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Biomedical subjects

E J Snyder

Publications and source records attributed to E J Snyder.

12 recordsLinked to original sources

Specificity of DNA alkylation by 1-(2-chloroethyl)-3-alkyl-3-acyltriazenes depends on the structure of the acyl group: kinetic and product studies.

The reactions of calf thymus DNA with ten 1-(2-chloroethyl)-3-alkyl-3-acyltriazenes of varying acyl side chain structure were studied alone, or in the presence of porcine liver esterase in pH 7.0 phosphate buffer. In several of the key triazenes, the acyl substituent contained a free carboxylic acid group. With esterase present in the reaction mixture, the resultant levels of DNA alkylation could be correlated with the kinetic rates of decomposition of the triazenes. Under these conditions, the predominant pathway of decomposition involved deacylation of the parent triazene and eventual production of an alkanediazonium ion. This intermediate subsequently alkylated DNA--guanine to give 7-alkylguanine as the principal reaction product. In the absence of esterase, the order of DNA alkylation for all of the acyltriazenes did not correlate with their respective rates of decomposition, leading to the conclusion that the triazenes did not decompose by the expected mode of uncatalyzed N(2)-N(3) heterolyic cleavage. The major DNA alkylation product from the N(3)-methyltriazenes was 7-methylguanine, instead of the expected 7-(chloroethyl)- and 7-(hydroxyethyl)guanine products, which suggested that the acyl group was being hydrolyzed. However, acyltriazenes with an N(3)-benzyl group rather than a methyl in this position produced very little 7-benzylguanine product, contrary to prediction. An alternative mechanism involving internally assisted hydrolysis of the side chain ester is proposed to explain these results. NMR product analysis and computational studies were carried out to lend support to the postulated mechanism.

Alkylating Agents↗

Investigation of fatigue failure of S-65-HL "Super Tygon" roller pump tubing.

A failure analysis was performed on Norton S-65-HL Tygon tubing. Fatigue testing was performed on four sizes of this tubing, and essentially showed how the tubing wears out. A dynamic "life hours to failure" test, which was performed on the 3/8" internal diameter (ID) size, quantified when the tubing ruptured. Based on results of laboratory testing and the institution's clinical extracorporeal membrane oxygenation (ECMO) experience, a reasonable life expectancy for the 3/8" S-65-HL Tygon size was determined for use in this institution's neonatal ECMO system. An understanding of the expected performance of roller pump tubing-an integral component of the ECMO system-is imperative to providing safe, effective extracorporeal life support.

Elasticity↗

Gastrostomy: a simple and effective technique.

To provide a comfortable and effective method for gastrointestinal decompression of feeding, we developed an alternate technique for gastrostomy. Under local or general anesthesia a No. 18 red rubber catheter with multiple openings cut into the distal 8 to 10 cm is passed through a stab wound in the antrum of the stomach and directed cephalad to a point 5 cm from the wall of the fundus. The stomach wall is closed around the tube by the Stamm technique, and the tube is then passed through an adjacent stab wound in the abdominal wall. The gastric serosa is sutured to the peritoneum, and the tube is immobilized by a nonabsorbable suture through the skin and tied around the tube. In our series, 1,072 patients had gastrostomy done by this technique either for postoperative decompression (965) or feeding (107). Fifteen complications occurred in procedures done for decompression and three in those done for feeding. The complications did not alter the surgical result or the hospital stay.

Adolescent↗

The use of tapered plastic luer connectors in neonatal extracorporeal membrane oxygenation.

Tapered luer connectors can split, crack, and leak under certain clinical conditions. The purpose of this study was to analyze the causes of these failures and suggest methods of managing the problem. Experience is related to the use of plastic luers in neonatal extracorporeal membrane oxygenation; however, the guidelines suggested may have some application in the general intensive care population.

Equipment Failure↗

NICAD battery discharge device.

This Nicad Battery Discharge Device provides a method of automatically discharging a nickel-cadmium battery at a pre-set constant current, and measures the length of time the battery under test can deliver this current. From the timer data, the cell's ampere-hour rating can be confirmed. The remainder of the process includes shorting the battery terminals for a period of time to drain the cell totally, and then reinstalling the cell into the original piece of equipment for recharging. By putting the nicad battery through this process, an important preventive maintenance function is performed which will increase the battery's useful life. Deep discharging erases any "memory" effect the nicad may have developed and brings the cell's power storage capacity back to its original level.

Cadmium↗

Setting roller pump occlusion with the transonic HT109 flowmeter.

Setting the occlusion of a roller pump may be facilitated using the TRansonic HT109 Ultrasonic Flowmeter (Transonic Systems, Inc. Ithaca, NY) with non-invasive transducer. The process addresses the need to set occlusion quickly and accurately before initiation of extracorporeal membrane oxygenation (ECMO). This can be performed with the circuit tubing before blood prime and does not require opening the fluid filled ECMO apparatus to air. The principle is based on the fact that fluid flow through the tubing will change with roller occlusion. Using the Transonic flowmeter, a pre determined (partially occlusive) setting can be achieved by first determining the point of total occlusion, then decreasing occlusion a small percentage from this maximum (i.e., total) occlusion. Clinical application in 35 neonatal ECMO cases has shown the practice to be safe, reliable, and efficient.

Extracorporeal Membrane Oxygenation↗