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Biomedical subjects

S J Carr

Publications and source records attributed to S J Carr.

26 records · Page 2Linked to original sources
PubMed1990

Salmonella arizona infections in Latinos associated with rattlesnake folk medicine.

In 1987 two Los Angeles County (California) hospitals reported four Latino patients with serious Salmonella arizona (Salmonella subgroup 3) infections who gave a medical history of taking rattlesnake capsules prior to illness. Capsules supplied by the patients or household members grew Salmonella arizona. We reviewed surveillance data for this Salmonella species and conducted a case-control study to determine the magnitude of this public health problem. Eighteen (82 percent) of the 22 Latino cases in 1986 and 1987 who were questioned reported ingesting snake capsules compared to two (8 percent) of 24 matched Latino controls with non-subgroup 3 salmonellosis or shigellosis (matched pair odds ratio = 18.0, CI = 4.2, 76.3). An average of 18 cases per year of Salmonella arizona were reported in the county between 1980 and 1987. In this investigation the majority of S. arizona cases reporting snake capsule ingestion had underlying illnesses such as acquired immunodeficiency syndrome (AIDS), diabetes, arthritis, cancer. The capsules were obtained primarily from Tijuana, Mexico and from Los Angeles, California pharmacies in Latino neighborhoods. Despite publicity and attempts to remove the capsules from sale in California, Salmonella arizona cases associated with snake-capsule ingestion continue to occur.

Animals↗
PubMed1989

Erythrocyte sodium-lithium countertransport in primary and renal hypertension: relation to family history.

Sodium-lithium countertransport (Na-Li CT) has been reported to be increased in essential hypertension (EHT) but the nature and degree of distinction from normal controls in unclear. Of 44 unselected patients with EHT in the hospital hypertension clinic 36% had Na-Li CT greater than the normal control range and 70% of these had a family history of hypertension. Almost all the patients with normal Na-Li CT had no family history of hypertension. Analysis of variance showed that raised Na-Li CT was related to both a family history of hypertension and a family history of a cardiovascular event. Of 23 patients with hypertension secondary to renal disease, 43% had Na-Li CT greater than the normal control range and raised Na-Li CT was related to both a family history of hypertension and a family history of cardiovascular event in the same way as EHT. Raised Na-Li CT was not characteristic of EHT but identified a subgroup of patients with EHT and a family history of hypertension, some of whom also had renal disease.

Adult↗
PubMed1975

Mother-infant attachment: the importance of the mother's visual field.

The purpose of this study was to answer 2 questions: (1) how important to 2-year-old children is fact-to-face contact with the mother, and (2) do attachment behaviors, such as looking at, talking to, and being close to mothers, interact in a compensatory fashion? 24 male and female children, 18 to 30 months, were observed with their mothers for 15 minutes in 3 conditions: (1) mother facing tethered toys, (2) mother facing away from toys, and (3) mother behind a partition and not visible from toys. Observations were made by time-lapse photography techniques. Results indicated that the potential for face-to-face contact was important: children spent 94% of their time in mother's visual field when she faced the toys and 50% of their time in her visual field when she either faced away or was behind the partition. Overall, they established face-to-face contact about 12% of the time. Some compensation was observed: talking and physical proximity increased as visual contact decreased.

Child, Preschool↗
PubMedDate not supplied

Management of peptic oesophageal stricture.

Peptic oesophageal stricture develops in approximately 10-15% of patients with inadequately treated reflux oesophagitis and poses a difficult clinical problem. The management of reflux oesophagitis has been revolutionised by improvements in medical management, endoscopic and balloon techniques of oesophageal dilatation. The major advance has been the development of inhibitors of gastric acid secretion: histamine receptor antagonists and H(+) + K(+) + ATPase inhibitors. Studies have recently shown that the H(+) + K(+) + ATPase inhibitor omeprazole is effective in the management of severe resistant reflux disease with peptic stricture formation, leading to a reduction in the number of oesophageal dilatations required by up to 60% of patients. The aim of this article is to review the current medical, endoscopic and surgical management of severe peptide oesophagitis with stricture formation.

Catheterization↗