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experience of six patients with vibrio vulnificus septicemia.vibrio vulnificus, a halophilic lactose fermenting vibrio, is a virulent pathogen for men and is frequently associated with overwhelming infections of areas other than the gastrointestinal tract. we encountered six cases of vibrio vulnificus septicemia in veterans general hospital-taipei over the past four years. all were admitted through the emergency room and presented with urgent conditions on arrival. the patients also demonstrated preexisting liver function impairment (either hepatic diseas ...19921320993
inhibition site of dexamethasone on extravasation of polymorphonuclear leukocytes in the hamster cheek pouch microcirculation.a video system was used to investigate the inhibitory effect(s) of the glucocorticoid dexamethasone (dex) on polymorphonuclear leukocyte (pmn) extravasation in the microcirculation of hamster cheek pouch. dex was given intraperitoneally at 0.1 or 0.3 mg/kg body weight 2 h before induction of extravasation by topical application of leukotriene b4 (ltb4) or formyl-methionyl-leucyl-phenylalanine (fmlp) on the microvasculature. the number, time course, and behavior of pmns were examined in the follo ...20061326021
effect of postdischarge surveillance on rates of infectious complications after cesarean section.decreases in length of stay for surgical procedures and increased outpatient surgery affect accuracy of surgical wound infection rates. to assess accuracy of rates for infectious complications after delivery by cesarean section, we implemented postdischarge surveillance at our hospital (4800 annual deliveries). physician questionnaires were used. response rate was greater than 90%. during the 5 months before postdischarge surveillance the overall infection rate was 1.6%; afterward the rate incre ...20061326238
effects of temperature abuse on survival of vibrio vulnificus in oysters.opaque and translucent morphotypes of a tnphoa-containing strain of vibrio vulnificus were fed to oysters, which were subsequently stored at temperatures ranging from 0.5 to 22 degrees c for 10 days. samples of oysters were homogenized and plated at intervals to determine the cell density of v. vulnificus and total aerobic population of bacteria present. at all temperatures, the numbers of v. vulnificus (both morphotypes) declined over the 10-day study period. the same observation was made with ...19921332610
protein phosphatase 2a is a specific protamine-kinase-inactivating phosphatase.purified preparations of a protamine protein kinase from bovine kidney cytosol [damuni, amick & sneed (1989) j. biol. chem. 264, 6412-6416] were inactivated after incubation with near-homogeneous preparations of protein phosphatase 2a1 and protein phosphatase 2a2. these protein phosphatase 2a-mediated inactivations of the protamine kinase were unaffected by highly purified preparations of inhibitor 2, but were prevented when the incubations were performed in the presence of 100 nm microcystin-lr ...19921332680
primary structure and receptor-binding properties of a neurokinin a-related peptide from frog gut.a tachykinin peptide was isolated from an extract of the intestine of the european green frog, rana ridibunda, and its primary structure was established as: his-lys-leu-asp-ser-phe-ile-gly-leu-met.conh2. this sequence was confirmed by chemical synthesis and shows two amino acid substitutions (leucine for threonine at position 3 and isoleucine for valine at position 7) compared with neurokinin a. binding parameters for synthetic [leu3,ile7]neurokinin a and mammalian tachykinins were compared usin ...19921332683
inhibitory effect of circulating insulin on glucagon secretion during hypoglycemia in type i diabetic patients.to clarify whether the circulating insulin level influences hormonal responses, glucagon secretion in particular, during hypoglycemia in patients with insulin-dependent (type i) diabetes.20061346593
neutrophil adherence to isolated adult cardiac myocytes. induction by cardiac lymph collected during ischemia and reperfusion.canine neutrophils can be induced to adhere in vitro to isolated adult cardiac myocytes by stimulation of the neutrophils with chemotactic factors such as zymosan-activated serum (zas) only if the myocytes have been previously exposed to cytokines such as interleukin 1 (il-1) or tumor necrosis factor-alpha. these cytokines induce synthesis and surface expression of intercellular adhesion molecule-1 (icam-1) on the myocyte, and neutrophil adhesion is almost entirely cd18 and icam-1 dependent. the ...19921346618
stress and graves' disease. 20061346682
mapping of the nu gene using congenic nude strains and in situ hybridization.the chromosomal location of the nu gene, which is responsible for hairlessness and athymus, was determined using six dna markers (interleukin 3 [il-3], myhs, acrb, evi-2, mpo, and hox-2) on mouse chromosome 11. we constructed the high-resolution physical mapping of the six dna markers on chromosome 11 by in situ hybridization using fluorescence-labeled cosmid probes. the results indicate the order of centromere-(41cm)-il-3-(3cm)-myhs- (4cm)-acrb-(6cm)-evi-2-(3cm)-mpo-(5cm)- hox-2. we have used c ...19921346798
fimbriation, capsulation, and iron-scavenging systems of klebsiella strains associated with human urinary tract infection.thirty-two strains of klebsiella pneumoniae and seven strains of klebsiella oxytoca isolated from urinary tract infections in elderly adults were analyzed for capsular antigens, iron-scavenging systems, and fimbriation. all strains were capsulated. twenty-seven different k antigens were identified among the strains, with no particular antigen dominating. all strains produced the iron-scavenging system enterochelin as analyzed by bioassay and dna hybridization. in contrast, the aerobactin iron-se ...19921347287
[movement of gastric acid secretion and influence of proton pump inhibitors on histamine h2 receptor antagonist resistant ulcer].treatment of peptic ulcers has become easier with the advent of h2 blockers. however, h2 resistant ulcer still remain. these cases were screened by 24 hr-intragastric ph monitoring, which well reflects the status of gastric acid secretion. on the one hand, there were cases in which no nocturnal elevation in gastric ph was seen even after administration of h2 blocker (h2 blocker resistant ulcer). on the other hand, there were cases which were resistant to treatment with h2 blocker, although the g ...20061347323
[evaluation of the effect of proton pump inhibitors on stomal ulcer].four reports on proton pump inhibitors related to the clinical effects on stomal ulcer were reviewed. two reports were on omeprazole and the other two on lansoprazole, carried out in the pre-marketing stage. they are compared with two reports on h2-receptor antagonists (famotidine and ranitidine), which were also done in the pre-marketing stage. it appears that the proton pump inhibitors bring more rapid ulcer healing than h2-receptor antagonists without severe side effects, and there seems to b ...20061347326
pregnancy after transfer of frozen-thawed human embryos.cryopreservation of human embryos has been successfully applied in in vitro fertilization (ivf) and embryo transfer (et) programs at the national taiwan university hospital since 1988. our preliminary results with 120 frozen-thawed embryos in 31 transfer cycles showed that the survival rate of frozen embryos was 66%. following transfer, the implantation rate and clinical pregnancy rate were 6.5% and 13%, respectively. four clinical pregnancies and one preclinical pregnancy following a frozen-tha ...19921360300
the cellular and molecular biology of membrane transport. aps conference. orlando, florida, november 4-7, 1992. abstracts. 20061360685
[lipid and mineral metabolism and morbidity with temporary loss of work capacity in miners].examination is performed on 87 miners from mine for copper production subject to intensive local vibrations with average rate of increase (k) of the norms for the individual octave frequencies 2.4 times for 3 h exposure of the working shift, as well as to intensive noise--113-115 db/a equivalent level, general dust--23 mg/m3, fine dust--3.5 mg/m3 and fine quartz--0.43 mg/m3. there are data for vibration effect--changes in the cold test, vibration sensoriness, ultra sound sonometry, in all miners ...20051364539
isolation and characterization of carotenoid hyperproducing mutants of yeast by flow cytometry and cell sorting.the carotenoid pigment astaxanthin (3,3'-dihydroxy-beta,beta-carotene-4,4'-dione) is an important component in feeds of aquacultural animals. it is produced as a secondary metabolite by the yeast phaffia rhodozyma, and the isolation of rare mutants that produce increased quantities is limited by the lack of genetic selections. as a model system for enriching mutants increased in production of secondary metabolites, we have used quantitative flow cytometry/cell sorting (fccs) to isolate astaxanth ...19911367215
dielectric spectroscopy as a novel and convenient tool for the study of the shear sensitivity of plant cells in suspension culture.plant cell suspensions of different species and different age were subjected to hydrodynamic stress while following the decline in the volume fraction of intact cells by measuring the permittivity of the cell suspension at radio frequencies. results were compared with the fresh weight, dry weight, packed cell volume and cell number of the suspensions. at first a rapid decline is seen as the most shear-sensitive cells are broken up, followed by a slower decline as less sensitive cells are broken ...20061367236
targeting of gene expression to skeletal and cardiac muscle of trangenic animals.the tissue restricted and developmental potentiation of transcription by chicken alpha-skeletal actin promoter regions fused to the reporter gene chloramphenicol acetyl transferase (cat) were characterized in transgenic mice. six of eight expressing transgenic mouse lines containing the chicken alpha-skeletal actin promoter fused to cat resulted in preferential transgene transcription in skeletal muscle tissue, similar to the endogenous mouse alpha-skeletal actin gene. two of the eight lines dep ...19911367249
mass culture of mammalian cells as a national project. 20061367250
myeloid and erythroid progenitor cells from normal bone marrow adhere to collagen type i.one of the mechanisms by which normal hematopoietic progenitor cells remain localized within the bone marrow microenvironment is likely to involve adhesion of these cells to extracellular matrix (ecm) proteins. for example, there is evidence that uncommitted, hla-dr-negative progenitor cells and committed erythroid precursors (bfu-e) bind to fibronectin. however, fibronectin is not known to mediate binding of committed myeloid (granulocyte-macrophage) progenitors, raising the possibility that ot ...20041370640
biochemical and functional characterization of the leucocyte tyrosine phosphatase cd45 (cd45ro, 180 kd) from human neutrophils. in vivo upregulation of cd45ro plasma membrane expression on patients undergoing haemodialysis.the biochemical and functional characterization, and the regulation of plasma membrane expression of the leucocyte tyrosine phosphatase cd45, have been investigated in neutrophils from healthy donors and patients undergoing haemodialysis. cd45 proteins of 180 kd and 130-150 kd were precipitated from neutrophils from both healthy subjects and haemodialysed patients. prolonged storing, as well as trypsin treatment of samples containing the 180-kd cd45 protein, generated the 130-150-kd polypeptides ...19921370931
towards a phylogeny of the genus vibrio based on 16s rrna sequences.the inter- and intrageneric relationships of the genus vibrio were investigated by performing a comparative analysis of the 16s rrnas of 10 species, including four pathogenic representatives. the results of immunological and 5s rrna studies were confirmed in that the genus is a neighboring taxon of the family enterobacteriaceae. with regard to the intrageneric structure, vibrio alginolyticus, vibrio campbellii, vibrio natriegens, vibrio harveyi, vibrio proteolyticus, vibrio parahaemolyticus, and ...19921371064
significant role of an exocellular protease in utilization of heme by vibrio vulnificus.clinical and environmental isolates of vibrio vulnificus could grow in a synthetic medium supplemented with heme protein as the iron source. protease-deficient mutants of the bacterium could not utilize any of the heme proteins in the synthetic medium, but the addition of purified v. vulnificus protease restored their growth. the protease digested all heme proteins tested and elicited heme liberation from the proteins. furthermore, the induction of protease production by the heme proteins was de ...19921373407
activation mechanism of human hageman factor-plasma kallikrein-kinin system by vibrio vulnificus metalloprotease.vivrio vulnificus, an opportunistic human pathogen, secretes a metalloprotease (vvp). the vvp inoculated into a guinea pig is known to generate bradykinin through activation of the hageman factor-plasma kallikrein-kinin system. vvp was shown to possess the ability to activate the human system through the same mechanism as that clarified in the guinea pig system, namely, vvp converted both human zymogens (hageman factor and plasma prekallikrein) to active enzymes (activated hageman factor and pla ...19921380471
disparate effects of calcium channel blockers on pressure dependence of renin secretion and flow in the isolated perfused rat kidney.using the model of isolated perfused rat kidneys this study was performed to investigate whether or not voltage-operated calcium channels are essentially involved in the pressure control of renin secretion from the kidneys. at a perfusion pressure of 100 mm hg (13.3 kpa) renin secretory rates were 4.2 +/- 0.7 (ng angiotensin i h-1) min-1 g-1. stepwise reduction of renal perfusion pressure to 80, 60, and 40 mm hg (10.6, 8.0, 5.3 kpa) resulted in an increase of renin release yielding a 30-fold sti ...19921382264
the distribution of uv damage in the laci gene of escherichia coli: correlation with mutation spectrum.we have determined the uv (254 nm) damage distribution in the transcribed and non-transcribed strands of the i-d region of the escherichia coli laci gene. the locations of replication blocking lesions were revealed as termination sites of t7 dna polymerase and/or t4 dna polymerase 3'-5' exonuclease. termination products, i.e. both cyclobutane pyrimidine dimers and 6-4 photoproducts, were resolved and analysed on an automated dna sequencer. these two major photoproducts are not randomly distribut ...19921383713
suppression of the arthus reaction by y-24180, a potent and specific antagonist of platelet-activating factor.a novel and potent antagonist of platelet-activating factor (paf), y-24180 (4-(2-chlorophenyl)-2-[2-(4-isobutylphenyl)ethyl]-6,9-dimethyl-6h- thieno[3,2-f][1,2,4]triazolo[4,3-a][1,4] diazepine) was investigated for the effects on the skin reactions induced by chemical mediators and the arthus reactions. in the rat dorsal skin, y-24180 (0.1-10 mg/kg, p.o.) inhibited increase in vascular permeability by the intradermal paf injection in a dose dependent manner and the inhibitory activity was 60 tim ...19921388318
a clinicopathological study of loop recession in strabismus.this communication reports the histological structure of loop recessions of extraocular muscles from seven patients. in all cases the loops formed pseudotendons in which the typical histological structure was well established by four months. subsequently, moulding of these pseudotendons occurred with improved alignment of collagen and decrease in vascularity. by three and a half years after the operation the pseudotendon had acquired a very close resemblance to true tendon.19971389128
blind oral intubation: the development and efficacy of a new approach.to develop an approach to blind oral intubation. with the aid of a fiberoptic laryngoscope and stylet within an endotracheal tube, a video camera, a monitor, and a recorder to correlate the effects of various manipulations of the airway on access to the trachea, a suitable approach was devised. we then evaluated its efficacy.19971389195
selective serotonin reuptake inhibitors. 20061392903
health checks on patients 75 years and over in nottinghamshire after the new gp contract.to investigate annual health checks for patients of 75 years and over required by the 1990 contract for general practitioners.20061393076
antimicrobial prophylaxis for fractured base of skull in children.the details are reviewed of 50 children who were treated over a 10-year period with clinical signs of fractured base of skull. two patients died early without signs of sepsis--due to the severity of their head injuries. of the remainder, 23 received antibiotic prophylaxis and 25 did not. one patient from each of these groups developed pneumococcal meningitis, and they were successfully treated. our results correlate well with those previously published, confirming the low incidence of infective ...20061393186
the measurement of radiant temperature in neonatal thermal environments.heat exchange through radiation is recognized as the dominant mode of heat transfer for an infant nursed in an incubator or warmer. a radiometer was constructed to measure the planar radiant temperature experienced by the infant. two heat-flow sensors of different emissivities were mounted onto a heat sink such that one measured principally convective heat exchange while the other measured convective and radiant heat exchange. the radiant heat exchange was obtained from the difference between th ...20061393209
management of patients with airway obstruction. 20061393228
study of acute intraoperative suprachoroidal hemorrhage.acute intraoperative suprachoroidal hemorrhage or effusion (aish) was studied in a prospective manner over the past three years. in a general cataract surgery population of 2,523 patient eyes, 15 (0.6%) experienced an aish. results of a specific surgical management technique are presented. surgical control of the aish consisted of immediate closure of the incision and application of pressure directly to the eye. this tamponades the effusion or hemorrhage, which allows coagulation and completion ...20061403754
characterization of a vibrio cholerae virulence factor homologous to the family of tonb-dependent proteins.irga is an iron-regulated virulence factor for infection in an animal model with classical vibrio cholerae strain 0395. we detected gene sequences hybridizing to irga at high stringency in clinical isolates in addition to 0395, including another classical strain of v. cholerae, three v. cholerae strains of the el tor biotype, three non-o1 isolates of v. cholerae, and individual isolates of vibrio parahaemolyticus, vibrio fluvialis, and vibrio alginolyticus. no hybridization to irga was seen with ...19921406279
[the incidence of abnormalities after flu epidemics]. 19921413915
poly(adp-ribosyl)ation of chromatin in an in-vitro poly(adp-ribose)-turnover system.this paper describes the effect of an in-vitro poly(adp-ribose) turnover system on the poly(adp-ribosyl)ation of chromatin. both poly(adp-ribose)polymerase and poly(adp-ribose)glycohydrolase were highly purified and used in 4 different turnover systems: non-turnover, slow, medium and fast turnover. these turnover systems were designed to reflect possible turnover conditions in intact cells. the major protein acceptors for poly(adp-ribose) are histones and the polymerase itself, a process referre ...19921420323
the regulation of microsomal glucose-6-phosphatase differs between liver and kidney. 19921426558
proteins of photosystem 1 during chloroplast assembly and senescence in festuca pratensis. 20061426570
participation of health workers, school teachers and pupils in the control of rheumatic fever: evaluation of a training programme.in a rural community block of north india we initiated a programme for control of rheumatic fever and rheumatic heart disease (rf/rhd). this included a training campaign for all 74 health workers, 773 school teachers and 12,500 older pupils (class v to x) to enable them to suspect and refer cases of rf/rhd and counsel them about secondary prophylaxis. training material was used by project staff, medical officers and teachers to convey that this serious disease with onset between 5 and 15 years c ...20061428137
hallermann-streiff syndrome. 20061428149
seasonal incidence of vibrio vulnificus in the great bay estuary of new hampshire and maine.vibrio vulnificus, a normal bacterial inhabitant of estuaries, is of concern because it can be a potent human pathogen, causing septicemia, wound infections, and gastrointestinal disease in susceptible hosts. from may 1989 through december 1990, oysters and/or water were obtained from six areas in the great bay estuary of new hampshire and maine. water was also sampled from three freshwater sites that lead into these areas. v. vulnificus was first detected in the estuary in early july and remain ...19921444362
virulence characteristics of clinical and environmental isolates of vibrio vulnificus.twenty-four randomly selected clinical and environmental vibrio vulnificus isolates were tested for virulence in iron-overloaded mice (250 mg of iron dextran per kg of body weight). the log10 50% lethal doses of 17 isolates were lower by greater than or equal to 3.5 log10 units in iron-overloaded mice than in control mice. these isolates were classified as virulent. the 50% lethal doses of these virulent isolates were also lower in mice that were immunosuppressed by treatment with cyclophosphami ...19921444386
flunarizine in migraine: a double-blind placebo-controlled study (in a saudi population).we evaluated the effect of flunarizine (fz) (10 mg/d) on migraine in a double-blind placebo-controlled design. the attacks' frequency, duration, severity and associated symptoms were compared before and after treatment. forty-two patients completed a three-month trial period; 21 patients received fz and 21 placebo. statistical analysis showed no significant difference between fz and placebo (p > 0.05). in this study fz was not more efficient than placebo in migraine.20061446992
"raynaud's disease" in migraineurs: one entity or two?two cases are reported of patients who were diagnosed as having both migraine and raynaud's disease. because they were able to achieve effective control of both headaches and extremity temperature after undergoing a comprehensive approach--utilizing medication, biofeedback, and psychotherapy--it is suggested that both conditions are manifestations of the same disorder. it is recommended that a first step in approaching concurrent diagnoses of this type involve combined treatment as is often used ...20061446993
[the hemostatic system in traumatic subarachnoid hemorrhage in the far north].it was found that in conditions of the extreme north sanation of the cerebrospinal fluid occurs later in patients with traumatic subarachnoidal hemorrhage than in the central regions of the country. in connection with this the hemostasis system was studied in 20 patients with traumatic subarachnoidal hemorrhage and 10 patients with brain tumours (control group). patients with traumatic subarachnoidal hemorrhage showed significant hypocoagulation changes.20061448989
[ultrasound morphology of gallstones].using a subtile examination technique genuine information can be obtained from the interior of a gallstone--at least to a depth of 15 mm. this information should provide an indication of the homogeneous (crystalline) or inhomogeneous (non-cholesterol) structure of the stone. further systematic use of differentiating gallstone ultrasonography could become a useful additional decision making criterion for selection of gallstones suitable for conservative treatment.20061449008
molecular correlates of physiological regulation in a p-type h(+)-atpase. 19921449060
circadian rhythm of covalent modifications in liver dna.32p-postlabeling analysis recently revealed that in addition to 5-methylcytosine, mammalian dna contains covalently modified nucleotides of unknown structures and functions termed i-compounds whose levels increase with age. i-compound levels, in addition, depend on species, strain, sex, tissue, and diet and are generally lowered by carcinogen exposure. as shown here, levels of several non-polar i-compounds in liver dna of untreated male c3h mice were elevated 2 to 8.5 times at 1800 h and 2400 h ...19921449504
$100,000 aids payout is boston's new norm. 20061456317
use of tetracycline for treatment of vibrio vulnificus infections. 19921457657
sister chromatid exchange (sce) frequency in lymphocytes of patients with colorectal carcinoma treated with razoxane.the increased risk of neoplasia following cytotoxic therapy for both malignant and nonmalignant disease is well known. sister chromatid exchange (sce) frequencies in patients receiving such chemotherapy are often elevated, and the persistence of high levels after treatment may provide an indicator for susceptibility to secondary neoplasia. the cytostatic drug razoxane has been used for the treatment of psoriasis, acute myeloid leukemia (aml), and colorectal carcinoma. prolonged use of this drug, ...20061458513
nutrition and head start. 20061458961
haemorheology and exercise: intrinsic flow properties of blood in marathon running.haemorheological and haematological parameters were studied in venous blood samples taken from 8 endurance-trained athletes before and after a marathon run. viscometry was performed in a 20 microns glass capillary and in a couette viscometer. apparent blood viscosity was lower in the capillary than in the rotational viscometer, but significant differences between pre- and post-run samples were not observed in either system. this is presumably due to the absence of changes of haematocrit (pre-run ...20061459744
intravenous nifedipine for prevention of myocardial ischaemia after coronary revascularization.we sought to determine the pharmacokinetic and pharmacodynamic behaviour of a continuous infusion of nifedipine given for prevention of myocardial ischaemia following coronary artery bypass graft (cabg) surgery. patients scheduled for elective cabg, who had good left ventricular function, were included. only normotensive patients who did not require treatment with vasoactive drugs and were bleeding less than 100 ml.hr-1 following surgery were included. the patients were randomly distributed into ...20061464126
mao inhibitors and coronary artery surgery: a patient death.the mechanisms of action of monoamine oxidase inhibitors (maois) suggest that patients taking them may respond with hyper- or hypotension when undergoing coronary artery surgery. we describe a case where maois were present and fentanyl and midazolam were the anaesthetic agents used. the anaesthesia and surgery were performed without incident. postoperative icu care was complicated by hypertension, hyperthermia, and severe shivering followed by hypotension resistant to therapy and finally death. ...20061464133
low temperature induced non-culturability and killing of vibrio vulnificus.vibrio vulnificus cells progressively lose culturability during incubation at 5 degrees c. this process is accelerated by the addition of supernatants from non-culturable cells obtained by incubation at 5 degrees c for 17 days. thus the organism apparently produces a factor upon cold incubation which is triggering or causing the decline in culturability. reversing the temperature shift can restore a culturable population comparable in numbers to the original population, but this process is large ...19921478457
ultrastructural alterations of brain cortex in rat following intraperitoneal administration of mercuric chloride.intraperitoneal administration of a single dose (6 mg/kg body weight) of mercuric chloride (hgcl2) results in ultrastructural changes in brain cortex of the rats. 18 hours after administration of hgcl2 the accumulation of dense deposits of mercury in nerve and glial cell cytoplasm was observed. the quantity of microglia in neuropil was also increased in this experimental group. we postulate that these cerebral macrophages can play an important role in the process of intoxication, too. 5 days aft ...19921479187
16th annual symposium on computer applications in medical care. proceedings. baltimore, maryland, november 8-11, 1992. 20061482848
a temporal-abstraction system for patient monitoring.resume is a system that performs temporal abstraction of time-stamped data. resume is based on a model of three temporal-abstraction mechanisms: point temporal abstraction (a mechanism for abstracting values of several parameters into a value of another parameter); temporal inference (a mechanism for inferring sound logical conclusions over a single interval or two meeting intervals); and temporal interpolation (a mechanism for bridging nonmeeting temporal intervals). making explicit the knowled ...20061482852
m net: a statewide referring physician computer network.m net, the referring physician computer network, is a joint project between the university of michigan medical center (ummc) and ibm. a graphical user interface was developed to allow referring physicians easy access to a variety of patient, clinical, and institutional data. file transfer mechanisms were created and current clinical database files and programs were enhanced and restructured to facilitate remote data transmission. m net is currently installed in referring physician office sites a ...20061482996
organ donation in intensive care--a look at the ethical issues.this paper is based on consideration of the ethical issues surrounding organ donation. this emotive subject has far-reaching implications concerning both donation and transplantation but the purpose in this paper is to deal specifically with issues related to cadaveric organ donation and how they concern nurses in an intensive care unit (icu). a brief, general description of both ethics and organ donation is followed by a discussion of the issues surrounding the donor himself, including the diag ...20061483023
acrylic resin finger prosthesis.a technique is described for the prosthetic replacement of two fingers using acrylic resin. retention was obtained using finger rings. the stages of the technique are outlined. advantages and disadvantages are briefly stated.20061484252
radiotherapy of malignant melanoma of the uvea with i-125 seeds.nineteen patients with malignant uveal melanomas were treated with i-125 applicators. there were 10 males and 9 females with a median age of 61 years (range 42-76). the tumour was located in the choroid in 12 eyes and in the choroid and ciliary body in 7 eyes. the size of the tumours was 7-18 mm in maximal basal diameter (median 12), 5-16 mm in minimal basal diameter (median 10), and 5.5-15 mm in thickness (median 8.5). the volume of the tumours was 123-1890 mm3 (median 540). all tumours were cl ...20061488887
[nursing under a different sky: sweden]. 20061489594
[nursing--a woman's job!]. 20061489626
analysis of the glucose transporter content of islet cell lines: implications for glucose-stimulated insulin release.glucose transport across the plasma membrane of mammalian cells is mediated by a family of homologous proteins. each glucose transporter isoform has a specific tissue distribution which relates to that tissue's demand for glucose. the beta-cells of pancreatic islets are known to express a distinct glucose transporter isoform, termed glut 2, which has a high km for glucose. in this study, we examined the glucose transporter content of normal rat islets and three beta cell lines, beta-tc, hit and ...19921489658
rubber-specific ige in children with spina bifida: identification and management. 20061489746
latex anaphylaxis during spinal surgery in children with myelomeningocele. 20061489751
percutaneous placement of inferior vena cava filters.pulmonary embolism is a serious and difficult problem. many approaches for the prevention of recurrent pulmonary embolism have been tried. percutaneous placement of inferior vena cava filters is an easy, safe, available and well established procedure for the prevention of pulmonary embolism. the authors review the indications for use of ivc filters, and they review the main filters available in terms of ease of use, the physical characteristics, the technique of introduction, the efficacy and mo ...20041492602
comparing and optimizing diagnostic tests: an information-theoretical approach.an ideal method for assessing performance of non-binary diagnostic tests would specify each test's optimal operating point and would tell a diagnostician which of many tests was the best one to use in a particular clinical situation. this article shows how information theory and receiver operating characteristic (roc) analysis can be combined to evaluate and compare diagnostic tests at their optimum cutoffs once disease prevalence and test properties are specified. though it is not appropriate f ...20061513208
vibrio vulnificus infection in taiwan: report of 28 cases and review of clinical manifestations and treatment.from may 1985 through july 1990, 28 episodes of vibrio vulnificus infection in 27 patients were encountered in five major hospitals in taiwan. the ages of patients ranged from 19 to 76 years; the ratio of male to female patients was 2:1. eighteen episodes manifested as bacteremia and eight as wound infections alone. one patient each developed gastroenteritis and pneumonia after nearly drowning. twenty-three patients exhibited skin manifestations. twenty patients had underlying diseases. all pati ...19921520762
carbohydrate specificity of the receptor sites of mistletoe toxic lectin-i.the carbohydrate specificity of mistletoe toxic lectin-i (ml-i) was studied by haemagglutination-inhibition assay. the results indicated that ml-i has a broad range of affinity for gal alpha,beta linked sequences. the galabiose (e, gal alpha 1----4gal) sequence, a receptor of the uropathogenic e. coli ligand, was one of the best disaccharide inhibitors tested. the lectin also exhibits affinity for lac(gal beta 1----4glc), t(gal beta 1----3galnac), i/ii(gal beta 1----3/4glcnac) and b(gal alpha 1- ...20061525184
correlations between laser flare measurements and anterior chamber protein concentrations.the laser flare cell meter quantifies anterior chamber (ac) protein (flare) by measuring light scattering of a helium-neon laser beam in the ac. the relationship between photon count and protein concentration both in vitro and in vivo was assessed. the reproducibility of the in vitro photon count measurements was 7.3%. there was a significant linear relationship between photon count and the concentration of both albumin (r = 1.0, p = 0.0001) and immunoglobulin g (igg, r = 0.99, p = 0.0001) in vi ...20061526738
article of shaham and coworkers ("methadone maintenance" volume 28, number 3, 1991) 20061526758
better right than quick? 20061538635
out of the frame. 20061538842
the general practice contract scheme: was it targeted?to determine whether the contracted general practices were situated in areas of greatest health need.20061538862
selective iga deficiency associated with glomerulonephritis and oligoarthritis.a 59 year old woman with selective iga deficiency associated with oligoarthritis and glomerulonephritis is described. she was seropositive for rheumatoid factor and renal histological examination showed a focal glomerulonephritis. high titre rheumatoid factor and a focal glomerulonephritis were also present in the only other well documented report of selective iga deficiency and renal disease. histological examination of the kidney suggested that the glomerulonephritis was mediated by immune com ...20061540017
prophylaxis against non-steroidal induced upper gastrointestinal side effects. 20061540030
treatment of alopecia areata with diphenylcyclopropenone. 20061552076
purification and determination of the structure of capsular polysaccharide of vibrio vulnificus m06-24.virulence of vibrio vulnificus has been strongly associated with encapsulation and an opaque colony morphology. capsular polysaccharide was purified from a whole-cell, phosphate-buffered saline-extracted preparation of the opaque, virulent phase of v. vulnificus m06-24 (m06-24/o) by dialysis, centrifugation, enzymatic digestion, and phenol-chloroform extraction. nuclear magnetic resonance spectroscopic analysis of the purified polysaccharide showed that the polymer was composed of a repeating st ...19921556081
publication skill development in nurses. a vital role of nurse executives.fostering a work environment that encourages nurses to pursue scholarly activities, such as publishing, is one of the responsibilities of a nurse executive. the authors discuss strategies for creating an environment that supports and inspires nurses to publish.20061560280
the vegetalizing factor. a member of the evolutionarily highly conserved activin family.the mesoderm and endoderm inducing vegetalizing factor was partially sequenced after brcn cleavage. a sequence which is highly conserved in activin a near the c-terminal end was identified. this shows that the factor belongs to the activin family. the activins are not confined to embryos and gonads, but widely distributed in other tissues like calf kidney and calf liver. functional aspects are discussed.19921563511
influence of phenoxymethylpenicillin on the vaginal ecosystem.the effects of phenoxymethylpenicillin on the bacterial flora of the vagina were investigated in 6 women who fulfilled the criteria of 'normality': predominance of lactobacilli, and absence of enterobacteriaceae and fungi. fourteen healthy women were enrolled and followed longitudinally; 8 of these were subsequently excluded because of divergence from normality. following penicillin treatment, gram-negative rods appeared in 4 of the remaining 6 women, and in 1 subject heavy growth of candida alb ...19921563656
[ca15-3 tumor marker in early detection of breast cancer].ca15-3 is a tumor marker associated with mammary tumors. increased levels have been observed in patients with breast cancer, while normal low levels are usually found in women with no evidence of disease. the potential clinical uses of this marker include monitoring of patients with breast cancer, prognosis, and early detection of recurrence. tumor markers are not usually used for diagnosis, as only in a few patients are elevated levels found. but when high levels of tumor markers are detected a ...20061563679
predicting the distance for gavage tube placement in children.nurses currently use several external measures referenced to the head and chest to predict the insertion distance for orogastric and nasogastric (ng) tubes. the ability of previously published regression equations on height to predict esophageal length for ng tube insertion was evaluated in a sample of 107 children.20061574363
vibrio vulnificus infection and iron overload. 19921580901
comparison of magnetic resonance imaging in alzheimer's disease, vascular dementia and normal aging.mri scans of 27 patients with probable alzheimer's disease (mean age 68.2 years), 31 patients with vascular dementia (mean age 69.9 years) and 18 normal controls (mean age 66.3 years) were compared to evaluate possible distinguishing parenchymal abnormalities among these groups. atrophy was quantitated by subjective rating, linear and volumetric measurements. a number of findings were significantly more common in vascular dementia than in the other subsets. these included (1) basal ganglionic/th ...20061592074
psoralen plus ultraviolet a (puva) in the treatment of chronic graft versus host disease: preliminary experience in standard treatment resistant patients. 20061594942
ossification of the posterior cervical longitudinal ligament.forty patients with cervical myelopathy due to opll (ossification of the posterior longitudinal ligament) of the cervical spine were studied. according to abe's or yamamoto's classification, 12 of them had a 50% decrease in the cross-sectional area of the spinal canal. subtotal vertebrectomy was carried out in 8 of these patients and the remaining 4 patients received posterior decompression. we concluded that anterior decompression, if possible, is the treatment of choice and posterior decompres ...20061595391
ventriculopleural shunting used as a temporary diversion.due to the limited absorptive capacity of the pleural cavity, infants and young children are not generally ideal candidates for ventriculopleural shunts. we report using chest cavities as alternate for temporary diversion of csf in a young child. venous access to the cervical region could not be utilized because of scarring from previous procedures, while peritoneal access was contraindicated due to repeated pseudocyst formation. pleural effusions were removed by thoracentesis when necessary, an ...20061595400
pontine glioma extending to the ipsilateral cavernous sinus and meckel's cave: mr appearance.the authors describe an exophytic glioma of the pons that grew into the meckel's cave and cavernous sinus in a 75-year-old man. pontine gliomas should be included in the differential diagnosis of a hyperintense, complex cystic mass seen along the distribution of cranial nerve v.19921595473
analysis of some virulence factors of vibrio vulnificus isolated from rio de janeiro, brazil.twenty strains of v. vulnificus isolated from the environment were investigated for characteristics related to their infectivity such as colonial morphology, enzymatic activity and animal assays. the presence of dnase, chitinase, amylase, lecithinase and gelatinase was observed in 100% of the strains, haemolytic activity was absent, and variable results were obtained in elastase, collagenase and chondroitinase. in the animal assays, 70% of the strains were lethal to adult mice, while 45% caused ...19921601080
infection by an indole-negative variant of vibrio vulnificus transmitted by eels. 19921607700
use of colistin-polymyxin b-cellobiose agar for isolation of vibrio vulnificus from the environment.colistin-polymyxin b-cellobiose agar was employed for the isolation of vibrio vulnificus from shellfish. isolates were examined phenotypically and with a gene probe and monoclonal antibody specific for v. vulnificus. results indicated that colistin-polymyxin b-cellobiose agar is superior to both sodium dodecyl sulfate-polymyxin b-sucrose agar and thiosulfate-citrate-bile salts-sucrose agar in its ability to select and differentiate this species from background vibrios.19921610197
[ataxia telangiectasia]. 20061610280
glycosaminoglycan patterns in gingival proteoglycans of rat with age.among the potential biochemical indices that are closely associated with craniofacial development are the proteoglycans. gingival segments from the palate of 4-, 6-, 8-, 12- and 18-week-old rats were incubated for 4 h in medium containing [3h]-glucosamine and [35s]-na2so4, and subjected to proteoglycan isolation and glycosaminoglycan analysis. two distinct proteoglycan fractions differing in the degree of sulphation were obtained by ion-exchange chromatography. the incorporation of both labels i ...19921610301
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