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Biomedical subjects

P Sullivan

Publications and source records attributed to P Sullivan.

At least 163 records · Page 9Linked to original sources
PubMed1990

Brain imaging abnormalities in mental disorders of late life.

Psychiatric inpatients with dementia (N = 61) or depression (N = 67) in late life were 2.6 times more likely to manifest magnetic resonance imaging abnormalities of the brain than were elderly controls (N = 44). Controlling for the effects of age and gender, demented patients were distinguishable from controls by an increased prevalence of cortical atrophy and infarction, while depressed patients exhibited an increased prevalence of cortical infarctions and leukoencephalopathy. Patients with dementia were distinguishable from those with major depression by an increased prevalence of cortical atrophy. These results indicate that major depression in late life, like dementia, is associated with a remarkable increase in overt pathologic changes in the brain.

Adolescent↗
PubMed1990

Phase II trial of fludarabine phosphate (F-Ara-AMP) in patients with advanced head and neck cancer.

Thirteen patients with advanced head and neck cancer were entered into a phase II study of fludarabine phosphate. Fludarabine phosphate was given by continuous infusion for 5 days, at a starting dose of 20 mg/m2 per day for patients previously treated with one regimen and 25 mg/m2 per day for previously untreated patients; therapy was repeated every 3-4 weeks. Of the 13 patients, 3 had undergone one prior regimen and 10 patients were previously untreated by chemotherapy. No responses were observed. Myelosuppression was the most common toxicity observed. Four patients developed mild nausea, vomiting and seven developed bleeding stomatitis that resolved in one week. In addition, four patients developed headaches which resolved spontaneously. No renal, hepatic, or neurotoxicity was observed. Our study demonstrates that in previously treated and untreated patients, fludarabine phosphate given on this schedule has little activity in patients with advanced head and neck cancer.

Aged↗
PubMed1990

Fibronectin, vitronectin, and collagen binding to Escherichia coli of intestinal and extraintestinal origin.

Strains of enteropathogenic Escherichia coli (EPEC, 157 strains), enterotoxigenic E. coli (ETEC, 10 strains), enteroinvasive E. coli (EIEC, 40 strains), enterohaemorrhagic E. coli (EHEC, 10 strains), and enteroadherent E. coli (EAEC, 6 strains), all isolated from children and adults with diarrhoea, uropathogenic E. coli (25 strains) and faecal E. coli (36 strains) isolated from healthy persons were tested for binding to subepithelial connective tissue proteins, viz. fibronectin, collagen and vitronectin (S-protein). Strains expressing high and moderate binding to these proteins were found in all groups including normal stools. The highest incidence of binding strains were found among EAEC, EHEC and EPEC strains. Many strains bound collagen only whereas no strain bound vitronectin only. Binding to these proteins was generally best expressed after overnight growth on CFA agar at 37 degrees C. It is not correlated to surface hydrophobicity, and it is not influenced by O antigens or K1 and K5 antigens. The presence of fimbrial adhesins on extraintestinal isolates did not enhance the binding to soluble form of the matrix proteins. During pathological conditions when subepithelial connective tissue proteins are exposed, strains with the ability to bind fibronectin, collagen and/or vitronectin may have a selective advantage to colonize the tissue.

Bacterial Adhesion↗
PubMed1990

Long-term outcome after photocoagulation for proliferative diabetic retinopathy.

One-hundred and forty patients with 182 treated eyes were followed for up to 10 years after photocoagulation for proliferative diabetic retinopathy. Sixty-eight patients were still alive and under review after 10 years. Mortality was 33% at 10 years and the survivors were younger when treated and had lower systolic and diastolic blood pressures, a lower urea and creatinine and a lower prevalence of proteinuria and ECG evidence of ischaemia at baseline. Sixty-nine percent of all patients and 82% of those followed up for 10 years maintained good vision (6/12 or better) in their better eye at the last follow-up. Visual deterioration occurred mostly in the first 2 years after treatment and risk factors for poor final vision were poor vision at baseline, severity of disc new vessels, and age at presentation. It is concluded that the short-term beneficial effect of photocoagulation is maintained over long periods of follow-up.

Adult↗
PubMed1990

Risk factors for white matter changes detected by magnetic resonance imaging in the elderly.

We found increased age (p = 0.001) and history or evidence of stroke (p = 0.016) to be significant independent multivariate predictors of the presence and severity of leukoencephalopathy on magnetic resonance imaging brain scans in a mixed population of 35 elderly psychiatric patients and 25 neurologically healthy elderly volunteers. These results suggest that subcortical ischemia, as well as age-related changes that may not be vascular in origin, contribute to the emergence of periventricular and other deep white matter hyperintensities that are commonly seen on the magnetic resonance imaging brain scans of older adults.

Aged↗