Biomedical subjects
Publications and source records attributed to P Guy.
Pulmonary biopsies were taken under thoracoscopy from 16 patients presenting with insoluble diagnostic problems. This method enabled the authors to make a diagnosis, which was not contradicted by the course of the disease, in 14 cases of diffuse or circumscribed pathology touching the lung cortex. There was no major incident.
The reactions between 6 strains of mesophilic lactic streptococci and their respective phages were studied quantitatively. Of 30 nonhomologous reactions, the bacteria were fully sensitive in 4 and restricted the phages in 23. A mathematical model was developed that was used to identify at least 4 and probably 5 modification restriction (M/R) systems of which up to 3 were found in the same strain. The model was based on 24 measured values and correctly predicted the values of 5 others. One of the 3 negative reactions was shown to be due to a restriction beyond the limit of detection, a second was due to lysogeny or lack of adsorption, but was shown to have the predicted value when the homologous phage was modified on the host of the challenging phage. In the last reaction a measurable restriction was predicted, but could not be proven by means of a modified phage. These results suggest M/R to be one of the main defenses of the lactic streptococci against their phages. They explain why host range is not a useful criterion in the classification of phages and suggest a rational approach to the definition of a starter rotation.
Overdosage of muscle relaxant has been given as a possible explanation for the hypotensive episodes occurring during the management of tetanus. The aim of the present work was to study the pharmacokinetics of pancuronium during long term infusion. Pancuronium was administered to eight patients with severe tetanus for a period varying from 8 to 24 days. The concentration of pancuronium was measured daily in plasma and urine using a fluorimetric method. The plasma concentration varied from 0.27 to 0.48 microgram/ml. No tendency to accumulation was observed. The plasma concentration fell rapidly below the level associated with muscle relaxation when pancuronium was discontinued. This absence of accumulation can be explained by a rapid elimination of pancuronium through the kidney according to a process of ultrafiltration.
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