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G Chamberland

Publications and source records attributed to G Chamberland.

4 recordsLinked to original sources

Urinary protein excretion of semidomesticated mink in a chronic methylmercury study.

A model using semidomesticated mink was set up to study the effects of chronic oral methylmercury exposure in piscivorous mammals. Three groups of mink were fed daily with diets containing approximately 0.1, 0.5, and 0.9 micrograms/g of total mercury. Piscivorous and non-piscivorous fish, naturally contaminated with methylmercury, were used to prepare diets. Renal injury was evaluated using total urine protein/creatinine ratio and differentiation of urinary low-molecular-weight and high-molecular-weight proteins on sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE). The significance of the total urine protein/creatinine ratio data was assessed by comparing the results to a 95% group-based reference interval. The values for total urine protein/creatinine ratio did not reveal any significant increased excretion, and no dose-related trends were observed within the reference interval. Overall the total urine protein data did not suggest renal damage. Analysis of the SDS-PAGE electrophoretograms did not suggest the presence of any persistent glomerular damage in any group. High-molecular-weight proteins were not detected more frequently for any of the dose groups. During the adaptation phase, the B2M-like protein band was not remarked during the visual analysis of the gels. The B2M-like protein band was remarked during the gel analysis only several weeks into the exposure phase. This B2M-like protein band was more prevalent in urine samples taken from minks in the 0.5 and 0.9 micrograms/g groups than in the 0.1 microgram/group. These latter data, however, did not allow an evaluation of a quantitative dose-response excretion with time. The B2M-like data are suggestive of very minor renal injury.

Albuminuria↗

Risk factors of corneal graft failure.

PURPOSE: To measure the association between potential risk factors and corneal graft failure. Two failure outcomes are compared: those with and those without a prior immune allograft reaction. METHODS: Based on a single-center observational study design, 539 adult recipients of a corneal graft were followed for a median time of 30 months. Survival analysis was carried out. RESULTS: Eighty-two graft failures were recorded. Of 82 failures, 53 (65%) were not preceded by an immune allograft reaction. Presence of blood vessels in the recipient cornea was associated with a twofold increase in risk for both failure outcomes. Three factors increased the risk of failure without an immune reaction: prior glaucoma or uveitis (adjusted relative risk estimate = 3.1), vitreous surgery with the graft (adjusted relative risk estimate = 2.0), and a repeat graft in the study eye (adjusted relative risk estimate = 2.0). Conversely, large graft wound size (adjusted relative risk estimate = 2.0). Conversely, large graft wound size (adjusted relative risk estimate = 2.9) and human leukocyte antigen (HLA)-A, -B incompatibility (adjusted relative risk estimate = 2.2) were associated with failures that followed an immune reaction. CONCLUSION: In this study, the authors support the clinical impression that corneal graft failures with and without a prior immune reaction are distinct phenomena. Enhanced surveillance in recipients with glaucoma and early intensive treatment of allograft reactions are recommended to improve the outcome of corneal grafts.

Cataract Extraction↗

Comparison of prednisolone acetate and indomethacin for maintaining mydriasis during cataract surgery.

Preoperative topical nonsteroidal anti-inflammatory drugs such as flurbiprofen and indomethacin have been found to maintain mydriasis during cataract surgery. Steroidal anti-inflammatory drugs are commonly used to treat postoperative inflammation, but their effect on the maintenance of intraoperative mydriasis is unknown. Forty-six patients admitted for elective cataract surgery were randomly assigned to one of three treatment groups and received 1% prednisolone acetate, 1% indomethacin or artificial tears four times before surgery, in addition to standardized preoperative dilating drops and intraoperative epinephrine. Pupillary diameter was measured and the time interval noted five times during the surgery. During surgery the indomethacin group lost significantly less mydriasis than the control group. The mydriasis losses of the prednisolone acetate group were between those of the indomethacin and control groups, but these differences did not reach significance. We conclude that prednisolone acetate is less effective than indomethacin for maintaining mydriasis during cataract surgery.

Adult↗