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Biomedical subjects

A M MacLeod

Publications and source records attributed to A M MacLeod.

At least 19 recordsLinked to original sources
PubMed1992

Streptomyces lividans glycosylates an exoglucanase (Cex) from Cellulomonas fimi.

Exoglucanase Cex from Cellulomonas fimi is a glycoprotein [Langsford et al., J. Gen. Microbiol. 130 (1984) 1367-1376]. Cex produced by Streptomyces lividans from the cloned cex gene is also glycosylated. The extent and nature of glycosylation are similar for Cex from both organisms. The glycosylation affords protection against proteolysis for the enzymes from both organisms when they are bound to cellulose, but not in solution. The ability to glycosylate cloned gene products enhances the utility of Streptomyces as a host for the production of heterologous polypeptides.

Actinomycetales↗
PubMed1992

Submandibular gland transfer in the correction of dry eye.

Following rabbit experiments which showed that microvascular submandibular gland transfer could ameliorate the deleterious effects of lacrimal gland ablation, a clinical transfer of the submandibular salivary gland to the temple region was performed. The beneficial results from this initial operation have led to the procedure being used in a total of eight patients with 12 transfers. The procedure has led to increased moisture in the eye and decreased symptoms but the assessment of change in corneal function and pathology is difficult.

Adolescent↗
PubMed1978

Microvascular great toe transfer for congenital absence of the thumb.

Two cases of microvascular great toe transfer for congenital absence of the thumb in children are reported. A rationale and operative details are discussed. A long term follow up is needed, but at this stage the results are most encouraging. There has been no interference with gait.

Child, Preschool↗
PubMed1978

Simultaneous double toe transfer for severely disabled hands.

Two cases are presented in which a severely damaged hand was reconstructed by the simultaneous transfer of two toes using microvascular techniques. A two year evaluation of the functional result is made in both cases. Conventional reconstructive methods have little place in the reconstruction of these severe disabilities.

Adult↗
PubMed1978

Microvascular second toe transfer for digital reconstruction.

Reconstruction of a severely damaged hand, with multiple amputations of digits, presents a difficult reconstructive problem. The development of a safe method of transfer of the great toe for thumb reconstruction, using the dorsalis pedis artery and the saphenous vein, suggested the possibility of one-stage microvascular transfer of the second toe for reconstruction of fingers. In two patients a one-stage transfer of the second toe was done to replace an index finger and in another for restoration of part of the left ring finger. The transplants survived without anticoagulants and vessel complications were not encountered. Sensory return was adequate and a significant improvement in function was achieved.

Accidents, Occupational↗
PubMed1978

Neurovascular free flaps from the foot for innervation of the hand.

Microneurovascular flaps from the first web space of the foot offer a solution to upgrade sensibility of the denervated hand. Based on the dorsalis pedis artery, it allows simple dissection and a large vessel for easy and safe anastomosis. Seven cases are presented in which combinations of the first web anatomy for a variety of denervation injuries were used. The technique is ideally suited in those cases where no areas of island flap tissue are available for transfer.

Adolescent↗
PubMed1978

Digital replantation: clinical experiences.

In a series of 130 digital replantations successful revascularization has been obtained in 74% of cases. Arterial thrombosis is the most common cause (65%) of all failures. A useful digit can be obtained following replantation and the surgery is particularly indicated for amputated thumbs and in hands suffering multiple injuries. Precautionary measures against bleeding are absolutely essential. Primary tendon and nerve repairs are advocated. Vascular occlusion may be corrected by revisional surgery and secondary surgery can improve tendon nerve or joint function.

Adolescent↗
PubMed1977

Microsurgery.

Explore the source record for details and available documents.

Adolescent↗
PubMed1977

A long-term review of digital replantation.

An analysis of the first 130 cases of digital revascularization and replantation performed at St Vincent's Hospital, Melbourne, during the period 1970-1977, confirms the long-term functional value of these procedures provided that strict indications for replantation are adhered to. Patient satisfaction has been almost universal, and objective testing shows that the most satisfying aspect of the procedure is the quality of sensory return. Flexor tendon function and the range of joint movement, however, are universally poor, and all patients complain of sensitivity to cold. The thumb has been by far the most satisfactory digit to replant, and avulsion injuries gave the poorest results, from the point of view of both survival and long-term function.

Adolescent↗
PubMed1977

Evaluation of digital replantation--a review of 100 cases.

One hundred digital replantations and revascularizations of digits performed during a five year period were analyzed. Seventy replantations (70 per cent) survived and 62 were available for long term functional follow-up. Provided strict indications are observed, replantation is a most worthwhile procedure.

Adolescent↗