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Biomedical subjects

Matthew Weinstock

Publications and source records attributed to Matthew Weinstock.

15 recordsLinked to original sources

Evaluation of beta-cell replication in mice transgenic for hepatocyte growth factor and placental lactogen: comprehensive characterization of the G1/S regulatory proteins reveals unique involvement of p21cip.

We hypothesized that combined transgenic overexpression of hepatocyte growth factor (HGF) and placental lactogen in islets would lead to even greater increases in beta-cell mass and replication than either growth factor alone. This did not occur, suggesting that beta-cell replication is saturable or subject to molecular restraint. We therefore performed the first comprehensive G(1)/S cell cycle survey in islets, cataloguing the broad range of kinases, cyclins, and kinase inhibitors that control the G(1)/S transition in islets from normal, HGF, placental lactogen, and doubly transgenic mice. Many of the G(1)/S checkpoint regulators (E2Fs; pRb; p107; p130; cyclins D(1),(2),(3), A, and E; cdk-2; cdk-4; p15; p16; p18; p19; p21; p27; MDM2; p53; c-Myc; and Egr-1) are present in the murine islet. Most of these proteins were unaltered by overexpression of HGF or placental lactogen, either alone or in combination. In contrast, p21(cip) was uniquely, dramatically, and reproducibly upregulated in placental lactogen and HGF islets. p21(cip) was also present in, and upregulated in, proliferating human islets, localizing specifically in beta-cells and translocating to the nucleus on mitogenic stimulation. Homozygous p21(cip) loss releases islets from growth inhibition, markedly enhancing proliferation in response to HGF and placental lactogen.

Animals↗

Accreditation. Challenging JCAHO.

The Joint Commission may soon have a new rival for accrediting hospitals. And unless JCAHO mends some open wounds, hospitals could flock to the fledgling competitor.

Accreditation↗

Cutting both ways.

Health care coverage is by far the biggest cost of doing business for most American companies large and small. Many are trying to cope by reducing or eliminating health benefits for retirees. That's an unhappy shock for their former employees--and it is bound to have disturbing consequences for providers.

Cost Sharing↗

Save lives now. Patient care. Transitioning care.

H&HN's ongoing series on ways that hospitals can reduce medical errors takes a look at how clinicians can better talk with one another as patients move from one setting to another.

Continuity of Patient Care↗

Chronic care: an acute problem.

Reality check: Nearly 80 percent of all health care dollars are now spent to treat chronic conditions. More than 100 million Americans suffer from one or more of these illnesses, a number that will swell in coming years. But health care--from the way it's paid for to the way it's delivere--remains heavily geared to acute care. Something's got to give.

Chronic Disease↗

Managing chronic care: a new delivery model.

It won't be easy to shift from an acute care to a disease management approach to chronic care, but the Institute of Medicine, for one, says such an approach could be the starting point for restructuring health care delivery.

Chronic Disease↗