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Biomedical subjects

D Veitch

Publications and source records attributed to D Veitch.

9 recordsLinked to original sources

Autoimmune reactivity in sheep induced by the visna retrovirus.

Sheep, either naturally or experimentally infected with visna virus, were examined for the production of autoantibodies. Elevated titres of IgM and IgG antiglobulins and rheumatoid factors as well as antibodies to ssDNA, cardiolipin or histones were found in serum of both groups of animals using ELISA techniques. IgA autoantibodies were usually absent or present in low titres. The specificity of the autoantibody reactivities was confirmed by inhibition assays, affinity chromatography, Western blotting and agglutination methods. Antiglobulin titres were slightly elevated in synovial fluids, although the levels of the other autoantibodies were not raised. No significant correlations were observed between autoantibody and immunoglobulin concentrations. In a separate group of sheep infected experimentally, small but significant rises in the levels of all IgM autoantibodies, except anti-histone antibodies, were observed during and subsequent to the primary immune response to the virus. The autoantibody profiles tended to parallel each other, suggesting a common stimulus for their induction and/or a high degree of polyreactivity. The results thus show that the visna retrovirus induces, either directly or indirectly, autoimmune reactivities that are commonly observed in human autoimmune diseases such as rheumatoid arthritis or systemic lupus erythematosis.

Animals

General practitioner training in ENT in the Trent Region.

A questionnaire was designed and posted to 220 general practitioners in the Trent Region. The questionnaire looked at the individual's undergraduate and postgraduate training. The results indicate that there is a great demand among final year vocational trainees and principals in general practice for an increase in the amount of formal postgraduate training in ENT. Nearly 85% of those questioned welcomed the opportunity of further training, primarily through attending courses, lectures or consultant clinics. Only 13% requested a formal attachment as an SHO on an ENT unit. Just over one in three of the respondents had received formal postgraduate training during their trainee years but even in this group 75% felt they would benefit from further training. Even at an undergraduate level, approximately half of the respondents commented that they had not received or undertaken examination of the ear, nose and throat in adults or children.

Adult

Partial purification and characterization of a factor produced by mitogen-stimulated sheep mononuclear cells with thymocyte-activating and cartilage-degrading properties.

Ovine peripheral blood mononuclear cells stimulated with concanavalin A released a soluble factor capable of inducing cartilage resorption and thymocyte activation in vitro, but not lysis of the murine L929 cell line. The active moiety has a molecular mass of around 15-20 kDa on gel filtration columns, and can be separated into two molecular species with isoelectric points of 6.3 and 4.6 respectively. These two species were partially purified by gel filtration, chromatofocusing, high performance liquid chromatography on hydroxylapatite and anion exchange columns, and SDS-polyacrylamide gel electrophoresis. Both partially purified species showed a major band on gels at 16 kDa. When the band from the acidic factor was excised and eluted from gels it was found to retain some cartilage-degrading and thymocyte-activating properties. The biochemical and biological characteristics of the two factors is consistent with their being members of the interleukin-1 family of cytokines.

Animals

Ossifying lipoma.

Lipomata are the most common benign tumour of the head and neck. They may undergo a variety of changes, one of which is ossification which, although rarely seen, has a characteristic radiographic appearance. We present a case of a retropharyngeal lipoma which demonstrates ossification and discuss the features which differentiate this from an osseous lipoma. Current theories on the aetiology of lipomata and their ossification are reviewed.

Adult

Parapharyngeal mass presenting with sleep apnoea.

A 60-year-old man presented with a history of progressive sleep disturbance due to an intraoral parapharyngeal salivary gland tumour. The sleep study performed post-operatively showed rapid resolution of nocturnal hypoxic episodes. This appears to be the first recorded case of a parapharyngeal mass causing sleep apnoea and we review the current literature on obstructive sleep apnoea.

Humans

Recurrent tonsillitis and growth in children.

Anecdotal observations suggest an association between tonsil disease and growth retardation. This study compared height, weight and skinfold thickness measurements between a group of children (44) suffering from recurrent tonsillitis for a mean duration of 4 years, and a control group (34). No important differences were observed between the groups. Recurrent tonsil infection does not appear to retard the growth of children.

Body Height

Aural polyps and cholesteatoma.

A retrospective review of 200 cases of aural polypectomy performed in Glasgow and London was assessed in previously unoperated ears and in those with mastoid cavities. In those with mastoid cavities 72% of the ears became dry whilst only 33% were dry in the previously unoperated group. Cholesteatoma was found in 33% of previously unoperated ears and in 71% with an attic or posterior marginal defect. It can be concluded from these results that aural polypectomy in the presence of a mastoid cavity is a satisfactory procedure but in a previously unoperated ear a more radical procedure should be considered because of its frequent association with underlying cholesteatoma.

Adult

Changes in iron metabolism following surgery.

Studies of iron metabolism were made in 24 patients following surgery under general anaesthesia. No postoperative complications occurred. There was a marked fall in serum iron in all patients on the first postoperative day (P less than 0.001) which remained significantly depressed even at the seventh postoperative day. The total iron binding capacity fell progressively to reach the lowest levels on the third postoperative day, returning to normal levels by the end of the study. Serum ferritin concentration rose significantly in a reciprocal pattern to the changes in serum iron. This study highlights the limitation of iron studies in peripheral blood in postoperative patients.

Adult