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Biomedical subjects

M S Goodman

Publications and source records attributed to M S Goodman.

11 recordsLinked to original sources
PubMed2001

Thermodynamic aspects of dicarboxylate recognition by simple artificial receptors.

Recognition of dicarboxylates by bis-functional hydrogen-bonding receptors displays divergent thermodynamics in different solvent systems. NMR titration and isothermal titration calorimetry indicated that neutral bis-urea and bis-thiourea receptors form exothermic complexes with dicarboxylates in DMSO, with a near zero entropic contribution to binding. The increased binding strength of bis-guanidinium receptors precluded quantitative measurement of binding constants in DMSO, but titration calorimetry offered a qualitative picture of the association. Formation of these 1:1 complexes was also exothermic, but additional endothermic events occurred at both lower and higher host-guest ratios. These events indicated multiple binding equilibria but did not always occur at a discrete 2:1 or 1:2 host-guest molar ratio, suggesting higher aggregates. With increasing amounts of methanol as solvent, bis-guanidinium receptors form more endothermic complexes with dicarboxylates, with a favorable entropy of association. This switch from association driven by enthalpy to one driven by entropy may reflect a change from complexation involving the formation of hydrogen bonds to that promoted by solvent liberation from binding sites.

Binding Sites↗
PubMed2001

The etiology of community-acquired pneumonia at an urban public hospital: influence of human immunodeficiency virus infection and initial severity of illness.

In a prospective study, the etiology of community-acquired pneumonia (CAP) was investigated among consecutive patients admitted to an academic, urban public hospital in Seattle. The study population was uniquely young, was predominantly male, and had high rates of homelessness, cigarette smoking, alcoholism, injection drug use, and human immunodeficiency virus (HIV) infection. Leading causes of CAP among HIV-negative patients were aspiration, followed by Streptococcus pneumoniae, Legionella species, and Mycoplasma pneumoniae. Among HIV-positive patients, Pneumocystis carinii, Mycobacterium tuberculosis, S. pneumoniae, and M. pneumoniae were the most common etiologic agents. Severe CAP was associated with typical bacterial infections and aspiration pneumonia but not Legionella infection among HIV-negative patients and with Pseudomonas aeruginosa infections among HIV-positive patients. These findings emphasize the need to tailor empirical antibiotic therapy according to local patient populations and individual risk factors and highlight the importance of recognizing underlying HIV infection in patients who are hospitalized with CAP.

Adult↗
PubMed2000

On the photochemical behavior of the [Ru(NH3)4(NO)nicotinamide]3+ cation and the relative stability of light-induced metastable isonitrosyl isomers of Ru complexes.

Low-temperature IR experiments on crystalline samples of trans-[Ru(NH3)4(NO) nicotinamide]3+ salts show a light-induced absorption band typical for MS1 NO linkage isomers upon exposure to 300-500 nm light from a Xe source. The formation of a metastable species is confirmed by DSC measurement on a sample irradiated at low temperature with 457 nm light from an Ar+ laser. The light-induced species decays between 250 and 260 K according to both IR and DSC results. This decay temperature (Td) is somewhat below that observed for other high-Td linkage isomers, even though the NO-stretching frequency of the of [Ru(NH3)4(NO) nicotinamide]3+ ion is above that of the other isomers, demonstrating a lack of precise correlation between the two physical properties. The 90 K crystal structure of trans-[Ru(NH3)4(NO)nicotinamide](SiF6)(NO3).H2O is reported. The geometry from theoretical DFT calculations of the ground-state structure agrees well with the experimental results, except for the orientation of the CONH2 substituent in the pyridine ring, which is rotated by 180 degrees in the crystal due to packing effects. The MS1 and MS2 linkage isomers are found to correspond to local minima on the ground-state potential energy surface, and their geometries and energies are reported.

Journal Article↗
PubMed2000

Nitronate anion recognition and modulation of ambident reactivity by hydrogen-bonding receptors.

Nitronate anions were shown to form complexes in DMSO with hydrogen-bonding receptors such as 1,3-dimethylthiourea 1 (K(a)= 120M(-1)) and bicyclic guanidinium 2 (K(a) = 3200M(-1)). A ditopic bis-thiourea exhibited increased association with substrates, that contained either two nitronates (K(a)= 7000M(-1)) or a combination of nitronate and carboxylate (K(a)=7200M(-1)). Complexation of nitronate resulted in a change in the ambident reactivity during alkylation with p-nitrobenzyl bromide. The predominant reaction pathway was shifted from oxygen alkylation to carbon alkylation as receptor binding strength increased. Kinetic analysis indicated an overall inhibition of nitronate reactivity, and this suggests that greater suppression of the oxygen pathway allows carbon alkylation to predominate.

Alkylation↗
PubMed1994

Perceived prestige and health careers recruitment.

Perceived occupational prestige is an important factor in career choice. The purpose of this study was to obtain prestige ratings of 13 allied health occupations and 13 general occupations for high school students, community college students (nonhealth majors), and community college health occupations students. The obtained ratings were compared with ratings of a combined group of health care providers. There was little agreement among the groups as to level of prestige. The high school rankings were the most disparate. Career exploration and outreach programs as part of recruitment efforts by health care institutions are suggested.

Adolescent↗
PubMed1984

Relationships of oral stereognostic ability to age and sex of children.

A battery of items testing oral stereognostic ability was individually presented to 168 children, 12 boys and 12 girls at each of seven age levels from 4-5 to 11-4. Age was significantly related to oral stereognostic scores; older subjects scored significantly higher than younger subjects. Sex was also significant; girls scored higher than boys. The interaction of age and sex was not significant.

Age Factors↗
PubMed1983

Sickle cell hematuria controlled by intrarenal oxychlorosene irrigation.

Therapy for prolonged renal bleeding related to sickle cell disease can be challenging. We review the treatment of a woman with a 4-week history of renal bleeding thought to be due to sickle cell trait. The hemorrhage ceased immediately following irrigation of the involved kidney with oxychlorosene. Before radical surgery is performed for this problem this relatively simple approach should be considered. Further documentation of the efficacy and safety is necessary before advocating this modality for routine use.

Adult↗
PubMedDate not supplied

Investigation of buildup dose from electron contamination of clinical photon beams.

The contribution made by contaminating electrons present in a clinical photon beam to the buildup dose in a polystyrene phantom has been calculated and compared to measurements. A Monte Carlo technique was employed. The calculation was divided into two parts. First, the accelerator treatment head was simulated in detail using the EGS-PEGS electromagnetic shower code. Then, information obtained from these calculations was used to compute dose curves in a polystyrene phantom. Two cases were considered, one in which both electrons and photons were incident upon the phantom, and another in which electrons were eliminated from the incident beam. Results of these calculations agree with recent experimental findings. A decrease in buildup dose as well as a shift in dmax was observed when electrons were eliminated from the beam.

Electrons↗
PubMedDate not supplied

Sources of electron contamination for the Clinac-35 25-MV photon beam.

A detailed Monte Carlo approach has been employed to investigate the sources of electron contamination for the 25-MV photon beam generated by Varian's Clinac-35. Three sources of contamination were examined: (a) the flattening filter and beam monitor chamber, (b) the fixed primary collimators downstream from the monitor chamber and the adjustable photon jaws, and (c) the air volume separating the treatment head from the observation point. Five source-to-surface distances (SSDs) were considered for a single field size, 28 cm in diameter at 80 cm SSD. It was found that for small SSDs (80-100 cm), the dominant sources of electron contamination were the flattening filter and the beam monitor chamber which accounted for 70% of the unwanted electrons. Thirteen percent of the remaining electrons originated in the downstream primary collimators and the photon jaws, and 17% were produced in air. At larger SSDs, the fraction of unwanted electrons originating in air increased. At 400 cm SSD, 61% of the contaminating electrons present in the beam were produced in air, 34% originated in the flattening filter and beam monitor chamber, and 5% were due to interactions in the fixed collimators downstream from the monitor chamber and the adjustable photon jaws. These calculated results are substantiated by recent experiments.

Electrons↗