Biomedical subjects
M Jones
Publications and source records attributed to M Jones.
Loss of cortical granules in mouse ova activated in vivo by electric shock.
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Purification and properties of malate-NAD+ dehydrogenase of Moraxella lwoffi (N.C.I.B. 8250).
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Malate dehydrogenase of Proteus vulgaris.
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Using a facilitator as a change agent in social systems.
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Rectilinear scanning in the detection of acute myocardial infarction.
Myocardial scintigraphy with phosphate bone scanning agents is a new and very useful development in the detection of acute myocardial infarction. Initial experience using a rectilinear scanner is described in 50 consecutive patients admitted to hospital because of suspected myocardial infarction. The routine dose was 15 mCi/5 mg, 99Tcm stannous pyrophosphate intravenously with anterior, left anterior oblique, and lateral scans obtained 45-90 minutes after injection. There was only one false negative scan in 17 patients with proven acute myocardial infarction and that was 16 days after onset. There was no proven false positive investigation in seven patients in which fresh myocardial infarction could be definitely excluded, or in a further 11 cases in which it could be excluded with reasonable confidence. Myocardial scintigraphy was considered helpful in resolving the diagnostic problem in 27 out of 29 equivocal cases. It is concluded that myocardial scintigraphy with a rectilinear scanner is a highly accurate and safe procedure in the detection of acute myocardial infarction. The optimum scanning time is two to six days after onset of suspected infarction, when a diagnostic accuracy approaching 100 per cent can be expected.
Towards development of a statewide system of emergency health care in NSW. Part 1. The emergency health care study: an overview.
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The sunshine of your office.
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Spherical microparticles in human myocardium: an ultrastructural study.
Clusters of spherical microparticles (SMP) that averaged 500 A in diameter and were composed of dense cores surrounded by single trilaminar membranes were found in operatively obtained myocardial biopsies from 29 of 70 patients with various types of heart diseases including: left atrial myocardium (14 patients) and right atrial myocardium (four patients) of 14 patients with mitral valvular disease; left ventricular myocardium of three of 16 patients with aortic valvular disease, three of 16 patients with hypertrophic cardiomyopathy, and two of four patients with combined mitral and aortic valvular disease; and crista supraventricularis muscle of seven of 20 patients with congenital heart diseases associated with muscular obstruction to right ventricular outflow. SMP were consistently associated with interstitial fibrosis and with degeneration of the muscle cells. SMP occurred along the outer surfaces on the sides and free ends of muscle cells in areas of fibrosis, in the widened spaces between membranes of partially dissociated intercellular junctions, and within cytoplasmic vesicles considered to be phagocytic. SMP frequently were joined together by minute nexuses that were structurally identical with those forming parts of intercellular junctions of muscle cells. Evidence is presented to show that SMP occur commonly in tissues other than myocardium. It is concluded that SMP form in the heart as part of a process that mediates the remodeling of cellular surfaces, especially those of intercellular junctions undergoing dissociation.
Intracellular collagen fibrils in prolapsed ("floppy") human atrioventricular valves.
Ultrastructural study of prolapsed atrioventricular valves from five patients, one of whom also had the Marfan syndrome, disclosed granular cells that were characterized by numerous membrane-bound, electron-dense inclusions resembling those in the Hurler syndrome. Collagen fibrils were present within some of these inclusions. The intracellular collagen deposits may form as a consequence of abnormal interactions between newly secreted collagen and acid mucopolysaccharides.
Striated membranous structures in human hearts. An ultrastructural study.
Straited membranous structures (SMS), which consisted of sheets or ribbons of 130 to 220 A in thickness, showed variable patterns of periodic substructure, and resembled SMS described in renal and ocular tissues in various diseases, were found in extracellular locations in a) mitral valve (2 patients) and tricuspid valve (1 patient) of 2 patients with mitral valvular prolapse, b) mitral valve and femoral artery of 1 patient with Marfan's syndrome and prolapsed mitral valve, and c) myocardium (2 patients) and thickened endocardium (3 patients) of 3 patients with congenital heart disease associated with muscular obstruction to right ventricular outflow. Striated membranous structures measured up to several microns in diameter, often were highly folded and convoluted, and sometimes appeared circular in outline. Some SMS measured from 130 to 150 A in thickness and had indistinct edges and poorly defined periodicity. The majority of SMS, however, had greater thicknesses, in the range of 200 A, and a periodicity characterized by alternating light and dark bands with a spacing that varied from 100 to 160 A. The structures were associated with thickened basement membranes, elastic fibers, and membrane-bound bodies of the type thought to be involved in elastogenesis. Evidence available suggests that SMS results from an unusual pattern of arrangement of a component, possibly Type IV collagen, of basement membrane material.
Letter: Cysteine and survival of transplanted thymoma.
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Letter: Mycoplasma pneumoiae in a tubo-ovarian abscess.
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The Australian health system. Allocation of resources in production and distribution of medical services in Australia.
The writers suggest that before July, 1971, the resultant effect of the interaction of all market forces was efficient production and distribution of medical care. Efficiency of health-service production and distribution is defined as availability of short-term life-saving services to all members of the community.
Structure and activity relationships of platinum complexes with anti-tumour activity.
A number of complexes of platinum(II) and platinum(IV) have been prepared, characterised and tested for their ability to cause regression of a mouse plasma cell tumour. All active compounds possess two cis amine ligands but the oxidation state of the platinum is not critical. Relatively minor structural and substituent changes in the amine can lead to major and dramatic changes in the therapeutic index, generally, but not necessarily, associated with changes in toxicity. Some preliminary results on the relationship between structure and solubility are also reported.
Appearance of newly synthesized protein in myelin of young rats.
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Ultrastructure of crista supraventricularis muscle in patients with congenital heart diseases associated with right ventricular outflow tract obstruction.
Ultrastructural studies were made of operatively resected crista supraventricularis muscle in 59 patients with congenital heart diseases, or whom 54 had obstruction to right ventricular outflow. Relationships of anatomic diagnosis, age, peripheral arterial oxygen saturation (PAO2), peak right ventricular systolic pressure gradient and right ventricular end-diastolic pressure (RVEDP) to hypertrophic changes, abnormalities of cellular and myofibrillar orientation, and degenerative alterations were determined. Changes directly related to hypertrophy were: cell diameters greater than 20 mu, irregular cell shape, lobulated nuclei, multiple intercalated discs, dilated T tubules, abnormal Z bands, and increased numbers of ribosomes. Abnormalities of cellular or myofibrillar orientation were focal in distribution and occurred in 12 patients, most of whom had elevated RVEDP, decreased PAO2, markedly enlarged cells, and interstitial fibrosis. Interstitial fibrosis was prominent in 19 patients and was associated with cellular hypertrophy, elevation of RVEDP, and increased age of the patients. Degenerative changes (myofibrillar lysis, abnormally small mitochondria, myelin figure formation, and proliferation of sarcoplasmic reticulum in cardiac muscle cells ocurred in six patients and correlated with increased age, decreased PAO2, and elevated RVEDP. Mitochondria containing glycogen deposits were present in 17 patients, most of whom had decreased PAO2. The variability of morphologic manifestations of chronic cardiac hypertrophy and the relationships of hypertrophic changes to orientation abnormalities and degenerative alterations are discussed.
Community care for chronic mental patients: the need for a reassessment.
The release of chronic mental patients from the hospital to the community has been prompted more by political and economic considerations than by any planned treatment strategy. Large numbers of former patients have gone to live in privately operated boarding houses and nursing homes, where staff have had little experience with mental illness, and where conditions are not much different from the back wards of state hospitals of past decades. New models for caring for chronic, dependent patients should be developed; they should incorporate the precepts of an open social system and should be built around the needs of such patients as they themselves perceive them. To date, few state mental hospitals, have had the funding, staff, or support to adequately explore the possibilities of an optimal environment.