PubMed HealthSearch

Biomedical subjects

J McKee

Publications and source records attributed to J McKee.

At least 19 recordsLinked to original sources

Tooth wear in Australian aboriginal populations from the River Murray Valley.

The study of tooth wear among prehistoric and recent populations has frequently been concerned with the rate and pattern of wear over the dental arches. In this report we considered the question of tooth wear variation among collections of Australian Aboriginal crania recovered from several sites along the Murray River in Southeastern Australia. These crania represent the remains of relatively recent populations from about 2,000 years ago until the early 19th century. The degree of tooth wear for each dental arch was recorded by an established method of determining the ratio of exposed dentin. The pattern or distribution of wear over each arch was summarized by principal component analysis. The mean wear degree and pattern were compared among four geographical grouping of crania separated by up to 700 miles of river frontage. Our results showed, as expected, a significant difference between the well-defined population at the Lower Murray site (Swanport) and the three upriver groups. However, there were significant differences among these three collections as well. Sexual dimorphism was noted but was only significant in the Lower Murray group; the mean wear was greater and also more variable among the males. At the second of the Middle Murray sites the pattern of wear was different and the degree of wear was significantly less than in the other groups. A possible explanation for this diversity may be environmental and subsistence base differences. The evidence from the Lower Murray supports this possibility, but the differences among the other three groups are not as clearly established. However, our results do suggest that the Murray Black collection, from which these crania were obtained, may not be as homogeneous a group as previously believed.

Australia

Holistic health and the critique of Western medicine.

The holistic view of health has been accurately criticized in the literature for its individualistic, victim-blaming ideology that obscures the social origins of illness. The paper explains how the contrasting view of the body and illness provided by the holistic model can help to show how Western medicine reflects the capitalist system in which it is promoted. It shows how evaluation of holistic therapies is problematic insofar as it is based on the analytical, reductionist criteria of the Western model. It suggests that one reason why holistic practices are not more fully accepted by Western medicine may be the challenge they pose to the Western model, and to the commodification of health needs promoted by this model.

Economics, Medical

Localization of the coagulation factor XIII A subunit gene (F13A) to chromosome bands 6p24----p25.

Electrophoretic studies of the genetic variation of the A subunit of coagulation factor XIII (F13A) have shown that the A subunits expressed in placenta and in the circulation are the products of the same gene locus. In situ hybridization studies with a cDNA fragment encoding the amino terminal region of the A subunit have localized the gene to bands p24----p25 on chromosome 6. This confirms previous studies that showed linkage between F13A and the major histocompatibility complex.

Chromosome Banding

Phase I and pharmacokinetic study of high volume intraperitoneal aclacinomycin-A (Aclarubicin).

Aclacinomycin-A (Aclarubicin) is a relatively new anthracycline antibiotic with potential activity against ovarian cancer. Eight patients with various malignancies (4 ovary, 1 breast and ovary, 1 breast, 1 colon, 1 leiomyosarcoma) and intraperitoneal disease were treated in a Phase I trial with escalating doses of intraperitoneal Aclacinomycin. Drug treatments were administered through a peritoneal catheter in a 2 liter fluid volume (1.5% Dianeal). Seventeen cycles were administered with doses ranging from 25 to 75 mg of Aclacinomycin. Pharmacokinetic studies were carried out in 7 patients. Although high concentrations of Aclacinomycin could be obtained in the peritoneal cavity no drug was detected in the plasma. The major dose-limiting toxicity was chemical peritonitis. Two patients had reduction in the amount of ascites. The recommended dose for Phase II trials is Aclacinomycin 50 mg in 2 liters given every 2 weeks.

Aclarubicin

The effects of intrauterine position on competition and behavior in the mouse.

The purpose of the present study was to examine the effect of intrauterine position on: (1) competition for limited food resources when the animals were previously deprived of food; (2) social preference for a male during various phases of the estrous cycle; and (3) social and sexual behavior when the animals were provided with like-treated females or receptive females, respectively. Females developing in utero between two males (2M females) and females developing between two females (0M females) were different on only one measure recorded during the competition for limited food, i.e., gaining control of the food pellet, with the 0M females outcompetiting the 2M females. When given a choice between a male or a female neither 2M or 0M females in estrus showed a preference for the male. The results also indicated that 2M females were significantly more aggressive and more likely to show male sexual behavior when compared to 0M females.

Animals

Retroperitoneal fibrosis caused by carcinoid tumour.

This report describes a 33-year-old woman who presented with renovascular hypertension secondary to retroperitoneal fibrosis, associated with a carcinoid tumour with widespread metastases. Although the association is rare, it is important to consider carcinoid tumour as a cause of idiopathic retroperitoneal fibrosis, even in the absence of the carcinoid syndrome.

Adult

Bacteremia associated with esophageal dilatation.

The present study was undertaken because the previously reported incidence of bacteremia associated with esophageal dilatation seemed high, and did not correlate well with clinical experience. Seventeen adult patients were dilated for benign esophageal strictures with one to three dilators on 41 occasions. Five blood cultures were taken over the 30-minute period after each dilatation. Either routinely sterilized dilators or dilators resterilized just before the procedure were used in a random fashion. On 22 of the occasions that routinely sterilized dilators were used in 17 patients, temperatures, white blood counts, and blood cultures were normal in each instance. Resterilized dilators were used on 19 occasions in 15 subjects, and postdilation temperatures and white blood counts were also normal. Two blood cultures from different patients grew Staphylococcus epidermidis, which were felt to be contaminants. On the basis of this and previous studies, extra precautions do not appear to be necessary for dilatation of routine benign strictures. In patients at risk for endocarditis, or those with cancer or tight strictures, it seems advisable to sterilize dilators just before use, and take extra precautions.

Adult

Endoscopic cultures of the proximal gastrointestinal tract.

The purpose of this study was to evaluate two methods of obtaining culture material under direct visualization through a fiberoptic upper gastrointestinal endoscope. Collections were made both with a wash pipe and a sterile brush through a sterilized Olympus D panendoscope. Paired aspirate collections were made on 20 occasions from 10 postgastrectomy and six nonoperated patients. Significant bacterial overgrowth was identified equally well by both methods, the the wash tube, which can be reused, is cheaper. The endoscopic method for collecting proximal fluid for culture is simple and can be performed during a routine endoscopy.

Aged

Central achromatopsia: behavioral, anatomic, and physiologic aspects.

The neuropsychologic, neuroanatomic, and neurophysiologic correlates of achromatopsia were studied in two patients. Prosopagnosia accompanied the color perception defect in the bilateral case but not in the unilateral one. No other neuropsychologic disturbance was present in either case. The lesions compromised the ventromedial sector of the occipital lobe in both cases. Cerebral evoked responses produced by pattern shift stimulation were normal for black and white but abnormal for red and green, when stimulation was given in the achromatopsic field.

Cerebral Infarction

Comparison of mutagenicity, antitumor activity, and chemical properties of selected nitrosoureas and nitrosoamides.

A number of nitrosoureas and nitrosoamides have been compared with respect to mutagenicity for Salmonella typhimurium, in vitro cytotoxicity, in vivo toxicity and antitumor activity against murine L1210 leukemia, and chemical properties. Despite chemical similarities between the nitrosoureas and nitrosoamides, they show important differences in biological activity. Some of the nitrosoureas are very active antitumor agents, and they are less mutagenic than are the corresponding nitrosoamides, which lack antitumor activity.

Animals

Body position and mode of ventilation influences arterial pH, oxygen, and carbon dioxide tensions in halothane-anesthetized horses.

Effects of body position and type of ventilation were determined on arterial blood gases (PaO2, PaCO2) and pH during and immediately following clinical halothane anesthesia in 36 young, physically conditioned horses. Horses in dorsal recumbency had a lower PaO2 than did similarly breathing horses in a lateral position. Predictably controlled positive-pressure ventilation inproved arterial oxygenation and permitted maintenance of a normal PaCO2. Most horses, regardless of type of ventilation and operative body positioning, were hypoxemic in the immediate postanesthetic period.

Anesthesia, Inhalation

A simplified cystic fibrosis scoring system (a preliminary report).

The inherent variability in the natural severity of cystic fibrosis (CF) makes each aspect of therapy of this condition difficult to isolate and to evaluate objectively. There is little hope of resolving the problems which arise as a result until a way of measuring the severity of the disease at any one point in time is devised. We present a simplified CF scoring system (analogous to the Apgar scoring system for the newborn) based on five simple measurements.

Adolescent

Measurement error in human dental mensuration.

The reliability of human odontometric data was evaluated in a sample of 60 teeth. Three observers, using their own instruments and the same definition of the mesiodistal and buccolingual dimensions were asked to repeat their measurements after 2 months. Precision, or repeatability, was analysed by means of Pearsonian correlation coefficients and mean absolute error values. Accuracy, or the absence of bias, was evaluated by means of Bland-Altman procedures and attendant Student t-tests, and also by an ANOVA procedure. The present investigation suggests that odontometric data have a high interobserver error component. Mesiodistal dimensions show greater imprecision and bias than buccolingual measurements. The results of the ANOVA suggest that bias is the result of interobserver error and is not due to the time between repeated measurements.

Analysis of Variance