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Biomedical subjects

S Silver

Publications and source records attributed to S Silver.

194 records · Page 11Linked to original sources

Mechanism of action of phenethyl alcohol: breakdown of the cellular permeability barrier.

Phenethyl alcohol (PEA) caused Escherichia coli to take up greatly increased amounts of acriflavine, a compound to which healthy growing cells are impermeable. PEA also caused an increased rate of efflux (leakage) of cellular potassium under conditions which do not greatly alter the influx of potassium via the energy-dependent potassium pump. We therefore propose that the primary effect of PEA is a limited breakdown of the cell membrane. The inhibition of deoxyribonucleic acid synthesis and other cellular functions would then be secondary consequences of the alteration in the membrane structure.

Acridines↗

DNA sequence analysis of bacterial toxic heavy metal resistances.

Bacterial plasmids have genes that confer highly specific resistances to As, Bi, Cd, Cu, Cr, Hg, Pb, Te, Zn, and other toxic heavy metals. For each toxic cation or anion, generally a different resistance system exists, and these systems may be "linked" together on multiple resistance plasmids. For Cd2+, AsO2-, AsO4(3)-, Hg2+, and organomercurials, DNA sequence analysis has supplemented direct physiological and biochemical experiments to produce sophisticated understanding. The cadA ATPase of S. aureus plasmids is a 727 amino acid membrane ATPase that pumps Cd2+ from the cells as rapidly as it is accumulated. This polypeptide is related by sequence to other cation translocating ATPases, including the membrane K+ ATPases of Escherichia coli and Streptococcus faecalis, the H+ ATPases of yeast and Neurospora, the Na+/K+ ATPases of vertebrate animals, and the Ca2+ ATPases of rabbit muscle. The conserved residues include the aspartyl residue that is phosphorylated, the lysine involved in ATP binding, and the proline within a membrane translocating region. The arsenate and arsenite translocating ATPase consists of 3 polypeptides (from DNA sequence analysis), including a recognizable ATP binding protein (arsA), an integral membrane protein (arsB gene), and a substrate specificity subunit (arsC gene). Inorganic mercury and organomercurial degradation is carried out by a series of about 6 polypeptides, including 2 soluble intracellular enzymes (organomercurial lyase and mercuric reductase). The latter is related by sequence and function to glutathione reductase and lipoamide dehydrogenase of prokaryotes and eukaryotes. These enzymes are dimeric, FAD-containing, NAD(P)H-dependent oxidoreductases. Other recognizable polypeptides in the mer system include a DNA-binding regulatory protein from the merR gene and a Hg2+ transport system consisting of a periplasmic Hg2(+)-binding protein (merP gene) and a membrane protein (merT gene) in gram negative systems.

Amino Acid Sequence↗

Corticosteroid injections of the nasal turbinates: past experience and precautions.

Clinical experience with triamcinolone acetonide (Kenalog) injections into the nasal turbinates for allergic and vasomotor rhinitis is reported by two authors. Gratifying results have occurred in most of the over 60,000 patients treated, with no serious side effects. Two cases of intravascular injections of another corticosteroid reaching the retinal circulation are reported, and methods for preventing this complication are proposed.

Administration, Intranasal↗

Pedal manifestations of DISH.

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier's disease, is an ossifying diathesis characterized by excessive bone formation at specific skeletal sites. The condition is best recognized for its spinal features. However, the tendency toward bone formation is often manifested in extraspinal locations, particularly the foot. The radiographical, pathological, and clinical features of the disorder are reviewed with special emphasis on the foot as a target organ. Abnormalities in the foot that suggest the diagnosis of DISH are emphasized.

Exostoses↗

Multimodality (auditory, visual and somatosensory) evoked potentials in the sand rat, Psammomys obesus.

Multimodality (auditory, visual and somatosensory) evoked potentials were recorded in the sand rat (Psammomys obesus) and compared to those obtained in albino rats, under almost identical conditions. Clear responses could be obtained from each species. The evoked potentials from the sand rat were qualitatively similar in waveform, latency and amplitude to those recorded in albino rats. Since there is a strain of sand rat which develops diabetes when on standard chow and since the sand rat has adapted to the desert environment, further study should involve evoked potential recordings in sand rats during hyper- and hypothermia and in diabetic sand rats.

Animals↗

The total testing process and its implications for laboratory administration and education.

The Total Testing Process is a multistep process that begins and ends with the needs of the patient. Identifying the many steps in the Total Testing Process and planning and using an interdisciplinary team to begin a coordinated effort will improve the process and offer optimal patient care. Communication among departments and developing interdepartmental guidelines will improve the use, sampling, performance, and interpretation of health assessment procedures. A commitment to the continuous improvement of patient assessment will require the participation of numerous health professionals. It is time for every institution to bring individuals together, collectively identify solutions, implement an improvement plan, and evaluate the effectiveness of their efforts using outcome measures that both directly and indirectly relate to improved patient care. Doing it right the first time will benefit the patient and conserve our limited health-care dollars.

Accreditation↗

Changes in circulating levels of HIV, CD4, and tissue expression of HIV in a patient with recent-onset ulcerative colitis treated by surgery. Case report.

OBJECTIVE: To determine CD4+ T-cell count and circulating and tissue levels of HIV before and after surgery in a patient with recent-onset ulcerative colitis. STUDY DESIGN/METHODS: CD4 lymphocytes and circulating and tissue HIV RNA levels were measured in an HIV-infected patient with ulcerative colitis before and after proctocolectomy. RESULTS: Approximately 3 weeks prior to surgery for ulcerative colitis that was unresponsive to corticosteroids, the patient's CD4 count was 930 cells/mm3 and fell to 313 cells/mm3 within 10 days; the viral burden was approximately 80,000 RNA copies/mL. Tissue macrophages and lymphocytes in biopsy and resection specimens were shown to express high levels of HIV RNA by in situ hybridization. Five days postoperatively, the patient became asymptomatic and was discharged on tapering prednisone without antiretroviral agents. After surgery, the patient's CD4 count progressively rose, while viral RNA levels precipitously dropped. At 3, 6, and 15 weeks postoperatively, CD4 and viral RNA counts were 622 cells/mm3 and 31,300 RNA copies/mL, 843 cells/mm3 and 11,400 RNA copies/mL, and 747 cells/mm3 and 1500 RNA copies/mL, respectively. CONCLUSIONS: Circulating levels of HIV and CD4+ cells, as well as tissue expression of HIV, apparently can be influenced by localized inflammatory processes such as those occurring in inflammatory bowel disease.

Adult↗

Alexander B. Gutman.

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History, 20th Century↗

[Metal resistance systems in Pseudomonas].

Several chromosome- and plasmid-encoded metal resistance genetic systems have been studied in Pseudomonas and related bacteria. Some systems are known with molecular detail whereas others are still poorly understood. The former include resistance genes for cations derived from mercury, cadmium and copper and anions from arsenic and chromium. Except for mercury, where a redox transformation occurs, extrusion of the toxic ions from the bacterial cytoplasm appears to be the most common mechanism of resistance.

Alcaligenes↗