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Biomedical subjects

P Welch

Publications and source records attributed to P Welch.

At least 37 records · Page 2Linked to original sources
PubMed1988

Consulting dietitians in nursing homes: time in role functions and perceived problems.

A mail survey was conducted to describe Illinois consultant dietitians' perceptions of time adequacy for fulfilling role responsibilities and to identify dietary problems in nursing homes. Approximately three-fourths (74%) of the 43 respondents reported insufficient time at nursing homes, although all met or exceeded state consulting time requirements. Role functions receiving the greatest time investments were in the categories of foodservice management and nutrition care. Resident nutrition care issues were often rated as major problems. Dietitians' perceptions of nutrition care problems and inadequacy of time to perform role functions indicate a need to re-evaluate priorities for role performance and to obtain increased service hours. Methods to increase consulting time should include effective marketing of services and involvement in legislative and regulatory processes.

Dietary Services↗
PubMed1987

Dietary sodium intake of infants fed commercially prepared baby food and table food.

Sodium intake of infants varies widely with the type of food consumed. However, few reports are available describing the nutrients, including sodium values, of dietary intakes of infants receiving supplemental foods. The purpose of this study was to determine the sodium, energy, and nutrient values of diets for infants from low-income families participating in the WIC program. The sample consisted of 306 infants, aged 4 through 7 months, who were seen in well-child clinics. Approximately 200 of the infants were reportedly fed commercially prepared baby food as the only solid food; 55 received 50% or more of their energy from table foods. The dietary intakes of infants receiving supplemental foods and consuming commercially prepared baby foods included significantly less sodium than the intakes of infants fed primarily table foods. As a group, all infants met the RDAs for most nutrients but had higher sodium values than reported by other researchers. The group of infants for whom consumption of table foods was reported had values above the acceptable range for sodium primarily because the caregivers failed to provide low-sodium, nutrient-dense, supplemental foods in the quantities prescribed but instead substituted sodium-dense meat and vegetable products.

Animals↗
PubMed1987

Older pregnant women and adolescents: nutrition data after enrollment in WIC.

Although there has been an increase in pregnancy in women over 35 years of age, the literature contains no information on dietary intakes of older pregnant women. Several studies have reported the nutritional status of pregnant adolescents who are considered to be at nutritional risk. This study investigated the energy, nutrient, and food intake patterns of 63 low-income pregnant women over 35 compared with 526 pregnant adolescents. Nutrient intake was assessed using a standardized 24-hour dietary recall protocol. Energy values for both groups were below recommended levels, and neither group gained the recommended amount of weight. Obesity may have been the reason for the lack of weight gain by the older pregnant women, since more than 50% of the older pregnant women were calculated to be obese prior to pregnancy. The younger women reported consuming less milk but more snack foods with lower nutrient densities, which significantly increased their energy values over those of the older group. In comparison with diets reported in other studies, the diets of the older pregnant women were more nutrient dense for most nutrients. Although all participants were enrolled in WIC, an equal number of women from both groups stated that they did not have the supplemental foods in their households at the time of interview.

Adolescent↗
PubMed1986

Granulocytic sarcoma with an indolent course and destructive skeletal disease. Tumor characterization with immunologic markers, electron microscopy, cytochemistry, and cytogenetic studies.

A 6-year-old girl with a granulocytic sarcoma (GS) of the left maxillary sinus that followed a uniquely indolent clinical course (3.5 years) and was associated with highly destructive skeletal disease is described. The tumor cells demonstrated an unusual hematogenous "homing" preference for bone and soft tissue sites. Tumor cell characterization with immunologic markers, electron microscopy, cytochemistry, and cytogenetic studies revealed that the tumor cells expressed OKM1 and MMA (Leu-M1), but not HLA-DR, B-, or T-cell markers. The cells were nonspecific esterase- and myeloperoxidase-positive, had ultrastructural features of promyelocytes, and were clonal. The laboratory characterization of the tumor cells in this clinically unusual case of GS illustrates the utility of monoclonal antibodies, applied in conjunction with cytochemistry and ultrastructural analysis, in establishing the specific diagnosis, cell lineage, and maturational stage of this tumor.

Antibodies, Monoclonal↗
PubMed1985

Gallium-positive Lyme disease myocarditis.

In the course of a work-up for fever of unknown origin associated with intermittent arrhythmias, a gallium scan was performed which revealed diffuse myocardial uptake. The diagnosis of Lyme disease myocarditis subsequently was confirmed by serologic titers. One month following recovery from the acute illness, the abnormal myocardial uptake completely resolved.

Gallium Radioisotopes↗
PubMed1985

Dietary assessment of pregnant adolescents participating in a supplemental-food program.

We analyzed the energy-, nutrient- and food-intake patterns of pregnant adolescents before and during participation in a supplemental-food program. The dietary data on the pregnant adolescents were compared to those on older pregnant women and non-pregnant adolescents. Weight gain per trimester, hemoglobin and hematocrit values were reported. In general, the mean energy and nutrient values calculated from the diets of diet-supplemented, low-income pregnant adolescents as compared to other groups from the same area were not significantly different; however, the values calculated as a percentage of the recommended daily allowances (RDA) were significantly higher for the other groups. Mean weight gain per trimester for all the pregnant groups was within the recommended ranges. Mean hemoglobin and hematocrit values were within normal limits and comparable to values reported in other studies. The energy and nutrient values for the diets of the supplemented group were less than the RDA for several nutrients. However, when compared to the findings of most earlier studies, the mean values were greater.

Adolescent↗
PubMedDate not supplied

The total chemical synthesis of monocyte chemotactic protein-1 (MCP-1).

The affinity-based N (alpha)-amino protecting group tetrabenzo[a,c,g,i]fluorenyl-17 methoxycarbonyl (Tbfmoc) has been utilized as a hydrophobic probe to allow the simple, quick and highly effective isolation of a 76 residue cysteine-containing protein (MCP-1). The base-labile Tbfmoc group can be removed under very mild conditions, which preserve the thiol-containing protein in the reduced state. Oxidative folding was then used to furnish the biologically active beta-chemokine MCP-1.

Amino Acid Sequence↗
PubMedDate not supplied

Forensic drug testing for opiates: I. Detection of 6-acetylmorphine in urine as an indicator of recent heroin exposure; drug and assay considerations and detection times.

The urinary excretion patterns of 6-acetylmorphine (6-AM), free morphine, and total morphine were determined by GC/MS assay for six human subjects who received single doses of 3.0 and 6.0 mg of heroin hydrochloride. Clinical specimens were collected and combined with standardized drug urines into a 400 specimen/standard set. The urines were coded, randomized, and analyzed under blind conditions. The GC/MS assay had a limit of sensitivity of 0.81 ng/mL for 6-AM and displayed a linear response across a concentration range of 1-100 ng/mL. Following heroin administration, 6-AM was excreted rapidly with an average half-life of 0.6 h. This resulted in a very short detection time for 6-AM with a range of 2-8 h at the most sensitive cutoff limit. This short detection time limits the usefulness of 6-AM as a marker for identification of heroin abusers to a period immediately after drug use. In contrast, free morphine and total morphine were detectable up to approximately 24 h after heroin administration. The average half-life for free morphine was 3.6 h and for total morphine was 7.9 h. After morphine and codeine administration, no 6-AM was detected by GC/MS above the 0.81-ng/mL detection limit of the assay. It is concluded that the presence of 6-AM in urine can be interpreted with confidence to mean that heroin, or 6-AM, was administered within 24 h of specimen collection and that the presence of 6-AM in urine is not caused by morphine or codeine administration.

Gas Chromatography-Mass Spectrometry↗
PubMedDate not supplied

Forensic drug testing for opiates. II. Metabolism and excretion rate of morphine in humans after morphine administration.

Urine levels of free and total morphine were determined by GC/MS for four male subjects who received single doses of 20 mg of morphine sulfate intramuscularly. Peak concentrations were observed within 10 h for both conjugated and free morphine; thereafter, levels declined rapidly. Initially, free morphine represented from 25 to 34% of the total amount of morphine present, but this ratio declined after 12 h to an average of only 5.9% of total morphine. Free morphine accounted for an overall mean of 6.8% of the dose excreted in urine and conjugated morphine for 58.6%. The mean excretion half-life for free morphine was 6.6 h and for conjugated morphine was 8.2 h. The lower concentration and shorter half-life of free morphine resulted in a shorter detection time for free morphine versus total morphine at a 300-ng/mL cutoff. An equivalent detection time for free morphine was obtained when its cutoff was lowered to 25 ng/mL. The possibility that morphine is metabolized to codeine was unequivocally ruled out by the finding of an absence of codeine at or above the LOD of the GC/MS assay in all clinical specimens collected after morphine administration.

Adult↗
PubMedDate not supplied

Forensic drug testing for opiates, III. Urinary excretion rates of morphine and codeine following codeine administration.

The urinary excretion profile of free and conjugated codeine and morphine was determined by GC/MS for four healthy male subjects after intramuscular administration of 60- and 120-mg doses of codeine. Codeine and metabolites were rapidly excreted with the majority of drug appearing in the first 24 h. No dose-related differences in metabolism were observed. The initial ratio of total codeine to total morphine was substantially greater than 1.0 but declined over time. For two of the four subjects, the codeine-morphine ratio declined below 1.0 late in the elimination phase. With a 300-ng/mL cutoff, one subject tested positive on more than one occasion for total morphine and negative for codeine during the terminal elimination phase. The data indicate that urine codeine-morphine ratios are not reliable indices of the type of opiate exposure.

Codeine↗