Graft failure and graft-vs-host disease after subtotal T-cell-depleted marrow transplantation: correlations with marrow hematopoietic and lymphoid subsets.
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Adolescent↗
Biomedical subjects
M Marshall
Publications and source records attributed to M Marshall.
In the pink: MADD and public health policy in the 1990s.
We examine a turnaround by MADD in 1992 on a major public health policy issue: the question of possible limits on and required health and safety messages in alcohol advertising by the alcohol industry itself and in the media. We review the history of MADD and its primary competitor, RID, on this issue, and note that RID has suffered financially and in terms of a lack of broadcast media exposure for the past decade, at least in part because it has espoused controls on alcoholic beverage advertising. Finally, we consider possible reasons for MADD's shift on this matter and its implications for the organization's future.
Accidents, Traffic↗
Monoclonal antibodies neutralizing the haemolytic activity of box jellyfish (Chironex fleckeri) tentacle extracts.
1. Three monoclonal antibodies have been produced which neutralize in vitro the haemolytic activity present in tentacle extracts of the box jellyfish (Chironex fleckeri). 2. Two of these monoclonal antibodies bound specifically to a component of relative molecular mass 50,000 in tentacle extract on Western blots. 3. This binding only occurred when the extracts were electrophoresed under non-reducing conditions. 4. The third monoclonal antibody did not display binding to Western blots of tentacle extract under any of our experimental conditions.
Animals↗
Postoperative confusion: helping your patient emerge from the shadows.
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Aged↗
Assay of cartilage wear using ion chromatography.
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Cartilage↗
Track studies in water vapor using a low-pressure cloud chamber. I. Macroscopic measurements.
Techniques have been developed to operate a low-pressure cloud chamber with pure water vapor. Photographs have been obtained of the tracks arising in this medium from the passage of ionizing radiation. The sources used were low-energy X rays, 242Cm alpha particles, and low-energy protons. Track lengths of the electrons were similar to those found previously in tissue-equivalent gas. W values of 35.6 +/- 0.4 and 32.6 +/- 0.6 eV per ion pair for carbon and aluminum X rays also compare closely with those in tissue-equivalent gas, but are somewhat higher than the predictions of Monte Carlo calculations. Differential w values were obtained: for alpha particles of energy 5.3 MeV the value was 33.0 +/- 3.0 eV per ion pair; for protons of energy 390, 230, and 85 keV the values were 30.6 +/- 1.9, 31.9 +/- 2.0, and 33.6 +/- 3.4 eV per ion pair. The energy losses of protons in water vapor were measured in a second (dummy) chamber used for energy calibration. Results support Janni's values of stopping power for protons in the energy range 40-480 keV.
Alpha Particles↗
Track studies in water vapor using a low-pressure cloud chamber. II. Microdosimetric measurements.
A low-pressure cloud chamber has been adapted to operate with pure water vapor. Photographs were obtained of tracks arising from the passage of ionizing radiation. The sources used were low-energy X rays, 242Cm alpha particles, and low-energy protons. Distributions of lineal energy, radial distances around an ion track, and interdroplet distances were measured and compared with the predictions of Monte Carlo calculations. After allowing for diffusion and the limitations of the geometry of the system, the measured and calculated distributions were found to be in good agreement.
Alpha Particles↗
What happens to homeless mentally ill people? Follow up of residents of Oxford hostels for the homeless.
OBJECTIVES: To follow up severely mentally ill residents of hostels for the homeless to determine their social and psychiatric outcome. DESIGN: Follow up at 18 months of hostel residents previously assessed with psychiatric and behavioural measures. SETTING: Two Oxford hostels for the homeless. SUBJECTS: 48 hostel residents previously identified as disabled by mental illness. MAIN OUTCOME MEASURES: Current housing, admissions to psychiatric hospital, violent or antisocial behaviour, and score on standardised behavioural rating. RESULTS: 45 of the 48 residents were traced. 27 had remained in the hostels; only 10 had been rehoused, mainly in bedsits or with their families. 16 had a poor outcome as judged by death (four subjects), lengthy hospital readmission (two), marked deterioration in behaviour (six), sleeping rough (one), or disappearance (three). CONCLUSION: More effort is needed to provide suitable housing for homeless mentally ill people.
Adult↗
Pneumocystis carinii infection in the middle ear.
Pneumocystis carinii is the opportunistic pathogen frequently causing pneumonitis in the acquired immunodeficiency syndrome. Extrapulmonic manifestation of P carinii is unusual and is commonly associated with severe systemic illness, other immune deficiency status, malignancy, or immune suppression. We describe a case of acquired immunodeficiency syndrome with manifestations of P carinii otitis media with severe otalgia and conductive hearing loss.
Acquired Immunodeficiency Syndrome↗
Can we measure need in the homeless mentally ill? Using the MRC Needs for Care Assessment in hostels for the homeless.
Hostels for the homeless contain many who are disabled by chronic mental illness but have little access to rehabilitation services. One approach to solving this problem might be to measure the needs of hostel residents in a standardized way and use this information as a basis for planning interventions. This study attempted to use the MRC Needs for Care Assessment Schedule to measure the needs of 46 mentally ill residents of Oxford hostels. It aimed to determine if a standardized assessment could be used in these difficult settings and if the needs it identified could form a useful basis for planning future interventions. Although it was possible to use the schedule, and although the pattern of need identified appeared broadly to reflect conditions in the hostels, it was not felt that the information produced was of sufficient quality to assist in planning services. The authors postulate that underlying this deficiency is the failure of the schedule to take sufficient account of the views of staff and residents.
Adaptation, Psychological↗
A comparison of psychosocial functioning and personality in amputee and chronic pain populations.
OBJECTIVE: To compare two populations with disabling conditions, amputation and chronic pain, in terms of psychosocial functioning and personality factors. We hypothesized that the degree of disability of amputees would resemble that of patients with chronic musculoskeletal pain. We also examined the prevalence of personality characteristics stereotypic of chronic pain in the two samples. DESIGN: Survey. SETTING: Outpatients at the pain and amputee clinics of a teaching hospital. PATIENTS: Ninety-four patients (47.7% of the number approached) were selected in consecutive samples taken from records and clinics. MAIN OUTCOME MEASURES: Sickness Impact Profile (SIP) and the Millon Clinical Multiaxial Inventory (MCMI). RESULTS: The two groups did not differ on the SIP total score. Sixteen of 47 amputees reported significant pain, and this group showed higher levels of overall disability than did patients with chronic musculoskeletal pain (n = 47) and significantly greater disability than the 31 amputees reporting low levels of pain. Contrary to common perceptions of chronic pain patients, 25% showed no significant evidence of psychopathology. Only anxiety and dysthymia levels were clinically elevated in more than 50% of chronic pain patients. CONCLUSIONS: Results are discussed in terms of the dual disability of amputees with chronic pain and of the hazards of attributing common characteristics to heterogenous patient groups.
Adult↗
Glucose repression of pigment production in atypical isolates of Aeromonas salmonicida responsible for goldfish ulcer disease.
The effect of glucose and other carbohydrates on the pigmentation of three atypical isolates of Aeromonas salmonicida indicated that the addition of D-glucose at a concentration of 0.1% (w/v) or more, inhibited pigment production and caused a reduction in the size of colonies. The addition of cAMP reversed the inhibitory effects of D-glucose on pigment production.
Aeromonas↗
Intensive follow-up does not decrease the risk of repeat suicide attempts.
We carried out a randomized controlled trial to determine whether an intensive intervention after a suicide attempt could decrease by half the risk of a repeat attempt in the following two years. After initial assessment and randomization, experimental subjects attended 18 therapy appointments over one year, including one home visit, and measures to improve attendance. Control subjects received the usual care. Of 63 experimental subjects, 35% made a repeat attempt, and so did 30% of 63 control subjects. The study had a 99% power to detect the desired decrease of risk (30% to 15%). Clearly, the intervention did not achieve its objective.
Adult↗
Resolution of a low molecular weight G protein in neutrophil cytosol required for NADPH oxidase activation and reconstitution by recombinant Krev-1 protein.
Activation of the membrane-associated NADPH oxidase in intact human neutrophils requires a receptor-associated heterotrimeric GTP-binding protein that is sensitive to pertussis toxin. Activation of this NADPH oxidase by arachidonate in a cell-free system requires an additional downstream pertussis toxin-insensitive G protein (Gabig, T. G., English, D., Akard, L. P., and Schell, M. J. (1987) (J. Biol. Chem. 262, 1685-1690) that is located in the cytosolic fraction of unstimulated cells (Gabig, T. G., Eklund, E. A., Potter, G. B., and Dykes, J. R. (1990) J. Immunol. 145, 945-951). In the present study, immunodepletion of G proteins from the cytosolic fraction of unstimulated neutrophils resulted in a loss of the ability to activate NADPH oxidase in the membrane fraction. The activity in immunodepleted cytosol was fully reconstituted by a partially purified fraction from neutrophil cytosol that contained a 21-kDa GTP-binding protein. Purified human recombinant Krev-1 p21 also completely reconstituted immunodepleted cytosol whereas recombinant human H-ras p21 or yeast RAS GTP-binding proteins had no reconstitutive activity. Rabbit antisera raised against a synthetic peptide corresponding to the effector region of Krev-1 (amino acids 31-43) completely inhibited cell-free NADPH oxidase activation, and this inhibition was blocked by the synthetic 31-43 peptide. An inhibitory monoclonal antibody specific for ras p21 amino acids 60-77 (Y13-259) had no effect on cell-free NADPH oxidase activation. Activation of the NADPH oxidase in intact neutrophils by stimulation with phorbol myristate acetate caused a marked increase in the amount of membrane-associated antigen recognized by 151 antiserum on Western blot. Thus a G protein in the cytosol of unstimulated neutrophils antigenically and functionally related to Krev-1 may be the downstream effector G protein for NADPH oxidase activation. This system represents a unique model to study molecular interactions of a ras-like G protein.
Cell-Free System↗
The GTPase stimulatory activities of the neurofibromatosis type 1 and the yeast IRA2 proteins are inhibited by arachidonic acid.
Three proteins, GTPase activating protein (GAP), neurofibromatosis 1 (NF1) and the yeast inhibitory regulator of the RAS-cAMP pathway (IRA2), have the ability to stimulate the GTPase activity of Ras proteins from higher animals or yeast. Previous studies indicate that certain lipids are able to inhibit this activity associated with the mammalian GAP protein. Inhibition of GAP would be expected to biologically activate Ras protein. In these studies arachidonic acid is shown also to inhibit the activity of the catalytic fragments of the other two proteins, mammalian NF1 and the yeast IRA2 proteins. In addition, phosphatidic acid (containing arachidonic and stearic acid) was inhibitory for the catalytic fragment of NF1 protein, but did not inhibit the catalytic fragments of GAP or IRA2 proteins. These observations emphasize the biochemical similarity of these proteins and provide support for the suggestion that lipids might play an important role in their biological control, and therefore also in the control of Ras activity and cellular proliferation.
Arachidonic Acid↗
The second fatal impact: cigarette smoking, chronic disease, and the epidemiological transition in Oceania.
The island countries of Oceania are now experiencing the epidemiological transition which has shifted patterns of morbidity and mortality from primarily infectious to mainly noncommunicable diseases. Prominent among these are many ailments known to be linked to or caused by tobacco smoking--especially to smoking of flue-cured, commercially made cigarettes. Cigarette manufacture by major tobacco transnational corporations began in the Pacific during the mid-1950s and production has grown rapidly since then. Cigarettes have been marketed aggressively, with a result that they have increasingly replaced the smoking of home-grown and twist tobacco. The history of tobacco production and marketing is sketched, and the literature on chronic diseases related to smoking is summarized for the Pacific region. The rise of anti-smoking movements in Oceania is then discussed, with particular attention to the PNG case during the 1980s.
Advertising↗
RBRVS: Boris Yeltsin, we need you.
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Humans↗
[Terminology of ultrasound vascular diagnosis].
There is at present no accepted nomenclature regarding diagnostic vascular ultrasound. At two scientific meetings, the Study Group for Vascular Diagnosis of the German Society of Ultrasound in Medicine (DEGUM) developed a terminology for Doppler and duplex sonography of the arteries and veins supplying the brain and of peripheral vessels. The most important of these sonographic terms and their synonyms are presented. Recommendations as to which of the presently employed terms should be avoided, are given.
Blood Flow Velocity↗