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Biomedical subjects

Peter B Boggs

Publications and source records attributed to Peter B Boggs.

3 recordsLinked to original sources

Novel allele of the endothelial nitric oxide synthase gene polymorphism in Caucasian asthmatics.

The purpose of the present study was to investigate an association of the endothelial nitric oxide synthase (eNOS) gene polymorphism with asthma. eNOS intron4 variable number of tandem repeats (27 bp repeats) genotypes were determined in asthma patients and control subjects using microplate PCR. The Caucasian Asthma patients displayed three alleles while Caucasian controls displayed only two alleles. However, African Americans displayed all three alleles in both asthma patients and controls. African American controls displayed significantly higher a allele, significantly lower b allele, as well as c allele than those in Caucasians. This was the first report to show that there was a novel eNOS genotype present in asthmatic patients but not in control subjects in the Caucasian Community. The novel allele which we termed the c allele, could be a significant risk factor in the etiology of asthma in Caucasians. This novel allele could be involved in higher levels of NO in our Caucasian asthmatics.

Alleles↗

Rethinking asthma from business to bedside.

OBJECTIVE: To explore the possible application of concepts, methods, and tools validated in the worlds of statistics, business, engineering, and system dynamics to improve insight and outcomes in asthma care. DATA SOURCES: Peer-reviewed articles, books, and other publications on the topic of asthma care, dating back to 1931, were retrieved using MEDLINE searches and other external sources. Searches were restricted to include only studies with human subjects and the English language as descriptors, and the terms used included the following: system dynamics, statistical process control charts, continual improvement, mental models, personal mastery, systems thinking, team learning, and shared vision. Personal author observations and experiences were also included. STUDY SELECTION: Review and original research studies that reported on these concepts were evaluated. RESULTS: Results show that the concepts behind these models may be transferred to the system of asthma care. Indeed, case studies have shown that control charts can be used to detect signals of improved or declined function in asymptomatic patients, monitor medication adverse effects and the effects of adding a new medication, and evaluate the effectiveness of different medication delivery systems. CONCLUSIONS: These concepts and tools can provide immeasurable value to the process of rethinking and redesigning asthma care. They have the potential to help physicians and patients alike in designing and executing systems of care that are capable of not only delivering better outcomes but also inviting commitment to the long-term care many require.

Asthma↗