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Biomedical subjects

S R Johnson

Publications and source records attributed to S R Johnson.

At least 127 records · Page 7Linked to original sources

Persistence of plasmids, cholera toxin genes, and prophage DNA in classical Vibrio cholerae O1.

Plasmid profiles, the location of cholera toxin subunit A genes, and the presence of the defective VcA1 prophage genome in classical Vibrio cholerae isolated from patients in Bangladesh in 1982 were compared with those in older classical strains isolated during the sixth pandemic and with those in selected eltor and nontoxigenic O1 isolates. Classical strains typically had two plasmids (21 and 3 megadaltons), eltor strains typically had no plasmids, and nontoxigenic O1 strains had zero to three plasmids. The old and new isolates of classical V. cholerae had two HindIII chromosomal digest fragments containing cholera toxin subunit A genes, whereas the eltor strains from Eastern countries had one fragment. The eltor strains from areas surrounding the Gulf of Mexico also had two subunit A gene fragments, which were smaller and easily distinguished from the classical pattern. All classical strains had 8 to 10 HindIII fragments containing the defective VcA1 prophage genome; none of the Eastern eltor strains had these genes, and the Gulf Coast eltor strains contained a different array of weakly hybridizing genes. These data suggest that the recent isolates of classical cholera in Bangladesh are closely related to the bacterial strain(s) which caused classical cholera during the sixth pandemic. These data do not support hypotheses that either the eltor or the nontoxigenic O1 strains are precursors of the new classical strains.

Bacteriophages↗

Characterization of concatemeric plasmids of Neisseria gonorrhoeae.

Three strains of Neisseria gonorrhoeae carried novel plasmids of 7.8 megadaltons (mdal) molecular mass in addition to plasmids previously observed in this organism. The presence of the 7.8-mdal plasmids was not accompanied by any distinguishable phenotype in the strain possessing them. Analysis of plasmid DNA with restriction endonucleases showed that these plasmids were composed of three directly repeated copies of a 2.6-mdal cryptic plasmid frequently found in N. gonorrhoeae. In addition, the 7.8-mdal plasmids exhibited characteristics common to the 2.6-mdal plasmid, structural lability and sites resistant to cleavage with HpaII. The concatemeric forms of the cryptic plasmid appear to be stable in these strains and do not undergo internal recombination to produce the 2.6-mdal monomer, nor were higher concatemers detected.

DNA, Bacterial↗

Household size and the cost of nutritionally equivalent diets.

Economy of scale factors were developed in 1975 and have since been utilized as household size adjustment factors in estimating household costs of US Department of Agriculture (USDA) food plans. As such, these adjustment factors have a direct impact on the Food Stamp Program coupon allotments. In the present study, the stability of these factors over time was assessed, and the impact of diet quality measures in determining the adjustment factors was investigated. The reported household scale factors, estimated using regression analyses and the Nationwide Food Consumption Survey, Survey of Food Consumption in Low-Income Households, 1977-78, varied somewhat from former estimates and were found to be highly dependent on the diet quality measures incorporated in the analysis. Incorporation of several diet quality variables as well as partition specific means are recommended for determining household size adjustment factors to be used in estimating household costs of USDA food plans.

Adult↗

Diagnosis of maternal cystic fibrosis during pregnancy.

The third and fourth cases of maternal cystic fibrosis diagnosed during pregnancy are presented. Quantitative pilocarpine iontophoresis (sweat chlorides) must be performed to establish the diagnosis. Other important findings include recurrent or persistent respiratory symptoms, chest x-ray abnormalities, abnormal pulmonary function studies, and abnormal arterial blood gases. Gastrointestinal tract dysfunction and a positive family history for respiratory disease also suggest the diagnosis. Pregnant patients with cystic fibrosis require careful and frequent cardiopulmonary and gastrointestinal surveillance. A higher incidence of premature labor is noted and all patients are best managed in tertiary referral centers. Patients should also be monitored carefully during the puerperium because maternal pulmonary decompensation may occur during this time.

Adolescent↗

Delayed-onset muscular soreness and plasma CPK and LDH activities after downhill running.

We tested the hypothesis that running down an incline, during which muscles primarily perform eccentric contractions, causes greater delayed-onset muscle soreness and greater increases in plasma enzyme activities than does running on the level, during which muscles perform similar amounts of concentric and eccentric contractions. Subjective sensations of muscular soreness and plasma activities of CPK and LDH were assessed in seven subjects at 0, 24, 48, and 72 h after 45 min of running (one time on the level and a second time down a 10% incline). Following downhill running (57% of VO2max), significant delayed-onset soreness was experienced in gluteal, quadricep, anterior leg, and posterior leg muscles, and plasma CPK (but not LDH) activity was significantly increased (351% at 24 h). In contrast, following level running (78% of VO2max), no statistically significant soreness occurred in any muscle group, and plasma CPK and LDH activities were not elevated. Thus, our results generally support the hypothesis. Secondarily, we investigated whether delayed-onset soreness with downhill running is accompanied by increases in peripheral white blood cell counts suggestive of inflammation. No such association was observed. We suggest that both delayed-onset muscular soreness and plasma enzyme activities are affected by structural changes in muscle tissue resulting from eccentric contractions.

Adult↗

Combination medication cart and computer terminal in decentralized drug distribution.

A decentralized unit dose distribution system using mobile pharmacy carts and computer terminals for filling inpatient and discharge medication orders is described. The system uses computer terminals mounted on mobile medication carts. Medication orders are collected from each nursing station by the pharmacist. Using the mobile combination decentralized medication cart/computer terminal (cart/CRT), the pharmacist examines and updates the patient's drug profile, checking for drug allergies and interactions, and bills the patient for drugs dispensed. Unit dose drugs requiring no additional labeling are dispensed from the decentralized cart to the patient's drawer in the unit dose medication cart. When a label is necessary, the pharmacist commands the computer to print a label in the central pharmacy. Discharge orders are entered at the cart/CRT, filled and recorded in the central pharmacy, and distributed to the patients by the pharmacist on the nursing unit. Turnaround time for routine inpatient orders and discharge orders decreased substantially using this system, and the system was perceived as beneficial by nurses, physicians, and pharmacists.

Computers↗

Simple, transparent medium for study of legionellae.

A simple medium containing yeast extract, phosphate, and hemin as major components has been formulated for the study of legionellae. The medium supports the growth of a wide range of clinical and environmental isolates, with plating efficiencies comparable to those of charcoal-yeast extract agar. In addition, it does not contain activated charcoal or other components which may be associated with adverse reactions in humans. The medium is buffered and transparent; therefore, it would be suitable for genetic studies, production of biological reagents such as antigens and skin tests for human use, and antibiotic susceptibility assays.

Charcoal↗

Identification of problem Neisseria gonorrhoeae cultures by standard and experimental tests.

Standard and experimental tests were used by a reference diagnostic laboratory to determine the identity of 182 "suspected" Neisseria gonorrhoeae isolates submitted by state health departments because of inconclusive laboratory results. More than 97% of these cultures were subsequently identified by a rapid microcarbohydrate test in conjunction with confirmatory immunological procedures. The experimental rapid slide agglutination test using rough-lipopolysaccharide antibody, the Phadebact co-agglutination test, and fluorescent antibody test identified 49.3 to 94.1% of these cultures. Because of frequent problems with carbohydrate utilization, Neisseria meningitidis and Branhamella catarrhalis were the two microorganisms most often confused with N. gonorrhoeae by submitting laboratories.

Agglutination Tests↗

Factors influencing lesbian gynecologic care: a preliminary study.

One hundred seventeen homosexual women were surveyed to determine their health care utilization patterns, their gynecologic and obstetric problems, and their attitudes toward physicians. It was found that these women actively utilized the health care system, although many chose less traditional sources. The gamut of both obstetric and gynecologic problems were seen, but venereal disease and cervical dysplasia were uncommon. No medical problems specific to homosexual women were identified. Many of these lesbians expressed concern about the effect on their health care of physicians' negative attitude toward homosexuals.

Adult↗

Vibrio cholerae conjugative plasmid pSJ15 contains transposable prophage dVcA1.

Evidence is presented that defective prophage dVcA1 in Vibrio cholerae strain 162 was transposed to the hybrid P::Tn1 plasmid pSJ5. Properties of the resulting conjugative plasmid, pSJ15, indicated that bacteriophage VcA1, like coliphage Mu, can insert at many sites. By analogy with other Hfr-like donors, the high-frequency, polarized chromosomal transfer mediated by plasmid pSJ15 in strain 162 appeared to depend on plasmid integration through the homologous dVcA1 sequences in both replicons. When strain 162(pSJ15) donors were mated to the nonlysogenic El Tor strain RJ1, many potential ampicillin-resistant transconjugants were zygotically induced. However, surviving transconjugants (i) were immune to phage VcA1, (ii) cotransferred immunity and ampicillin resistance to nonlysogenic recipients, and (iii) did not preferentially transfer any chromosomal markers. Recombinant plasmids that transferred wild-type VcA1 prophages were readily isolated from strain RJ1 (VcA1+) lysogens that contained plasmid pSJ15. Physical measurements revealed that plasmid pSJ15 and the recombinant plasmids were about one VcA1 genome (22 to 24 megadaltons) larger than the 51-megadalton pSJ5 plasmid. Similar Hfr-like donors were constructed by introducing plasmid pSJ15 into different strain RJ1 (VcA1+) lysogens. Transfer properties of these donors indicated that the VcA1 prophage was integrated at several sites in the strain RJ1 chromosome.

Bacteriophages↗

[Ingrown nails].

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Humans↗

Transposon-facilitated recombination in Vibrio cholerae.

Improved Vibrio cholerae donors were constructed by introducing the ampicillin transposon, Tn1, into both the conjugative plasmid, P, and the bacterial chromosome to provide "portable regions of homology." The resulting Tfr (Transposon-facilitated recombination) donors transferred genes at high frequency from origins specified by the chromosomally inserted Tn1 copies. Tn1 was transposed into the chromosome from a deleted P::Tn1 vector, which was eliminated from the cells by superinfection with a thermosensitive P::Tn9 (chloramphenicol) mutant plasmid. After eliminating the thermosensitive plasmid, the chromosomally resistant isolates were converted into donors with a P::Tn1 conjugative plasmid. Tfr donors were also obtained by isolating Tn1 insertion mutations in a gene for thymine biosynthesis. Chromosomal sites of Tn1 relative to bacterial genes were determined by measuring gene transfer frequencies and genetic linkage. In one case, linkage of the amp gene to the chromosomal genes that defined its location was demonstrated. Chromosomal transfer by Tfr donors was reversed by isolating P::Tn1 plasmids that contained Tn1 inserted in the opposite orientation.

Ampicillin↗

Vibrio cholerae hybrid sex factor that contains ampicillin transposon Tn1.

The ampicillin resistance transposon Tn1 was translocated from the R plasmid RP4 to the Vibrio cholerae conjugative plasmid, P. The hybrid sex factor P::Tn1 was highly transmissible and expressed the biological activities of the P factor. In addition, P::Tn1 facilitated transfer of RP4 to V. cholerae recipients. Physical studies of P::Tn1 indicated that the Tn1 transposon was added to the otherwise unaltered P plasmid.

Ampicillin↗