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R S Garcia

Publications and source records attributed to R S Garcia.

4 recordsLinked to original sources

High-resolution structure of a potent, cyclic proteinase inhibitor from sunflower seeds.

Proteinaceous serine proteinase inhibitors are widespread throughout the plant kingdom where they play an important role in protection against pests and pathogens. Here, we describe the isolation and characterisation of a novel 14 amino acid residue cyclic peptide from sunflower seeds, which is a potent inhibitor of trypsin (Ki=100 pM). The crystal structure of this peptide in complex with bovine beta-trypsin shows both sequence and conformational similarity with the trypsin-reactive loop of the Bowman-Birk family of serine proteinase inhibitors. This inhibitor, however, is unique in being monofunctional, cyclic and far shorter (14 amino acid residues) than inhibitors belonging to this family (typically 60-70 amino acid residues). The high potency of this peptide is likely to arise from the considerable structural rigidity achieved through its cyclic nature which is further stabilised by a single internal disulphide bond. This study helps delineate the minimal unit required for effective peptide inhibitors of serine proteinases, and will assist in the further design of inhibitors to this widespread class of enzymes.

Amino Acid Sequence↗

[Proved self-poisoning. A 10-year case load from an intensive care unit].

During the period 1.1.1979-31.12.1988, a total of 2.023 admissions (involving 1.511 patients) occurred on account of deliberate self-poisoning in the Intensive Care Unit of the Anaesthetic Department of Odense Hospital. No significant alterations were observed in the female/male ratio or in the average age, during this period. Duration of hospitalization in the Intensive Care Unit showed a decrease. The frequencies of cases of poisoning with barbiturates showed a decrease while poisonings with acetaminophen, alcohol and chemical-technical agents showed increasing frequencies. Poisoning with benzodiazepines, neuroleptics, polycyclic antidepressive drugs, dextropropoxyphen or acetylsalicylic acid occurred with unaltered frequency. Treatment consisted mainly of endotracheal intubation, artificial ventilation, circulatory therapy, forced alkaline diuresis, haemodialysis and antibiotic therapy. The frequency of forced alkaline diuresis decreased during the period while circulatory therapy, haemodialysis, antibiotic therapy and treatment with antidotes were employed increasingly frequently. The acute lethality was 1.6%. It is concluded that treatment was mainly symptomatic and concentrated on ensuring respiratory and circulatory functions and that the acute lethality is unchanged and will probably not be lowered further. The "Scandinavian method" is thus still the cornerstone in the treatment of poisoning and is responsible for the continued low acute lethality.

Adolescent↗

Subarachnoid versus epidural bupivacaine 0.5% for caesarean section.

In order to compare subarachnoid (spinal) and epidural block for caesarean section, 40 women were randomly allocated to spinal or epidural analgesia with bupivacaine. The median dose of bupivacaine was 13 mg in the spinal group versus 155 mg in the epidural group. The mean time from induction to delivery was 32 min shorter in the spinal group (P less than 0.001). In the spinal group one woman was excluded because of spontaneous labour. Three patients in the spinal and one in the epidural group failed to develop adequate analgesia to initiate surgery. For the remaining patients both techniques provided good analgesia during operation. Postoperatively, epidural block provided better pain relief. The patients in the epidural group had a lower pain score during the first 4 h after the operation (P less than 0.01). In spite of similar haemodynamic changes in the two groups, the mean base deficit in umbilical cord blood at delivery was higher in the spinal group (P less than 0.05).

Acid-Base Equilibrium↗

[Plasmacytoma].

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Dental Fistula↗