Glycosylation of recombinant chimeric and human serum IgA1.
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Biomedical subjects
Publications and source records attributed to M Kerr.
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The quantity and distribution of epidermal growth factor receptors (EGF-R) in oesophageal mucosa was studied in the oesophagus in order to determine its role in oesophageal disease. Fifty five biopsies were taken from different levels of the oesophagus in 25 consecutive patients undergoing endoscopy. Another group of eight patients with histologically proven Barrett's oesophagitis had a biopsy taken from the area of columnar lined oesophagus. A peripheral, membranous pattern was seen predominantly confined to the basal and immediately suprabasal cells in all of the first group of patients. In the superficial cells a few granular cytoplasmic structures were positive. All patients with Barrett's oesophagitis showed EGF-R staining of the surface epithelium. A computerised planimeter was used to determine the proportion of stained areas of squamous cells which were expressed as a percentage of the total area of squamous cells. The difference in the area of cells stained for EGF-R between normal and inflamed oesophageal mucosa (29.5% and 43.1% respectively) was significant (p less than 0.001).
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Power analysis provides one method for assessing the efficacy of alternative research designs. The purpose of this article is to simplify the methods for calculating power analysis to determine an adequate sample size. Although attention to type I errors (alpha error) is prevalent among nurse researchers, there is less appreciation for research problems resulting from a type II error. Without the a priori examination of the power of the test of significance, there is no assurance that the sample is sufficient to discern significant differences. Formulas for calculating effect size are provided for t tests, correlations, chi-square, analysis of variance, and regression. Examples of calculating the effect size by using four different statistical tests based on research studies are presented: t tests with unequal variance between groups, chi-square, an analysis of variance, and regression. Power analysis is an additional procedure to ensure that the sample size is adequate for the research project about to be undertaken.
Mucocutaneous lymph node syndrome has rarely been reported in the dental literature despite the orofacial features characteristic of the disease. A case is reported in which the cardinal signs were present: erythema of the oral mucosa, cervical lymphadenopathy, conjunctivitis, pyrexia, and desquamation of the skin of the hands and feet. In addition, hydrops of the gallbladder and cardiac disorder were also found. The patient may first seek treatment by the dental practitioner, by whom the diagnosis may be made. Attention is drawn to the possibility of cardiac abnormalities that may influence dental treatment.
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Serum total cholesterol and high-density lipoprotein (HDL) cholesterol concentrations were measured in 1122 men and 1147 women aged between 25 and 64 years during the first Belfast MONICA survey, and the results subjected to multiple regression analysis. In both men and women, total cholesterol increased with age. Although HDL-cholesterol showed little variation with age, the values were considerably higher in women than men. Total cholesterol increased with body mass index while HDL-cholesterol decreased, and these findings persisted after adjustment for age. Regular exercise was associated with higher HDL-cholesterol values, even after adjustment for age and body mass index. Among men and women who abstained from alcohol, lower values of HDL-cholesterol were observed. In both sexes, cigarette smoking was associated with significant increases in total cholesterol values and decreases in HDL-cholesterol values, though some of these findings became apparent only after adjustment for other relevant factors. Perhaps surprisingly, a measure of health knowledge showed no association with blood lipid concentrations.
One hundred and thirty-seven patients attending hospital following road traffic accidents were contracted regarding pain in the neck between 1 and 2 years later. Eighty-five (62 per cent) stated that they had suffered pain in the neck at some time following their accident compared with 42 (30.6 per cent) who were noted to have pain in the neck when examined soon after the accident. Thirty-one patients (22.6 per cent) still felt occasional pain 1 year after the accident and 5 had continuous pain at 1 year. Pain in the neck occurred irrespective of the direction of impact but was disproportionately common in rear impact accidents. Patients wearing seat belts experienced pain more frequently than unbelted patients.
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Human tissues, both biopsy and postmortem, and tissues from rodents were fixed by microwaves at various temperatures and compared against formaldehyde-fixed material. Conventional stains, including trichromes, worked well. Red cells were lysed, but white cells were fixed, thus permitting diagnoses of various inflammatory states. Malignant cells were equally well-preserved by the two methods. Histochemical investigations of mucosubstances, lipids and various hydrolases showed no significant difference between the two techniques. Some neurological stains, however, were not as good following microwave treatment. Immunocytochemical localization of IgA, IgM and IgG showed no significant difference after microwave fixation compared to that in tissues fixed with formaldehyde. Microwave fixation did not lead to a greater tissue shrinkage than that obtained with formaldehyde fixation. Both were significantly less than that following treatment with phosphate-buffered saline alone. Electron microscopy gave results which were interpretable, but with damage resembling early postmortem change. Microwave fixation is complete in approximately 1-2 min. The mechanism of fixation appears to be due to denaturation associated with disulphide bond formation and a decrease in solubility of proteins.
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In two general practices in Perth, Western Australia, the most common microbiological causes of vaginal discomfort in 368 patients were Candida albicans. Gardnerella (Haemophilus) vaginalis, Trichomonas vaginalis and bacteroides fragilis. Amongst patients with abnormal vaginal odour, with or without vaginitis, the most common cause of odour was G. vaginalis. The writers advocate that heavy growths of group B streptococci, Escherichia coli, and enterococci should be considered to be the possible cause of vaginal discomfort. This reinforces the need for care in collection, transportation, and microbiological examination of swabs of the female genital tract. as well as in the clinical interpretation of these reports.
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