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Biomedical subjects

J D Cunningham

Publications and source records attributed to J D Cunningham.

12 recordsLinked to original sources
PubMed1992

Transfer characteristics of radiocaesium from soils to permanent pasture.

Depth profile measurements of 137Cs and 134Cs were carried out in 11 permanent pastures that had been exposed to fallout from the Chernobyl accident. In addition to gamma-ray spectrometric analysis, the selected pastures were characterized by several soil parameters, the influence of which on transfer was investigated. Sampling of soil and pasture grass was undertaken during a period extending from the Spring of 1987 to the Autumn of 1988. The results show that there has been limited downward migration of Chernobyl-derived caesium. In October 1988 more than 88% of the 137Cs attributable to Chernobyl was mainly confined to the top 10 cm of undisturbed soil, with 79% on average in the top 5 cm. The distribution of pre-Chernobyl caesium at the 11 sites was also evaluated. In an investigation of the influence of soil parameters on transfer to grass, a negative correlation with pH was observed in 1987. In April 1987 concentration ratios for 137Cs in grass ranged from 0.03 to 0.49. In general, comparison of the concentration ratio values showed a decreasing trend over the 18 months.

Accidents↗
PubMed1991

Erythrocyte deformation in ischemic acute tubular necrosis and amelioration by splenectomy in the dog.

Bilateral renal artery occlusion (RAO) for 120 minutes in dogs results in acute tubular necrosis (ATN) and peritubular capillary (PTC) congestion with rapidly deteriorating renal function. We have shown that prior splenectomy minimizes RAO-induced renal functional and histopathologic changes. The purpose of this study was to examine whether this renal protection is due to prevention of red blood cell echinocyte formation and resultant renal PTC congestion. Echinocytes (burr cells) are poorly deformable, impart high viscosity to the blood, and may hinder reperfusion by increasing resistance to renal capillary blood flow. Splenectomized (SPLX) or sham-SPLX dogs were treated with bilateral RAO for 120 minutes. After RAO, renal function and renal blood flow were monitored, and peripheral blood red blood cells were examined at 1 hour and at 24-hour intervals for 96 hours. Renal biopsies were taken 1 hour after RAO and the kidneys removed 96 hours after RAO. The RBCs and renal tissues were studied using scanning electron microscopy. Renal function was assessed by endogenous creatinine clearance. Sham-SPLX animals showed a marked and sustained decrease in creatinine clearance, consistently elevated serum creatinine levels and fractional excretion of sodium, and diffuse ATN and PTC congestion with echinocytes. These animals had a peak in circulating echinocytes 1 hour after RAO (p less than 0.05), which showed an excellent negative correlation with creatinine clearance (r = -0.999; p less than 0.001). On the contrary, SPLX animals had essentially no change in serum creatinine or fractional excretion of sodium, minimal tubular changes, no PTC congestion, and no rise in circulating echinocytes during the 96-hour observation. In vitro treatment of the postischemic red blood cells from sham animals with adenosine-inosine or fresh postischemic plasma from the SPLX animals showed almost complete reversal to discocytes (normal red blood cells), whereas in vitro treatment of postischemic red blood cells from the SPLX animals with fresh postischemic plasma from the sham animals resulted in a marked echinocytic response. We conclude that 1) a marked echinocyte response in the immediate postischemic period is an important mechanism in initiating ischemic ATN, 2) an echinocyte inducing factor may reside in the plasma of spleen-intact animals, and 3) mitigation of ATN and PTC congestion by splenectomy is, at least in part, consequential to attenuated echinocytic response in the immediate postischemic period.

Animals↗
PubMed1989

Differential fructose effect in Pachysolen tannophilus and Pichia stipitis.

The yeasts Pachysolen tannophilus and Pichia stipitis differed in their ability to utilize D-xylose in the presence of D-fructose. When P. tannophilus was grown aerobically in fructose-xylose mixture, the ketohexose was utilized preferentially over the pentose. However, in P. stipitis cultures, the converse was observed. The effect was associated with the ability of D-fructose to repress the induction of xylose reductase and xylitol dehydrogenase activities in P. tannophilus but not in P. stipitis. Both yeasts grew on D-fructose and fermented it to ethanol when it was supplied as the sole carbon source. The results suggest that there may exist some fundamental difference in the regulation of D-fructose metabolism between P. tannophilus and P. stipitis.

Alcohol Oxidoreductases↗
PubMed1987

Experimental and clinical experience with a gelatin impregnated Dacron prosthesis.

Laboratory and clinical evaluation of a knitted Dacron graft impregnated with gelatin to confer zero porosity is described. Graft performance was tested by standard methods for biodegradation of the sealant and in vitro thrombogenicity. The gelatin sealant was removed after seven to nine days and there was no platelet adhesion to Gelseal compared with unsealed Dacron. Animal experiments revealed normal macroscopic appearances in the graft and histological disappearance of the gelatin impregnate between five and ten days, allowing a cellular response similar to unsealed Dacron. The first 100 patients to have Gelseal aortic bifurcation graft implanted at Glasgow Royal Infirmary are described. The graft did not require preclotting. Blood transfusion was not necessary in 74% of patients. There is 100% patency at 21 months. A knitted Dacron graft sealed with gelatin is a safe, nonporous prosthesis at implantation.

Acute-Phase Proteins↗
PubMed1985

Head and neck manifestations of dermatomyositis-polymyositis.

Dermatomyositis and polymyositis are rare disorders of connective tissue that manifest themselves primarily as muscular weakness. Fifty-five percent of 45 patients with this diagnosis at Thomas Jefferson University Hospital had symptoms referable to the head and neck. While dysphagia and the cutaneous manifestation predominate, such symptoms as facial swelling and oral mucosal disorders may require the treating physician to seek the advice of an otolaryngologist before the patient suffers any muscular changes. A thorough knowledge of this disease entity is essential to specialists in head and neck diseases.

Adult↗
PubMedDate not supplied

'What have I done?': the issue of informed consent.

Patients are presented with informed consent forms at a time of stress and indecision. The patient should be treated with respect and not encouraged to sign a form that is not fully understood. Rehabilitation nurses whose patients face surgery are in a unique position to explore the implications of surgery with the patient. The nurse's role in assessing whether the patient is alert, knowledgeable of, and agreeable to all aspects regarding the surgery is vital.

Humans↗