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Biomedical subjects

S A Edwards

Publications and source records attributed to S A Edwards.

At least 55 records · Page 3Linked to original sources
PubMed1983

Percutaneous transhepatic biliary drainage. Complications due to multiple duct obstructions.

The medical histories of fifty-three consecutive patients who were scheduled for percutaneous transhepatic biliary drainage (PTBD) were reviewed for incidents of sepsis. Among the 52 patients who were successfully catheterized, there were 14 incidents of sepsis, three incidents of abscess and sepsis, and two incidents of sepsis following a pulled catheter (a total incidence of 36.5%). In 14 instances, the sepsis was attributed primarily to the presence of enteric bacteria combined with bile stasis caused by multiple duct obstruction from disseminated malignancy. The presence of bacteria in the bile of well-drained patients did not necessarily lead to sepsis. This series highlights the importance of medical alert for signs of sepsis in biliary drainage patients and suggests that external drainage is preferable in patients with incomplete emptying of the biliary system during PTBD.

Abscess↗
PubMed1982

Noninvasive testing for carotid artery stenosis: II. Clinical application of accuracy assessments.

Determination of the specificity, sensitivity, and accuracy of diagnostic tests usually identifies the value of the tests in isolation, but the clinical significance of the findings is less clear. In this study the accuracies of direct continuous wave color-coded Doppler imaging (DDI), periorbital directional Doppler ultrasonography (PDDU), and oculoplethysmography-carotid phonangiography (OPG-CPA) were calculated for each examination alone and in combination with others for 176 patients who had been studied by all three noninvasive methods for suspected extracranial carotid arterial disease. When evaluated alone, DDI yielded the highest accuracy, 94%. In 89% of the population, DDI agreed with at least one of the other two tests. When this occurred, the majority finding was correct 98%. When DDI disagreed with the other two tests (11% of cases), it was correct in only 50%. These findings suggest a clinical approach which would minimize testing while achieving a high accuracy for most patients and identifying those patients whose carotid status could not be discerned with these studies.

Carotid Artery Diseases↗
PubMed1980

Sequence relationship of glycosylated and unglycosylated gag polyproteins of Moloney murine leukemia virus.

Both glycosylated and unglycosylated polyproteins coded by the gag gene are produced in cells infected with Moloney murine leukemia virus. GpP80gag is a glycosylated precursor of a larger gag glycoprotein exported to the cell surface, whereas Pr65gag is an unglycosylated precursor of the virion internal structural proteins. GpP80gag contains not only carbohydrate, but also additional polypeptide sequences not found in Pr65gag. In the experiment reported here, we localized the differences between GpP80gag and Pr65gag with respect to the domains of the individual gag proteins. This was done by comparison of partial proteolytic cleavage fragments from Pr65gag, from GpP80gag, and from the unglycosylated form of GpP80gag (P75gag) which had been immunoprecipitated by antisera specific for gag proteins p30, p15, and p10. We conclude that the additional polypeptide sequences in GpP80gag are located at or very near the amino terminus of the polyprotein. The carbohydrate in GpP80gag is attached to polypeptide sequences held in common between GpP80gag and Pr65gag.

Electrophoresis, Polyacrylamide Gel↗
PubMed1980

Statewide hospital productivity center offers managerial expertise, scientific standards.

The Texas Hospital Association's (THA's) nearly 600 member hospitals in 1977 formed a statewide productivity center in response to rising labor costs, excess services and beds, uneven personnel allocation, activity duplication, and delinquent accounts. By developing and applying scientific standards formulas, and programs difficult for individual hospitals to implement, the center has increased productivity and cut costs.

Efficiency↗
PubMed1979

gag-Related polyproteins of Moloney murine leukemia virus: evidence for independent synthesis of glycosylated and unglycosylated forms.

Immunoprecipitation of labeled extracts from murine leukemia virus-infected cells with antisera specific for internal structural (gag) proteins yields three major gag-related polyproteins with molecular weights of 180,000 (Pr180gag-pol), 80,000, and 65,000 (Pr65gag). It has been shown by others that Pr65gag is the immediate precursor of the internal structural (gag) protein, and that Pr180gag-pol is the precursor to reverse transcriptase. In studies reported here, the 80,000-dalton gag-related polyprotein from Moloney strain murine leukemia virus (M-MuLV)-infected cells was found to be glycosylated by the following criteria: (i) incorporation of [3H]mannose, (ii) a change in electrophoretic mobility upon digestion with endoglycosidase H, and (iii) a change in electrophoretic mobility when glycosylation was inhibited by treatment of the cells with tunicamycin during labeling. The 80,000-dalton gag polyprotein has therefore been designated GpP80gag. The unglycosylated form of GpP80gag was a polypeptide of 75,000 daltons. A comparison of [3H]mannose and [3H]galactose labeling experiments suggested that GpP80gag is further glycosylated to yield a glycopolypeptide of 95,000 daltons. This 95,000-dalton polypeptide is relatively rapidly cleaved to yield two glycopeptides of 55,000 and 40,000 daltons which are released into the cell culture fluid, as soluble proteins. Cell-free translation of M-MuLV genomic RNA resulted in two major gag-related products of 75,000 and 65,000 daltons. The 65,000-dalton gag-related cell-free translation product comigrated with Pr65gag, and the 75,000-dalton cell-free product comigrated with the unglycosylated form of GpP80gag. Both of the gag-related cell-free translation products could be labeled with [35S]formyl methionine, which is incorporated only as the N-terminal amino acid during translation. Other investigators have shown that GpP80gag and Pr65gag differ at their N-termini, and these results combined with those reported here suggest that GpP80gag and Pr65gag are translated from two separate initiation sites in M-MuLV RNA.

Cell Line↗
PubMed1979

The period between birth and first suckling in dairy calves.

The period between birth and first suckling was recorded for 82 dairy calves. 11 per cent of heifers' calves and 46 per cent of cows' calves had not suckled by 6 h after birth. All calves, whether suckling spontaneously or put to the teat at 6 hr, had adequate 48 h total serum immunoglobulin levels.

Animals↗
PubMed1978

Comprehensive self-medication program for epileptic patients.

The establishment and operation of a comprehensive self-medication program for hospitalized epileptic patients are described. The patients in the program are required to meet established behavioral criteria during each of four stages of self-medication before progressing to the next stage. The patient has increasing responsibility in each successive phase of the program. The areas of patient involvement for the pharmacist are: (1) obtaining a medication history, (2) teaching patients about seizure medications, (3) conducting patient consultations during the self-medication program and (4) counseling the patient at discharge.

Counseling↗
PubMed1969

Effect of sulphydryl inhibition on the uptake of transferrin-bound iron by reticulocytes.

Iron transferrin, the highly stable carrier of plasma iron, may be dissociated, under physiological conditions, by sodium thioglycollate, a reaction which involves the formation of iron thioglycollate complexes. This suggested that sulphydryl radicals, which are the active groups in thioglycollate and related compounds, may play a part in the uptake of iron by immature red cells from iron transferrin. If this were so, it could be predicted that the sulphydryl inhibitor, p-hydroxymercuribenzoate, would depress the uptake of iron by reticulocytes. It is demonstrated here that inhibition of uptake of transferrin-bound iron by reticulocytes, which have been exposed to micromolar concentration of p-hydroxymercuribenzoate, is virtually complete. It is suggested that sulphydryl-containing compounds are intimately involved in the process of iron uptake by immature red cells.

Humans↗