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M Rae

Publications and source records attributed to M Rae.

14 recordsLinked to original sources

Protein kinase C- and Ca2+ ionophore-stimulated production of reactive oxygen species in mechanically dispersed isolated bovine luteal cells.

We measured the production of reactive oxygen species (ROS) using luminol-horseradish peroxidase-induced chemiluminescence in mechanically dispersed cell suspensions from bovine corpus luteum (CL). Since other cell types besides luteal cells were present in crude cell suspensions from CL, cell preparations were purified by centrifugation on Percoll. Only cell suspensions that gave no significant response when stimulated with formyl-methionyl-leucyl-phenylalanine, a potent stimulator of ROS production by phagocytes, were used routinely. Basal ROS production by purified bovine luteal cell preparations was low but could be stimulated rapidly and in a dose-dependent manner by nanomolar concentrations of the protein kinase C (PKC) activator phorbol 12-myristate 13-acetate (PMA), though only in cells purified by fractionation on Percoll. Luteal ROS responses to PMA were quenched by returning bovine erythrocytes to purified luteal cells, or by exogenous catalase or superoxide dismutase. The magnitude of the response to PMA varied markedly from one luteal cell preparation to another but appeared to be unrelated to the stage of the luteal phase of the CL from which the cells were prepared. The luteal ROS response to PMA was blocked by staurosporine, an inhibitor of PKC. Although the inactive phorbol ester (4alpha-phorbol didecanoate; 4alphaPDD) alone had little or no effect on luteal ROS production, 4alphaPDD significantly potentiated the effects of submaximal concentrations of PMA in a dose-dependent manner. ROS production could also be stimulated by the Ca2+ ionophore A23187. This response was rapidly abolished by treatment with EDTA or EGTA. A23187 also augmented the response to submaximal PMA levels: however, pretreatment with 4alphaPDD did not significantly enhance the ROS response to A23187. In conclusion, we have shown that isolated bovine luteal cell suspensions are capable of generating a marked acute ROS response triggered by activation of PKC and/or elevation of cytosolic calcium.

Animals↗

An atherosclerosis risk factor assessment program for patients with peripheral arterial occlusive disease.

From a group of 251 high-risk patients less than 65 years of age, 84 with angiographic or vascular laboratory proven peripheral arterial occlusive disease were evaluated in detail. The following risk factors were identified: smoking in 91% with an average of 35 +/- 18 pack/years; treated or untreated hypertension in 40%; hyperlipidemia in 49%; obesity with a body weight greater than 120% of ideal in 18%; diabetes in 9%; family history of premature vascular disease in 70%; and hyperuricemia in 13%. Based on these results, we have introduced a practical approach for investigating and managing risk factors that can be administered by paramedical personnel, utilizing a questionnaire given to patients and standard blood tests to identify important risk factors. The results of the completed questionnaires and blood test are entered on a microcomputer. A program written using d-Base III stores the data, identifies the risk factors and grades their severity. We have designed an information booklet that highlights the individual patient's risk factors and suggests alternatives for management based on the sources of medical and community help available in our area.

Arterial Occlusive Diseases↗

5-year results of a prospective study of percutaneous transluminal angioplasty.

This paper presents the results of a prospective study of percutaneous transluminal angioplasty (PTA) for the treatment of patients with peripheral arterial occlusive disease and identifies the variables that are predictive of long-term success. The variables believed to be important prognostically were recorded for 984 consecutive PTAs performed between July 1978 and July 1986. Success or failure was defined using a combination of clinical and objective vascular laboratory criteria. The overall long-term success was estimated by the Kaplan-Meier method and differences between curves of success rate versus time for each variable were determined by the Wilcoxon and log-rank statistics. The combination of variables associated with success were determined by the Cox proportional hazards regression model. For all cases, the initial success rate was 88.6 +/- 1.0% and at 5 years was 48.2 +/- 2.3%. The following variables, when considered individually, were associated with success (p less than 0.05): indication for PTA, site of PTA, severity of lesion, runoff, number of sites dilated, diabetes, and the occurrence of a complication. From the Cox model, by using a stepwise multiple regression procedure, the following combination of variables were found to be predictive of success (p less than 0.05): (1) indication (claudication vs. salvage), (2) site (common iliac vs. other), (3) severity of lesion (stenosis vs. occlusion), and (4) runoff (good vs. poor). For all combinations of these four significant variables, curves of the success rate versus time were calculated. In conclusion, this study has identified the combination of four variables that together predict if PTA is likely to be successful in the management of a patient with peripheral arterial occlusive disease.

Angioplasty, Balloon↗

Improvement after successful percutaneous transluminal dilation treatment of occlusive peripheral arterial disease.

Six hundred and eighty-one transluminal dilations were performed at the Toronto General Hospital between 1978 and 1984. In this consecutive series, 207 iliac and 65 femoropopliteal successful dilations were performed for claudication in patients with good runoff. Using this ideal group of patients in whom one would expect the greatest improvement, we determined the extent of improvement after successful transluminal dilation. Persistent mild symptoms were frequent and the ankle to brachial blood pressure ratio often remained abnormal. We have concluded that transluminal dilation can be used as an adjunct or alternative to surgical treatment if certain clinical, roentgenographic and technical criteria are met.

Aged↗

Consumer concerns.

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Consumer Behavior↗

Changing the nursing culture in a special hospital.

In August 1992 a damning report was published on the mental health services provided at Ashworth Special Hospital in Merseyside. It described a brutalising and damaging regime in which nurses were singled out for the strongest criticism. In November 1994 the Health Advisory Service (HAS), which has a watchdog role, spent three weeks at Ashworth reviewing developments in the wake of the inquiry report. The HAS report, published last March, praised the hospital for undergoing tremendous change and recovery. Areas of exemplary practice were evident and major dehumanising practices had been eliminated. This paper attempts to analyse some of the difficulties confronting nurses at the hospital during the years of change between the public inquiry and the HAS visit, and identifies recent major achievements and areas for further work.

Hospitals, Psychiatric↗

Breaking the chains.

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Ethics, Nursing↗