Biomedical subjects

Deborah J Levine

Publications and source records attributed to Deborah J Levine.

3 recordsLinked to original sources

PubMed2006

Impact of a lung transplantation donor-management protocol on lung donation and recipient outcomes.

RATIONALE: One of the limitations associated with lung transplantation is the lack of available organs. OBJECTIVE: To determine whether a lung donor-management protocol could increase the number of lungs for transplantation without affecting the survival rates of the recipients. METHODS: We implemented the San Antonio Lung Transplant protocol for managing potential lung donors according to modifications of standard criteria for donor selection and strategies for donor management. We then compared information gathered during a 4-yr period, during which the protocol was used with information gathered during a 4-yr period before protocol implementation. Primary outcome measures were the procurement rate of lungs and the 30-d and 1-yr survival rates of recipients. MAIN RESULTS: We reviewed data from 711 potential lung donors. The mean rate of lung procurement was significantly higher (p < 0.0001) during the protocol period (25.5%) than during the pre-protocol period (11.5%), with an estimated risk ratio of 2.2 in favor of the protocol period. More patients received transplants during the protocol period (n = 121) than during the pre-protocol period (n = 53; p < 0.0001). Of 98 actual lung donors during the protocol period, 53 (54%) had initially been considered poor donors; these donors provided 64 (53%) of the 121 lung transplants. The type of donor was not associated with significant differences in recipients' 30-d and 1-yr survival rates or any clinical measures of adequate graft function. CONCLUSIONS: The protocol was associated with a significant increase in the number of lung donors and transplant procedures without compromising pulmonary function, length of stay, or survival of the recipients.

Adult↗

PubMed2006

A religious diversity tale: a multi-faith case study.

This article examines the creation of a network of diverse religious leadership in a Midwest suburb where the intersection of religion and national pride fomented a community-wide conflict. Activated during a heated controversy over displaying a Christmas tree in a public school, the Network became a laboratory for testing viable strategies for community healing. The case of a Jewish student suspended for fighting when taunted for not singing Christmas Carols became a catalyst for debating what is religious, what is secular, and what is culturally American. The interaction of the key players is noted; educators, religious leaders, students and their families, particularly the mothers who regularly interacted across religious boundaries. The article describes the Network's experiment with deploying resources that accommodated diverse experiences of religion and patriotism, historically and culturally, within an American context.

Christianity↗

PubMed2003

Cadmium accumulation and detoxification by alveolar macrophages of cigarette smokers.

STUDY OBJECTIVES: Cadmium (Cd) is a toxic metal associated with emphysema and lung cancer, which is present in both air pollution and cigarette smoke. Metallothionein (MT) is an inducible protein that binds and detoxifies cellular Cd. The goals of this study were to determine whether increased concentrations of Cd are present in alveolar macrophages (AMs) of cigarette smokers (CSMs) and to determine whether MT accumulated in response to the presence of Cd. DESIGN: AMs were recovered by BAL from 10 healthy nonsmokers (NSMs) and 10 CSMs. The Cd content of the AMs was determined by inductively coupled plasma-mass spectrometry, and the MT content was determined using a Cd/hemoglobin radioassay (with (109)Cd). MEASUREMENTS: Cd was detected in AMs recovered from all subjects, with higher mean (+/- SEM) concentrations in CSMs compared with those in NSMs (3.4 +/- 0.5 vs 1.3 +/- 0.2 ng/10(6) cells; p < 0.005). There was a correlation between current smoking history (cigarettes per day) and the AM content of Cd (r = 0.74; p < 0.05). The mean AM content of MT was similar in NSMs (1.2 +/- 0.2 microg/10(7) cells) and CSMs (1.0 +/- 0.2 microg/10(7) cells). CONCLUSIONS: AMs in CSMs accumulate significant amounts of Cd without a concurrent increase in MT content, indicating greater saturation of MT. Increased Cd burden in alveolar cells could contribute to the development of lung diseases in CSMs.

Bronchoalveolar Lavage Fluid↗