Search PubMed⌕ Search

Biomedical subjects

P Martin

Publications and source records attributed to P Martin.

At least 883 records · Page 49Linked to original sources
PubMed1983

[Drug metabolism: chronic alcoholism and cirrhosis].

The growing interest for research addressing the interactions between drug and alcohol metabolisms is not unrelated to the increasing prevalence of alcoholism and associated drug additions. Most physicians are now aware of the increased therapeutic risk in alcoholics, but the intimate mechanism of this interaction is usually unknown. On the whole, while many studies address the problems related to drug-alcohol interactions, those on the interactions between chronic alcoholism and cirrhosis are scarce or imprecise.

Alcoholism↗
PubMed1983

Whole body and regional retention of 99mTc-labeled pyrophosphate at 24 hours: physiological basis of the method for assessing the metabolism of bone in disease.

The retention of 99mTc-labeled pyrophosphate (PPi) at 24 h was measured in 235 patients, 119 of whom had a normal bone metabolism. The mean retention in the group of normal subjects is 52% of the injected dose. Reproducibility of the measurement in a given person is 5.5% coefficient of variation (CV). The value depends strongly on sex (higher in males) and age (higher with increasing age, especially in cortical bone). Retention increases slowly with the decrease in glomerular filtration rate (GFR) between 50 and 120 ml/min; it rises very rapidly with values below 50 ml/min. The slowing down of the GFR with age does not account for the increase in PPi retention with age. When expressed as a percentage of the expected value for sex and age, retention is frequently low in osteoporosis (P less than .001), more so when urinary hydroxyproline is low; it is normal or high in osteomalacia, and in some cases rises after vitamin D treatment is started; it is high in hyperparathyroidism (P less than .01). The PPi retention is correlated with bone calcium accretion rate, alkaline phosphatase level, and above all, the urinary hydroxyproline level. The lower the bone mineralization (Ca/hydroxyproline ratio in biopsy), the higher the retention value. We conclude that the PPi retention is an index of bone metabolism when GFR is higher than 50 ml/min. It allows for classification of metabolic bone diseases according to the bone turnover rate. It has the advantage over the usual biologic examinations in that it affords better observation of highly localized bone disorders and can be used in combination with a morphologic record, the bone scintigraphy.

Adolescent↗
PubMed1983

The cellular oncogenes c-myc, c-myb and c-erb are transcribed in defined types of avian hematopoietic cells.

The possible role of normal chicken cellular sequences c-erb, c-myb and c-myc, together referred to as c-onc genes and related to the oncogenes of defective avian acute leukemia retroviruses (DLVs), was investigated by determining the accumulation of c-onc RNA in different avian cells an cell lines. Levels of c-myc and in some instances c-myb RNA are elevated in immature hematopoietic cells or cell lines from various lineages but more mature hematopoietic cells, as well as non-hematopoietic cells, contain only low levels. In contrast, the level of c-erb RNA is generally low, but high in a small number of normal bone marrow cells. The results indicate that the cellular homologues of the viral oncogenes are differentially expressed during hematopoiesis. They also indicate that the hypothesis that DLV target cells express their homologous c-onc genes might hold for c-erb, but is not valid in its simple form for c-myc and c-myb.

Animals↗
PubMed1983

The relation of heart rate and shortening fraction to echocardiographic indexes of left ventricular relaxation in normal subjects.

To determine the relation of heart rate and systolic function to echocardiographically derived indexes of left ventricular relaxation, M-mode echocardiograms of the left ventricle and mitral valve with a simultaneous phonocardiogram were recorded at rest from 28 normal men. The effects of altering the inotropic state and ventricular loading conditions were examined during isometric handgrip exercise and the Valsalva maneuver in a subset of 15 men. The left ventricular endocardial echocardiograms were digitized to provide a display of left ventricular internal dimension and its first derivative (dD/dt). The time course of relaxation, defined as the interval from left ventricular minimal systolic dimension to the point when the rate of change of dimension (dD/dt) decreased to 50% of peak, was directly related to the RR interval (r = 0.64, p less than 0.0001) in the entire group, and this relation remained throughout the interventions. The slopes of the regression lines of relaxation time (RT) and electromechanical systole (QS2) on the RR interval were similar. Diastolic time decreased proportionately more than relaxation time as the RR interval decreased, so that the proportion of diastole occupied by the relaxation time varied with cycle length. Peak diastolic dD/dt, normalized for variations in end-diastolic dimensions [( dD/dt]/D), was directly related to left ventricular shortening fraction (r = 0.71 p less than 0.0001) and this relation remained during isometric grip. There was no correlation between the heart rate at rest and (dD/dt)/D over the range of 44 to 99 beats/min.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1983

Anaesthetic uptake by the goldfish: effect of respiratory rate.

In order to assess the uptake of halothane by the goldfish, the respiratory rate of six fish was studied when water temperature was varied with and without changes in oxygen or carbon dioxide tension. The effective dose 50 of halothane (ED-50-H) and the time taken to reach it (T-ED-50-H) at an FIO2 of 0.35 in nitrogen, were studied when temperature and CO2 tension were varied. Nomograms were drawn to predict respiratory rate as a function of water CO2 tension, when CO2 was bubbled in air or in oxygen, and with changes in water temperature. At low temperatures (5 degrees C to 7.5 degrees C), respiratory rate remained below 10 per min, irrespective of CO2 partial pressure. At 28 degrees C, a CO2 partial pressure of 8 +/- 0.2 kPa produced a respiratory rate of 125 +/- 3/min in air, and in oxygen unexpectedly 140 +/- 3/min. Halothane ED-50 varied with temperature (0.8% at 10 degrees C and 1.6% at 23 degrees C). Time to reach ED-50-H decreased with increases in respiratory rate, but increased as water temperature was elevated.

Animals↗
PubMed1983

A regional analysis of illegal aliens.

"This paper combines inferences about the unknown population of illegal aliens with apprehension data and economic indicators to estimate the separate effects of enforcement activity and economic changes on the stock of illegal aliens in the United States. This method offers a substantial improvement over previous empirical estimates based solely on apprehension data."

Americas↗
PubMed1983

Secondary AV conduction responses during tonic vagal stimulation.

We gave trains of supramaximal stimuli at frequencies of 2, 4, or 8 Hz to both vagi of anesthetized, open-chest dogs and studied the AV conduction and atrial contractility responses while the atria were paced at different frequencies. The vagal stimulation quickly induced a maximum negative inotropic effect on the atrium. This "initial" response was followed by a "secondary" fading back toward the control level. The negative dromotropic responses to vagal stimulation also rapidly reached an initial value. When this initial response was large, there was then a secondary, relatively rapid fading back toward control. However, when the initial dromotropic response was small, the secondary response instead consisted of a gradual increase in conduction time. At intermediate levels of the initial dromotropic response, there was no appreciable secondary change in AV response. We hypothesize that two opposing mechanisms account for the variable secondary changes in AV conduction time and that the stimulus intensity determines which mechanism will be prepotent. The mechanism responsible for the secondary decline appears to be related to that which causes the fade of the inotropic response; muscarinic receptor desensitization probably plays an important role. The secondary augmentation of the dromotropic response may be related either to a slow diffusion of acetylcholine from the surrounding tissue or to a slow cumulative change in AV nodal refractoriness.

Animals↗
PubMed1983

Evaluating state level integration of human services.

The concept of human services integration as an efficient service delivery arrangement has been a popular idea for a number of years; but its practicality and capabilities are still relatively unclear. The authors describe an approach to developing a methodology for assessing services integration at the state level. This is a preliminary report on issues in integrated service delivery systems and their progress to date in creating research instruments for program evaluation in a large delivery system.

Data Collection↗
PubMed1983

Effects of age and weaning on enzyme activities of abomasum and pancreas of the lamb.

The effect of age and weaning on enzyme activities of abomasum and pancreas of the lamb was studied. Sixty-nine lambs were either maintained at the preruminant stage until 42 days of age or weaned between 20 and 30 days. They were slaughtered between birth and 100 days, and the mucosa of their abomasum and their pancreas were collected. At 2 days of age there was a threshold of glandular growth and of development of enzyme secretory potentialities. Pancreas showed an extensive hyperplasia without growth until day 2; its weight increased after day 7 but only by hypertrophy. Quantities of gastric enzymes in relation to empty live weight increased between birth and 2 days, but that of chymosin then decreased, whereas pepsin did not change significantly; effects of weaning were similar. The evolution of pancreatic enzyme activity was usually the reverse of that of chymosin; however, trypsin activity was low at birth and that of colipase did not increase at weaning. The ratio of colipase to lipase was always higher than 1, showing that lipase always was saturated in the lamb. The pancreas seemed to take over the secretion of abomasal proteolytic enzymes. Potentialities of enzyme digestion appeared to be influenced mainly by the age or weight of the animal; these potentialities were minimal for at least several days during the first neonatal week and, if there was enzymatic adaptation to the amounts of the ingested substrate, it did not occur rapidly.

Abomasum↗
PubMed1983

Nitrogen balance during total parenteral nutrition: glucose vs. fat.

Nitrogen balance and energy expenditure were measured in 18 traumatized and/or septic patients and five depleted patients during different dietary conditions. Total parenteral nutrition (TPN) was given with nonprotein energy entirely as hypertonic glucose solutions (glucose system) or as half glucose-half intravenous fat emulsion (lipid system). In acutely ill patients, the change from 5% dextrose to TPN resulted in a prompt improvement of nitrogen balance to maintenance levels. There were no significant differences between patients given the glucose or lipid system. The five depleted patients were given the lipid and glucose systems alternately for a total of 19 one-week periods. A highly positive N balance, 80 mg N/kg . day, was attained on both diets. There was no significant difference between diets and no period of adaptation after switching from one diet to the other. On comparable intravenous diets, the acutely ill patients had higher plasma concentrations of glucose, glycerol, triglycerides, insulin, and glucagon than did the depleted patients. The study shows that the nitrogen-sparing effects of the lipid and the glucose systems are similar in moderately traumatized or infected as well as in malnourished patients. Factors other than nitrogen balance are of greater importance when choosing between the lipid and the glucose system for intravenous support.

Adolescent↗