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Biomedical subjects

D Kuehn

Publications and source records attributed to D Kuehn.

3 recordsLinked to original sources

Cloning and expression of malarial pyrimidine enzymes.

We have cloned genes encoding three enzymes of the de novo pyrimidine pathway using genomic DNA from Plasmodium falciparum and sequence information from the Malarial Genome Project. Genes encoding dihydroorotase (reaction 3), orotate phosphoribosyltransferase (reaction 5), and OMP decarboxylase (reaction 6) have been cloned into the plasmid pET 3a or 3d with a thrombin cleavable 9xHis tag at the C-terminus and the enzymes were expressed in Escherichia coli. To overcome the toxicity of malarial OMP decarboxylase when expressed in E. coli, and the unusual codon usage of the malarial gene, a hybrid plasmid, pMICO, was constructed which expresses low levels of T7 lysozyme to inhibit T7 RNA polymerase used for recombinant expression, and extra copies of rare tRNAs. Catalytically-active OMP decarboxylase has been purified in tens of milligrams by chromatography on Ni-NTA. The gene encoding orotate phosphoribosyltransferase includes an extension of 66 amino acids from the N-terminus when compared with sequences for this enzyme from other organisms. We have found that other pyrimidine enzymes also contain unusual protein inserts. Milligram quantities of pure recombinant malarial enzymes from the pyrimidine pathway will provide targets for development of novel antimalarial drugs.

Animals↗

Infant sleep position. Nursing practice and knowledge.

PURPOSE: (1) to examine the extent to which maternal/child health nurses caring for children accept the American Academy of Pediatrics recommendations on infant sleep position, (2) to determine if nurses are practicing according to the AAP recommendations, and (3) to determine the type of bedding utilized in the two institutions for infants. METHODS: Descriptive survey using 103 nurses in 2 institutions, and an observational assessment of nurses' practice. RESULTS: Findings revealed that 97% of the nursing staff were aware of the AAP recommendations, although only 67% agreed with the recommendations. The observational component of the investigation evaluated the sleep position during hospitalization of 206 infants < 6 months old on both the pediatric and maternity units of the two institutions. Fifty-five percent of the infants were observed to be in the side-lying position, 29% in the recommended supine (back) position, and 16% in the prone (abdomen) sleeping position. The recommended firm bedding was observed with 63% of the infants, whereas the remainder of the infants were observed to be on foam mattresses, extra blankets, or gel packs. CLINICAL IMPLICATIONS: Because side sleeping position was observed in the majority of infants, and one-third of the nurses queried disagreed with the AAP recommendations, education of nurses about Sudden Infant Death Syndrome prevention through "Back to Sleep" is still necessary.

Bedding and Linens↗