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Biomedical subjects

J H Abrams

Publications and source records attributed to J H Abrams.

24 records · Page 2Linked to original sources

Use of a needle valve variable resistor to improve invasive blood pressure monitoring.

Inaccurate measurements using in-line systems are partly due to the resonance frequency. A variable acoustic resistor designed to change the damping coefficient of these monitoring systems was evaluated under clinical conditions. The device improved pressure transmission characteristics in measurements on 12 of 13 patients. Use of the device and of the bedside step-impulse test for calibration should improve the reliability of in-line blood pressure monitoring.

Blood Pressure Determination↗

Quantitative evaluation of clinical course in surgical ICU patients: the data conform to catastrophe theory.

A response surface for critically ill patients is described. The coordinates of the three-dimensional response surface are two control variables, or state variables, related to aerobic and anaerobic metabolism, and a response variable, the A-VO2 difference. The data conform to a cusp catastrophe manifold. Cardiac insufficiency, adaptive response to stress, and sepsis may be distinguished by this model. The distinction between control and response variables is discussed.

Aerobiosis↗

Scanning electron-stimulated desorption microscopy of red blood cells.

Scanning electron-stimulated desorption (SESD) has been used to image the surface of unfixed red blood cells with high surface specificity and with a lateral spatial resolution of less than or equal to 1 micron. The micrographs were obtained using a scanning Auger microprobe with an appended secondary ion mass spectrometer (SIMS). The instrument was operated at low electron beam energies (2 kV) to maximize electron-stimulated desorption probabilities and minimize the interaction of the electrons with the biological substrate. ESD spectra from the surface of red blood cells prepared from smears of whole blood show H+ as the predominant desorbed positive ion and O+, OH+, H3O+, Na+, and Cl+ as secondary species. SESD images and line-scans obtained with the above ion signals demonstrate that SESD can be used to map the surface chemistry of cells at submicron resolution. The parent molecules contributing to the desorbed ion signals are shown to originate from the first few atomic layers of the cell surface and are believed to be components of the blood plasma (H2O, NaCl, etc.) which coalesced onto the cells as they dehydrated in the vacuum chamber of the microprobe. An interesting extension of this work is the possibility of mapping the concentration of adsorption sites of specific cell-surface binding species using ESD labels.

Animals↗

Controlled clinical trial of sedative-anticholinergic drugs in patients with the irritable bowel syndrome.

We studied 16 patients with long-standing irritable bowel syndrome of moderate severity using a controlled, double-blind crossover method. Five sedative-anticholinergic drug combinations and a placebo were tested. The subjective response was assessed with four subjective methods to include an increasing number of response variables. The patients preferred 30 mg phenobarbital plus 8 mg belladonna (P & B) to placebo (P = 0.02). Five of ten patients were helped "some" or "a lot" with placebo, while ten of 15 were helped "some" or "a lot" with P & B (P = 0.07). The ten prominent-symptoms method revealed that subjective symptoms such as nervousness, sleep difficulties, and tiredness were experienced as greater problems than diarrhea. The factor analysis method documented a strong placebo response. Simpler evaluation methods such as drug preference and a five-choice method appear more likely to show a positive drug effect, while the inclusion of a larger number of variables appears to emphasize the placebo portion of the response. These observations may help explain some of the apparent discrepancies between the conclusions of some controlled clinical trials and subsequent clinical experience.

Adult↗