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Biomedical subjects

L W Roberts

Publications and source records attributed to L W Roberts.

At least 19 recordsLinked to original sources

"America responds to AIDS," but did college students? Differences between March, 1987, and September, 1988.

To assess thoughts, perceptions, attitudes, and behavior related to AIDS, data were collected from 2 similar samples of college students. The sets of data were collected 18 months apart. Results indicate increased awareness and knowledge and changed attitudes and behaviors in some cases, but the absolute magnitudes of the differences are small for most between-group comparisons. Also, the evidence suggests that many students lack detailed knowledge and fail to see the implications of their knowledge for change in their own behavior. These findings imply educational efforts must go beyond merely providing knowledge and explicitly link facts to personal belief systems and decision making.

Acquired Immunodeficiency Syndrome

Comparative sensitivity of four Anopheles (Diptera: Culicidae) to five repellents.

Five repellents were evaluated against Anopheles albimanus Wiedemann An. freeborni Aitken, An. gambiae Giles, and An. stephensi Liston, using a "free choice," dose-response testing procedure on rabbits. Overall, deet was the most effective repellent based on effective dosages (ED50's and ED95's), except against An. albimanus. An. albimanus was significantly more tolerant to deet compared with dimethyl phthalate or ethyl hexanediol. Permethrin was effective against all four anopheline species at the ED50 levels; however, the ED95 values were higher compared with the other repellents. There were significant differences in sensitivity of some of the four species to all the repellents tested, except dimethyl phthalate and indalone. The variability in the response of these anopheline species to repellents confirm that the extrapolation of repellent data from one anopheline species to another is unreliable and that comprehensive tests are needed for each species.

Animals

Repellency of two deet formulations and Avon Skin-So-Soft against biting midges (Diptera: Ceratopogonidae) in Honduras.

Two U.S. military issue deet repellent formulations (75% deet liquid and 33% deet lotion) and Avon Skin-So-Soft were tested against ceratopogonid midges under field conditions in Honduras. Test subjects were U.S. military personnel deployed to Honduras for training. Culicoides furens accounted for 96.3% of all midges collected. The liquid and lotion formulations of deet and Avon Skin-So-Soft provided 97.9, 95.9 and 71.4% protection, respectively, compared with the untreated control. Both deet formulations provided significantly better protection (P less than 0.05) than Avon Skin-So-Soft. The latter provided protection by trapping the midges in the oily film and not by repelling the insects as did the deet formulations.

Animals

Cutaneous myiasis caused by the African tumbu fly (Cordylobia anthropophaga).

We describe a patient with cutaneous myiasis caused by the African tumbu fly (Cordylobia anthropophaga). This case demonstrates the need for a detailed travel history and an understanding of the fly life cycle to prevent erroneous diagnosis and to expedite prompt treatment. The nature of the lesions, larval morphological features, histological characteristics, and immune response directed toward fly maggots are described.

Abdomen

Mechanical transmission of Trypanosoma brucei rhodesiense by Glossina morsitans morsitans (Diptera:Glossinidae).

Interrupted feedings of teneral, laboratory-reared Glossina morsitans morsitans were used to study mechanical transmission of Trypanosoma brucei rhodesiense. Intervals between exposure of individual flies on parasitaemic rats and refeeding on clean rats were varied from five minutes to 24 hours. Direct transmissions were demonstrated at each interval up to 160 minutes after exposure. Proboscis dissections showed that active trypanosomes were present up to 320 minutes after exposure. No mechanical transmissions from bovine to bovine occurred in 39 attempts, when groups of 20-120 flies exposed on parasitaemic bovines were transferred immediately to uninfected cattle, but two of 40 individual flies exposed on parasitaemic bovines mechanically transmitted trypanosomes to clean rats. Proboscis dissections made immediately after flies were exposed to a bovine with a parasitaemia of 4.8 x 10(-4) trypanosomes/microliters of blood showed that 11 of 20 (55%) had active trypanosomes in the food canal. The mean number of trypanosomes per proboscis was 29.4 (+/- 20.5). Of 20 flies exposed on a bovine with a low parasitaemia, however, only one trypanosome was seen in proboscis dissections. The parasitaemia of the infected donor was an important factor in mechanical transmission. The mechanical transmission of trypanosomes from one host to another may largely depend on the infectivity threshold of the recipient host, and individual mechanically-infected tsetse flies may not transmit an infective dose.

Animals

Improved dose distribution with customized I-125 source loading in temporary interstitial implants.

I-125 sources are being used in temporary interstitial implants of various sites. Radiation safety considerations favor its use over other available radioisotopes. Cost containment is achieved by using the same sources for a number of patients. Loading I-125 seeds into implant catheters at our institutions permit customized source arrangement to optimize the implant dose patterns. Clinical examples are given for which the dose distributions achieved with customized source loading are superior to those achievable with standard Ir-192 ribbons.

Brachytherapy

Suppurative chondritis: its incidence, prevention, and treatment in burn patients.

A retrospective study of 317 cases of suppurative otochondritis occurring in a population of 4794 burned patients successively admitted to one institution between 1967 and 1984 is presented. During the study interval, the incidence of the disease decreased from 20 percent to less than 3 percent in patients with burns of one or both ears. The bacterial species associated with chondritis, principally Pseudomonas aeruginosa and Staphylococcus species, did not change. Patients admitted later than the second postburn day exhibited a significantly greater incidence of chondritis. The crucial factors in prevention of this complication appear to be avoidance of pressure on burned ears and topical chemotherapeutic control of local Pseudomonas infection. Systemic antibiotic prophylaxis did not appear to influence the incidence in the studied population. Several approaches to clinical management of suppurative chondritis are reviewed.

Adult

Stylostome formation by Leptotrombidium mites (Acari: Trombiculidae).

The modes of stylostome formation by larvae (chiggers) of Leptotrombidium intermedium, L. fletcheri, L. arenicola, and L. deliense in parasitized mouse skin were studied histologically in relation to their capacity to transmit Rickettsia tsutsugamushi. Three types of stylostome formation were recognized among the different species: the epidermal stylostome formed by the larva of L. intermedium; the mesenchymal stylostome formed by the larva of L. fletcheri; and, the mixed stylostome formed by the larva of both L. arenicola and L. deliense. Dermal inflammations related to the three types of stylostomes were histologically defined. The possible importance of stylostome characteristics to the transmission of rickettsial organisms is discussed.

Animals

Pharmacy-assisted burn unit skin bank program.

Assistance by pharmacy services in the development and production of a sterile fluid for the preservation of homograft skin after "harvesting" from cadavers is described. Discussion includes the need for skin banking; sterile skin bank fluid formulation, production, storage use; physiological effects of homograft skin; indications for homograft usage; and acceptable cadaver donors.

Burns

Numbers of Leptotrombidium (Leptotrombidium) deliense (Acarina: trombiculidae) and prevalence of Rickettsia tsutsugamushi in adjacent habitats of peninsular Malaysia.

Numbers of L. (L.) deliense larvae were determined in adjacent habitats over a 16 month period. Both R. argentiventer and R. tiomanicus were highly efficient hosts for L. (L.) deliense. R. argentiventer was host to significantly greater numbers of chiggers per rat than was R. tiomanicus. The 2 habitats were similar in numbers of chiggers collected. No consistent correlation was apparent between numbers of chiggers and any single weather factor, but the chigger population seemed to be adversely affected by a 2 month period during which total evaporation greatly exceeded total rainfall. Direct fluorescent antibody examination of tissues from unfed L. (L.) deliense showed that 2 of 420 larvae (0.5%) contained organisms morphologically resembling R. tsutsugamushi. Considering the vector load and numbers of chiggers being returned to the ground by a given host, a rate of 0.5% appeared adequate to account for the prevalence rate of R. tsutsugamushi observed in the 2 host species.

Animals

Virulence and antigenic properties of Rickettsia tsutsugamushi in a naturally infectei laboratory colony of Leptotrombidium (leptotrombidium) arenicola.

Over 1,200 isolations of R. tsutsugamushi were obtained over 7 generations of L. (L.) arenicola and no reproducible differences in virulence or antigenic markers could be detected among these isolations. The F8 generation yielded rickettsia with the same antigenic makeup and virulence properties as the original female parent mite. When these isolates were inoculated into mice they elicited the same predominant antibody specificities, i.e. they all produced antibody which reacted with the TA 763 and Karp strains. These were the same as the major antigens detected by direct fluorescent antibody staining of the isolates.

Animals

The effect of amitrole (3-amino-1H-1,2-4-triazole) on cytokinin activity and sexual reproduction in the yeast Schizosaccharomyces octosporus.

Cytokinin activity in extracts from actively growing cultures of Schizosaccharomyces octosporus was greatly reduced by exposure to amitrole (5 X 10--3M). Amitrole treatment, at the same concentration, stimulated cell enlargment and ascus production in this organism. These data suggest that a relationship may exist between low levels of endogenous cytokinins, cell expansion in preference to cell division, and ascus formation.

Amitrole

Pharmacy-based special infant formula service.

The preparation of infant formulas by a hospital pharmacy for a 280-bed department of pediatrics is discussed. A formulary of acceptable special therapeutic formulas was developed in conjunction with the pediatricians. Space and equipment originally intended for intravenous admixture and total parenteral nutrition services were supplemented to include special infant formula services. The personnel and equipment requirements, and quality control procedures, of the service are discussed.

Formularies, Hospital as Topic