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Biomedical subjects

A M Emery

Publications and source records attributed to A M Emery.

11 recordsLinked to original sources
PubMed2001

Assignment of paternity groups without access to parental genotypes: multiple mating and developmental plasticity in squid.

We present a novel approach to investigating sibling relationships and reconstructing parental genotypes from a progeny array. The Bayesian method we have employed is flexible and may be applicable to a variety of situations in addition to the one presented here. While mutation rates and breeding population allele frequencies can be taken into account, the model requires relatively few loci and makes few assumptions. Paternity of 270 veined squid (Loligo forbesi) hatchlings from three egg strings collected from one location was assigned using five microsatellite loci. Paternal and maternal genotypes reconstructed for each of the three strings were identical, strongly indicating that a single female produced the strings that were fertilized by the same four males. The proportion of eggs fertilized was not equal between males in all three strings, with male 1 siring most offspring (up to 68% in string 1), through to male 4 siring the least (as low as 2.4% in string 1). Although temperature had a profound effect on incubation time, paternity did not affect this trait at 12 degrees C or 8 degrees C.

Animals↗
PubMed1999

A case for minimally invasive coronary surgery as primary treatment for left anterior descending coronary artery disease.

OBJECTIVE: The introduction of minimally invasive coronary bypass surgery has allowed the application of multiple approaches to coronary artery disease. METHODS: Technologic developments have resolved patency and myocardial ischemic issues and increased surgical experience and training have combined to make more coronary bypass surgeons facile in minimally invasive surgical techniques. RESULTS: These advances, along with the decreased invasiveness, shortened recovery and lower cost, suggest the application of these techniques to the primary treatment of disease of the anterior descending artery. CONCLUSION: In selected circumstances such as these in which patient co-morbid risk factors would suggest high recurrence rates in complex lesions or total occlusion of the anterior descending coronary artery and present in cases of in-stent restenosis, primary application of minimally invasive bypass techniques may create long-term benefits for patients.

Coronary Angiography↗
PubMed1998

Clinical evaluation of the on-line Sensicath blood gas monitoring system.

BACKGROUND: Blood gas analysis is an integral part of the management of open heart surgery and post-surgical intensive care patients. This study was conducted to compare the results of on-line blood gas analysis using the new Sensicath (SC) optical sensor technology against standard blood gas assay. METHODS: Comparative blood gas analysis was performed on 45 postoperative cardiovascular surgical patients and 5 patients during cardiopulmonary bypass. Simultaneous samples were obtained. One sample was sent to the central hospital laboratory for measurement using a Radiometer ABL 500 blood gas analyzer and the second sample was drawn past the optical sensor. Comparisons between the two methods for pH, pO2 and pCO2 were analyzed using linear regression and the method of Bland and Altman for the intensive care unit samples (N = 451) while the T test was used to compare data points obtained during cardiopulmonary bypass (N = 57). Bias, accuracy and precision were also calculated. RESULTS: The regression lines (r2) for pH, pO2, and pCO2 and were 0.69, 0.94, and 0.68 with slopes of 1.000, 0.0957, and 1.052 respectively for postoperative surgical patients. During cardiopulmonary bypass, the T test did not show any significant difference between the Sensicath and the reference values for the arterial and venous pH, pO2 and pCO2. CONCLUSIONS: In summary, this study found the Sensicath to be an accurate, useful tool which permits immediate blood gas analysis without blood exposure and constitutes an advance in the field of intensive care monitoring.

Blood Gas Analysis↗
PubMed1997

Minimally invasive direct coronary artery bypass grafting: experimental and clinical experiences.

BACKGROUND: This communication briefly details the goals, indications, surgical approaches, and limitations of minimally invasive direct coronary artery bypass grafting (MIDCABG). The experimental experiences from various institutions are summarized. METHODS: The clinical experiences of 72 consecutive MIDCABG procedures performed at our institutions between June 5, 1995, and August 13, 1996, were analyzed. We have divided patients into two groups. Group A consists of healthy low-risk patients with single lesions of the left anterior descending coronary artery or the right coronary artery, or with both lesions of both arteries. Group B consists of high-risk patients who had major contraindications to conventional cardiopulmonary bypass procedures. There were 55 patients in group A and 17 patients in group B. Using The Society of Thoracic Surgeons preoperative predicted risk module, group A had a 1% predicted mortality versus 4% in group B. RESULTS: The 30-day mortality was 2% in group A and 6% in group B. The mean postoperative length of stay was 4 days for group A and 5 1/2 days for group B. Short-term follow-up of the survivors appears promising, and 81% of patients were angina free at the time of last follow-up. CONCLUSIONS: The MIDCABG techniques are still developing. The short-term results during the learning period appear to be quite good, but long-term results remain yet to be seen. The addition of new equipment to facilitate construction of the anastomosis will enhance application and results. The lessons learned from these approaches are already being applied to other areas of cardiac surgery including valve replacement and the repair of congenital heart defects.

Coronary Artery Bypass↗
PubMed1996

Revascularization using angioplasty and minimally invasive techniques documented by thermal imaging.

Minimally invasive direct coronary artery bypass grafting offers mortality and morbidity advantages to selected patients. To broaden indications for such, an appropriate and combined disciplinary approach using angioplasty and minimally invasive direct coronary artery bypass grafting is described in a patient requiring reoperative grafting. Documentation of patency of new left internal mammary artery-to-left anterior descending artery anastomoses performed without the use of cardiopulmonary bypass was obtained intraoperatively using a Thermal Imaging Camera.

Aged↗
PubMed1995

A single isoform of the Na+/K(+)-ATPase alpha-subunit in Diptera: evidence from characterization of the first extracellular domain.

The first extracellular domain of the alpha-subunit of the Na+/K+-ATPase (sodium/potassium pump) is functionally important, affecting sensitivity of the enzyme to cardiac glycosides (e.g. ouabain) and being implicated in the transport of K+. This domain is also variable among mammalian isoforms of the alpha-subunit. Using PCR, we have isolated from seven insect species with contrasting physiologies a DNA fragment containing this region, in order to help determine whether tissue-specific expression might be associated with isoforms encoded by a gene family, as it is in mammals. A single sequence (with one ORF) characteristic of Na+/K+-ATPase was obtained from genomic DNA of each species. Only the fragment from Manduca sexta contained an intron, but at a location different to that found in mammals. For all Diptera so far characterized, the species phylogeny is the same as the alpha-subunit gene phylogeny (based on the sequences of the first extracellular domain and flanking transmembrane domains). The results strongly indicate a single, ouabain-sensitive isoform of the alpha-subunit of Na+/K+-ATPase is present in Diptera.

Amino Acid Sequence↗
PubMed1990

The Vale of Leven health promotion project.

A two stage health promotion programme is in progress in the Vale of Leven in Dunbartonshire. The first stage has been completed within a local factory (Polaroid UK Limited), the largest private employer in the district. A total of 1205 employees, representing 87% of the workforce, took part in the programme and were initially screened for coronary artery risk factors. Blood pressure, serum cholesterol, body composition and aerobic fitness were measured and smoking habits determined. Aspects of lifestyle were assessed by questionnaire. All employees whose initial cholesterol concentration was greater than 6.5 mM were given simple dietary advice and their cholesterol concentration thereafter remeasured. Eighty-two per cent of these men and 72% of these women succeeded in reducing their cholesterol, the men by a mean of 1.3 mM, the women by a mean of 0.7 mM. The health initiatives undertaken within the factory at the same time as screening are also described in this paper.

Adult↗