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Biomedical subjects

I R Holzman

Publications and source records attributed to I R Holzman.

62 records · Page 4Linked to original sources

Uterine uptake of amino acids and placental glutamine--glutamate balance in the pregnant ewe.

The uterine uptake of amino acids was studied in 10 pregnant sheep with gestational ages of 114-146 days. After recovery from surgery, arterial and uterine venous samples were drawn simultaneously via indwelling catheters and analysed for amino acid and oxygen content. In seven ewes, amino acid concentrations were measured by a chromatographic technique. In four ewes, glutamate and glutamine arterio-venous differences across the uterine and umbilical circulations were measured by an enzymatic method. The uptake of neutral and basic amino acids was 66 mumol/mmol O2 and 17.3 mumol/mmol O2, respectively. Comparison of uterine and umbilical uptake shows that the bulk of the neutral and basic amino acids taken up by the pregnant uterus are transferred to the fetus. there was no significant uptake of acidic amino acids (i.e. glutamate, aspartate and taurine). glutamate was delivered from the fetus to the placenta but excretion of glutamate into the uterine circulation was negligible. Glutamine and asparagine were delivered to the fetus in amount which were two to three times larger than the placental uptake of glutamate and aspartate. Therefore placental conversion of exogenous glutamate and aspartate to glutamine and asparagine cannot account entirely for the fetal uptake of these amino acids.

Amino Acids↗

Tissue concentrations of free amino acids in term human placentas.

Five human term placentas were analyzed for total free amino acid concentrations. Calculation of tissue fluid distribution via 14C-inulin space enabled an estimation of placental intracellular amino acid concentrations based upon cord and maternal plasma concentrations. Maximum and minimum estimates for amino acid concentration in intracellular water are given. Data are compared to concentrations in organs of various species. Taurine was present in the highest concentration (3.529 +/- 1.120 mumoles per gram wet weight). Glutamic and aspartic acids, alanine, glycine, and glutamine were all present in concentrations greater than 0.5 mumoles per gram wet weight.

Amino Acids↗

Hyperosmolal feedings and gastrointestinal blood flow and oxygenation in newborn lambs.

Hyperosmolal feedings have been implicated as a cause of potential disruption to the physiology of the neonatal intestinal tract. To evaluate this we studied eight awake lambs (11 +/- 2 days old) with chronically implanted catheters in the portal sinus, descending aorta, and left and right ventricles. Blood flow (Q) was calculated with the radionuclide-labeled microsphere technique and O2 delivery (DO2) and consumption (VO2) by the Fick principle using blood O2 contents. Lambs were studied initially after a 4-h fast and sequentially at 2, 3, and 4 h after eating a hyperosmolal (590 mOsmol) formula. Cardiac output (mean +/- SEM, 332 +/- 22 ml.min-1.kg-1) and whole animal VO2 (16.5 +/- 2.5 ml O2.min-1.kg-1) remained stable. Total gastrointestinal (GI) blood flow increased 28% by 3 h. Small intestine Q increased 21% 3 h after feeding and then returned to baseline. Similarly, large intestinal Q increased 77% after feeding and remained elevated. There was no effect on stomach Q. Total GI vascular resistance fell 28% 3 h after feeding then returned to baseline. DO2 to the GI tract increased at 3 h and returned to baseline. There was no change, though, in GI VO2 (3.9 +/- 0.4 ml O2.min-1.100 g-1) or in the extraction (VO2/DO2) of oxygen (21.2 +/- 1.8%) during the study. Furthermore, there was no evidence for GI tract acidosis at any time. Systemic organ blood flow (except hepatic arterial blood flow) remained unchanged.(ABSTRACT TRUNCATED AT 250 WORDS)

Animal Nutritional Physiological Phenomena↗

Infant care knowledge of primiparous urban mothers.

Because hospitals are discharging postpartum women within 48 hours of delivery, little time is available for maternal baby care instruction. Therefore it is important that any teaching, whether in the hospital or in an outpatient setting, concentrate on topics that provide the greatest benefit to the mother and child. This study provides an initial view of maternal knowledge of well baby care in an attempt to discern topics of common misinformation and misunderstanding. Fifty primiparous, English-speaking mothers were interviewed. The interview consisted of questions dealing with social support for the mother; employment or schooling; source of prior child care knowledge; and knowledge of feeding, diapering, sleeping, calming, bathing, and sickness of newborn infants. The data gathered indicate that although most women report one or more sources of knowledge, several gaps exist in their preparedness. The traditional information presented may overemphasize known areas at the expense of some that have significant consequences for health and safety. Many hospitals offer postpartum classes in bathing. These data indicate that if these programs could be expanded to include more practical information, they would provide a beneficial learning experience at a critical time in a new mother's life.

Adolescent↗

Increased survival in low birth weight neonates given prophylactic surfactant.

OBJECTIVE: To compare the effectiveness of a prophylactic surfactant treatment strategy (PRO) to the effectiveness of a rescue (RESC) surfactant treatment strategy in patients at high risk for developing hyaline membrane disease (HMD). STUDY DESIGN: We analyzed data from a retrospective cohort consisting of all patients admitted to the neonatal intensive care units at the centers participating in the recently completed Infasurf-Survanta Comparative Trial. To be in the cohort, a patient had to be admitted during the trial, be <48 hours of age on admission, have a gestational age of <30 weeks, have a birth weight of 501 to 1250 gm, and be free of congenital anomalies. Twelve centers participated in this study. They contributed 1097 patients of whom 381 were treated with a PRO strategy. RESULTS: Survival was significantly higher in the PRO-strategy patients (84% vs 72%, p < 0.05) as was survival without oxygen requirement at a postconceptional age of 36 weeks (60% vs 46%, p < 0.05). In addition, the patients with PRO had a lower prevalence of grade III and IV intraventricular hemorrhage (IVH, 9% vs 14%, p < 0.05). All analyses were controlled for birth weight and type of study center. CONCLUSION: These data support the conclusion that using a PRO treatment strategy results in improved survival in patients at risk for developing HMD. A PRO treatment strategy may also decrease the likelihood of developing a severe IVH.

Cerebral Hemorrhage↗