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Biomedical subjects

A G Green

Publications and source records attributed to A G Green.

At least 19 recordsLinked to original sources

Insurance--a dental viewpoint. Part IV: Professional risks indemnity.

Over the last decade professional practice has changed in many ways, not least in the willingness of patients to seek damages. The treasurer of the Medical Defence Union, in his report on the year 1989, stated that claims paid out on behalf of doctors in Britain doubled in frequency and the average amount awarded also doubled between 1985 and 1988, subscription rates increased fourfold. By contrast, 40 years ago life membership of a 'defence organisation' was available for less that an annual subscription today.

Humans

Law and ethics.

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Ethics

Insurance--a dental viewpoint. Part II: Sickness and accident.

It is a very fortunate dentist indeed who survives an average 40-year working life without suffering illness or an accident. This will normally keep the dentist away from work and the ability to earn for a period of time. In the worst cases the disability may prevent a return to normal work with disastrous effects upon career earnings. Insurance against loss of earnings has therefore a very high priority.

Dentists

Insurance--a dental viewpoint. Part I: An introduction.

Current changes in the market are likely to alter our perception of insurance companies and brokers. Brokers will soon be required to disclose the amounts of commission earned and this may drive individuals back into the arms of the salesmen from individual companies. This series of articles sets out to show the options that are available to the dentist and to show how to use the range of expert advice available.

Dentists

Biosynthesis of linolenate in developing embryos and cell-free preparations of high-linolenate linseed (Linum usitatissimum) and low-linolenate mutants.

Biosynthesis of alpha-linolenate was investigated in developing embryos of the high-linolenic (45%) linseed cv. Glenelg, two mutant lines (M1589 and M1722) having reduced linolenic acid content (30%), and a very low linolenic (2%) genotype (Zero) obtained by recombination of the M1589 and M1722 mutations. Glenelg embryos showed an exponential rate of linolenate synthesis that paralleled their exponential pattern of triacylglycerol accumulation. The Zero line, although showing a pattern of triacylglycerol accumulation similar to that of Glenelg, accumulated linolenate at only a very low and constant rate throughout embryo development. An NADH- and O2-dependent decrease in oleate and increase in linolenate content of phosphatidylcholine was observed in dilute homogenates prepared from Glenelg embryos at 21 days after flowering, indicating active oleoyl- and linoleoyl-phosphatidylcholine desaturases in these preparations. While oleate decreased similarly in both sn positions of phosphatidylcholine, the increase in linolenate was confined mostly to the sn-2 position. Homogenates prepared from the mutant lines showed decreases in oleoyl-phosphatidylcholine similar to those of the wild-type Glenelg, whereas the increase in linolenoyl-phosphatidylcholine was substantially lower in M1589 and M1722 and barely detected in Zero. In vivo labeling experiments with detached embryos at 17 days after flowering, as well as analysis of endogenous linolenate content in various lipids, indicated that only delta 15-phospholipid desaturases, and not delta 15-galactolipid desaturases, were affected by the mutations. Embryos from M1722 had amounts of both radioactive and endogenous linolenate at position sn-1 of phosphatidylcholine that were close to those of the wild-type embryos, whereas M1589 had only 30 and 50% of these levels, respectively. The regulation of linolenic acid content in oilseeds is discussed on the basis of the results obtained.

Fatty Acid Desaturases

Characterization of the seed and leaf lipids of high and low linolenic acid flax genotypes.

The total seed lipids of four flax (Linum usitatissimum) genotypes, differing markedly in their acyl composition, were extracted and fractionated using column, preparative, and thin-layer chromatography. In the total lipid extract of seeds, the lower linolenate content of the cultivar Glenelg (39.1% compared to that of cv. Croxton (50.5%) was associated with a higher oleate content. Further reductions in linolenate content in the induced mutants of cv. Glenelg, M1722 (17.2%) and "Zero" (1.9%) were accompanied by equivalent increases in linoleate but only minor increases in oleate. Similar changes were observed in the major triacylglycerol fraction of the simple lipids (fatty acid esters of glycerol and sterols), but there was considerable heterogeneity for acyl composition in the minor simple lipid components, including both diacylglycerols and sterol esters, and the complex lipids (glycolipids and phospholipids). The induced mutations substantially reduced linolenate content of all lipid fractions but in no case was it eliminated. Maturation of "Zero" seed at 15/10 degrees C (compared to 24/19 degrees C) increased linoleate and decreased stearate and oleate contents in all lipid fractions. In contrast to seed lipids, the acyl composition of the leaf lipids of the mutant genotypes was the same as those of their parent.

Glycolipids

Effect of FPL57787 in exercise-induced asthma.

In ten patients with extrinsic asthma the effects of a new oral chromone FPL57787 and placebo were studied in a random double-blind fashion to assess the effect of FPL57787 in preventing exercise-induced asthma (EIA). Exercise testing consisted of steady state running on an inclined treadmill for up to 8 min. FPL57787 gave significant protection (P less 0.01) compared to placebo from the maximum percentage fall in FEV1, FVC and MMEF after exercise. FPL57787 also produced a small but significant (P less than 0.01) percentage increase in FEV1 2 hr after the drug compared to placebo, whereas no significant increase was seen in FVC or in MMEF.

Administration, Oral

Cell-mediated immunity in operable bronchial carcinoma: the effect of injecting irradiated autologous tumour cells and BCG.

In 52 patients undergoing tests of cell-mediated immunity before surgical resection of bronchial carcinoma a positive tuberculin test result was found in 71% compared with 68% of age- and sex-matched controls. Sensitisation to DNCB occurred in 52% of 37 patients but in 78% of controls. There was depression of lymphocyte transformation by PPD in 19 patients compared with controls (P=0.001), but there was no difference in lymphocyte transformation by PHA or pokeweed mitogen between 34 patients and controls. In a pilot study patients were randomly allocated to autograft (eight) or non-autograft (seven) groups. The autograft group were given an intradermal injection of a suspension of irradiated autologous tumour-cells mixed with intradermal BCG on the day of operation. Tests of cell-mediated immunity were repeated two weeks after operation. Five patients in each group received a course of radiotherapy to the mediastinum three weeks after operation. There was a rise in cutaneous tuberculin reactivity (P=0.08) and total leucocyte count (P=0.09) in the autograft group postoperatively with a fall in total lymphocyte and T lymphocyte counts in the non-autograft group (P less 0.05). These differences, however, were not followed by any difference in the frequency of tumour recurrence or the survival rate two years after operation. The results show that the immunological surveillance mechanism is impaired even in patients with early bronchial carcinoma and that it is possible to overcome postoperative immunological depression with specific immunotherapy combined with BCG. This treatment did not produce any clinical advantage in this small number of patients and the skin lesions caused the patients considerable discomfort.

Aged

Disopyramide--an effective treatment for lignocaine resistant ventricular dysrhythmias.

Intravenous disopyramide was used in 13 patients who developed recurrent ventricular dysrhythmias despite initial treatment with intravenous lignocaine after admission to the Coronary Care Unit of a busy district hospital. This was effective in 8 of the 13 patients treated and there was no major side effects observed. Disopyramide has the advantage of being available both as an oral and an intravenous preparation and is a useful drug to be added to the list of more conventional anti-dysrhythmic agents.

Arrhythmias, Cardiac

A study of total serum alkaline phosphatase activity in men following partial gastrectomy.

Total serum alkaline phosphatase (SAP) activity has been measured in 463 men with partial gastrectomy (Polya type), and in a control group of 271 men with vagotomy with pyloroplasty or gastroenterostomy. An analysis of variance of the values in the range of 3.0 to 11.5 KA units/100 ml showed that the enzyme serum activity is influenced by three independent factors: age, ABO blood group, and the type of operation. Marginally raised levels (12.0-17.0 KA units/100 ml) were found to be affected by the same factors, and it was concluded that these levels do not, usually, indicate either bone or liver disease. In 18 men the total serum alkaline phosphatase was over 17.0 KA units: 16 had Paget's disease of bone, and two had liver disease.

Adult