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Biomedical subjects

J C Gilliland

Publications and source records attributed to J C Gilliland.

12 recordsLinked to original sources

A novel reciprocal (10;17)(p11.2;q23) in myxoid fibrosarcoma.

Recurring reciprocal translocations have been identified as the primary chromosome aberrations in a number of neoplasms. These aberrations are often closely associated with particular morphologic or phenotypic subtypes of tumors and in some cases have prognostic implications. We have identified a novel reciprocal t(10;17)(p11.2;q23) in a case of low-grade myxoid fibrosarcoma, which may prove to be a new tumor specific chromosome aberration.

Chromosomes, Human, Pair 10↗

Multicolour spectral karyotyping identifies new translocations and a recurring pathway for chromosome loss in multiple myeloma.

Multicolour spectral karyotyping (SKY) was performed on primary tumour specimens from 100 patients with multiple myeloma (MM) that showed complex clonal chromosome aberrations not fully characterized by G-banding. In this study, SKY was able to identify or revise translocations with breakpoints involving 14q32, 11q13 or 8q24 in 32 patients (32%). Five new recurring translocations were identified, two of which involved chromosome 22. A subtle reciprocal translocation t(14;22) (q32;q11 approximately 12) was identified using SKY in two patients and a second, much larger, translocation t(11;22)(q13;q13) was identified using G-banding in three patients. A third new translocation was identified in two patients using SKY and G-banding as der(7)t(7;7)(p15 approximately 22;q22 approximately 32). Twenty-three patients (23%) showed the loss of 8p by whole-arm translocations with different whole-arm donor chromosomes. Among this group, two new recurring whole-arm translocations involving the centromeric breakpoint 8q10 were identified as der(8;20)(q10;q10) and der(8;18) (q10;q10) in three patients each. In addition, a novel pattern of three-way translocations involving the clonal evolution of the t(8;22)(q24;q11) by the subsequent loss of 8p by whole-arm translocations was found in three patients. The chromosome instability identified here demonstrates that the loss of 8p can occur by multiple whole-arm translocations, indicating a new pathway for the loss of a specific chromosome region in MM.

Chromosome Deletion↗

Labor law for the nonunion agency.

Providers should not assume that because they are union free they need not worry about labor law. An agency can have obligations under labor laws even when no union is involved. Who are nonunion employees, legally speaking? What rights do they have, and how can agencies ensure that they are in compliance with those rights?

Civil Rights↗

Legal ramifications of per visit pay.

Agencies that pay their employees on a per visit basis may not be aware of all the legal intricacies involved: exempt vs. non-exempt status, fee basis, minimum wage, overtime, and more. Agencies should consult legal advice before seeking the advantages of per visit pay arrangements.

Community Health Nursing↗

Salary basis of payment for overtime exemption.

Often employers' problems in complying with the Fair Labor Standards Act salary basis of payment rules arise from their paid time off policies. Although it is possible to write policies that apply to both exempt and nonexempt employees, such policies are complex, and agencies may need to review their compliance with these rules.

Caregivers↗

Common mistakes in personnel policies.

Personnel policies are the basic documents defining and managing an agency's relationship with its employees and its compliance with legal requirements. Unless properly prepared, an agency's personnel policies can create costly pitfalls for the agency as well as contribute to poor employee relations.

Communication↗

Homicide as a cause of pediatric mortality in the United States.

Homicide is a major cause of pediatric mortality. National law enforcement data were analyzed to characterize and differentiate neonaticide, infanticide, filicide, and overall child homicide. Results include the following: Neonaticides often involved parents or unidentified perpetrators and occurred proportionately more in rural areas than did other types of child homicide. Infanticide appeared to be one end of the spectrum of child homicide and not a distinct entity. Filicide rates were higher for sons than daughters and the crime was committed by more fathers than mothers. Overall child homicide predominately involved young male offenders who were acquaintances of the victim. At remarkably early ages, homicide characteristics began to resemble those of adult homicide. Further research in this area should attempt to gain detailed information concerning the child, his family, and their social network. Pediatricians should be actively involved in determining risk factors for child homicide and in screening children for risk when these factors are determined.

Adolescent↗