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Biomedical subjects

J Deacon

Publications and source records attributed to J Deacon.

11 recordsLinked to original sources

High uptake of RSU 1069 and its analogues melanotic melanomas.

RSU 1069 and RSU 1164 are electron affinic agents that contain a nitro group together with a weakly basic alkylating aziridine moiety, and they represent lead compounds in the development of dual-function, bioreductive, hypoxic cell radiosensitizers. We studied the pharmacokinetics of these drugs in mice carrying KHT sarcoma. Lewis lung carcinoma, and B16 melanoma. Following an i.p. dose of 80 mg/kg, absorption was rapid and the elimination t1/2 was in the region of 30 min for both agents. Maximal tumour levels were 91, 16 and 19 microgram/ml for RSU 1069 and 109, 26 and 28 microgram/ml for RSU 1164 in. the B16, KHT and Lewis lung tumours, respectively. In B16 melanoma these levels corresponded to tumour:plasma ratios of 3.8 for RSU 1069 and 3.7 for RSU 1164. Cellular uptake of RSU 1069, RSU 1164 and a related compound, RB 7040, was measured in vitro as a function of extracellular pH. Melanotic cells from both B16 melanoma and HX118, a human tumour xenograft, showed substantially greater accumulation of these weakly basic sensitizers than any other cell type examined. Ratios of intra-:extracellular concentration (Ci/Ce) for RSU 1069 were around unity and independent of pH for Lewis lung cells and HX34 amelanotic melanoma cells, whereas ratios of up to 3 and 5 were obtained in B16 and HX118 cells, respectively. The highest measured value of Ci/Ce was 15 for RSU 1164 in HX118 cells at pH 8.4; this compares with a ratio of 1.5 for HX34 cells at the same pH. These studies indicate that the high levels of uptake of the weakly basic sensitizers into melanotic melanoma in vivo is a cell-mediated phenomenon and may be due to a lower average intracellular pH in the melanotic cells.

Animals

Anthraquinone laxatives and human cancer: an association in one case.

An 18 year old girl presented with a leiomyosarcoma of the small bowel with widespread dissemination. Despite short term remissions after chemotherapy and surgery she died of the disease 10 months later. A history of prolonged exposure to danthron (an anthraquinone laxative) in childhood was obtained. Anthraquinones are known to be mutagenic and may be carcinogenic in experimental systems but danthron is not a proven carcinogen in man. The association of danthron and a rare bowel cancer in one case cannot prove a causative link. However, collection of further data seems advisable.

Adolescent

Histopathologic and scanning electron microscopic study of one type of intraocular lens.

We performed clinicopathologic analyses of 28 explanted anterior chamber intraocular lenses (Stableflex). Two factors strongly indicated that this lens can be difficult to remove: (1) the clinical histories obtained from the explanting surgeons who, with few exceptions, stated that removal was extremely difficult; and (2) our scanning electron microscopic findings, which documented extensive tissue encapsulation around loops as well as multiple sites of loop severance required at the time of lens removal. The general efficacy of this intraocular lens compared with other anterior chamber lenses was not addressed in this study.

Humans

Pathologic findings of an explanted silicone intraocular lens.

We present a clinicopathological analysis of an explanted STAAR model B silicone intraocular lens (IOL) that was sent to the Center for Intraocular Lens Research for evaluation. Extracapsular cataract extraction (ECCE), using phacoemulsification and insertion of the silicone IOL, had been accomplished through a 3-mm scleral tunnel incision. The IOL was folded and inserted into the ciliary sulcus. Complications, including blurred vision, movement of the IOL within the eye, and glaucoma, eventually led to IOL exchange at three months post-ECCE. After removal of the silicone IOL, a modified J-loop IOL was placed in the intact capsular bag, with subsequent resolution of the increased intraocular pressure and a 20/20 + 3 visual acuity. Pathologic examination of the explanted silicone lens revealed grooves indented into the optic, extensive molding flash, and opalescence of the optic.

Aged

Integrity of polydioxanone sutures: a case report.

Certain conditions have been found to hasten the breakdown of absorbable PDS (polydioxanone) sutures. It is important that surgeons handle the sutures carefully to avoid premature breakdown.

Equipment Failure

Imaging: radioisotope imaging of bone.

Isotope bone scanning is here to stay: it is noninvasive, easy to perform, and economical (6 pounds per scan). The low radiation dose delivered to patients (0.03 rad/mCi to the skeleton) and the high sensitivity (less than 4 per cent of overall false positives) underline the value of this test as a screening procedure. When included in the patient's management protocol it reduces bed-occupancy time, changes the therapeutic approach to several illnesses, and substantiates general hopes that early diagnosis is the basis for progress in the treatment of benign or malignant disease.

Adenocarcinoma

Preventing neonatal kidnapping.

Sixty-eight kidnappings of newborns were reported between 1983 and 1991 in the United States. Assessing perinatal units for areas of vulnerability and addressing identified problems can improve security. Strategies to increase the safety of neonates, including understanding the profile of the potential kidnapper, reviewing common methods of abducting infants, developing visiting guidelines, and instituting staff identification policies and other methods, are discussed.

Adolescent