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Biomedical subjects

M Larkin

Publications and source records attributed to M Larkin.

At least 145 records · Page 8Linked to original sources

Antibody response to varicella-zoster virus surface glycoproteins in chickenpox and shingles.

Varicella-zoster virus (VZV)-infected cell surface proteins were investigated using extrinsic radiolabelling of the cell surface, immunoprecipitation of detergent-solubilized extract of the same cell surface and fractionation of the immunoprecipitates using SDS-PAGE. Glycosylated proteins were identified by their affinity for Ricinus communis lectin. Six glycoproteins with apparent mol. wt. of 170K, 105K, 93K, 81K, 53K and 45K were identified. The 170K glycoprotein was shown to be disulphide-linked since under reducing conditions for SDS-PAGE it was cleaved to a protein of 63K mol. wt. The IgG responses to these glycoproteins during various clinical circumstances are described. In acute sera from all chickenpox patients and in the majority of acute shingles sera, antibodies reactive with glycoproteins could not be detected. In chickenpox convalescence, antibodies reactive with glycoproteins of mol. wt. 170K, 105K, 53K and 45K were identified, whilst during zoster convalescence antibodies to all six were prominent. Antibodies to the disulphide-linked glycoprotein persisted for many years following both the primary disease and its reactivation. Disseminated zoster was associated with significantly low levels of antibodies to these surface glycoproteins.

Adult↗

Effect of low dose acyclovir (5 mg/kg) on virus shedding, interferon and humoral immunity in herpes zoster.

In a double-blind randomized trial, virological studies were carried out in non-immunocompromised patients with herpes zoster who received either acyclovir (5 mg/kg) or placebo intravenously three times daily for five days. Mean duration of virus shedding was not significantly different in the two groups and all patients developed high titres of antibody to varicella-zoster virus. Interferon levels in vesicle fluid reached a peak significantly sooner (P less than 0.025) and at a lower level in eight treated patients compared with eight given placebo, corresponding with significantly earlier cessation of vesicle formation in the treated group (P less than 0.05). Pretreatment virus isolates tested for sensitivity to the drug showed ED50 values from 4 +/- 0.7 to 17.5 +/- 1 microM acyclovir. Treatment with a dose of acyclovir greater than 5 mg/kg, but not exceeding 10 mg/kg, is recommended for herpes zoster.

Acyclovir↗

Visual fields interpretation.

From the retina to the visual cortex, commonly encountered visual field defects are discussed. Retinal, optic nerve nerve head, optic nerve, optic tract, lateral geniculate, radiations and cortex lesion examples are described with predicted outcomes and possible variations of the field defects.

Brain Diseases↗

Triglyceride levels affect cognitive function in noninsulin-dependent diabetics.

Noninsulin-dependent diabetes mellitus (NIDDM) is associated with decrements in several cognitive functions. Among the variables that apparently contribute to the decline in cognitive performance is poor glucose control, as measured by hemoglobin A1c. Elevated levels of triglycerides in diabetics may also contribute to this cognitive decline through the increased incidence of atherosclerosis in these patients. The authors examined the relationship between triglycerides and cognitive performance in 246 NIDDM outpatients, aged 55-74 years. The relationship between triglyceride levels and performance on three cognitive tasks and on a test of reaction time was measured. Elevated levels of triglycerides were associated with significant decrements in performance on the digit symbol substitution test, digit span (backward) test, and on a reaction time measure. High levels of triglycerides, independent of chronic glucose control, appear to contribute to the decreased ability to perform short-term memory tasks in NIDDM.

Blood Glucose↗

A nurses' nurse.

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Fluid Therapy↗