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Biomedical subjects

M Moss

Publications and source records attributed to M Moss.

At least 73 records · Page 4Linked to original sources

Liver cancer in Wisconsin: the potential for prevention.

In this study liver cancer deaths that could be attributed to certain risk factors were calculated. Applying population attributable risk methodology, the attributable risk of liver cancer was estimated for alcohol use, hepatitis B viral exposure, and occupational and industrial exposures. We found that these three risk factors accounted for 38% of liver cancer mortality in Wisconsin; 29% was attributable to alcohol consumption, 7% to occupational exposures, and 2% to hepatitis B viral infection. More than half of liver cancer mortality, however, was not accounted for by the three risk factors studied.

Alcohol Drinking↗

Measuring caregiving appraisal.

Caregivers of disabled older people were studied in terms of their appraisal of the caregiving process. A conceptual approach based on stress theory suggested that such appraisal was broader than the traditional term, "caregiving burden." An item pool was constructed using traditional and new items to represent dimensions of subjective caregiving burden, caregiving satisfaction, caregiving impact, caregiving mastery, and traditional caregiving ideology. Component analysis of responses of 632 caregivers in a respite research project yielded factors that corresponded with those hypothesized; the content of similar factored responses from 239 caregivers in another study was quite similar. A series of exploratory and confirmatory factor analyses resulted in acceptance of the subjective burden, caregiving satisfaction, and caregiving impact factors. Used as composite item scores, evidence of their psychometric quality is presented.

Adaptation, Psychological↗

Mucinous carcinoma of the breast: further characterization of its three subtypes.

Nineteen cases of mucinous carcinoma of the breast were studied. Twelve tumours were of the pure type, and seven were mixed. All had abundant neutral and acidic mucin, and stained strongly with CAM 5.2. Of the 12 pure mucinous tumours, six were devoid of argyrophilic granules and were S-100 negative, and only one was CEA positive. All six patients are alive with no evidence of recurrence (mean follow-up 42 months). The other six pure mucinous tumours were rich in argyrophilic granules. Five of these showed S-100 positivity and all were CEA positive. One patient developed local recurrence and one died of myocardial infarction with no evidence of tumour recurrence (mean follow-up 80 months). Of the seven mixed tumours, only one contained an occasional cell with argyrophilic granules and four had variable degrees of CEA positivity. Two patients died and one developed bony metastasis (mean follow-up 40 months). Our findings emphasise the microscopic and prognostic differences between the three subtypes of mucinous carcinoma of the breast, and support the concept of dividing pure mucinous tumours into two distinct subtypes. We suggest that the latter subtyping can be qualitatively made on the basis of the presence or absence of argyrophilic granules in the tumour cells.

Adenocarcinoma, Mucinous↗

Neonatal state profiles: reliability and short-term prediction of neurobehavioral status.

Observations were made on 40 newborns prior to hospital discharge in which states were scored every 10 sec in two 35-70-min periods separated by 6-48 hours. Newborns' states, particularly sleep states and crying, were fairly reliable across observation sessions. Cluster analyses identified 3 separable state profiles that subsequently differentiated infants on the Neonatal Behavioral Assessment Scale with Kansas Supplements (NBAS-K) at 2 weeks of age. Additionally, state observations and NBAS-K exams showed significant agreement on individual differences in neurologically based measures, such as startles, tremulousness, and lability of state.

Arousal↗

Neonatal behavioral organization and visual processing at three months.

In 2 studies, the Range of State cluster derived from infants' scores on the Neonatal Behavioral Assessment Scale with Kansas Supplements (NBAS-K) was found to correlate significantly with visual discrimination performance at 3 months of age. Contrary to the expectation that NBAS-K orientation scores would predict visual discrimination at 3 months, it was neonatal behavioral state organization that related to later cognitive functioning in infancy.

Child Behavior↗

Hypoxanthine and lactate concentrations in lambs during hypoxic and stagnant hypoxia.

To determine the suitability of plasma hypoxanthine as a marker of tissue hypoxia, we studied the relationship of arterial plasma hypoxanthine and blood lactate concentrations to the cumulative O2 deficit during hypoxemia and low cardiac output (hypoxic and stagnant hypoxia, respectively). Eight intact, chronically catheterized lambs were studied using ketamine sedation. Comparable reductions in O2 transport and consumption were produced with each form of hypoxia. Lactate was linearly related to O2 deficit during both forms of hypoxia, although the slope of the regression was greater for low cardiac output (0.049) than hypoxemia (0.032). Hypoxanthine was linearly related to cumulative O2 deficit only during low cardiac output. During hypoxemia, hypoxanthine concentration initially increased but plateaued with further increases in O2 deficit. The discrepancy in response of hypoxanthine was most likely caused by differences in the rate of elimination between stagnant and hypoxic hypoxia. We concluded that plasma hypoxanthine concentration was not a reliable marker for tissue hypoxia because it differed with the cause of O2 deprivation and did not necessarily reflect the severity of O2 deprivation.

Algorithms↗

The role of S-adenosylmethionine in the lysine 2,3-aminomutase reaction.

The interconversion of L-lysine and L-3,6-diamino-hexanoate (L-beta-lysine) catalyzed by lysine 2,3-aminomutase is known to be stimulated by added S-adenosylmethionine (Chirpich, T. P., Zappia, V., Costilow, R. N., and Barker, H. A. (1970) J. Biol. Chem. 245, 1778-1789). In this paper we show that enzyme activated by S-[2,8,5'-3H]adenosylmethionine catalyzes the conversion of L-lysine to the equilibrium mixture of L-lysine and L-beta-lysine with incorporation of high levels of tritium into both isomers. The tritium levels in the isomers reflect the equilibrium constant for their interconversion, 84% in the L-beta-lysine and 16% in L-lysine compared with Keq = 5.3 +/- 0.3 in the direction of the formation of L-beta-lysine at pH 7.7 and 30 degrees C. No significant tritium is incorporated into lysine from S-[2,8-3H]adenosylmethionine or S-adenosyl[methyl-3H] methionine under comparable conditions. Therefore, the tritium incorporated into lysine in the former reaction arises from the 5'-position of the 5'-deoxyadenosyl group in S-adenosylmethionine. These experiments implicate the 5'-deoxyadenosyl portion of S-adenosylmethionine in the hydrogen transfer mechanism of this reaction, perhaps in a role analogous to that played by the 5'-deoxyadenosyl moiety of deoxyadenosyl cobalamin in coenzyme B12-dependent rearrangements.

Amino Acid Isomerases↗

Use of computer analysis in flap research.

A computer based analysis of survival of experimental rat skin flaps is presented. The two commonly used experimental flaps, the modified McFarlane dorsal skin flap and the ventral skin flap, are compared. The analysis of the data showed that although the McFarlane flap is random, and the ventral flap based on one epigastric vascular bundle is both axial and random, there was no statistically significant difference in the percent of survival of these flaps. The advantages of the computer based method are discussed.

Animals↗

Oxygen transport and metabolism in the conscious lamb: the effects of hypoxemia.

We studied the response of O2 consumption, systemic O2 transport, arterial blood lactate concentration, base deficit, and respiratory exchange ratio (CO2 production/O2 consumption) to graded alveolar hypoxia (fractional concentration of inspired oxygen 0.21, 0.16, 0.12, and 0.08) in seven intact, conscious chronically catheterized lambs at less than 1 wk after birth, at 25-40 days and at greater than 40 days. To test whether there was an age related difference in the metabolic response to a decline in O2 transport due to hypoxemia, we related the changes in blood lactate and base deficit to the systemic O2 transport and to the fractional change in O2 consumption. Systemic O2 transport and O2 consumption decreased with severe hypoxemia, while lactate concentration and respiratory exchange ratio increased in all age groups. The changes in base deficit were not significant. When the hypoxemia-induced reduction in O2 consumption was less than 15% of the baseline value (at fractional concentration of inspired oxygen 0.21) there was no elevation in lactate concentration; however, when O2 consumption was reduced by more than 15%, lactate concentration consistently increased by more than 1 mmol/liter. There were no apparent differences amongst the age groups in this response. Therefore, the newborn lamb does show metabolic consequences of a fall in O2 consumption with hypoxemia which is similar to the older sheep, however, there is a "buffer zone" in which O2 consumption may decrease before evidence of tissue hypoxia can be found. The mechanism by which O2 consumption can decrease without accumulation of lactate remains speculative.

Age Factors↗

The Shaw Scalpel: thermal control of surgical bleeding.

Hemostasis during surgical procedures has always been a primary concern in patient treatment. The Shaw Scalpel represents a significant development in the surgeon's armementarium to control hemorrhage in soft tissue surgery. It offers immediate hemostasis, improved visibility, and reduced blood loss. Surgery can be performed using a single instrument for simultaneous cutting and sealing of vessels without passing any electrical current through the patient's body. Tissue healing rates are similar to cold steel and significantly better than with electrosurgical techniques.

Electrosurgery↗

A stochastic-mechanical model of longitudinal long bone growth.

A typical mammalian long bone will increase in length during the growth phase of the individual. This increase in length does not occur uniformly throughout the bone, since bone tissue is incapable of internal expansion after formation. The growth occurs at two, disc-shaped, regions near either end of the long bone. These regions are called growth plates. These plates are located between the osseous shaft (diaphysis) and osseous tip (epiphysis) whose bone tissues are discontinuous. The present study develops a stochastic-mechanical model for such a bone growth and demonstrates the capability of the model to reproduce the observed overall behavior of longitudinal long bone growth based on realistic information of cellular mitosis, growth and ossification. A numerical analysis was performed on the model under the assumption that the number of cells in the proliferation zone remains constant throughout the growth period. The growth curves thus obtained compare favorably with those growth curves proposed elsewhere essentially on the basis of phenomenological observation. The present model can demonstrate the effects of such parameters as the proliferation rate, initial age distribution and compressive stress on the growth. More importantly, the stochastic-mechanical model so developed permits one to incorporate further experimental evidence and statistical observation at the cellular level into the analysis to improve the solutions.

Animals↗

Structural and biochemical differentiation of the mammalian small intestine during foetal development.

Microscopical studies showed that initial differentiation of the guinea-pig small intestine occurs between days 35 and 55 of foetal development. Changes observed at this time include formation of villi (by day 42), elaboration of submucosal duodenal Brunner's glands (by day 49) and the appearance of a well-developed microvillus membrane (by day 56). Different microvillus membrane-associated hydrolases appear at different stages of foetal and postnatal development. The 'early' enzymes such as aminopeptidase, alkaline phosphatase and sucrase show a sharp increase and reach their maximal levels between days 35 and 50, whereas the late enzymes such as dipeptidyl peptidase IV and lactase increase gradually between days 35 and 50, and reach maximal activity between days 50 and 60. A combination of techniques involving precipitation with Mg2+ followed by fractionation on sucrose density gradients has enabled us to prepare, for the first time, a 21-fold enriched microvillus membrane fraction from the foetal intestine. Polypeptide analysis of this membrane fraction by sodium dodecyl sulphate/polyacrylamide gel electrophoresis showed the presence of developmentally specific polypeptides at different stages of foetal and postnatal development. Three polypeptides of molecular weights 205 000, 80 000 and 47 000 are major microvillus membrane components at the 40-day foetal stage. Two other polypeptides of molecular weights 60 000 and 131 000 are major microvillar components at 56-day and older foetal stages as well as at the 3-day neonatal stage. The adult microvillus membrane contained 112 000 and 122 000 Mr polypeptides as major components. The above results were confirmed using two-dimensional isoelectric focussing-sodium dodecyl sulphate/polyacrylamide gel electrophoretic techniques.

Animals↗