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Biomedical subjects

R Carter

Publications and source records attributed to R Carter.

At least 415 records · Page 23Linked to original sources
PubMedDate not supplied

Relative effect of surgery and radiotherapy on the internal jugular vein following functional neck dissection.

We examined the internal jugular veins in three groups of patients who had undergone (1) a functional neck dissection and radiotherapy, (2) a functional neck dissection alone, or (3) radiotherapy alone, using a noninvasive color Doppler ultrasound scan. The internal jugular veins were ultrasonically bilaterally normal in 18% of patients who had undergone a functional neck dissection and radiotherapy, in 88% of patients who had undergone a functional neck dissection alone, and in 57% of patients who had undergone radiotherapy alone. The combination of a functional neck dissection and radiotherapy significantly affected the internal jugular vein when compared with a functional neck dissection alone.

Adult↗
PubMedDate not supplied

Palliation of malignant dysphagia using the Nd:YAG laser.

A group of 141 patients with biopsy-proved malignant dysphagia, treated with neodymium YAG laser between April 1985 and November 1988, have been prospectively evaluated. Patients treated since November 1988 have not been included to allow minimum follow-up of 18 months. The success of treatment has been assessed in terms of survival, relief of dysphagia, complications, and length of inpatient stay. One- and two-year survival rates were 12.6% and 3.5%, respectively (mean survival 24.7 weeks). Ninety-two percent of patients were returned to a semisolid diet or better. In 4% recanalization was impossible, and 4% swallowed only liquids despite an adequate channel. Tumor histology, site of tumor, and length of previous treatment had no significant influence on outcome. The presence of metastases significantly influenced survival (p = 0.007). The principal complications were perforation (6.4%) and tracheoesophageal fistula (2.8%). Laser recanalization provides effective palliation for malignant dysphagia.

Adult↗
PubMedDate not supplied

Infectivity of Plasmodium vivax and P. falciparum to Anopheles tessellatus; relationship between oocyst and sporozoite development.

The assessment of malarial infectivity, for example in the evaluation of transmission blocking immunity, is generally based on counting oocysts in mosquitoes fed on infected blood. Ultimate transmission of the disease may, however, depend on the sporozoite load in the mosquito and its relationship to the size of the inoculum introduced to man. We conducted a laboratory study on Anopheles tessellatus infected with 108 different natural isolates of Plasmodium vivax from patients and 24 of P. falciparum to determine the relationship between oocyst numbers, sporozoite loads, and the effect of these on mosquito mortality. It was found that the P. vivax parasite density was positively correlated with the proportion of mosquitoes infected by a given feed at both the midgut and gland stages of parasite development (correlation coefficient [r] = 0.77, P < 0.001 and r = 0.6, P < 0.05 respectively). A significant positive linear correlation was observed between the number of oocysts and sporozoites in P. vivax (r = 0.5; P < 0.05); the proportions of mosquitoes infected with oocysts and sporozoites were also similarly related, although in general about 15% of mosquitoes infected with oocysts failed to develop salivary gland infections with sporozoites. The number of mosquitoes infected with P. falciparum parasites was too low for statistical analysis. Infection with either species of parasite did not appear to affect mosquito survival, nor was parasite density in the mosquito correlated with mosquito mortality.

Animals↗
PubMedDate not supplied

Genetic structure of Plasmodium vivax isolates in India.

Variations in the allelic composition of glucose phosphate isomerase (GPI), NADP-dependent glutamate dehydrogenase (GDH) and adenosine deaminase (ADA) enzyme systems of Plasmodium vivax were observed in isolates of Indian origin in 1985-1993. No significant difference was observed in allelic frequencies in different years. The data indicated random distribution of GPI, GDH and ADA alleles among the isolates, suggesting that loci for these enzymes were not linked. A high proportion of the isolates comprised at least 2 genetically distinct clones, the mean number of clones per isolate being 1.4. There was no significant difference in the number of oocysts in Anopheles stephensi fed on uniclonal and multiclonal isolates. No difference was observed in the proportions of uniclonal and multiclonal isolates during low and high transmission periods.

Adenosine Deaminase↗
PubMedDate not supplied

Malaria parasites of rodents of the Congo (Brazzaville): Plasmodium chabaudi adami subsp. nov. and Plasmodium vinckei lentum Landau, Michel, Adam and Boulard, 1970.

Descriptions are given of the blood forms, sporogonic stages and enzyme forms of Plasmodium chabaudi adami subsp.-nov. and P. vinckei lentum, malaria parasites of the thicket-rat Thamnomys rutilans of the Brazzaville region. The two species differ from each other in both morphological and enzymic characters. P.c. adami and P. v. lentum differ from the other subspecies of P. chabaudi and P. vinckei principally by their enzyme forms.

Animals↗
PubMedDate not supplied

The neglected burden of Plasmodium vivax malaria.

We estimate that the global burden of malaria due to Plasmodium vivax is approximately 70-80 million cases annually. Probably approximately 10-20% of the world's cases of P. vivax infection occur in Africa, south of the Sahara. In eastern and southern Africa, P. vivax represents around 10% of malaria cases but < 1% of cases in western and central Africa. Outside of African, P. vivax accounts for > 50% of all malaria cases. About 80-90% of P. vivax outside of Africa occurs in the Middle East, Asia, and the Western Pacific, mainly in the most tropical regions, and 10-15% in Central and South America. Because malaria transmission rates are low in most regions where P. vivax is prevalent, the human populations affected achieve little immunity to this parasite; as a result, in these regions, P. vivax infections affect people of all ages. Although the effects of repeated attacks of P. vivax through childhood and adult life are only rarely directly lethal, they can have major deleterious effects on personal well-being, growth, and development, and on the economic performance at the individual, family, community, and national levels. Features of the transmission biology of P. vivax give this species greater resilience than the less robust Plasmodiumfalciparum in the face of conditions adverse to the transmission of the parasites. Therefore, as control measures become more effective, the residual malaria burden is likely increasingly to become that of P. vivax.

Age Distribution↗
PubMedDate not supplied

Coping with trauma.

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Accidents, Traffic↗
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Glucose, insulin and platelet fatty acids following myocardial infarction: an association with infarct size.

Fifty-four patients were studied immediately after myocardial infarction to determine the association between infarct size and blood glucose, serum insulin, plasma lipids and platelet phospholipid fatty acids. Infarct size was estimated indirectly from peak plasma lactate dehydrogenase level and in the known diabetics a significant negative correlation was seen between serum insulin and peak LDH levels (Rs = -0.73, p less than 0.05). In the normoglycaemic patients peak LDH level was inversely associated with platelet phospholipid linolenic acid (C18: 3 w3) (Rs = -0.59, p less than 0.01) and with eicosapentaenoic acid (C20: 5 w3) (Rs = -0.51, p less than 0.05). This association may be explained by the role of these fatty acids in platelet aggregation but the potentially protective effect of these fatty acids appears to be lost in diabetic and hyperglycaemic patients.

Blood Glucose↗