Fatal Branhamella catarrhalis pneumonia.
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Adult↗
Biomedical subjects
S Wong
Publications and source records attributed to S Wong.
A spectrin-like protein in retinal rod outer segments.
Biochemical and immunochemical studies indicate that rod outer segments (ROS) of bovine photoreceptor cells contain a Mr 240,000 polypeptide related to the alpha-subunit of red blood cell (RBC) spectrin. With the use of sodium dodecyl sulfate gel electrophoresis in conjunction with the immunoblotting technique, monoclonal antibody 4B2 was found to bind to a Mr 240,000 polypeptide in ROS that is distinct from the prominent Mr 220,000 concanavalin A binding glycoprotein. The Mr 240,000 polypeptide is highly susceptible to degradation by endogenous proteases. It does not appear to be an integral membrane protein but is tightly membrane associated since it can be partially extracted from ROS membranes with urea in the absence of detergent. The 4B2 antibody cross-reacted with RBC ghosts and bovine brain microsomal membranes. Radioimmune assays and immunoblotting analysis of purified bovine RBC spectrin further revealed that the 4B2 antibody predominantly labeled the alpha-chain of RBC spectrin having an apparent molecular weight of 240,000. Polyclonal anti-spectrin antibody that bound to both the alpha- and beta-chain of RBC spectrin predominantly labeled a Mr 240,000 polypeptide of ROS membranes. Two faintly labeled bands in the molecular weight range of 210,000-220,000 were also observed. These components may represent variants of the beta-chain of spectrin that are weakly cross-reacting or present in smaller quantities than the alpha-chain.(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Use of an IgA-depleted intravenous immunoglobulin in a patient with an anti-IgA antibody.
In this report we describe the use of an IgA-depleted preparation of intravenous gamma-globulin in a patient with hypogammaglobulinemia and an anti-IgA antibody. An IgA containing intravenous gamma-globulin had previously produced anaphylactoid reactions, immune complex formation, and complement activation. The patient has had no reactions to the IgA-depleted preparation after 18 months of treatment; immune complex formation and complement activation have not been demonstrated, and the titer of antibody to IgA has diminished.
Agammaglobulinemia↗
Abnormalities of circulating immunoreactive pancreatic anionic trypsinogen in cystic fibrosis: an assay artifact due to cross-reacting serum antibodies.
In patients with CF, serum pancreatic cationic trypsinogen has proven to be useful for newborn diagnostic screening and also as a test of pancreatic function in the older patient. However, an assay for serum anionic trypsinogen is of no value as a test of pancreatic function in CF due to an apparent artifactual elevation of this enzyme in some patients. In this study, we evaluated the extent of the abnormality in the anionic trypsinogen assay and also elucidated the nature of the interfering material. CF patients were grouped according to the presence (pancreatic insufficiency) or absence (pancreatic sufficiency) of steatorrhea. In CF infants, both serum cationic and anionic trypsinogen levels were greatly elevated. Serum cationic trypsinogen declined with age in patients with pancreatic insufficiency, reaching low or undetectable levels after 6 years. In contrast, serum anionic trypsinogen levels remained normal or elevated in 33% of those over 6 years of age. There was no age-related change in either cationic or anionic trypsinogen among the CF patients with pancreatic sufficiency, and the majority had normal or elevated levels. Serum samples from selected CF patients were separated into IgG and non-IgG fractions using Staph. Protein A columns. Immunoreactive cationic and anionic trypsinogen were detectable in the non-IgG fractions of sera from CF infants and older patients with pancreatic sufficiency. In older CF patients with undetectable serum cationic and anionic trypsinogen, no immunoreactive material was detectable in either the IgG or non-IgG fractions.(ABSTRACT TRUNCATED AT 250 WORDS)
Adolescent↗
Effect of posture on vital capacity.
The influence of some extreme body postures on vital capacity (VC) was examined in young adult humans. Two postures required full support of body weight by the arms: arms up, hanging from a bar, and arms down with hands gripping parallel bars. Three involved muscles that flex and extend the trunk: a partial sit-up position while supine and nearly maximal spinal extension and flexion while standing. Changes at the inspiratory and expiratory volume extremes were recognized by having the subjects do two VC efforts: the first standing and the second in the posture in question while continuing to breathe on the spirometer. Control observations in which the second of a VC pair was performed in an unstressed posture allowed correction for the influence of rebreathing. The changes in corrected VC were small, the greatest being an average reduction of approximately 8% in the partial sit-up position. During full support of body weight by the arms, the VC was slightly increased due to a significant increase in the inspiratory extreme and no change in the expiratory extreme. Spinal extension produced small increases in lung volume at both extremes with no significant change in VC, whereas spinal flexion did not influence the upper extreme but did increase lung volume at the lower extreme. The changes are discussed in terms of trunk muscle action.
Adolescent↗
Insulin inhibits the cholera-toxin-catalysed ribosylation of a Mr-25000 protein in rat liver plasma membranes.
A method is described for preparing a plasma-membrane fraction from hepatocytes by a rapid, gentle, Percoll fractionation procedure. Cholera toxin elicited the ribosylation of a number of proteins in these membranes, including the components of the stimulatory guanine nucleotide regulatory protein, Ns. Insulin, however, inhibited the ability of cholera toxin to ribosylate a protein of Mr 25 000. The action was decreased in membranes from cells that had been pre-treated with glucagon. Ribosylation of both the components of Ns and the Mr-25 000 species occurred in whole cells treated with cholera toxin, because membranes from such treated cells exhibited decreased labelling when incubated with [32P]NAD+ and activated cholera toxin. The labelling of proteins, including the Mr-25 000 species, with [32P]NAD+ and cholera toxin in the plasma membranes was decreased by an inhibitor of ribosylation. Azido-GTP photoaffinity labelling identified several high-affinity GTP-binding proteins, including one of Mr 25 000. Cholera toxin failed to ribosylate the Mr-25 000 protein in membranes from cells that had been pre-treated with the tumour-promoting agent 12-O-tetradecanoylphorbol 13-acetate (TPA). In membranes from such treated cells, insulin actually allowed cholera toxin to label this species. As TPA activates protein kinase C, it is possible that the Mr-25 000 protein, or a species that interacts with it, is a substrate for phosphorylation. These observations may offer an explanation for some of the perturbing effects that TPA exerts on insulin's action. It is suggested that the insulin receptor interacts with the guanine nucleotide regulatory protein system in the liver, and that the Mr-25 000 species may be a component of Nin, a specific guanine nucleotide regulatory protein that has been proposed to mediate certain of the actions of insulin on target cells [Houslay & Heyworth (1983) Trends Biochem. Sci. 8, 449-452].
Animals↗
Apgar scores and cerebrospinal fluid beta-endorphinlike immunoreactivity during the first day of life. Preliminary observations.
beta-Endorphinlike Immunoreactivity (BLI) was measured in sterile, bloodless samples of cerebrospinal fluid (CSF) during the first 24 hours of life in order to assess the relationship between perinatal asphyxia and endogenous opioid activity within the central nervous system. The median CSF BLI in infants with one-minute Apgar scores of 1 to 4 was 148 pg/mL (range, 96 to 171 pg/mL) and that of infants with Apgar scores of 5 to 9 was 78 pg/mL (range, 25 to 162 pg/mL). The linear regression equation correlating CSF BLI with one-minute Apgar score was y = -10.7x + 169.1. Our findings of a highly significant inverse correlation between one-minute Apgar scores and CSF BLI support the hypothesis that perinatal asphyxia is associated with increased activity of opioid systems in the central nervous system.
Apgar Score↗
Bentiromide test for assessing pancreatic dysfunction using analysis of para-aminobenzoic acid in plasma and urine. Studies in cystic fibrosis and Shwachman's syndrome.
We evaluated the bentiromide test by analyzing para-aminobenzoic acid (PABA) in plasma and urine (a) for the identification of patients with complete pancreatic insufficiency and (b) as an alternative to the secretin-cholecystokinin test. Nine control subjects, 18 patients with cystic fibrosis, and 4 patients with Shwachman's syndrome were studied. Based upon the secretin-cholecystokinin test, pancreatic function was judged to be less than 0.1% of normal in 7 patients with cystic fibrosis and malabsorption and between 0.7% and 90% of control values in 11 patients with cystic fibrosis and 4 patients with Shwachman's syndrome without malabsorption. The bentiromide test was performed in two stages: first with bentiromide alone, then with equimolar free PABA. After ingestion of free PABA, the plasma profile and urinary excretion of PABA were comparable in controls, patients with cystic fibrosis, and patients with Shwachman's syndrome. Thirty minutes after oral bentiromide, plasma PABA values in patients with and without malabsorption were significantly lower than in the control group. From 60 to 180 min after ingestion, plasma PABA levels in patients without malabsorption were no different from controls; whereas levels in patients with malabsorption were significantly lower than in controls and in those without malabsorption, reaching the highest significance at 90 min. Similar results were obtained when the urinary excretion of PABA was considered. Only the 90-min plasma test reliably detected cystic fibrosis patients with steatorrhea, however. Duodenal colipase output was highly correlated with both the 90-min plasma test and the urinary excretion of PABA, with similar results for lipase and trypsin output. Reliable detection of pancreatic dysfunction, nevertheless, was not obtained even with the plasma test, in cystic fibrosis patients with greater than 5%-10% of the mean normal enzyme output. In patients with Shwachman's syndrome, none of whom had malabsorption, the plasma and urinary test failed to detect pancreatic dysfunction even with enzyme output as low as 1% of normal.
4-Aminobenzoic Acid↗
A randomized controlled trial of a new approach to preoperative teaching and patient compliance.
A randomized controlled experiment evaluating the effects of a new approach to preoperative teaching on patient compliance is described. In this study, compliance was measured by the accuracy, regularity and willingness that patients showed in execution of the prescribed activities after surgery. A significant difference was found between the experimental and control patients in the regularity, willingness and accuracy with which they performed the prescribed postoperative exercises. The experimental patients were significantly more satisfied with this approach to preoperative teaching than the control patients. This study is seen to have implications for both nursing education and nursing service.
Aged↗
Reduced triglyceride formation from long-chain polyenoic fatty acids in rat hepatocytes.
The mechanism for the marked reduction in hepatic triglyceride secretion when rats are fed fish oils was explored in studies with isolated rat hepatocytes. Hepatocytes obtained from Sprague-Dawley rats fed either chow or fish oil or safflower oil were incubated in the presence of [3H]-glycerol to estimate triglyceride formation. In some experiments, various fatty acids, complexed to albumin, were added to the incubations. Similar experiments were carried out with hepatocytes from a genetic strain of hypertriglyceridemic, obese rats. In the absence of added fatty acid, hepatocytes from fish oil-fed rats produced and secreted substantially less triglyceride than cells from safflower oil-fed rats. However, the addition of 2 mmol/L Na oleate stimulated triglyceride formation similarly in both types of hepatocytes. When hepatocytes from chow fed rats were incubated with fatty acids of increasing chain length and unsaturation (oleate, linolenate, arachidonate, eicosapentaenoate, and docosahexaenoate), the latter two, which characterize the fish oil used, almost totally suppressed triglyceride formation. Coincubation with oleate partly reversed this effect. Hepatocytes from the hypertriglyceridemic rats synthesized significantly more triglyceride than hepatocytes from normal rats; however triglyceride formation was markedly reduced also in this strain of rat by feeding fish oil or by adding docosahexaenoate to hepatocytes in vitro. These studies confirm previous conclusions with perfused livers from fish oil-fed rats that showed diminished triglyceride production and secretion. These findings suggest that diversion of polyenoic acids from pathways of esterification is a major factor in the triglyceride lowering effect of fish oils.(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Differential cerebral involvement in perceiving Chinese characters: levels of processing approach.
Three experiments were designed to determine the accuracy and latency with which right-handed Chinese university students (12 females and 12 males) recognized Chinese characters in the left and right visual half-fields (VHFs). The experiments varied in the "depth" of processing required. Experiment 1 was a lexical decision task in which the configuration of the stimulus (a real Chinese character or the mirror image of a real character) determined whether the grapheme was an actual character. Experiment 2 required phonological processing; i.e., subjects had to decide whether a character (or a foil) matched the sound of an orally presented Chinese character. Experiment 3 required semantic processing; i.e., subjects had to decide if a character (or a foil) belonged to a particular semantic category. In each experiment, single characters were presented unilaterally for 150 msec. There was a significant right VHF superiority for accuracy scores for Experiments 2 and 3 but not for Experiment 1. None of the experiments yielded significant visual asymmetries in reaction time. The results do not support previous claims of orthography-specific laterality, but instead show that laterality effects for morphemic stimuli vary with the orthographic, phonological, and semantic processing demands of the task.
Adult↗
Factors affecting the rate of hydrolysis of starch in legumes.
In an attempt to understand the mechanism for the extremely slow rate of digestion and absorption of carbohydrate from legumes, we have examined a number of factors which could potentially affect the process in vitro. The rate of hydrolysis of legume starch in vitro was not affected by the presence of fat (as either butter or an emulsion). However, it was significantly increased in commercially available canned bean preparations, suggesting that the high temperatures used in the canning process may alter the availability of starch in legumes. In vitro starch hydrolysis rate was also significantly increased by grinding legumes finely prior to cooking. Finally, the slow rate of digestion and absorption of legume carbohydrate does not appear to be due to viscosity since a) increasing the shaking rate of viscous mixture of either red kidney beans or lentils from 0 to 120 oscillations per minute did not affect the hydrolysis rate, and b) a thick viscous mixture of either of these legumes did not retard the diffusion of free glucose from a dialysis sac into the dialysate.
Cooking↗
Student unrest: a challenge for nurse educators.
Nursing students, like their college counterparts, are beginning to revolt against hierarchical authority and to claim a more active part in their educational planning. Nurse educators can no longer assume that their students will never revolt; they must face up to the challenge of developing strategies for proper management of student unrest. The authors propose some ways to deal with the complex issue of student unrest. These suggestions are made with emphasis on faculty-student relationship and the curriculum. Improved faculty-student relationships, proper utilization of student peer influence and student involvement in curriculum planning are some of the strategies proposed in this paper.
Canada↗
A mobile health assessment program for the elderly.
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Aged↗
The first isolate of Mycoplasma pneumoniae in Malaysia.
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Animals↗
The role of fibreoptic bronchoscopy in the management of respiratory burns.
We found that fibreoptic bronchoscopy was a useful, simple, safe and accurate method in the diagnosis of inhalation injury, determining the type, the site and the extent of damage sustained. The most common mucosal damage was erythema and oedema of the supraglottic and glottic tissues, though in a few cases more severe and extensive injury was seen. Death seemed to be determined largely by the extent of skin burn but since there did not appear to be a close relationship between the severity of skin burn and the presence of inhalation burn, we suggest that the two types of injuries be evaluated separately. The main therapeutic role lies in the assessment and anticipation of imminent upper airway obstruction caused by oedema of the supraglottic tissues and the glottis. Endotracheal intubation could then be carried out promptly. Changes in clinical features and laboratory results were too slow to be of use in the prediction of upper airway obstruction, but could be indirect indicators of lower and peripheral airway injury.
Adolescent↗
An in vivo study of corneal surface morphologic features in patients with keratoconjunctivitis sicca.
We used wide-field color specular microscopy to study the corneal epithelium of 13 normal subjects and 13 patients with keratoconjunctivitis sicca. The frequencies of small, medium, and large cells were different in the two groups, with a shift to small cells in patients with keratoconjunctivitis sicca. Increased uptake of rose bengal dye, filaments, coarse mucus plaques, and pre-exfoliative sheets were also found in the patients with keratoconjunctivitis sicca. These findings suggest accelerated epithelial cell loss from the surface of the eye in keratoconjunctivitis sicca.
Cornea↗
Comparison of the fluorescence and conformational properties of smooth and striated tropomyosin.
In contrast to previous conformational studies with rabbit skeletal and cardiac tropomyosins, (i) when the cysteine side chains of chicken gizzard tropomyosin were reacted with 5,5'-dithiobis(2-nitrobenzoate), an interchain disulfide cross-link was not produced, (ii) when they were labeled with pyrenylmaleimide , excimer fluorescence was not observed, and (iii) when they were labeled with didansylcystine , a long-lived fluorescence component did not appreciably contribute to the fluorescence decay over a large temperature range including the major unfolding transition. In addition, the temperature dependence of the ellipticity at 222 nm did not reveal a pretransition prior to the main helix unfolding transition. This indicates that gizzard tropomyosin does not exhibit a localized chain-open state in the region of its cysteine residues, analogous to that seen with cardiac and skeletal tropomyosins, nor in any other region of the molecule. As a consequence, these observations suggest that gizzard tropomyosin is more rigid than striated tropomyosin.
Animals↗