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Biomedical subjects

R Miller

Publications and source records attributed to R Miller.

951 records · Page 53Linked to original sources
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Benzodiazepines.

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Adjuvants, Anesthesia↗
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Rupture of the pulmonary alveoli during general anesthesia.

The rupture of pulmonary alveoli during the induction of general anesthesia is a significant complication of general anesthesia that has been seldom reported in our literature. This article documents this occurrence in a patient scheduled for elective orthognathic surgery. The diagnosis and treatment are discussed.

Adult↗
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Parental compliance with home apnea monitoring.

Until now, compliance with home apnea monitoring (HAM) has been assessed by parental recall. The availability of monitors with electronic memory allows a more objective evaluation of HAM. Fourteen premature infants discharged home from the hospital and receiving theophylline and 15 infants not receiving medication were studied. Medical and birth records, parent questionnaires, and 1 month of electronically recorded data were analyzed. Birth weights of the infants ranged from 850 to 2400 gm and gestational age from 26 to 34 weeks. Of 26 parents who recalled never leaving their infants unmonitored, 70% missed at least one night, 30% three or more. During the first month, treated infants were left unmonitored 21% of the days and 9% of the nights, and untreated babies were unmonitored 32% of the days and 15% of the nights. Average daily HAM use was 18 hours for treated and 16 hours for untreated (p = 0.19). Two weeks after discharge, the decline in use for treated babies was 5% (day and night), whereas for untreated infants the decrease was 20% during the day and 15% at night. Lead-related alarms occurred with similar frequency (one to two times per day) in both groups. Non-lead-related alarms were somewhat more frequent for treated (four times per day) than for untreated infants (twice daily). Parents' perception of the likelihood of severe apnea at the time of discharge influenced HAM use. Little risk prompted 13 hr/day use and moderate risk 16 hr/day, whereas great perceived risk resulted in 18 hr/day of monitoring.(ABSTRACT TRUNCATED AT 250 WORDS)

Apnea↗
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A comparison of factor VIII infusion methods.

This paper describes a case study approach to evaluating practice. It compares two different methods of factor VIII infusion for a patient with haemophilia who underwent two orthopaedic operations.

Adult↗
PubMedDate not supplied

Tumorigenicity, oncogene transfection, and radiosensitivity.

PURPOSE: Reports that the incorporation of exogenous oncogenes confer radioresistance have excited interest and controversy. We investigate whether human cell lines transformed to a malignant phenotype by gamma-rays or by chemicals became radioresistant. MATERIALS AND METHODS: Rodent intestinal epithelial cells immortalized by the HPV virus, human immortalized bronchoepithelial cells and their malignant counterparts transformed by alpha-particles, uroepithelial cells and their malignant counterparts transformed either by alpha-particles or methylcholanthrine-4, and osteosarcoma cells and their nonmalignant counterparts into which the Rb gene had been introduced were used. Dose response curves for all of these cell lines were obtained by exposure to cesium 137 gamma-rays at a dose-rate of 1.18 Gy/min. RESULTS: There was a dramatic increase in resistance to gamma-rays when H-ras was transfected into rodent intestinal epithelial cells. By contrast, in the case of the three human cell lines used, no consistent or significant change of radiosensitivity occurred when normal cells were transformed to a malignant state by alpha-particles or by a chemical carcinogen. CONCLUSIONS: Experiments involving the introduction of foreign oncogenes to cause tumorigenicity and accompanying radioresistance do not have direct relevance in human tumors. In a number of different instances, the conversion to malignancy by means that more closely reflect what happens in practice (i.e., by radiation or a chemical carcinogen) is not necessarily accompanied by an increased radioresistance to low doses of radiation.

Alpha Particles↗
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[The dynamic surface tension of the blood and urine in chronic glomerulonephritis].

Dynamic surface-tension (S-T) was investigated of blood and urine of healthy individuals and patients with chronic glomerulonephritis by the proposed method of maximum pressure in a bubble with the aid of the computer-assisted device tensometer MPT-1 (Lauda, Germany). Patterns of changes in dynamic and static S-T were found out as were those of the slope of the curve in patients with mesangioproliferative and mesangiocapillary variants of the condition, in nephrotic syndrome and chronic renal insufficiency. Correlation type comparison was performed of physical-and-chemical properties of biological fluids to parameters characterizing protein and fat exchange. Relationship between dynamic S-T and biochemical composition of blood and urine was revealed. Diagnostic value of results of the studies made is discussed.

Adolescent↗
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Axillary cystadenocarcinoma in a Moluccan cockatoo (Cacatua moluccensis).

An adult Moluccan cockatoo (Cacatua moluccensis) was diagnosed with a cystadenocarcinoma in the right axillary region that was treated symptomatically with surgical debulking and periodic drainage. The bird eventually died and a necropsy was performed. The neoplasm extended through the humerus, and small neoplastic foci were seen within the ipsilateral lung parenchyma. Rare groupings of microvilli were observed lining intercellular canalicular lumens on electron microscopy within the axillary tumor. These findings suggest a respiratory neoplasm, although the tissue of origin remained undetermined.

Animals↗
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[Dynamic interphase tensiometry of the cerebrospinal fluid and blood serum in nervous system tumors].

Dynamic superficial tension (ST) of spinal fluid (SF) and blood serum in patients with CNS tumors was investigated. The maximum bubble tension was measured by a MPT2 computer tensiometer (LAUDA). There were decreases in ST of blood serum at t = 1 and t-->infinity, increases in ST at t = 0.01 and decreases in the angle on SF tensiograms. The parameters of interphasic tensiometry of the biological fluids depend on content of biologically active substances severity of the neurological symptomatology and duration of disease. Successive surgical treatment is followed by normalization of SF and blood serum ST.

Adolescent↗