Reflected ultrasound in the detection of pulmonary embolism.
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Biomedical subjects
Publications and source records attributed to L D Miller.
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Small angle X-ray scattering (SAXS) and atomic force microscopy (AFM) measurements have been shown to be consistent with the presence of nanofibrils in the cocoon silk of Bombyx mori and the dragline silk of Nephila clavipes. The transverse dimensions and correlation lengths range from >> 59 to 220 nm and in the axial direction from >> 80 to 230 nm. Also, the two-dimensional Fourier transforms of the height profiles of AFM topographic images of interior surfaces of B. mori follow a power law approximately the same as that for the Porod region of the SAXS data. In this manner, the AFM can be used to help remove ambiguity about the scatterers responsible for SAXS patterns.
Conscious dogs were given diltiazem hydrochloride (DTZ) orally for 5 successive days at doses of 1, 3, and 10 mg/kg/day. During the 5th day, cardiovascular responses were monitored at various timed intervals after dosing. Arterial blood was sampled concomitantly for drug analysis. DTZ produced a dose-related decrease in blood pressure. The maximum reduction amounted to -30/-33 mm Hg in systolic/diastolic pressure, which occurred 90-150 min after the dose of 10 mg/kg. Heart rate and respiration were not significantly changed. There were dose-related alterations in the electrocardiogram tracing components, ranging from PR interval prolongation to junctional rhythms and ectopic beats. No overt physical responses were apparent. The mean DTZ peak plasma levels were approximately 708 ng/ml after 10 mg/kg, 224 ng/ml after 3 mg/kg, and 98 ng/ml after 1 mg/kg. The estimated t1/2 values for the 3- and 10-mg/kg/day dosings were 142 and 150 min, respectively. Correlations between the DTZ plasma level and the magnitude of the cardiovascular responses were highly significant in terms of blood pressure and PR interval changes. Low levels of DTZ were found 23 h after dosing. These levels were not associated with any meaningful cardiovascular activity.
The presence of Eisenmenger's syndrome places the pregnant patient at high risk for maternal and neonatal mortality. Since patients with Eisenmenger's syndrome generally survive until the fourth decade, some patients with this disease process will become pregnant. A discussion of cardiovascular changes that occur during pregnancy is presented with a description of the manifestations of Eisenmenger's syndrome. The literature on Eisenmenger's syndrome in pregnancy is reviewed and a therapeutic approach to the management of the pregnant patient with this disease is presented.
A patient with a 27-year-history of chronic relapsing Reiter's syndrome who developed secondary amyloidosis is described. While there are only 2 reports of this association in the English literature, additional cases are suggested in the light of our present concepts. The patient represents the only case of clinically apparent secondary amyloidosis among 158 patients with HLA B27 associated arthropathies currently followed at our institution. Our patient's amyloidosis was treated for nearly 1 year with colchicine without response.
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Clinical and serologic responses to a psittacine isolate of viscerotropic velogenic Newcastle disease virus (VVNDV) were evaluated in pet birds of six species: budgerigar, yellow-headed Amazon parrot, halfmoon conure, lesser hill mynah, black-headed nun, canary. The clinical response was most marked in the budgerigars, parrots, and conures, and only minimal in the nuns. Between post-exposure days (PED) 3 and 5 some birds developed ruffled plumage, conjunctivitis, and central nervous system dysfunction: ataxia, wing tremors, paralysis of the extremities, and tremors of the head accompanied by nodding and jerking. Mortality by PED 203 was 55% (29/52) in the halfmoon conures, 22% (23/105) in budgerigars, 29% (12/42) in parrots, and 21% (15/71) in nuns. The only clinical signs in canaries and mynahs were progressive death losses, respectively 25% (33/132) and 21% (10/48). The visceral lesions common in chickens with VVNDV were not observed in these six species. Canaries rapidly eliminated Newcastle disease virus (NDV), whereas it was detected for protracted periods in the oral and cloacal secretions of the other five species (for more than a year in parrots). Serologic evaluation by the hemagglutination-inhibition and neutralization tests also indicated prolonged NDV infections in 5 of the 6 species. The seroconversion rate observed in canaries was minimal (13%).
Following in vivo studies in pet birds of 6 species, 279 Newcastle disease virus (NDV) reisolates were selected for characterization by the embryonated-chicken-egg mean-death-time, plaque-assay, hemagglutination-elution, and hemagglutinin-thermostability techniques. Initially, the 279 isolates were screened by the mean-death-time and plaque-assay techniques, and 5 sequential isolates were chosen for each of 3 budgerigars and 2 parrots for characterization by the other 2 in vitro assays to determine whether the Colorado Psittacine Isolate of viscerotropic velogenic (VV) NDV (COPI-VVNDV) had evolved during passage through pet birds. Nineteen isolates were then selected for chicken back-passage studies. Fifteen of the 19 isolates were chosen for potential avirulence for 8-week-old domestic chickens. The 4 remaining isolates produced large red plaques when assayed and were therefore used as virulent virus controls likely to be VVNDV. Subsequent in vitro characterization of selected back-passage chicken NDV isolates demonstrated little change in the 4 parameters originally evaluated for the pet-bird isolates used for the back-passage studies. Although the psittacine isolate slowly evolved to relatively avirulent strains of NDV by passage in pet birds, reversion did not occur during the chicken back-passage studies.
From October 1973 to September 1981, 2,882,111 birds were offered for importation into the United States. All were quarantined for 30 days, and specimens were submitted to the laboratory for virus-isolation studies. Viruses were isolated from specimens from 26.3% (598/2,274) of the quarantined lots of birds. Viscerotropic velogenic Newcastle disease virus (VVNDV) was isolated from 141 lots. Nonviscerotropic velogenic Newcastle disease virus (VNDV) was isolated from six lots. All VVNDV- and VNDV-positive lots were refused entry. The percentage of lots refused entry declined from 31.6% in 1974 to 2.9% in 1981. Mesogenic Newcastle disease virus (NDV) was isolated from three lots, and lentogenic NDV was isolated from 23 lots. Lots positive for mesogenic and lentogenic NDV were allowed to enter the United States. Hemagglutinating (HA) viruses other than NDV were isolated from 24.5% (373/1,521) of the lots imported through privately owned quarantine facilities. Of the 8,563 HA viruses isolated, 1,558 were selected for identification. Forty-six percent were identified as paramyxovirus (PMV)-2, 34% were PMV-3, and 20% were influenza A viruses possessing the hemagglutinin subtypes H3, H4, H7, and H10 and the neuraminidase subtypes N1, N6, N7, and N8. The frequency of PMV-2 and PMV-3 isolations fluctuated from year to year, whereas the frequency of isolations of influenza A viruses decreased from 64% in 1974 to 0.2% in 1981. Viruses that did not agglutinate chicken red blood cells were isolated from 52 lots. Psittacine herpesvirus (Pacheco's disease) was isolated from 25 lots of psittacines. Viruses identified by electron microscopy as reoviruses were isolated from 24 lots.(ABSTRACT TRUNCATED AT 250 WORDS)