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Biomedical subjects

M Clarke

Publications and source records attributed to M Clarke.

At least 343 records · Page 19Linked to original sources

Isolation of toxic metabolites of Phomopsis leptostromiformis responsible for lupinosis.

Two metabolites of P. leptostromiformis (phomopsins A and B) have been isolated as a crystalline mixture from a culture of the fungus on lupin seed. The mixture has been shown to be capable of inducing lupinosis in sheep and in young rats. Key steps in the isolation were the transfer of the phomopsins from crude aqueous solution to tetrahydrofuran and chromatography on macroreticular polystyrene resin. The bioassays used in monitoring fractions were based on inhibition of cell cultures and the mitosis-arresting effect of the metabolites on liver cells in vivo.

Animals↗

"Dye/light" Dye-induced photosensitization of herpes virus. A clinical trial on humans.

A series of 21 patients with herpetic corneal ulcers was treated by photodynamic inactivation (using a single application of neutral red 1 per cent solution followed by a 15-min exposure to a 40 watt light of 440--550 nm), carbolization, or idoxuridine (IDU) ointment. No significant difference was found in the number that healed, the mean healing time, or the number of recurrences after any of the three treatments.

Clinical Trials as Topic↗

Course of patients discharged early after myocardial infarction.

Two hundred and seventy-one (76%) out of 358 survivors of infarction were discharged by the eighth hospital day, and 251 (93%) of them survived to six weeks after discharge. Six of the 20 patients who died between discharge and six weeks did so after readmission and 14 died as outpatients. All these patients who died at home had transmural infarction and four had diabetes. In inpatients successful resuscitation occurred mainly within the first 48 hours, with only three successful long-term results from all the patients who suffered arrest later. This suggests that more prolonged inpatient care would not have reduced the late mortality. These figures justify continuing with an early discharge policy for most patients, but coronary care should probably be more prolonged for patients with diabetes.

Adult↗

A degree of nursing.

Explore the source record for details and available documents.

Education, Nursing, Baccalaureate↗

Communications to an antenatal clinic.

When referring pregnant women to an antenatal clinic many general practitioners and midwives presented details of their care in an incomplete and inconsistent manner. As a result, hospital staff often had insufficient basic data from which to work. We recommend that those providing care decide what information they need and make the rationale of collecting this information the subject of a well-evaluated local education programme.

Communication↗

Occult gastrointestinal bleeding due to aspirin: comparison of two compounds.

Occult gastrointestinal bleeding as measured by the faecal 51Cr-labelled red-cell loss was compared in eight healthy volunteers while on therapeutic doses of soluble aspirin and a new slow-release formulation of aspirin (Deskoval). While both preparations led to increased faecal blood loss, this was significantly less during administration of Deskoval than when soluble aspirin was taken.

Aspirin↗

Peptic ulceration in men. Epidemiology and medical care.

Estimates of the population prevalence of peptic and duodenal ulceration in men aged between 25 and 64 years were made in the London borough of Lambeth. The sampling frame for these estimates was a 20% private census. The lifetime prevalence rate of proved peptic ulcer (haematemesis, gastric and duodenal ulcers as validated by operation or barium meal), adjusted for age and social class, was estimated to be 6-7%, while the similarly adjusted lifetime prevalence for duodenal ulcer was 4-4%. The lifetime prevalences increased with age but not significantly so. A social class gradient was demonstrated with the highest prevalence in social class I and II. Previously described associations with blood group, secretor status, and serum pepsinogen were confirmed. Reported use of medical services increased with increasing severity of symptoms. A large number of respondents, however, who reported symptoms reported no medical care. It seemed unlikely that those men who reported symptoms and no medical care had demonstrable peptic ulcers.

Adult↗

Masturbatory guilt and sexual dysfunction.

Anxiety arising from masturbatory guilt plays a major role in the production of frigidity and impotence. Reduction of this anxiety through greater community awareness of the normality of masturbation is therefore a fertile area for the principles of preventive medicine to be applied.

Family Practice↗

Visualization of actin fibers associated with the cell membrane in amoebae of Dictyostelium discoideum.

Amoebae of Dictyostelium discoideum were attached to a surface coated with polylysine, and the upper portion of the cells was sheared off with a stream of buffer. Scanning and transmission electron microscopy showed that the cytoplasmic surface of the exposed membrane was covered with fibers consisting of actin-containing filaments. The actin was identified by its solubility properties and its ability to interact with muscle myosin.

Actins↗

The assessment and progress of long-stay and elderly psychiatric patients: the predictive validity of a ward behaviour questionnaire.

This paper describes an attempt to validate a behaviour rating scale used to predict the likelihood of discharge among elderly and long-stay patients in a psychiatric hospital. The scale measured behaviour on the ward as rated by nursing staff. The scale was a sensitive predictor of discharge among those with a low score (indicating least disability), except for patients with organic psychoses. However, many patients with low scores were not discharged. In order to improve the scale's use as a screening technique additional information was considered. The significance of the findings is discussed.

Activities of Daily Living↗

Food choices of institutionalized vs. independent-living elderly.

Data on food intake of ninety-nine nursing home residents and of ninety-eight independent-living elderly persons with respect to twenty-two food groups were obtained by questionnaire interview. Nutrient intake was calculated by computer and compared with the 1968 Recommended Dietary Allowances. Fewer than half of the respondents in both groups had intakes providing 67 per cent or more the allowances for eight nutrients, and 35 per cent fell below this level for two or more nutrients. There were no significant differences in nutrient intake due to type of living arrangement. However, the nursing home residents had made more changes in eating habits than the independent-living participants, and changes correlated negatively with nutritional scores. Nursing homes might improve residents' nutrient intakes by adjusting menus and food preparation to conform more closely with residents' food preferences.

Aged↗