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Biomedical subjects

J D Reynolds

Publications and source records attributed to J D Reynolds.

At least 91 records · Page 5Linked to original sources

Industrial lead contamination of an Illinois wildlife refuge and indigenous small mammals.

Deer mice (Peromyscus maniculatus) were trapped from a sand prairie at various distances from an adjacent battery lead reclamation plant. Analysis of liver, kidney, and bone for lead concentrations showed an increase of tissue lead concentrations over controls to a distance of approximately 400 m. Soil and plant lead concentrations roughly correlated with the findings in deer mouse tissues. At higher tissue lead concentrations, acid-fast staining intranuclear inclusions within renal tubular epithelial cells were an occasional finding.

Animals↗

Survey of vomitoxin-contaminated feed grains in midwestern United States, and associated health problems in swine.

During the 1981 corn harvest season in Illinois and surrounding states, cold wet weather enhanced the growth of Fusarium graminearum, with resulting contamination by vomitoxin and, to a lesser extent, zearalenone. Of 342 feed samples analyzed, 274 contained vomitoxin at a concentration ranging from 0.1 to 41.6 ppm (mean, 3.1 ppm) and 40 samples contained zearalenone at a concentration ranging from 0.1 to 8 ppm (mean, 0.66 ppm). Animal health problems and reduced growth performance were observed mainly in swine fed vomitoxin-contaminated rations. The predominant clinical complaints, in decreasing frequency were: reproductive problems (50%), feed refusal (43%), reduced weight gain (25%), diarrhea (17%), death (14%), and emesis (11%).

Animal Feed↗

Congenital superior oblique palsy in infants.

A retrospective review of 20 cases of infants with congenital superior oblique palsy showed that all cases had been diagnosed and treated surgically before the patient was 2 years old. Single inferior oblique weakening procedures, single superior oblique tucks, and combined inferior oblique weakening procedures and superior oblique tucks were performed as the initial surgical procedures. Best results were obtained with the two-muscle procedure. The presence of preoperative primary position hypertropia correlated significantly with failure of single inferior oblique weakening to eliminate the signs of superior oblique palsy.

Evaluation Studies as Topic↗

The effect of antigen on the development of Peyer's patches in sheep.

The proposition that the development of Peyer's patches (PP) is influenced by antigenic stimulation has been examined in sheep. Terminal lengths of ileum containing about half of the ileocecal PP were isolated from the intestinal tracts of fetal lambs during the last month before birth. Antigen was injected into some of these segments and the subsequent development of the PP studied before and after birth. The injection of either killed B. abortus, ferritin or maternal colostrum into the lumens of the isolated ileal segments did not cause premature growth of the PP follicles, nor did it effect the content of lymphoblasts in them. In contrast, the injection of these antigens into the isolated segments caused the development of germinal centers and plasma cells in the regional mesenteric lymph nodes. Plasma cells also appeared in the lamina propria along the intestinal tract in response to these antigens. These results provided experimental evidence that lymphopoiesis in the follicles of the PP of fetal lambs is not dependent on antigen. The PP in ileal segments that were not injected with antigen and had no contact with antigen subsequently grew at the normal rate before and for the first 2 weeks after birth; after this the growth of the follicles became significantly slower than normal. The follicles in these isolated ileal segments had almost completely disappeared by 3-4 months of age, whereas the follicles in the normal functional ileum did not undergo involution until around 15 months of age. The premature involution in the PP in the isolated segments was prevented by reconnecting the segment to the functional intestinal tract before 3 months of age.

Animals↗

The emigration of lymphocytes from Peyer's patches in sheep.

The magnitude of the output of lymphocytes from Peyer's patches (PP), the morphology of the lymphocytes and their route of exit from PP has been examined in sheep. An extracorporeal perfusion system was used to selectively label a 3-4 m length of the terminal ileum of lambs at 6-10 weeks of age (the mesenteric lymph nodes had previously been excised from most lambs). This part of the intestine contains about 80% of the total PP tissue in a lamb and most of the lymphoid cells in the perfused tissue were within the PP. During a 10 min labeling period, fluorescein isothiocyanate (FITC) was added to the perfusate to label all the cells in the perfused tissues and [3H]thymidine [(3H]dThd) was added at the same time to label only those cells in the S-phase of the cell cycle. The unincorporated label was then washed from the perfused tissues, the normal blood circulation was reestablished and the lamb allowed to recover from anesthesia. It was established that the labeling was restricted to the perfused tissue and therefore that any labeled cells subsequently found elsewhere in the animal must have emigrated from the terminal ileum. During the 24 h after perfusion 1.4 X 10(9)-3.9 X 10(9) lymphoid cells (i.e. FITC labeled) left the perfused tissues via the lymph; 12-19% of these cells were either in the process of dividing or less than 24 h old (i.e. [3H] dThd labeled). The majority of the labeled cells probably came from the PP and most were classified as small lymphocytes although the [3H] dThd labeled population included a high proportion of large lymphocyte and lymphoblasts especially during the early hours after the perfusion. The labeled lymphocytes entered the blood in substantial numbers which increased linearly with time so that by 24 h about 7% of the lymphocytes in the blood were fluorescent. The numbers of newly produced cells began to increase rapidly in the blood only during the 12 h to 24 h period. The number of labeled cells in the blood was reduced by about 95% when the lymph from the perfused tissues was drained from the lamb during the experiment. This result provides clear evidence that the vast majority of all of the cells that leave the PP do so via the lymph and not via the blood.

Animals↗

Risk factors associated with retrolental fibroplasia.

The eyes of infants who were premature or had exposure to increased ambient oxygen from 1979 to 1981 were examined. Of 1012 neonates, 19 were found to have acute retrolental fibroplasia (RLF) grade III or worse in at least one eye. Sixteen also had chronic lung disease (CLD), and when compared to 25 control patients who had CLD but not grade III or more RLF, they were found to consistently have lower blood CO2 tensions (PCO2), lower pH values, higher inspired oxygen concentrations (FIO2S) and a higher incidence of seizure disorders (100% vs. 48%). We could not show that an elevated PCO2 increased the risk for developing RLF. Infants with either chronic lung disease or chronic lung disease and seizures had a high risk for developing RLF grade III (39% and 57%, respectively).

Carbon Dioxide↗

The evolution and involution of Peyer's patches in fetal and postnatal sheep.

The Peyer's patches (PP) of sheep have a number of important anatomical features and functional characteristics which are similar to tissues that have been classified as primary lymphoid organs. The prenatal maturation of PP occurs in the absence of any antigenic stimulus as immunogenic molecules are not normally encountered by the sheep fetus. Primordial PP were first detected in the small intestine of fetal sheep at about 60-days gestation; lymphoid follicles were present by 75-days gestation and vigorous lymphopoiesis was occurring in these follicles by 100 days. From 120-days gestation until birth, at about 150 days, the PP follicles were histologically mature and they had the greatest density of proliferating lymphoid cells found anywhere in the body. The total number of PP and their constituent follicles had developed before birth when there were 25-40 discrete PP in the jejunum and proximal ileum and one single continuous PP in the terminal ileum. There was no evidence of any change in the rate of growth of the PP follicles at birth which could be related to the advent of the first antigens in the gut. The total weight of PP tissue was greater than any other single lymphoid tissue by about 6 weeks after birth weighing around 120 g or about 1.2% of the body weight; about 50-60 g of the PP tissue was calculated to be lymphoid tissue. At this time the ileocecal PP (IPP) extended 2.5 m along the terminal ileum and accounted for about 90% of the total mass of PP. From about 12 weeks after birth the IPP began to involute and only a few PP follicles remained in this region of the intestine by 18 months of age. Follicles in PP in other parts of the small intestine remained and continued to produce lymphocytes throughout the life of the animal. PP contain a number of anatomically and functionally distinct lymphoid compartments that could play different roles in the body's immune defense. Explicit in most theories on the function of PP is the notion that antigenic stimulation is the cause of the lymphopoiesis in the follicles; our results do not support this view. Instead they suggest that the follicles in the PP of sheep may play a role similar to that played by the bursa of Fabricius in birds.

Animals↗

The influence of gut function on lymphoid cell populations in the intestinal mucosa of lambs.

The number and type of lymphoid cells in the intestinal mucosa of lambs change during the first weeks after birth. The influence of gut function on these changes was examined by comparing the evolution of lymphoid cell populations in normal ileum with that in lengths of ileum which had been isolated surgically from the functional intestinal tract of the lamb before birth. The isolated lengths of ileum had a normal blood and nerve supply and they remained healthy throughout a period of at least 2 years, although they did not have a normal histological development. In comparison with normal ileum, the villi of the isolated ileal segments were much smaller and there were many fewer intraepithelial lymphocytes; the lamina propria had significantly fewer lymphocytes than the functional ileum and only a few plasma cells. When isolated ileal segments were reconnected into the intestinal tract after having been isolated from it for 1-3 months, the histology of the mucosa reverted to that of the normal gut, with the same number and types of lymphoid cells. Radiolabelled lymphoblasts collected from intestinal lymph and injected intravenously accumulated to only a small extent in isolated segments of ileum compared with either the normal or the reconnected segments of ileum. This suggested that the paucity of lymphocytes in the mucosa of the isolated segments was due to a reduced extravasation of these cells there. The influence which the gut contents exert on the lymphoid cell population in the mucosa is probably associated with antigenic stimulation but may also be related to other factors concerned in the normal digestive functions of the gut.

Animals↗

A histopathologic study of bilateral aphakia with a unilateral intraocular lens in a child.

A 7-year-old boy who had had electrically induced cataracts since he was 6 months old underwent a lens extraction by phacoemulsification in his right eye. He later refused to wear a contact lens. When the boy was 10 year old, the lens of his left eye was removed by phacoemulsification and an intraocular lens was implanted. The intraocular lens functioned well and was tolerated by the boy until he died in an automobile accident at the age of 16 years. A histopathologic study of the eyes, which were obtained post mortem, showed a decreased corneal endothelial cell population, mild focal atrophy of iris structures, and mild lymphocytic infiltration in the implanted eye. Vitreous liquefaction and epiretinal membrane formation occurred in both eyes.

Adolescent↗

The pediatric family-patient health education library: the issue of access to information.

Access to medical information and full and complete disclosure of diagnostic and therapeutic data are becoming important themes in physician-family-patient relationships. A health education library that provides consumers with comprehensive reference materials, including texts originally designed for a professional readership, can be used to meet demands from the lay public for better communication between doctor and patient. although realistic concerns about in impact on families of explicit or detailed medical information have been raised, the actual incidence of such problems has been very low among the users of such an "open access" library at our institution. However, support by physicians of the library as a useful resource and their willingness and availability to discuss materials read by patients and family members are key factors in the success of such a project.

Attitude of Health Personnel↗

Nonspecific ulcers of the colon: a case presentation of ulceration of the transverse colon.

This paper describes a patient with nonspecific discrete ulcer of the transverse colon. The lesion was responsible for diarrhea which was cured by conservative resection. These uncommon ulcers, which mimic carcinoma radiographically and were previously thought to be uniformly fatal, may occasionally heal spontaneously. The patient has taken several drugs, some of which may have played a role in the pathogenesis of the ulcer, but the etiology of nonspecific colon ulcer remains uncertain.

Colonic Diseases↗