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Biomedical subjects

M Chamberlain

Publications and source records attributed to M Chamberlain.

At least 73 records · Page 4Linked to original sources

Biological effects of tremolite.

Tremolite is an amphibole which has been implicated in a variety of disease patterns in different parts of the world. It occurs in a number of phases, which are chemically identical but have specific physical characteristics. In an attempt to clarify the epidemiological findings, tremolite fibres of 3 specific forms--A, B and C--were characterized and studied for biological activity by: (i) in vivo intrapleural injection of rats (2 separate experiments--1 with poor survival). (ii) in vitro enzyme release from mouse peritoneal macrophages (iii) in vitro giant-cell formation in A549 cultures (iv) in vitro cytotoxicity for V79-4 cells. Sample C, which contained more long thin fibres than A and B, was alone in producing mesotheliomas. C, but not A or B, induced LDH and B-glucuronidase enzyme release, and induced giant cells. A was not cytotoxic, B moderately cytotoxic and C as highly cytotoxic as UICC crocidolite. The in vivo studies were marred by being split between 2 experiments, of which the second had poor survival. We are aware of the weakness of our in vivo data, but as Tremolite C was being considered for commercial use on the European market we felt it timely to submit our findings for publication.

Animals↗

The in vitro activities of pathogenic mineral dusts.

The pathogenic properties of mineral dusts are described and the range of relatively new materials requiring study is indicated. Since the animal facilities available for testing these potential hazards are limiting the authors describe an in vitro screen being used to select interesting dusts for in vivo experimentation, the type of results obtained are illustrated with some data for dusts derived from the industrially important Zeolites.

Animals↗

The activity of two types of asbestos in tissue culture.

The effects of chrysotile and crocidolite asbestos samples on the plating efficiency of V79-4 cells has been studied. The interaction of cells with chrysotile is more rapid than that with crocidolite, and these interactions are affected differently by changes in experimental technique. It is concluded that the differences detailed are not related to the pathogenicity of those fibres.

Animals↗

In vitro prediction of the pathogenicity of mineral dusts.

Eight mineral dusts, of which 7 were fibrous, were tested in 3 in vitro systems. The dusts had previously been tested for their ability to produce mesotheliomata in rats. The in vivo and in vitro biological activities of these dusts are compared with the number and size of fibres they contain. It is concluded that all the in vitro systems would predict which dusts are pathogenic in vivo, and that both in vivo and in vitro biological activities are determined by the number of long, fine fibres.

Aluminum↗

The effect of fibre size on the in vitro biological activity of three types of amphibole asbestos.

Three standard (UICC) samples of amphibole asbestos were subjected to ball-milling; the main effect of this procedure was to reduce the length of the fibres present in each sample. The numbers of fibres in unit masses, and the distribution of fibre sizes in all the samples, both parent and milled, were estimated from electron micrographs. The ability of all the samples to reduce the plating efficiency of V79-4 cells is compared, on the basis of mass, fibre number and fibre number number above various length thresholds. This biological activity of all the samples correlated best with the number of fibres above a threshold length of 6.5 micron. This is compared with the sizes of fibre previously reported to induce mesotheliomata when implanted into the pleural cavities of rats.

Asbestos↗

Susceptibility patterns of Staphylococcus in a family practice population.

Nasal swabs were obtained from 408 patients seen in a family practice office in an attempt to identify Staphylococcus aureus carriers. Isolated strains were tested for sensitivity to 11 antibiotics. Study participants were interviewed to obtain the following data: age, history of recent hospitalization and/or recent antibiotic use, number of household members, and occupation, if employed in a health-care facility. S aureus was isolated from 109 nasal swabs. This represents a 26.7 percent carrier rate. Only 25.7 percent of the isolates were sensitive to penicillin G and ampicillin. No statistically significant association was found between the patient variables and either the carrier rate or the sensitivity of the S aureus isolates to penicillin. The sensitivity testing demonstrated that 94.5 percent of the isolates were sensitive to tetracycline and erythromycin. Ninety-nine to 100 percent of the isolates were sensitive to all other antibiotics tested. The authors conclude that penicillin G should not be used in the treatment of S aureus infections. Erythromycin, due to demonstrated sensitivity and reasonable cost, is recommended for mild to moderate infections.

Adolescent↗

The cytotoxic effects of asbestos and other mineral dust in tissue culture cell lines.

The cytotoxic effects of 15 dusts have been tested in 2 cell lines. Experimental animal data are available for 11 of the 15 dusts. There is a correlation between the cytotoxic activities of the dusts and the ability to induce mesothelial tumours following intrapleural injection of the dusts. Some preliminary observations on the nature of interaction between the dusts, medium components and the cells are reported. It is suggested that the study of the interactions between cells and dusts in culture may lead to an understanding of the pathogenesis of these dusts in man and animals.

Asbestos↗

Asbestos and glass fibres in bacterial mutation tests.

Asbestos fibres are carcinogenic in man and experimental animals but fine glass fibres are known, at present, only to be carcinogenic in experimental animals. Asbestos and glass fibres have been studied in mutation tests using auxotrophic strains of Escherichia coli and Salmonella typhimurium. The mutagenic activities of the positive control mutagens ultraviolet light, potassium chromate, ethyl methanesulphonate and benzo(a)pyrene were detected in the experiments. However, no mutagenic activity was found to be associted with any of the asbestos and glass fibres tested over a wide range of concentrations. The implications of these findings for the mode of action of asbestos and glass fibres as carcinogens are discussed.

Asbestos↗

Mucocutaneous lymph node syndrome: a new clinical entity.

A six-year-old black male presented to the Otolaryngology service with fever, sore throat and an inflammatory mass in the left neck. Forty-eight hours later he developed the full blown clinical picture of mucocutaneous lymph node syndrome (MLNS). This is a relatively new clinical entity, well known in Japan, but only recently described in the English literature. The following case report and discussion will serve to alert the otolaryngologist to this disease.

Child↗

Pediatric intensive care nurses and their grief experiences: a phenomenological study.

OBJECTIVE: To describe the grief experience of pediatric intensive care nurses when their patients die. DESIGN: Heideggerian phenomenological approach; nonprobability, purposive sampling; semistructured interviews; data analyzed using Colaizzi's method of phenomenology. SETTING: Pediatric intensive care unit within a Canadian pediatric metropolitan university teaching hospital. PARTICIPANTS: Six registered nurses, currently working in the pediatric intensive care unit, who had experienced the death of at least three children for whom they had cared. Nursing experience ranged from 2 to 20 years, intensive care nursing experience from 9 months to 19 years, and tenure on the unit from 9 months to 15 years. RESULTS: Data were analyzed for recurring themes according to the procedure outlined by Colaizzi. These nurses acknowledged they suffered multiple exposures to children's death and experienced grief. The interviews revealed eight themes that included one about their grief responses--hurting; two that described the influencing contextual factors--nurse-family unit relationship and dissonance; and five that related to coping strategies used to manage their feeling of grief--self-expression, self-nurturance, termination of relationship activities, engaging in control-taking activities, and self-reflection. Further analysis revealed that managing grief effectively was an experiential learning process for the participants. CONCLUSIONS: These results demonstrate that pediatric intensive care nurses' grief is different from that of surviving family member grief. Further research is required to document in further depth the experiential learning process to coping with multiple, accumulated losses for these professional caregivers. The findings of this study also could encourage further research that examines interventions designed to enhance the type of education and support needed in relation to the grief experience of nurses.

Adaptation, Psychological↗

Measuring nursing support during childbirth.

PURPOSE: To examine the amount of support being provided by nurses to women during childbirth and factors that influence the provision of support. STUDY DESIGN: Exploratory, descriptive. METHODS: Work sampling method was used to determine the percentage of time nurses spend in supportive care activities. Twelve nurses were observed over six nonconsecutive day shifts on a birthing unit of a Canadian teaching hospital in Quebec. A total of 404 observations were made. Nurses were also interviewed to determine their perceptions of what constitutes supportive nursing care and the factors that facilitate or inhibit the provision of this care. RESULTS: Nurses spent only 12.4% of their total time providing supportive care to laboring women. Interviews with nurses suggested that perceptions of the components of supportive care were comparable to this study's operational definition of support, namely: physical, emotional, and instructional/informational support and advocacy. Barriers to providing support identified by nurses included lack of time and insufficient staff. However, further content analysis of the interview data revealed that healthcare providers had a pervasive sense of control over laboring women and their partners. CLINICAL IMPLICATIONS: Although nursing support has been identified as an important aspect of nursing care in childbirth, this study demonstrated an incongruity between what nurses perceived as being supportive care and the amount of support that was actually provided. Barriers to the provision of supportive care in the practice setting as well as suggestions for its enhancement are discussed.

Female↗