[Avoidance of positioning-induced damage].
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Biomedical subjects
Publications and source records attributed to H Strauss.
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This protocol describes the design of an international study to examine the potential prophylactic effect of 14 days of diltiazem therapy to prevent early reinfarction in patients initially presenting with non-Q-wave acute myocardial infarction. Reinfarction was defined by the detection of a secondary elevation of plasma MB-creatine kinase. The results of clinical trials, instrumental in this protocol design, that established the increased propensity for early reinfarction after initial non-Q-wave infarction are described and the implications of the present study are discussed.
The Goldstein-Scheerer Cube Test was analyzed within a developmental frame of reference because Goldstein and Scheerer's criteria of pathological thought processes were found to be parallel to stages of development in concept formation. In addition to accuracy of the reproduction, the shape of the design frame and any rotations also were studied. Hypotheses were that the younger the subjects, the more global and diffuse their reproduction, while with increasing age the designs would be more accurate. A developmental gradient was suggested on a priori theoretical considerations. Thus, a gradient that consisted of three stages of perceptual matching, superceded by five stages of abstract analysis of the design, was envisaged. With regard to the frame and position of the reproduction, the breaking up of the square frame was considered most regressive. Among the rotations, those of 90%-180% were seen as more regressive than those of 45%; distinctions were made according to the causes of the rotations. The test was administered to samples of children aged 5, 7, 9, and 11 years, respectively (N = 171). The hypotheses generally were supported. The stages of the gradient of the configuration of the pattern showed very high scalability. The ranking among the shape of the frame of the copies and the various rotations of the copies relative to the design were supported. The 5-year-olds were significantly different from the three older age groups, as predicted. The results indicate a regressive hierarchy among faulty reactions to the Cube Test.
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We have argued that accurate identification of the microorganism will form a cornerstone of the assessment of potential hazard. Appropriate methodology for identification exists, and is continually under development and refinement. Organizations such as the American Type Culture Collection will perform certified identifications for relatively low cost. Thus there appears to be little reason that an organism should not be identified insofar as current microbiology allows prior to submission for PMN review. We suggest that a complete microbiological characterization be considered an essential element of an acceptable PMN. To accomplish this, however, current institutional arrangements for the protection of trade secret information needed in the process of identification may need to be improved. An accurate identification of the strain will often provide access to important information with which to evaluate its ecology, pathogenicity, biochemistry, and genetics. Specialized texts, the scientific literature, and professional consultation are ready sources of such information. However, a major effort should be made to establish a data base that can specifically address the needs of biohazard evaluation. This could be done, in part, by collecting information about the construction, and about the behavior in the environment of genetically-engineered microorganisms that are now under development and will soon be tested or used. Identification information may also eventually be useful for the formulation of hypotheses about possible modes of harm or about relative safety, based on phylogenetic relationships. This is a very difficult undertaking at present, however. Microbial taxonomy is currently in a process of radical reevaluation as new macromolecular sequence information reveals previously unsuspected phylogenetic relationships, and disturbs categorizations based on older types of traits such as morphology, etc. This means that both inferences about relative safety and about possible modes of harm from taxonomic relationships must be highly tentative based on current information. Regulatory authorities may wish to consider requesting confirmatory DNA hybridization data or other macromolecular sequence comparisons in cases where strong arguments related to safety must be made from taxonomic information in relatively poorly studied groups of organisms. Detailed strain histories would provide valuable information for safety evaluations.(ABSTRACT TRUNCATED AT 400 WORDS)
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Keratoacanthomas are rather common, rapid growing skin tumors, in which may occur as solitary lesions or in the form of multiple lesions. Multiple forms involve the palms of soles, and their source is unclear. On area where hair grows, these lesions originate from the infundibular areas. Many environmental and traumatic influences are implicated as potential etiologic factors. Keratoacanthomas should be differentiated clinically and histologically from squamous cell carcinomas, prurigo nodularis, and chronic paronychia. Treatment varies according to the type of lesions, but solitary lesions should be excised in toto.
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Hydrolysis of 1-lysolecithin (1-acyl glycerophosphorylcholine [1-acyl GPC]) by preparations of phospholipase D from peanut seeds was investigated. 1-Lysolecithin was hydrolyzed at a much slower rate than phosphatidylcholine (lecithin). Although Ca+2 ions are required for the cleavage of lecithin by the enzyme, their effect on the hydrolysis of lysolecithin depended upon the concentration of the substrate: at 0.2 mM 1-lysolecithin, Ca+2 ions increased the reaction rates, whereas at concentrations of the substrate lower than 0.1 mM, Ca+2 ions were inhibitory. A broad pH activity curve between 5 and 8 was obtained with higher rates in the alkaline range, both in the absence and presence of Ca+2 ions. The increased hydrolysis of lysolecithin due to Ca+2 was noticed over the entire pH range. Upon storage of the enzyme solutions at 4 C, decreased rates of hydrolysis of lecithin were observed, with t 1/2 values of ca. 50 and 100 days depending on the purity of the preparation. During the same period, no reduction occurred in the activity of these preparations on lysolecithin as substrate. The effects of Ca+2 ions and the analysis of the products of 1-acyl GPC cleavage by the enzyme preparations revealed the presence of more than one enzyme and the formation of the following compounds: lysophosphatidic acids (1 acyl glycerophosphoric acids), free fatty acids, glycerophosphorylcholine, and choline. The possible pathways leading to the degradation of lysolecithin and the formation of these products include reactions catalyzed by lysophospholipase A1 (lysophosphatidylcholine 1-acyl hydrolase, E.C. 3.1.1.5) and a phosphodiesterase (L-3-glycerylphosphorylcholine glycerophosphohydrolase, E.C.3.1.4.2), in addition to phospholipase D (phosphatidyl-choline phosphatidohydrolase, E.C. 3.1.4.4).
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