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Biomedical subjects

R E Walker

Publications and source records attributed to R E Walker.

At least 73 records · Page 4Linked to original sources
PubMed1988

Safari to Kenya.

Explore the source record for details and available documents.

Canada↗
PubMed1988

Disseminated Mycobacterium haemophilum infection in two patients with the acquired immunodeficiency syndrome.

In two patients with the acquired immunodeficiency syndrome (AIDS), multiple erythematous cutaneous lesions developed, revealing acid-fast organisms on Fite's stain. Initial culture results on the first patient were negative; however, repeat cultures on hemin-enriched media were positive for Mycobacterium haemophilum. Despite antimycobacterial therapy, lesions persisted until the patients' death. M. haemophilum should be a diagnostic consideration when smears of peripheral (especially skin) lesions from AIDS patients show acid-fast organisms. Cultures in such patients should be done with iron hemin- or ferric ammonium citrate-enriched media.

Acquired Immunodeficiency Syndrome↗
PubMed1988

Anemia and erythropoiesis in patients with the acquired immunodeficiency syndrome (AIDS) and Kaposi sarcoma treated with zidovudine.

We evaluated the development of anemia as part of a trial of zidovudine therapy in patients with the acquired immunodeficiency syndrome (AIDS) with Kaposi sarcoma. Patients were randomized to one of three treatment groups or a placebo group. Transfusion-requiring anemia (hemoglobin less than 100 g/L) developed in 6 of 15 patients on zidovudine therapy at a mean of 6 weeks after starting treatment. A fall in the reticulocyte count was the earliest peripheral blood indicator of toxicity. Mean corpuscular volume increased markedly in patients on zidovudine therapy not developing anemia yet remained stable or only slightly increased in those who became anemic. Bone marrow examination showed pure red cell aplasia in 2 patients, erythroid maturation arrest in 1, and erythroid hypoplasia in 3. Megaloblastic erythropoiesis was present in 2 of the 6 anemic patients. Erythropoietin levels measured at the time of first transfusion were increased. Thus, the anemia associated with zidovudine therapy is due to red cell hypoplasia or aplasia.

Acquired Immunodeficiency Syndrome↗
PubMed1984

High-density-lipoprotein cholesterol in heparin-MnCl2 supernates determined with the Dow enzymic method after precipitation of Mn2+ with HCO3-.

Manganese interferes with enzymic cholesterol methods. In this study, we enzymically measured high-density-lipoprotein (HDL) cholesterol in heparin-Mn2+ supernates that had been treated with NaHCO3 (91 mmol/L) to precipitate Mn2+, and compared results with those by an automated Liebermann- Burchard method. For untreated supernates of 96 fresh plasma samples, the enzymic values were 10.4% higher than comparison-method values, a bias that declined to +2.3% for treated supernates. For 72 sera promptly frozen and stored after collection, the enzymic values for untreated and treated supernates were, respectively, 6.0% and 0.5% higher than comparison-method values. In all cases, the magnitude of the bias was independent of the concentrations of cholesterol, triglyceride, and HDL-cholesterol. Enzymic HDL-cholesterol measurements in NaHCO3-treated heparin-Mn2+ supernates prepared from four pooled serum controls agreed within 21 mg/L with values established for these pools by the Centers for Disease Control. We conclude that the accuracy of enzymic HDL cholesterol measurements in heparin-Mn2+ supernates in considerably increased by treatment with NaHCO3.

Bicarbonates↗
PubMed1983

Malignant melanoma of the foot.

This discussion and case presentation demonstrate the importance of proper diagnostic procedures when a suspect lesion presents. Biopsy and examination by a pathologist in the field of malignant melanoma revealed an immediate definitive diagnosis. Any delay of such measures will increase the chance of metastasis and the degree of necessary surgical excision.

Aged↗
PubMed1982

Evaluation of five enzymic kits for determination of triglyceride concentrations in plasma.

We evaluated five commercial enzymic kit methods (methods A-E) for the determination of triglyceride concentrations in plasma, by comparing each with the automated fluorometric procedure of the Lipid Research Clinics Program. Aliquots of 91 to 97 samples were analyzed with each kit and with the comparison method. The results obtained with all five kits were highly correlated with those of the comparison method (r = 0.97-0.99). Group mean triglyceride concentrations as determined with kits A and D did not differ significantly from those assayed with the comparison method. The other three kits gave values 6.5-7.5% higher than those by the comparison method (p less than 0.001). The relative biases between the kit and reference methods did not vary with triglyceride concentration for kits B, D, and E; kits A and C had concentration-dependent biases. Kits D and E were the most nearly precise and had coefficients of variation (CVs) of 3.1% or less. Kit B had CVs of 3.8-4.4%; the remaining two kits had CVs of 5.4-6.7%. On the basis of these results, we judged kits B, D, and E to perform most satisfactorily, from the standpoint of their precision and their concentration-independent relationships to the comparison method.

Cholesterol↗
PubMed1982

Determination of high density lipoprotein-cholesterol in human plasma stored at -70 degrees C.

We determined the effect of storage at -70 degrees C on the determination of plasma high density lipoprotein (HDL)-cholesterol. Plasma from 106 subjects was stored for 1, 6, and 12 months, then treated with heparin and MnCl2 to remove other lipoproteins, and HDL-cholesterol was measured. The mean HDL-cholesterol level decreased by 2.9% after 1 month, and by 5.1% after 12 months. The magnitude and direction of the changes were not constant, but were correlated primarily with HDL-cholesterol concentration. After 1 month, samples with HDL-cholesterol levels below 40 mg/dl tended to increase, and those above this value tended to decrease. By 12 months, only those samples with HDL-cholesterol below 22 mg/dl tended to increase. Linear regression analysis indicated changes of 0.9-1.5 mg/dl for each 10 mg/dl initial HDL-cholesterol concentration. Storage of heparin-MnCl2 supernatants, rather than unfractionated plasma, minimized these changes. The mean HDL-cholesterol of stored heparin-MnCl2 supernatants was 3.3% lower after 12 months, and the change was constant regardless of lipoprotein concentration. The findings suggest the possible occurrence of changes in the heparin-MnCl2 precipitability of lipoproteins during storage, which produce errors in HDL-cholesterol analyses, and indicate that samples can be stored more satisfactorily if the other lipoproteins are removed first.

Cholesterol↗
PubMed1977

Clinical assessment of a profession: Roman Catholic clergymen.

The present study investigated the personality of the American Catholic priest by means of clinical procedures. It is based on a national, randomly selected, representative sample. Recorded 2-hour clinical interview plus a battery of standardized as well as specially designed psychological tests were administered to 271 Ss. A clinical report was written for each priest based on all the interview data. Four categories or types of classification were devised to describe and to distinguish the priests along a continuum of soci-psychological development: maldeveloped (8%), underdeveloped (57%), developing (29%), and developed (6%).

Adult↗
PubMed1977

Further factor-analytic investigation of the Thorne femininity study.

The responses of 512 undergraduate women to 198 items of the Thorne Femininity Study were factor analyzed in order to isolate the dimensions of femininity represented among the items of this instrument. The procedure used isolated 11 orthogonal factors that accounted for 21.1% of the total variance. Three additional samples of women were tested (total N=222) and compared to the college age samples on the 11 factors. The various samples differed in many systematic and statistically significant ways. Suggestions were made as to the possibility of developing new items to measure some aspects of femininity not represented completely among the items analyzed.

Adolescent↗