to colicin El. A collection or "bank" pf pver 2000 colicin El-resistant clones was thereby obtained, 70% of which were shown to contain hybrid Col El DNA (E. coli) plasmids. This colony bank is large enough to include hybrid plasmids representative of the entire E. coli genome. Individual plasmids have been readily identified by replica mating the collection onto plates seeded with cultures of various F- auxotrophic recipients, selecting for complementation of the auxotrophic markers by F-mediated transfer of hybrid plasmids to the F- recipients. In this manner, over 80 hybrid Col El-DNA (E. coli), plasmid-bearing clones have been identified in the colony bank, and about 40 known E. coli genes have been tentatively assigned to these various plasmids. The hybrid plasmids are transferred efficiently from F+ donors to appropriate F- recipients. The use of this method to establish similar colony banks in E. coli containing hybrid plasmids representative of various simple eucaryotic genomes is discussed.

Chromosome Mapping↗

Biochemical construction and selection of hybrid plasmids containing specific segments of the Escherichia coli genome.

Using a poly(dA-dT) "connector" method, a population of annealed hybrid circular DNAs was constructed in vitro; each hybrid DNA circle containing one full-length molecule of poly(dT)-tailed DNA from E1 colicinogenic factor (Col E1) fragmented by EcoRI endonuclease annealed to any one of a collection of poly(dA)-tailed linear DNA fragments of the entire E. coli genome. This annealed, but unligated, hybrid DNA was used to transform several different auxotrophic mutants of E. coli, and by direct selection, bacterial clones were isolated which contained specific hybrid plasmids. In this manner, bacterial strains containing Col E1 hybrid plasmids carrying the entire tryptophan operon or the arabinsoe and leucine operons were isolated. The methods described should allow the molecular cloning of any portion of the E. coli genome by selection from a pool of DNA molecules containing at least several hundred different hybrids representing the entire bacterial genome.

Arabinose↗

The interactive seminar: an educational approach for voluntary HIV testing in a drug dependence treatment unit.

Acquired immune deficiency syndrome (AIDS) is a pandemic disease with no known cure and limited effective strategies for prevention and control. It is one of the most devastating illnesses in contemporary society, and since 1982, certain populations, including intravenous drug users (IVDU), have been targeted as being at high risk for AIDS. Education is one strategy that seeks to address AIDS and the needs of IVDU. This retrospective study focused on the use of the interactive seminar or small-group discussion as an educational method to identify and describe its effect on the rate of voluntary human immunodeficiency virus (HIV) testing among male subjects in a drug dependence treatment unit (DDTU). The subjects, 25 to 62 years old, were in treatment at a Medical Center for Veterans that was located in an urban environment. The medical records of 118 patients admitted to the unit during the year before and the year after the introduction of an HIV interactive seminar were studied. Analysis of data showed that drug users who participated in the interactive seminar had a higher rate of voluntary HIV testing than did those who did not participate; IVDU who participated in the interactive seminar had a higher rate of voluntary HIV testing than IVDU who did not participate in the seminar; drug users who completed the detoxification treatment and participated in the interactive seminar had a higher rate of voluntary HIV testing than did those who did not participate in the interactive seminar.(ABSTRACT TRUNCATED AT 250 WORDS)

AIDS Serodiagnosis↗

The relationship of vaginal trichomoniasis and pelvic inflammatory disease among women colonized with Chlamydia trachomatis.

BACKGROUND: Trichomonas vaginalis is a common sexually transmitted pathogen that has been linked to upper genital tract bacterial disease. Its association with upper tract chlamydial disease has not been assessed. GOAL OF THIS STUDY: This study was undertaken to determine whether women colonized with Chlamydia trachomatis who are also infected with Trichomonas vaginalis are at increased risk for having pelvic inflammatory disease. STUDY DESIGN: A nested case control methodology was used to compare Trichomonas vaginalis rates between women colonized with Chlamydia trachomatis who had pelvic inflammatory disease (n = 24) and those who were colonized but did not have pelvic inflammatory disease (n = 47). Factors that might be related to the development of upper tract disease (e.g., douching, other sexually transmitted diseases) and factors linked to colonization with Trichomonas vaginalis (e.g. race, use of oral contraceptives) were assessed. RESULTS: When exact logistic regression models were used and variables associated with pelvic inflammatory disease were considered, it was found that age (odds ratio = 0.73; P = .001) and Trichomonas vaginalis colonization (odds ratio = 4.72; P = .053) were significant. CONCLUSIONS: In this preliminary study of women colonized with Chlamydia trachomatis, an association was found between co-infection with Trichomonas vaginalis and evidence of upper tract disease.

Adult↗

A critical event in tracheostomy care.

Endotracheal suctioning is a potentially hazardous procedure which should be performed with care and only when indicated. The use of saline instillations before endotracheal suctioning has little or no value. Heat and moisture exchangers are effective and provide efficient humidification for artificial airways. More research is required into the timing of tracheostomy tube changes. Blockages in tracheostomy tube should be a preventable occurrence.

Aged↗

We aim to differ.

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Empathy↗

The trouble with specialised language for nursing.

Liam Clarke continues the discussion about the need for a specialised nursing language and argues that the ordinary social and moral rules governing everyday speech should suffice.

Communication↗

Challenging scientific advances in mental health.

Biological and biotechnological advances in the treatment of mental health problems have not, according to the author, produced the benefits for patients that their advocates predicted. In this article, Liam Clarke argues that such advances are only likely to prove effective so far in the future to be irrelevant for clients now and in the next several generations.

Counseling↗

Learning by degrees.

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Clinical Competence↗

Perinatal care for survivors of sexual abuse.

Some pregnant women with a history of sexual abuse tend to have high anxiety during labor, often causing labor to be extended and making delivery more physically as well as emotionally painful. Now, thanks to the collaborative effort of a unique community health perinatal program and nurses at Vernon Jubilee Hospital, these women are receiving additional nursing support to help reduce their anxiety and make their deliveries less difficult.

Adult↗

Darkness visible.

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Ethics, Nursing↗