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Biomedical subjects

B O'Callaghan

Publications and source records attributed to B O'Callaghan.

11 recordsLinked to original sources

Medical graduates of the National University of Ireland in 1978: who and where are they?

To inform debate on medical manpower planning and aspects of medical education, we gathered data on graduates of three Irish medical schools in 1978. Twenty six years later, four of the 236 graduates had died and seven were untraceable. All but one of the remainder were in clinical practice and in a wide range of disciplines. A third were overseas. The implications of these findings are briefly discussed.

Career Choice↗

[Hemorrhagic shock due to splenic rupture in non-severe acute pancreatitis].

A 54-year old man was hospitalized for a non severe acute pancreatitis of alcoholic aetiology. Four days after his admission, whilst symptoms and laboratory findings were on the mend, he suddenly presented with acute shock. A CT-scan demonstrated a massive haemoperitoneum due to splenic rupture which necessitated an emergency splenectomy. The causes of shock in acute pancreatitis and the factors that may lead to splenic rupture are discussed. In this patient, a possible role of the non-steroidal anti-inflammatory treatment remains undetermined.

Acute Disease↗

Immunological effects of competitive versus recreational sports in cross-country skiing.

For a period of two months during the competitive season the effects of endurance training in cross-country skiers were evaluated in order to compare the adaptive and innate immune systems between 10 competitive athletes, 10 moderately trained athletes and 10 untrained healthy controls. The main results were as follows: the peripheral T-lymphocyte count of the competitive athletes was decreased. In contrast the number of peripheral blood NK cells was increased in this group. These data imply a diminution of the adaptive immune system due to repeated bouts of intense exercise and contemporaneous reinforcement of the innate immune response. Moreover the inducible IL-12-expression following monocyte stimulation was significantly decreased in competitive athletes. Compared with the other two groups, the moderately trained athletes showed a significantly increased production of IFN-gamma upon T-cell stimulation. These data suggest that the immune system may profit from moderate endurance training by an increased capacity to generate IFN-gamma while the immune situation following repeated exhausting exercise of competitive athletes tends to deteriorate through downregulation of IFN-gamma and IL-12.

Adaptation, Physiological↗

Asymptomatic grotesque deformities of the cervical spine. An occupational hazard in railway porters.

STUDY DESIGN: A case report. OBJECTIVE: To illustrate an extremely rare occurrence of chronic, occupational, low-grade trauma leading to asymptomatic grotesque cervical spine deformities in railroad station porters. SUMMARY OF BACKGROUND DATA: Occupational trauma causing spinal deformities has been described in relation to thoracic and lumbar spines in miners. To the authors' knowledge, this is the first reported case of asymptomatic cervical spinal deformity in railway porters as a result of chronic occupational trauma. METHODS: A magnetic resonance imaging study was performed on both patients. RESULTS: The magnetic resonance images showed advanced degenerative changes in the cervical spine causing obvious deformities, along with apparently normal cord signal intensity. CONCLUSIONS: Chronic, occupational, low-grade trauma of the cervical vertebral region is extremely unusual in industrialized countries. Nevertheless, in view of the increasing mobility of people in general and of the labor force in particular, this complication of an occupational exposure deserves attention as an unusual cause of cervical spinal deformity.

Adult↗

Characterization of a satellite DNA from Antilocapra americana.

The nucleotide sequence of a cloned satellite DNA from Antilocapra americana (American pronghorn antelope) is presented. The 1477-bp satellite is composed of degenerate 31-bp sub-repeats which are very similar in sequence to those of the major satellite DNAs from cattle and sheep. The sub-repeat sequence is more degenerate and variable in pronghorn than it is in cattle or sheep. The sequence is organized in the pronghorn genome in multicopy tandem arrays.

Animals↗

Characterization of aminopeptidase N from Torpedo marmorata kidney.

A major antigen of the brush border membrane of Torpedo marmorata kidney was identified and purified by immunoprecipitation. The sequence of its 18 N terminal amino acids was determined and found to be very similar to that of mammalian amino-peptidase N (EC 3.4.11.2). Indeed aminopeptidase N activity was efficiently immunoprecipitated by monoclonal antibody 180K1. The purified antigen gives a broad band at 180 kDa after SDS-gel electrophoresis, which, after treatment by endoglycosidase F, is converted to a thinner band at 140 kDa. This antigen is therefore heavily glycosylated. Depending on solubilization conditions, both the antigen and peptidase activity were recovered either as a broad peak with a sedimentation coefficient of 18S (2% CHAPS) or as a single peak of 7.8S (1% CHAPS plus 0.2% C12E9), showing that Torpedo aminopeptidase N behaves as an oligomer stabilized by hydrophobic interactions, easily converted into a 160 kDa monomer. The antigen is highly concentrated in the apical membrane of proximal tubule epithelial cells (600 gold particles/microns2 of brush border membrane) whereas no labeling could be detected in other cell types or in other membranes of the same cells (basolateral membranes, vacuoles or vesicles). Monoclonal antibodies prepared here will be useful tools for further functional and structural studies of Torpedo kidney aminopeptidase N.

Amino Acid Sequence↗

Gamekeeper's thumb. Ligament localisation by echography.

Twenty-one patients presenting clinically with a lesion of the ulnar collateral ligament complex of the metacarpo-phalangeal joint of the thumb underwent prospective diagnostic echography, in order to recognize the possible dislocation of the ligament over the adductor aponeurosis (Stener's lesion). Seven patients were treated surgically, the others conservatively. The accuracy of the echography was controlled by surgery and by the follow-up. We determined 15 true negatives, 4 true positives, 2 false positives, there was no false negative. Ultrasound imaging is a non-invasive, cost-effective diagnostic aid in differentiating the ruptured non-displaced ligament from the true Stener's lesion, solely requiring surgical repartir.

Adolescent↗