Biomedical subjects
H M Mackenzie
Publications and source records attributed to H M Mackenzie.
Is the distribution of training practices appropriate?
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Accessibility of primary care.
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Community clinics.
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Group practice: records and confidential record handling.
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Patterns of plasma cobalamins in control subjects and in cases of vitamin B12 deficiency.
A method for thin-layer chromatography and bioautography of plasma cobalamins is described. It requires only 5 ml of blood. Results are reported in 35 healthy people and hospital controls, and in 14 cases of untreated pernicious anaemia. In the control group there were two major components, methylcobalamin and a component which is probably a mixture of hydroxocobalamin and deoxyadenosyl cobalamin. Many cases of untreated pernicious anaemia showed a characteristic pattern in which methylcobalamin was reduced in relation to hydroxocobalamin. This pattern was also seen in one vegan who was taking a diet without B(12) supplement. A minority of subjects showed traces of cyanocobalamin; this compound was not confined to smokers. The significance of the results and possible diagnostic utility of the technique are discussed.