PubMed Health⌕ Search

Biomedical subjects

K K King

Publications and source records attributed to K K King.

At least 19 recordsLinked to original sources
PubMed1996

The kinetics of anterior chamber ofloxacin penetration.

Thirty-five patients received topical ofloxacin 0.3% before routine cataract surgery. Ofloxacin was administered one drop every 2 h for five doses 1 day before surgery and one drop every 5 min for five doses immediately before surgery. Aqueous sampling was performed at variable periods 30-150 min after the last topical dose. The mean aqueous ofloxacin concentration was 793 +/- 516 ng/ml (range, 143-2,400 ng/ml). A significant correlation between time from last dose and aqueous humor concentration was found (r = 0.39, p = 0.025). The mean ofloxacin concentration was greater in those patients who received their last dose >1 h before aqueous aspiration (957 +/- 559 ng/ml versus 554 +/- 338 ng/ml, p = 0.02). From a best-fit scatter plot of concentration versus time, the maximal aqueous concentration of 1,000 ng/ml occurs at approximately 2h after topical administration.

Administration, Topical↗
PubMed1992

Lupus nephritis: prognostic factors in children.

As newer treatment modalities become available for patients with severe lupus nephritis, it becomes increasingly important to identify patients at risk for renal failure. In this study, the records of 90 children presenting with systemic lupus erythematosus over a 13-year period were reviewed. Nineteen were lost to follow-up prior to completion of the study. Of the 71 remaining children, 16 (22%) progressed to chronic renal failure. Persistent hypertension lasting greater than 4 months, anemia, abnormalities of the urinalysis, and elevated serum creatinine level were significantly associated with progression to renal failure. Sex, race, age, abnormalities of creatinine clearance, and 24-hour urine protein collection were not associated with progression to renal failure. Renal biopsies were obtained in 45 children. Biopsies were initially classified according to World Health Organization criteria. Diffuse proliferative glomerulonephritis was significantly associated with progression to renal failure. The 45 biopsies available were reviewed by one of the authors and categorized by activity and chronicity indices. Both the active lesions of fibrinoid necrosis, synechiae, tubular casts, and vasculitic lesions and the chronic lesion of glomerular sclerosis correlated with progression to renal failure. Of the 16 children who progressed to renal failure, 2 had cadaver kidney transplants and are well 5 years posttransplant; 4 had fulminant lupus and died within 1 month of commencing dialysis; 10 began chronic dialysis. Five of the 10 children on chronic dialysis died from sepsis. These data suggest that children with systemic lupus erythematosus who undergo dialysis do poorly.(ABSTRACT TRUNCATED AT 250 WORDS)

Biopsy↗
PubMed1990

[Effect of drug volume on spinal anesthesia with isobaric tetracaine].

The effects of drug volume on spinal anesthesia with 10 mg tetracaine in 1 ml or 2 ml isobaric solution were studied in 100 demographically compatible patients in a randomized double-blind manner. Identical technique was used for every patient in the study except for the volume of anesthetic solutions. Drugs were administered in a lateral decubitus position and patients remained horizontal during the study. Hoghest cephalad spread of analgesia varied from T12-T3, with a median sensory level of T7 in those who received 2 ml solutions, compared with T12-T5 and a median level of T10 in those who received 1 ml solutions. The time for maximum spread was longer in 2 ml--group (7.54 +/- 1.76 min vs 4.85 +/- 1.54 min). The 2-segment regression times were 180 +/- 53.44 min (mean) with a range of 75-270 min, and 219 +/- 34.11 min (mean) with a range of 150-300 min respectively for the 2 ml--group and the 1 ml--group. The differences were statistically significant. Complete motor blockade of the lower extremities as assessed by the modified Bromage scale was achieved in 35 out of 50 patients given 2 ml solutions, while all those who received 1 ml solutions achieved complete motor blockade. The onset times of maximum blockade were 5.42 +/- 1.59 min (mean) with a range of 2-10 min, and 5.98 +/- 1.79 min (mean) with a range of 2-12 min respectively. The difference between the degree of maximum motor blockade was also statistically significant but was insignificant regarding the time to maximum motor blockade.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1989

Systemic lupus erythematosus in the first decade of life.

To evaluate whether the onset of systemic lupus erythematosus in the first decade of life was associated with a unique pattern of racial preponderance, sexual preponderance, genetic predisposition, or disease expression, the medical records of 23 children with systemic lupus erythematosus prior to their tenth birthdays were compared with the medical records of 82 children in whom lupus was diagnosed between their tenth and 20th birthdays. No statistically significant differences in sex distribution, racial (ethnic) background, family history, mode of onset, morbidity, or mortality rates were found between the two age groups. The frequently held view that children with early-onset lupus do worse probably relates to the fact that even though they survive as long as children with the older-onset disease, they die younger because they have the onset of their lupus at a younger age.

Adolescent↗
PubMed1985

Bovine embryo transfer pregnancies. I. Abortion rates and characteristics of calves.

Data were obtained from 1,908 pregnancies resulting from bovine embryo transfer procedures. Responses examined included sex ratio, fetal, neonatal and preweaning death losses, birth weight and calving assistance. The sex ratio for 1,751 embryo transfer calves examined was 51.11% males. Cows older than 10 yr that had become repeat breeders produced more (P less than .05) male calves than other donors. Breed of embryo, age and quality of embryos at the time of transfer, embryo storage time from collection to transfer, asynchrony of recipient with donor estrus and number of palpable corpora lutea in superovulated donors were not related to sex ratio (P greater than .05). The abortion rate between 2 and 3 mo of gestation in embryo transfer recipients was 3.15%, and between 3 to 7 mo, 2.14%. Neonatal and preweaning losses for 1,682 calves with complete information were 1) congenital defects, .54%; 2) death due to premature birth (7 to 8 mo of gestation), .18%; 3) dystocia-related deaths, 2.38%; 4) deaths of unknown causes at birth, 2.14%; 5) deaths of unknown causes from 24 h after birth to weaning, 1.43%; 6) deaths due to calfhood diseases, 1.25% and 7) deaths due to environmental factors, 1.13%. Total losses of 2-mo pregnancies due to abortion or death of calves or recipients were 14%. Birth weight of embryo transfer calves changed .29 kg/d of deviation from average gestation length (P less than .005) for pregnancies within breeds. Birth weight was also affected (P less than .005) by donor breed and recipient breed and age. Male calves averaged 2.19 kg heavier (P less than .005) than females. Calving assistance was affected by donor breed; Angus calves required the least assistance (P less than .005). Hereford, Holstein and Limousin calves were similar and intermediate; Simmental calves needed the most calving assistance. Recipient breed and age influenced calving ease, with younger recipients of Angus and Hereford descent requiring more assistance (average calving score, 2.1) than both cow (1.3) and heifer (1.5) recipients of the larger Continental European breeds. Characteristics of 305 non-embryo transfer calves were not significantly different from 185 embryo transfer calves from the same farms. We conclude that embryo transfer calves did not differ from the non-embryo transfer population in any of the characteristics studied.

Abortion, Veterinary↗
PubMed1985

Bovine embryo transfer pregnancies. II. Lengths of gestation.

Lengths of gestation were determined from 1,484 pregnancies resulting from embryo transfer procedures. Least-square means of lengths of gestation by breed of embryos (P less than .005) were: Holstein, 278.7; Angus, 281.0; Hereford, 285.7; Simmental, 287.6 and Limousin, 289.7 d. Recipient breed had a small effect on length of gestation (P less than .005). The length of gestation for recipients less than 4 yr old was 2.7 d shorter (P less than .005) than for older recipients. As asynchrony of recipient and donor estrus changed by 1 d, length of gestation changed linearly by .78 d (P less than .005). Male calves were carried 1.4 d longer than females (P less than .005). Embryo age at time of transfer, embryo quality, length of embryo storage between collection and transfer, and donor age did not affect length of gestation significantly. Lengths of gestation of 185 embryo transfer pregnancies were 1.5 d longer (P greater than .1) than those of 305 matched control pregnancies from the same farms. We conclude that length of gestation of embryo transfer calves and length of gestation of non-embryo transfer calves are influenced by similar factors.

Animals↗
PubMed1984

Course of treated juvenile dermatomyositis.

Sixty-six patients with possible juvenile dermatomyositis (JDMS) were observed at the Children's Hospital of Los Angeles from 1960 to 1982. In patients initially given high doses of corticosteroids followed by low-dose therapy, three different clinical courses had previously been observed: monocyclic, polycyclic, and chronic continuous. We reviewed the records of 32 patients who met study criteria. The course of JDMS was monocyclic in eight children, chronic polycyclic in 10, and chronic continuous in 14. Of these children, 25 are well and not receiving medication; one has mild JDMS, without corticosteroid therapy; four have active JDMS despite corticosteroid therapy (one is severely handicapped); and two have died. Our results support the improved prognosis of JDMS after corticosteroid therapy, but also the great clinical variability of the disease. Understanding of this variability, as reflected in the three disease courses, facilitates physician choice of the optimal treatment with the least drug toxicity for the individual patient, continuing efforts to clarify the disease pathogenesis, and research efforts to improve current treatment programs for the patient with severe JDMS.

Acute Disease↗
PubMed1979

Serum complement abnormalities in the antinuclear antibody-positive relatives of children with systemic lupus erythematosus.

Serum C3, C4 and total hemolytic complement (CH50) levels were measured for 21 children with systemic lupus erythematosus (SLE) and 81 first degree relatives. The mean serum C4 and CH50 levels of the 12 relatives with antinuclear antibodies (ANA( were depressed to levels equal to those of the index cases. A similar depression was not found for C3, nor was there a depression of C3, C4, or CH50 in the relatives without ANA. If preexistent depression of C4 levels can be documented in the ANA-positive relatives of index cases, it may provide an explanation for the inherited predisposition to SLE in some families.

Adult↗
PubMed1978

Total hip replacement in children with arthritis.

Fourteen children with juvenile rheumatoid arthritis and two with ankylosing spondylitis received 29 total hip replacements (THR). The ages at THR were 12 to 18 years, the median duration of prior hip disease was 7.1 years, and the minimum followup was one year (range 1--4 years, median 2.2 years). The primary indication for THR was pain in 5 hips and severe malposition or flexion contractures in 24 hips. (Sixteen of these also had some degree of pain.) All 29 hips demonstrated improved postoperative range of motion, and all were free of pain. In children, active rheumatic disease in other joints, prosthesis longevity, and possible lack of adequate motivation all merit special consideration prior to THR, but the results are encouraging.

Adolescent↗
PubMed1977

Aspirin-induced hepatotoxicity and its effect on juvenile rheumatoid arthritis.

Evidence of hepatic disease was sought in 102 children with juvenile rheumatoid arthritis (JRA) who were treated with aspirin. Serum glutamic oxaloacetic transaminase level was elevated (greater than 39 IU/liter) in 59% of the children. The degree and prevalence of SGOT elevations correlated with aspirin dose and serum salicylate level. Nevertheless, increased SGOT values were frequently present in children receiving moderate aspirin doses and having serum salicylate levels less than 25 mg/100 ml. Elevated SGOT values decreased in proportion to the degree of reduction in aspirin dose. The SGOT values above the 100 IU/liter were statistically associated with reduced sedimentation rates. Concomitant improvement in the clinical manifestations of JRA was noted in some children.

Arthritis, Juvenile↗
PubMed1977

Hip joint restoration in juvenile rheumatoid arthritis.

Six children with long-standing juvenile rheumatoid arthritis and radiographic evidence of severe hip joint damage were found 6 months to 5 years afterward to have radiographic evidence of significant hip joint space widening and remodeling of articular surfaces. The disease activity had decreased and hip joint function had improved in all children. Each child had received various antiinflammatory drugs, but no specific medication could be implicated in the improvement. Evidence from animal studies suggests that intensive physical therapy with emphasis on continued weight bearing may have been important in promoting healing in these children. It appears that restoration of severely damaged hip joints in JRA can occur when the disease activity is controlled. Restoration may be favored by a child's greater potential for bone remodeling and by vigorous physical therapy with emphasis upon continued ambulation.

Adolescent↗
PubMed1977

Mixed connective tissue disease in childhood. A clinical and serologic survey.

Mixed connective tissue disease is a syndrome with overlapping clinical features of SLE, scleroderma, and polymyositis. Only one other child with MCTD has been described in detail. In this study 14 children with MCTD are described. Each had overlapping clinical findings that evolved over an extended period of observation, and all 14 had high serum titers of speckled ANA and antibodies to RNP. A serologic survey of 127 children with various rheumatic diseases confirmed the specificity of high titer of speckled ANA and antibodies to RNP for MCTD in children. Significant cardiac and renal involvement, and thrombocytopenia, may be more common in affected children than in adults with MCTD, may lead to longer therapy with higher doses of a corticosteroid, and may contribute to a more serious prognosis than in adults.

Adolescent↗
PubMed1977

Prognosis of juvenile rheumatoid arthritis.

The true prognosis of JRA is unknown. The best interpretation of reports to this date may be that at any given time of examination between 5 and 15 years after onset, 30-50% of children will have grossly active disease and that 70-90% of patients will be in class I-II functional status. Published studies, however, are not comparable because of differing criteria and selection of support data to be reported. Close analysis of four cases of JRA illustrate some of the difficulties in utilizing loosely defined criteria. A preliminary plan for improving the precision of reporting course and prognosis of JRA has been outlined.

Arthritis, Juvenile↗
PubMed1977

The clinical spectrum of systemic lupus erythematosus in childhood.

The onset and course of 108 children with systemic lupus erythematosus have been analysed. There were more black patients than one would expect from hospital population statistics. There was a greater preponderance of boys with onset of the disease at less than 12 years of age and there is a large number of familial cases. Major signs and symptoms differed from those observed in adults only in the greater degree of reticuloendothelial involvement and in a possibly greater propensity for children to change renal biopsy category. Diffuse proliferative renal lesions remain a major contributor to death both in children and in adults, but the importance of the extrarenal mortality factors plus the greater proportion of male deaths is emphasized.

Adolescent↗
PubMed1976

Systemic lupus erythematosus in childhood correlations between changes in disease activity and serum complement levels.

Serial complement component (C3 and C4) determinations were performed in 26 children with systemic lupus erythematosus. Twenty-one children with SLE had 52 episodes of C3 depression (mean duration 25 weeks); only 11 of these children had active nephritis when serum concentrations of complement were depressed. Fourteen children had active rash associated with low C3; in seven of these children rash was the only clinical evidence of disease activity. Ten children had active CNS disease; in seven children the CNS involvement correlated with low C3. In general, variations in serum concentrations of C4 did not reflect changes in SLE activity which were not reflected by changes in serum concentrations of C3. Serum C4 occasionally remained depressed longer than C3, perhaps reflecting continuing subclinical disease activity. Increased C3 occurred in 18 of 26 children as doses of corticosteroid were increased, in six of 14 when cyclophosphamide was added, and in two children when hydroxychloroquine was added. Our findings suggest that a wide variety of manifestations of childhood SLE may produce hypocomplementemia. In addition to renal disease, variations in serum concentrations of C3 and C4 can reflect, or occasionally predict, changes in rash and CNS disease.

Adolescent↗
PubMed1972

Biliary excretion of lecithin and cholesterol in the dog.

The biliary excretion rates of bile acid, lecithin, and cholesterol were measured in unanesthetized dogs after interruption of enterohepatic circulation and during infusions of sodium taurocholate, sodium glycocholate, sodium dehydrocholate, SC2644 (a bicyclic organic acid with high choleretic potency), and secretin. Both lecithin output and cholesterol output were directly related to bile acid excretion rate. The curves describing these relationships were concave downward. Molar concentration ratios of lecithin-to-bile acid declined gradually from approximately 0.4 to 0.2 as bile acid output increased from approximately 1 to 70 mumoles/min. Cholesterol-to-lecithin molar ratios were highest (0.05-0.15) at very low rates of bile acid excretion, but descended rapidly to a plateau (0.03-0.04) which was constant over the entire range of bile acid excretion rates from 10 to 70 mumoles/min. Similar lipid excretion patterns were observed during glycocholate infusion, but secretin-induced choleresis and dehydrocholate-induced choleresis were unaccompanied by any increments in lecithin or cholesterol excretion and SC2644 (which caused a marked increase in canalicular bile production as measured by erythritol clearance) caused a depression of lipid excretion. The data are consistent with the view that lecithin moves passively from cell membranes to intracanalicular micelles, that transport of cholesterol is coupled to lecithin transport, and that there is also a small amount of independent passive transport of cholesterol from membranes to micelles. A model developed on these assumptions has been shown to behave in a fashion consistent with the entire range of these observations.

Animals↗