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Biomedical subjects

M J Nemiroff

Publications and source records attributed to M J Nemiroff.

9 recordsLinked to original sources
PubMed1987

Immersion hypothermia: comparative protection of anti-exposure garments in calm versus rough seas.

To evaluate the thermal performance of anti-exposure garments in rough seas, eight garment-ensembles were studied: 7 foam-insulated garments (2 tight-fitting "wet" suits, 3 loose-fitting "wet" garments, 2 "dry" suits) and 1 uninsulated, loose-fitting control. Mean calm and rough water temperatures were 10.7 and 11.1 degrees C, respectively. Rectal temperature, back skin temperature, heart rate, and subjective evaluations of garment protection were measured. Loose-fitting, "wet" garments allowed significantly greater (approximately 50-100%) mean rectal temperature cooling rates and significantly larger declines in skin temperature in rough water than in calm water. Such differences were not found for either the tight-fitting "wet" suits or the "dry" suits. Heart rates were significantly higher in rough seas than in calm seas for all garments. Rectal and skin temperature changes were positively correlated with each other and with subjective evaluation of cold water flushing; they were negatively correlated with warmth and tightness-of-fit. "Dry" garments provided better protection than did "wet" garments in both sea conditions, and tight-fitting "wet" garments provided better protection than did loose-fitting "wet" garments in rough but not in calm seas. Accidental immersion in rough seas may be associated with significantly lower survival times than previously estimated from calm-water studies.

Adult↗
PubMed1982

Mass carbon monoxide poisoning: clinical effects and results of treatment in 184 victims.

An epidemiologic and clinical investigation of 184 persons exposed to toxic levels of carbon monoxide (CO) in a public high school has been carried out. Exposure to 500 ppm of CO for periods up to 150 minutes resulted in carboxyhemoglobin (COHb)levels as high as 30% and symptomatic illness in 87% of persons exposed before the possibility of mass CO poisoning was recognized. Severity of symptoms was a reliable basis for triage of victims for immediate hospital treatment, and correlated both with duration of exposure and the length of time it took for victims to feel normal. Therapy consisting of oxygen delivered by mask achieved a half-life for COHb of 137 minutes in hospital-treated patients (compared to 320 minutes with no treatment), but did not fully reverse the symptoms of CO toxicity.

Adolescent↗
PubMed1981

Multiple hyperbaric exposures during pregnancy in sheep.

Eleven sheep were subjected to hyperbaric comparable to 165 feet of sea water 31 times between the one hundred twelfth and one hundred thirty-seventh days of pregnancy. During 13 dives the maternal and fetal circulations were monitored for bubble formation during decompression. Bubbles were detected by external doppler probes in eight of 12 ewes, but in none of the fetuses. Nine ewes were delivered of normal lambs at term. In one, twin fetuses died during an abnormal labor. The pregnancy of another was terminated by cesarean section after decompression to look for bubbles in the fetal circulation.

Animals↗
PubMed1979

Effect of hyperbaric oxygen on the cytotoxicity of adriamycin and nitrogen mustard in cultured Burkitt's lymphoma cells.

The effects of hyperbaric oxygen (HPO) exposure on the cytotoxicity of Adriamycin (ADM) and nitrogen mustard have been examined in Burkitt's lymphoma cells (P3J) in vitro. Exposure of cells to 3 atmospheres of pressure HPO for 2 hr produces inhibition of DNA synthesis and mitosis. Simultaneous exposure to HPO and ADM results in decreased cytotoxicity compared to drug treatment alone. However, exposure to ADM (0.15 microgram/ml) 2 to 8 hr before or after HPO produces an increase in drug effect. There is no potentiation of lower ADM concentrations. Cytotoxicity is increased when cells are exposed to HPO during, before, or after exposure to nitrogen mustard (NSC 762) (0.15 and 0.25 microgram/ml). Lower nitrogen mustard (NSC 762) concentrations are not potentiated. HPO potentiation of antineoplastic agents appears to depend upon the agent studied, the concentration of the agent, and the scheduling of the drug and HPO exposure.

Burkitt Lymphoma↗
PubMed1978

Hard metal pneumoconiosis: another cause of diffuse interstitial fibrosis.

Three patients developed diffuse pulmonary fibrosis caused by exposure to aerosolized cobalt while working in the tungsten carbide tool industry. Two cases were severe and one of these has died of cor pulmonale. The third is mildly disabled. The pathophysiology is reviewed. Clinicians and radiologists should be aware of hard metal exposure as a cause of diffuse interstitial fibrosis.

Adult↗
PubMed1975

The incidence of urine cultures positive for Mycobacterium tuberculosis in a general tuberculosis patient population.

When urine specimens from a general tuberculosis patient population of 328 were submitted routinely for mycobacterial cultures, 33 patients (10 per cent) a positive turine cultures for Mycobacterium tuberculosis. In 22 patients (7 per cent) a positive urine culture for M. tuberculosis was unanticipated. Review of these 22 patients revealed that all had denied current genitourinary symptoms, 58 per cent had urinalyses within normal limits, and 58 per cent had normal intravenous pyelograms. Thus, lack of symptoms and normal tests do not necessarily exclude the possibility of genitourinary tuberculosis. Only 4.7 per cent of patients with pulmonary tuberculosis but 21 per cent of those with extrapulmonary tuberculosis had unanticipated positive urine cultures for M. tuberculosis. This suggests that routine submission of urine specimens for mycobacterial cultures can be a valuable adjunct to the bacteriologic confirmation of the diagnosis of extrapulmonary tuberculosis.

Bacteriological Techniques↗