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Biomedical subjects

R D Anderson

Publications and source records attributed to R D Anderson.

At least 73 records · Page 4Linked to original sources

Neurofibroma of the ear.

Neurofibromas cause unsightly and crippling deformities. These locally destructive tumors arise along the distribution of peripheral and cranial nerves. The 2 patients presented here had neurofibromas of the external ear. In one patient, the lesion was limited to the auricle. In the other, the tumor extended into the facial nerve and parotid gland. Preoperative computed tomographic scanning, a postauricular approach to the tumor, and careful dissection produced an aesthetic debulking of the auricular neurofibromas with preservation of facial nerve function and improvement in hearing.

Child↗

An ultrastructural study of tooth resorption in the kitten.

Eleven kittens of various ages were used to obtain teeth in situ at differing stages of exfoliation. The teeth were processed by routine techniques for examination by light and transmission electron microscopy. The dental hard tissues were eroded by odontoclasts supported by numerous blood vessels, fibroblasts, and macrophages. No evidence of intracellular collagen was found within any of these cells, indicating that helper cells are not required to remove the collagenous component of dentin and cementum. The loss of periodontal ligament during shedding involved the removal of cells and extracellular material. Two forms of fibroblastic cell death were identified: One, apoptotic cell death, involved condensation, and its occurrence suggests that exfoliation of deciduous teeth is a programmed physiological event; the other occurred in cells containing many profiles of collagen and involved the selective disruption of the mitochondria and eventual dissolution of cytosol. This form of cell death has not been previously described and is significantly different from necrotic cell death, which was not observed during exfoliation. Some fibroblasts maintained a normal morphology. These various cellular responses suggest that phenotypically different populations of fibroblasts may exist in the periodontal ligament. Collagen removal was an extracellular occurrence which did not seem to involve increased phagocytotic activity by fibroblasts.

Animals↗

Failure of the fluorescent antibody reaction to identify penicillinase-producing gonococci.

The fluorescent antibody test is now widely used to confirm the identity of Neisseria gonorrhoeae but may fail to identify penicillinase-producing strains (PPNG). This problem arises when conjugates are used that incorporate only gonococci that are not penicillinase-producers. We have shown that conjugates prepared from mixtures of PPNG and non-penicillinase producing gonococci give good fluorescent reactions. This difference in the reactions of PPNG strains is clearly related to their penicillinase-producing abilities, further study of the antigenic relation between penicillinase production and the antigenic structure of N gonorrhoeae is evidently required.

Fluorescent Antibody Technique↗

Grouping of streptococci by Streptex.

Streptex was compared to routine laboratory identification methods available. The results from Streptex sometimes required several attempts before final identification could be achieved. In the main, group D streptococci other than Strep. faecalis failed to group with the Streptex antisera, and this method cannot therefore be used exclusively as a means of identifying this group of streptococci.

Immune Sera↗

Liver-kidney relationship in radioisotopic localization of retroheptic and subhepatic masses.

Combined liver-kidney scintigrams in 46 patients were obtained by administering two radiopharmaceuticals labeled with 99mTc. A mass in the right adrenal or subhepatic area was demonstrated as a void or absence of activity between the organs. Normally, the activity in the liver and right kidney blends together so visual separation of organs is not possible. Two clinical cases, including ultrasonic and angiographic studies for comparison, are presented.

Abdominal Neoplasms↗

1976 Harvey A.K. Whitney lecture: the peril of deprofessionalization.

It is argued that American pharmacy is in great peril of being deprofessionalized, and that hospital pharmacy practice offers the best hope for restoring public confidence in the profession. Pharmacists are criticized for a failing sense of mission and a waning dependence on knowledge. It is observed that pharmacy has diminished control over practitioner education. Various threats to the professional association of hospital pharmacists, and the need for ethical codes enforced by the profession are discussed. The concept of an American School of Hospital Pharmacy is supported. Hospital pharmacists are urged to become drug experts; it is suggested that pharmacists in hospitals be required to develop expertise in specific categories of drugs. It is concluded that pharmacy must use its drug knowledge effectively to avoid the peril of deprofessionalization.

Education, Pharmacy↗

Tortuosity of the cavernous carotid arteries causing sellar expansion simulating pituitary adenoma.

Tortuous, medially-displaced cavernous carotid arteries may cause sellar enlargement which simulates pituitary adenoma. Systemic hypertension appears to account for this tortuosity in some cases, while a congenital anomaly is probably responsible in others. Medical position of the carotid sulci may be demonstrated on sellar tomography. Cerebral arteriography provides the correct diagnosis. Surgery, particularly transsphenoidal hypophysectomy, should be avoided in such patients.

Adenoma↗

B-Mode sonography as a screening procedure for asymptomatic carotid bruits.

Sixty-five B-mode carotid sonograms were obtained at random on patients undergoing cerebral arteriography. A 5 mHz transducer was used. The results were correlated with magnified cervical carotid arteriograms obtained on these patients. B-mode sonography was accurate in evaluating the carotid arteries for surgical stenosis in 72 per cent of the cases. The feasibility of using B-mode sonography as a screening test in patients with asymptomatic carotid bruits is discussed.

Angiography↗