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Biomedical subjects

M J Murphy

Publications and source records attributed to M J Murphy.

At least 253 records · Page 14Linked to original sources

Quantitative studies on the proliferation and differentiation of antibody-forming cells in lymph.

The transforming cells that appear in the efferent lymph from a lymph node responding to an antigenic challenge are part of a heterogeneous population which changes as the response progresses. Some cells containing small amounts of antibody appear early in the response and these cells have the cytologic characteristics of small and medium lymphocytes. They are, however, actively synthesizing DNA. As the immune response progresses, the antibody content of the cells in lymph increases. When incubated in vitro, cells in lymph appearing late in the response released 20 times more antibody per cell than those appearing early in the response. Large blast cells are the predominant antibody-forming cell in lymph. At the peak of a secondary challenge with horseradish peroxidase, up to 40% of the cells in lymph may be blast cells and, of these, two-thirds may contain specific antibody. It seems probable that most if not all of the blast cells responding to the antigen are involved directly in antibody and DNA synthesis. Cells in all stages of ultrastructural differentiation, and even mature plasma cells, were found to incorporate (3)H-thymidine into their nuclear DNA.

Animals↗

Ultrastructural analysis of antibody synthesis in cells from lymph and lymph nodes.

A variety of cells containing antibody were found in lymph from sheep responding to secondary challenges with horseradish peroxidase. Antibody was present in blast cells in lymph within the perinuclear space, the endoplasmic reticulum, the Golgi apparatus and on polyribosomes. Some lymphocytes in lymph also contained antibody but in these cells it was located principally in the perinuclear space. No cells were found containing antibody distributed throughout their cytoplasm nor were any lymphocytes found with a Golgi apparatus positive for antibody. After the immune response in the lymph had died away, a population of cells containing antibody was still present in the regional lymph node. These were all plasma cells in which the antibody was present for the most part in a highly organized endoplasmic reticulum. Cells of this type were never found in the lymph. The cells containing the smallest amounts of antibody had a few discrete focal points in the perinuclear space and a few positive groups of ribosomes in their cytoplasm. The endoplasmic reticulum in some cells was filled completely with antibody, while in others positive segments were found adjacent to negative ones. The antibody in the cytoplasmic endoplasmic reticulum was in continuity with the antibody in the perinuclear space. The Golgi apparatus contained antibody in only a small proportion of the cells but when it was positive it was strongly so, suggesting that antibody was concentrated in this organelle. In some cells a positive reaction to horseradish peroxidase antibody appeared in the nucleus over the nucleoli. The significance of this finding is not known.

Animals↗

Treatment of portwine stains using the pulsed dye laser.

Five years of clinical experience of the treatment of portwine stains using the flashlamp-pumped dye laser is presented. The dye laser, when turned to a wavelength of 577 nanometres with a short pulsewidth of the order of 340 microseconds, may be used to target selectively the dilated vasculature constituting the lesion. Patients with ages ranging from 5-45 years were treated under general anaesthetic using a computer controlled scanning system developed by the authors. Several repeat treatments were found to be necessary. Results are presented ranging from total eradication of the lesion to marginal lightening only. No scarring of the treated sites was evident.

Adolescent↗

The self-management of skills by persons with mental retardation.

The transition of persons with mental retardation to less restrictive environments is often hindered by difficulties in managing their own behavior in the absence of external controls. This observation has led to an upsurge of interest in the advantages of teaching self-management skills to persons with mental retardation. This article reviews evidence about the effects of self-management training on the acquisition, maintenance, and generalization of skills. The analyses show that self-management training has been useful in promoting the maintenance of behavior change first effected by external control procedures, but that a dearth of evidence and a number of methodological problems preclude convincing conclusions about its value in promoting generalization. The empirical evidence also suggests that the effectiveness of these procedures may depend upon the cognitive and linguistic abilities of the persons receiving self-management training. Finally, the design of much of the empirical research does not enable the disentanglement of the specific effects of self-management training from those arising from the concurrent application of external control procedures. Carefully controlled componential studies of the effects of self-management training and external control procedures are sorely needed.

Activities of Daily Living↗

The determination of the anticoagulant rodenticide brodifacoum in blood serum by liquid chromatography with fluorescence detection.

A sensitive method utilizing reversed-phase liquid chromatography with fluorescence detection has been developed for the analysis of the anticoagulant rodenticide brodifacoum in blood serum. The serum proteins are precipitated with acetonitrile and the supernatant mixed with ethyl ether. The organic phase is separated, evaporated to dryness, and the residue subjected to chromatographic analysis. Extraction efficiencies of brodifacoum at concentrations of 20, 60, and 300 ng/mL were 82.9, 93.4, and 93.8%, respectively, with coefficients of variation (CVs) of 3.52, 4.07, and 3.68%, respectively. The intrarun precision (CV) without an internal standard at concentrations of 20, 60, and 300 ng/mL were 1.93, 4.89, and 1.51%, respectively, and 3.56, 5.94, and 3.66% with an internal standard. The interrun precision over the concentration range of 20-1000 ng/mL ranged from 1.88-6.22% without an internal standard and from 2.07-12.6% with an internal standard. Brodifacoum was measurable to at least the 1-ng/mL level.

4-Hydroxycoumarins↗

Multicomponent determination of 4-hydroxycoumarin anticoagulant rodenticides in blood serum by liquid chromatography with fluorescence detection.

A sensitive liquid chromatographic method was developed for the analysis of 4-hydroxycoumarin anticoagulant rodenticides in blood serum. The method can simultaneously measure the serum levels of five anticoagulant rodenticides: brodifacoum, bromadiolone, coumatetralyl, difenacoum, and warfarin. Serum proteins are precipitated with acetonitrile and the supernatant is mixed with ethyl ether. The organic phase is separated, evaporated to dryness, and the residue subjected to chromatographic analysis. The anticoagulants are separated by reversed-phase gradient chromatography with fluorescence detection at an excitation wavelength of 318 nm and emission wavelength of 390 nm. Extraction efficiencies of 68.1 to 98.2% were obtained. The within-run precision (CV) ranged from 2.19 to 3.79% and the between-run precision (CV) from 3.72 to 9.57%. The anticoagulants can be quantitated at serum levels of 10 to 20 ng/mL.

4-Hydroxycoumarins↗

Simultaneous determination of eight anticoagulant rodenticides in blood serum and liver.

A liquid chromatographic method was developed for the analysis of indandione and 4-hydroxycoumarin anticoagulant rodenticides in blood serum and liver. The method enabled the measurement of serum and liver concentrations of eight anticoagulant rodenticides: brodifacoum, bromadiolone, chlorophacinone, coumafuryl, coumatetralyl, diphacinone, difenacoum, and warfarin. Anticoagulants were extracted from serum and liver with acetonitrile. Extracts were applied to solid-phase extraction columns, which contained mixed packings. Column eluates were evaporated to dryness, reconstituted, and subjected to reversed-phase liquid chromatography. Hydroxycoumarins were detected by fluorescence at an excitation wavelength of 318 nm and an emission wavelength of 390 nm. Indandiones were detected by UV absorption at 285 nm. Extraction efficiencies of greater than 75% for serum and greater than 69% for liver were obtained. The within-run precision (CV) ranged from 2.4 to 8.6% for serum and 2.6 to 8.7% for liver. The between-run precision (CV) ranged from 1.5 to 12.2% for serum and from 2.1 to 11.8% for liver. Hydroxycoumarin rodenticides were detected at 1 ng/mL of serum and 1 ng/g of liver. Indandiones were detected at 10 ng/mL of serum and 10 ng/g of liver.

4-Hydroxycoumarins↗

Hematologic manifestations and etiology of atrial myxoma.

We have investigated the case of a woman, 44 years of age, who presented with erythrocytosis, thrombocytopenia and a right axial myxoma. Surgical removal of the tumor allowed correction of all hematologic abnormalities. A serum erythropoietin level obtained from the right atrium of the patient during pre-operative cardiac catheterization was twice those of 4 control patients (250 MIU vs. 131 MIU). Renal vein erythropoietin levels were normal. This implicates atrial myxomas as another tumor capable of erythropoietin production, and explains the heretofore mysterious polycythemia frequently reported to be associated with this tumor.

Adult↗

Clinical and electrophysiologic evaluation of peripheral nerve function in chronic phenytoin therapy.

Analysis of covariance was employed to explore possible correlations among duration of phenytoin therapy, phenytoin and folate serum concentrations, and clinical and electrophysiologic findings in 32 patients receiving single phenytoin therapy. None of our patients volunteered peripheral nervous system complaints. On examination, 9 of 32 (28%) were found to have signs suggestive of neuropathy (absent knee and/or ankle jerks). Neither phenytoin serum concentration nor duration of phenytoin therapy was found to significantly (p greater than 0.05) affect nerve function after an adjustment for age differences. A test for overall effect of folate serum concentration (grouped greater than or equal to 5 or less than 5 ng/ml) also failed to reach statistical significance (p greater than 0.05). Our findings suggest that phenytoin and folate serum concentrations and duration of phenytoin therapy do not have an important role in the development of clinical neuropathy and electrophysiologic abnormalities.

Adult↗