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Biomedical subjects

D A Cook

Publications and source records attributed to D A Cook.

At least 73 records · Page 4Linked to original sources
PubMed1990

Medical problems of adults who were sexually abused in childhood.

The aim of the study was to see whether adults who had been sexually abused in childhood were vulnerable to physical symptoms and therefore investigation and intervention. The case histories of seven patients who were aged 22-39, were under the care of three consultant psychiatrists, had experienced childhood sexual abuse, and had a history of medical or surgical intervention were surveyed. The patients had had a mean of 18 contacts with non-psychiatric consultant teams and a mean of eight operations, with a high rate (66-70%) of normal findings. They had experienced many somatic symptoms, which led to investigations and interventions in the specialties of gynaecology, obstetrics, gastroenterology, urology, rheumatology, haematology, orthopaedics, neurology, and neuropsychiatry. The history of childhood sexual abuse was recognised only in the later stages of this medical and surgical intervention. The possibility of childhood sexual abuse should be considered earlier in such cases to prevent further unnecessary intervention.

Adult↗
PubMed1990

Cerebral arteries can generate 5- and 15-hydroxyeicosatetraenoic acid from arachidonic acid.

Products of the lipoxygenase pathway have been implicated in the development of the cerebrovascular spasm that arises after subarachnoid hemorrhage. In particular the hydroperoxyeicosatetranenoic acids (HPETEs), which are unstable and break down rapidly to the corresponding 5-hydroxy acids (HETEs), are vasoconstrictor agents that mimic some aspects of cerebrovascular spasm. It is not, however, well established whether segments of cerebral artery can manufacture these products. We have studied the lipoxygenase product profile of cerebral arteries stimulated with arachidonic acid. Rings of bovine cerebral arteries were incubated in Krebs solution containing arachidonic acid. The lipoxygenase products were studied using high performance liquid chromatography. The largest peaks had the retention times of 5- and 15-HETEs, and the identity of these peaks was confirmed using specific radioimmunoassays. Stimulation with arachidonic acid resulted in a time- and dose-dependent increase in the formation of both HETEs, with 15-HETE being most abundant. The release of both HETEs was markedly reduced in the presence of AA-861, an inhibitor of lipoxygenase, but not with the cyclooxygenase inhibitor indomethacin. These data are thus consistent with our previous suggestion that the contractile activity of arachidonic acid in cerebral arteries arises, at least in part, from HPETE formation and with a possible role for these compounds in cerebral vasospasm.

Animals↗
PubMed1990

Acromioclavicular joint injuries.

A review is presented of the pathophysiology, diagnosis, and treatment of acromioclavicular joint injuries with a discussion of special cases and complications. The results of nonoperative and operative treatments are examined, with particular emphasis on the Mumford and Weaver-Dunn procedures. Conservative treatment is indicated for most acute cases. Weighted films may not be necessary.

Acromioclavicular Joint↗
PubMed1990

Contributions of food groups to intakes of energy, nutrients, cholesterol, and fiber in women's diets: effect of method of classifying food mixtures.

This study examined the effect of using two different methods for categorizing food mixtures when calculating the contribution of various food groups to energy, macronutrient, cholesterol, and fiber intakes. Using method 1, each food mixture was classified as a single item and assigned to a food group according to its main ingredient. Using method 2, most of the food mixtures were separated into their constituent ingredients, and each ingredient was assigned to its appropriate food group. Data were from 1,032 women who provided at least 4 days of dietary data in the U.S. Department of Agriculture's 1985 Continuing Survey of Food Intakes by Individuals. We found that the importance of each food group's contribution to individual dietary components varied depending on the method used to categorize the food mixtures. When food mixtures were separated into their constituent ingredients before assigning foods to food groups, the contributions of meat, fish, poultry, and grain products declined for each of the seven dietary components studied. At the same time, the contributions of milk products, fats, and oils increased for most of the seven components. The results highlight the importance of foods eaten as part of food mixtures to the intake of energy, macronutrients, cholesterol, and fiber.

Adult↗
PubMed1989

Nutrient levels in infant formulas: technical considerations.

Technical considerations in the design, production, manufacture, process, and quality control of infant formulas are presented. Many of the criteria and systems used by manufacturers to assure the safety and adequacy of infant formulas have been codified by the U.S. Food and Drug Administration. Product label claims represent the minimum levels of nutrient that must be present throughout product shelf life. The precise nutrient level in an infant formula at any given time may differ from the label claim because of the variability of nutrient amounts contributed by major ingredients, a decrease of certain nutrients due to heat or oxygen exposure during processing, changes during storage, nutrient levels added to account for bio-availability, and the variation in analytical results. Infant formula manufacturers use various processes and quality control systems to assure the presence of appropriate amounts of each required nutrient in each batch. Infant formula manufacturers support the review of existing upper limits and the establishment of new limits where there is a justifiable and adequate basis to do so. Where needed, new upper limits should be set with appropriate consideration of existing technical factors affecting product formulation and nutrient content. Control of upper limits can best be achieved within the framework of existing regulations and manufacturing systems to assure that only batches of formula with appropriate levels of nutrients are introduced into commercial distribution.

Female↗
PubMed1989

Some pharmacological activities of novel adenine-related compounds isolated from a marine sponge Agelas mauritiana.

Agelasimine A and agelasimine B, two novel compounds related to adenine, have been isolated from the orange sponge, Agelas mauritiana, and have been tested for a variety of biological activities. Both compounds inhibited proliferation of cultured L1210 leukemia cells at nanomolar concentrations with accumulation in the G1 stage of the cell cycle. However, no prolongation of life was observed in mice bearing P388 leukemia treated with these compounds. In the rat isolated aorta, micromolar concentrations of agelasimines were very effective in inhibiting contractions elicited by potassium chloride but had little or no effect on responses for prostaglandin F2 alpha and had modest effects on the responses to noradrenaline and significant effects on 5-hydroxytryptamine. Agelsamines A and B appeared to be equipotent in causing relaxation in rabbit jejunum and bovine coronary artery, and they also inhibited nucleoside transport into rabbit erythrocytes in micromolar concentrations.

Adenine↗
PubMed1989

Time-dependent effects of extraluminally-applied oxyhemoglobin and endothelial removal on vasodilator responses in isolated, perfused canine basilar arteries.

The effects of oxyhemoglobin (oxyHb) and removal of the endothelium have been measured in isolated, perfused canine basilar arteries treated with intraluminal vasodilator drugs. In preparations with an intact endothelium, acetylcholine (ACh) produces a biphasic response, where a small vasodilation precedes a vasoconstriction. Calcium ionophore A23187 and thimerosal induce a vasodilation at low doses and a biphasic response at high doses. Sodium nitroprusside (SNP) evokes only a vasodilation. Extraluminally applied oxyHb itself produces a transient vasoconstriction and then a gradual increase in perfusion pressure. After this treatment, the vasoconstriction to ACh was enhanced as was the vasodilation to SNP. Significant attenuation of the vasodilator action of A23187 and thimerosal was also observed. Subsequent removal of endothelium produced no further change in response. This implies that the action of extraluminal oxyHb is to eliminate any endothelium-dependent responses. If cerebral vasospasm after subarachnoid hemorrhage is initiated by hemoglobin released from the clot surrounding the artery, at least one component of its action appears to involve interference with endothelial function.

Acetylcholine↗
PubMed1989

Effect of nimodipine on canine cerebrovascular responses to 5-hydroxytryptamine and potassium chloride after exposure to blood.

The stainless steel cannula inserting method was used to investigate the blocking effects of nimodipine on vascular responses to intraluminal administration of 5-hydroxytryptamine (5-HT) or potassium chloride (KCl) before and after application of abluminal blood containing thrombin in isolated and perfused canine basilar arteries. A transient elevation of perfusion pressure was observed initially, and during the course of the experiment the perfusion pressure gradually increased. Nimodipine significantly depressed both transient and prolonged changes of perfusion pressure. Dose-dependent vasoconstriction induced by 5-HT was significantly enhanced, while that evoked by KCl was significantly attenuated for up to 8 hours after the application of blood. Pretreatment with nimodipine inhibited vasoconstriction to 5-HT less effectively than to KCl both before and after application of blood. The proportion of the 5-HT-induced vasoconstriction, which was sensitive to nimodipine, was reduced after application of blood, while no such change was observed in the responses to KCl. It is suggested that the augmentation of cerebrovascular responses to 5-HT in the early stage of subarachnoid hemorrhage may be mediated mainly by changes in intracellular calcium utilization rather than by the increase of calcium influx through nimodipine-sensitive channels.

Animals↗
PubMed1989

Pharmacological studies on relaxation of spastic primate cerebral arteries in subarachnoid hemorrhage.

Chronic cerebral vasospasm was induced in 16 monkeys by direct placement of a clot of autologous blood over the arteries of the circle of Willis on the right side. The middle cerebral arteries (MCA's) on the clot side all showed angiographic vasospasm, which was maximal 7 days after subarachnoid hemorrhage. Animals were sacrificed at this time and vascular responses to acetylcholine (ACh), histamine, and the calcium ionophore A23187 were studied in MCA rings from the clot (spastic) side and the non-clot (control) side. In control preparations with an intact endothelium, which had been precontracted by prostaglandin F2 alpha (PGF2 alpha), histamine and A23187 produced significant relaxation. The same concentrations of histamine and A23187 did not relax vascular tissues in which the endothelium had been mechanically removed. Acetylcholine did not produce a significant endothelium-dependent relaxation of primate MCA rings, but did relax rings of primate common carotid artery. Pretreatment with chlorpheniramine (an H1-receptor antagonist) prevented histamine-induced relaxation; however, cimetidine (an H2-receptor antagonist) had no inhibitory action. It thus seems that histamine mediates relaxation of intact MCA's mostly by an H1-receptor-mediated release of endothelium-derived relaxing factor (EDRF). Relaxations induced by histamine and A23187 in MCA's from the clot side were substantially reduced. Moreover, the small component of ACh-induced relaxation was also abolished. Endothelium-independent relaxation induced by glyceryl trinitrate (GTN) occurred in arteries from both the control and the clot sides. Constrictions induced by KC1 and PGF2 alpha were reduced on the clot side of the MCA's. These results suggest that subarachnoid hemorrhage influences both the generation of EDRF and the constriction of affected arteries. The small contraction which was elicited in spastic arteries was fully relaxed by GTN.

Acetylcholine↗
PubMed1989

Pseudomeningocele following spinal fracture. A case report and review of the literature.

Pseudomeningocele resulting from a fracture of the second thoracic vertebra occurred in a six-year-old girl. The condition was diagnosed using computed tomography (CT) and magnetic resonance imaging (MRI). MRI also showed a completely transected spinal cord. Unlike similar lesions reported previously, the pseudomeningocele was managed nonoperatively with observation alone and was seen to gradually resolve over several months. An overview of previously reported cases and indications for surgery is presented. The natural history appears to be spontaneous resolution. Surgery should be performed only for symptoms attributable to the lesion.

Child↗
PubMed1988

The action of agonists and antagonists at the histamine H1 receptor and receptor protection studies in guinea pig ileum.

We have examined the ability of histamine and the competitive reversible antihistamines to protect the histamine H1 receptor against alkylation with the 2-haloalkylamines, phenoxybenzamine and SY-14. In isolated guinea pig ileum these irreversible antagonists produce a parallel shift in the dose-response curve to histamine with retention of the maximum response if they are used at concentrations less than about 10(-6)M. Treatment with these 2-haloalkylamines in the presence of a high concentration of histamine did not alter the blocking activity. Thus histamine appears to be unable to protect its own receptor against irreversible blockade. The competitive reversible antagonists, on the other hand, did provide effective protection against irreversible blockade. It is likely that the competitive reversible H1 receptor antagonists have at least some part of their attachment site in common with irreversible antagonists of the 2-haloalkylamine type, while the inability of histamine to provide self-protection suggests that its primary attachment site is different from that of the antagonists.

Animals↗
PubMed1988

Effects of vasospasm on levels of prostacyclin and thromboxane A2 in cerebral arteries of the monkey.

To determine whether cerebral arteries in spasm have an altered capacity to synthesize the vasoactive substances prostacyclin and thromboxane A2, we measured levels of these arachidonic acid metabolites using a primate model of vasospasm. Twenty-four cynomolgus monkeys were assigned at random to one of three groups designated sham, clot, or clot-removal. All animals underwent base line cerebral angiography and bilateral dissection of the major cerebral arteries from the arachnoid. The clot and clot-removal groups had autologous hematomas placed around the vessels to simulate subarachnoid hemorrhages. The sham group had a similar volume of saline instilled into the subarachnoid space. Twenty-four hours later, the clot-removal group underwent a second craniotomy to remove the hematomas. Seven days after the initial operation, angiography was repeated on all animals. The animals were then killed, and the cerebral arteries were removed. Basal levels of prostacyclin and thromboxane in the cerebral vessels were measured after incubation in vitro by radioimmunoassay. No detectable leukotriene C4 release by these arteries was measurable using radioimmunoassay. Angiography revealed severe cerebral vasospasm in the clot group, but not in the clot-removal or sham groups. There were no statistical differences among the groups in thromboxane release, but prostacyclin levels were significantly lower in the clot group than in the clot-removal group (P less than 0.05). It thus seems that, if an imbalance in constrictor and dilator eicosanoids occurs in association with vasospasm, this is more likely to arise from a relative lack of the vasodilator component prostacyclin than from a surplus of the vasoconstrictor thromboxane.(ABSTRACT TRUNCATED AT 250 WORDS)

6-Ketoprostaglandin F1 alpha↗
PubMed1988

Utilization by growing and finishing pigs of raw soybeans of low Kunitz trypsin inhibitor content.

Three trials were conducted to compare acceptance and utilization by growing and finishing pigs of diets containing supplemental protein from either heated, solvent-extracted soybean meal (SBM), raw low-Kunitz trypsin inhibitor soybean (LT) or raw commercially grown Williams cultivar soybean with high Kunitz trypsin inhibitor content (HT). In Trial 1, 36 crossbred pigs, averaging 7 kg in weight, were fed 1) corn-SBM, 2)corn-LT or 3) corn-HT diets for 28 d. Diets were formulated to be isolysinic and to have similar calorie:lysine ratios. Average daily gain and gain/feed were higher (P less than .01) for pigs fed the corn-SBM diet than for pigs fed the corn-LT diet; average daily gain and gain/feed were higher (P less than .01) for the corn-LT diet than for the corn-HT. Average daily feed intake did not differ (P greater than .05) among diets. In Trial 2, 48 crossbred pigs averaging 67 kg were fed diets similar to those in Trial 1 but with lower lysine values. The daily gain (.95 kg) of pigs fed the corn-SBM diet was greater (P less than .05) than for pigs fed the corn-LT diet (.87 kg), which in turn was greater (P less than .05) than for the pigs fed the corn-HT diet (.83 kg). Daily feed intake (kg) and gain/feed were 3.27 and .291, 2.97 and .293, and 3.07 and .270, respectively, for pigs fed the corn-SBM, corn-LT and corn-HT diets. In Trial 3, 18 castrate male pigs averaging 12.4 kg were fed cornstarch-based diets with either SBM, LT or HT as the source of protein.(ABSTRACT TRUNCATED AT 250 WORDS)

Animal Feed↗
PubMed1988

An evaluation of a dry-fat product as a source of supplemental energy in pig diets.

Three feeding trials (278 pigs) and one balance trial (14 pigs) were conducted to evaluate acceptance and utilization of diets containing a dry-fat product containing 90% fat. The fat was a mixture of equal parts vegetable and animal fats. In Trial 1, 4-wk-old pigs fed diets with 5% dry-fat added had average daily gain (ADG), average daily feed intake (ADFI) and gain/feed (G/F) values equal to pigs fed the diet containing 4.5% liquid fat, the unprocessed equivalent to the dry-fat. Values for G/F with both diets were higher (P less than .05) than for pigs fed the unsupplemented control diet. In Trial 2, dry-fat and roasted soybeans were compared as sources of supplemental fat in diets for finishing pigs. Both were efficiently utilized, with no differences (P greater than .05) among diets. In Trial 3, diets with 0, 5 and 10% levels of added dry-fat were fed to pigs from 34 to 100 kg. Rates of gain were not affected, but ADFI decreased (P less than .05) and G/F increased (P less than .05) with increased fat level. Carcass measurements were not affected by dietary treatment, but iodine number of backfat increased (P less than .05) with dietary fat level. In Trial 4, values for grams of N absorbed and retained and megacalories of energy absorbed and metabolized did not differ (P greater than .05) between diets with 0 and 5% added dry-fat. These results show that the dry-fat product was efficiently utilized by growing and finishing pigs.

Animals↗