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Biomedical subjects

J Michel

Publications and source records attributed to J Michel.

At least 19 recordsLinked to original sources

Effect of leukocyte hydrolases on bacteria. XV. Inhibition by antibiotics, metabolic inhibitors, and ultraviolet irradiation of the release by leukocyte extracts, trypsin, and lysozyme of lipopolysaccharide from gram-negative bacteria.

Leukocyte extracts, trypsin, and lysozyme are all capable of releasing the bulk of the LPS from S. typhi, S. typhimurium, and E. coli. Bacteria which have been killed by heat, ultraviolet irradiation, or by a variety of metabolic inhibitors and antibiotics which affect protein, DNA, RNA, and cell wall synthesis no longer yield soluble LPS following treatment with the releasing agents. On the other hand, bacteria which are resistant to certain of the antibiotics yield nearly the full amount of soluble LPS following treatment, suggesting that certain heatlabile endogenous metabolic pathways collaborate with the releasing agents in the release of LPS from the bacteria. It is suggested that some of the beneficial effects of antibiotics on infections with gram-negative bacteria may be the prevention of massive release of endotoxin by leukocyte enzymes in inflammatory sites.

Anti-Bacterial Agents

Bactericidal effect of combinations of antimicrobial drugs and antineoplastic antibiotics against Staphylococcus aureus.

Six antineoplastic antibiotics were tested against ten strains of Staphylococcus aureus. Four showed bacteriostatic and/or bactericidal activity against each of the ten strains, and two were only bacteriostatic for seven and nine strains, respectively. Using the cellophane transfer technique, combinations of these antineoplastic antibiotics with 16 antibacterial drugs were screened for combined bactericidal activity. Synergism or antagonism was demonstrated in about one-third of the combinations. Checkerboard titrations and killing curves confirmed these findings and indicated that the effective concentrations of the antibacterial agents were similar to those attainable in the serum after therapeutic doses of these drugs. Although the pharmacokinetics of the six antineoplastic antibiotics in humans are not fully known, at least one of them has a peak serum level corresponding to those values at which a bactericidal effect was produced in vitro.

Anti-Bacterial Agents

Bactericidal effect of combinations of antimicrobial drugs and antineoplastic antibiotics against gram-negative bacilli.

Six antineoplastic antibiotics showed little antibacterial activity against 28 strains of four species of gram-negative enteric bacteria. By using the cellophane transfer technique, combinations of these agents with 16 antibacterial drugs usually showed indifference. However, combinations of mitomycin C, especially with the aminoglycosides, were synergistic on strains of Escherichia coli, Proteus, and Klebsiella pneumoniae. Bleomycin, on the other hand, often showed antagonism on strains of E. coli and K. pneumoniae with the beta-lactams, aminoglycosides, and other antibacterial agents. Checkerboard titrations and kinetic killing curves confirmed these findings.

Anti-Bacterial Agents

Use of videotape feedback with severely disturbed adolescents.

A year of group therapy using videotape feedback with seriously disturbed adolescents offers evidence that such feedback facilitates the correction of these youngsters' distorted body images, low self-esteem, lack of capacity for self-observation, and poor peer relationships. The conscious use of videotape also played an integral part in the group process. It seemed to serve as a third therapist, with considerable amounts of resistance and transference focused on the equipment as it went through the process of being monster, toy and useful tool. An additional benefit was provided to the cotherapists in terms of supervision, and in teaching other staff the techniques of group therapy.

Adolescent

Reduction of postoperative infection rate in hip surgery: collaborative effort between orthopedic surgeons and control-of-infection team.

The success of a collaborative program between the ward staff and the control-of-infection team in reducing postoperative infection in patients undergoing hip surgery in a university hospital is described. The program was used to detect infection, to introduce control measures and to evaluate their effectiveness. The infection rate dropped from 25.7 to less than 1.0%, and this low rate was maintained over the 2 1/2 years of follow-up surveillance. The reduction in infection rate was associated with a six-day reduction (22.4%) in the duration of postoperative hospitalization.

Adult

Respiratory pathogens in non-human primates with special reference to Corynebacterium ulcerans.

An investigation of 272 non-human primates (75 Macacca cynomolgus, 97 Macacca mulatta and 100 Cercopithecus aethiops) revealed a high incidence of respiratory disease caused by Corynebacterium ulcerans, Staphylococci, Diplococci and Streptococci. Escherichia coli was also found as a secondary invader. Most of the infections occurred during winter in Macaca cynomolgus and were caused by Corynebacterium ulcerans and Diplococcus pneumoniae. The C. ulcerans strains were phage type VI G. A phage type III C strain was isolated from a Macacca mulatta. The high incidence of C. ulcerans suggests that this organism plays a significant role in the pathology of respiratory disease in the non-human primate.

Animals

Combination chemotherapy with three marginally effective agents, CCNU, vincristine, and bleomycin, in the treatment of stage III melanoma.

Forty-two patients with stage III melanoma were treated with a combination of CCNU, bleomycin, and vincristine. Seventeen of 35 evaluable patients achieved an objective response (48.5%) including five patients with CRs. The median duration of response was 4 months (range, 1-18 months). The responders had a median survival of 278 days (range, 78-1100 days) and the nonresponders had a median survival of 168 days (range 34-619 days). The toxicity off the combination was within an acceptable range with no toxic deaths.

Adolescent

Antimicrobial activity of human peritoneal fluid.

Cell free peritoneal fluids from 23 normal women had antimicrobial activity which was directed against gram-positive and gram-negative bacteria and also against yeasts. The activity was bacteriostatic or bactericidal and seemed to be due to the presence of a variety of factors which varied in their heat stability and dependence on complement. Lysozyme was present in the fluids but was not responsible for all the antimicrobial activity.

Ascitic Fluid