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Biomedical subjects

R Robison

Publications and source records attributed to R Robison.

At least 19 recordsLinked to original sources
PubMed2000

American radium engenders telecurie therapy during World War I.

From 1899 to 1912 there was a European monopoly controlling the sale of radium for cancer therapy. This trust was finally broken, albeit only temporarily, in 1912/13 by American entrepreneurs J. Flannery, H. Kelly, and J. Douglas. Joe Flannery was a former mortician turned mining magnate. Dr. Howard Kelly was the renowned gynecological surgeon at Johns Hopkins Hospital and Medical School who defied tradition by maintaining his own private hospital. Professor James Douglas was the Arizona copper king who helped support Memorial Hospital in New York City as America's first cancer hospital. During 1913-1916 surgeons Howard Kelly (Baltimore) and H. H. Janeway (Memorial Hospital) began using radium and radon for the treatment of deep seated cancers. Their technique required placement of the sources several centimeters away from the skin surface. As this new concept, telecurie therapy, resulted in a significant decrease in dose rate, it was necessary for both surgeons to have several grams of radium, costing $180000/gram, in their possession. Fortunately, Kelly and Janeway were the sole beneficiaries of a radium mining company, the National Radium Institute, from 1913 to 1916. With this unique American source of radium and with Europe otherwise preoccupied, these two American surgeons pioneered megavoltage telecurie therapy, using the 1.2 MeV gamma rays of "mass radium."

Biophysics↗
PubMed1996

Induction of the adipose differentiation-related protein in liver of etomoxir-treated rats.

The effects of etomoxir, an irreversible carnitine palmitoyltransferase I inhibitor, on the liver protein pattern and on liver morphology were examined by two-dimensional gel electrophoresis in female Sprague-Dawley rats treated with 125 mg/kg/day etomoxir for 28 days. In livers of treated animals a protein spot was found which was not present in controls. The spot was identified by internal amino acid sequence analysis as the adipose differentiation-related protein (ADRP). The expression of ADRP in liver is a novel finding as the protein has been described previously as adipocyte-specific. Additionally we found histopathologic evidence of lipid accumulation in the livers of etomoxir rats. The data show that for each treated rat there was a good correlation between ADRP levels and degree of lipid droplet formation. This observation may suggest a potential relationship between drug-induced expression of ADRP in liver and lipid accumulation.

Amino Acid Sequence↗
PubMed1994

A murine model of spontaneous aspermatogenesis: linkage to H-2.

Experimental allergic orchitis is an organ-specific autoimmune disease characterized by inflammatory infiltrates associated with the seminiferous tubules of the testes. Orchitis is often, but not always, accompanied by aspermatogenesis in susceptible strains of mice. In this study, various strains of H-2 congenic mice were used to examine the relationship between orchitis and aspermatogenesis, and as a result, a genetic predisposition to spontaneous aspermatogenesis has been defined. A high correlation was seen between orchitis and aspermatogenesis in B10.D2/nSnJ mice, however, the two conditions were uncorrelated in C57BL/10J mice. Subsequent analysis of C57BL/10J congenic strains showed their aspermatogenesis to be spontaneous, rather than due to either testis-specific antigen or adjuvants. Further studies using other H-2 congenic strains revealed that the aspermatogenesis seen in C57BL/10J mice is linked to H-2 and influenced by C57BL/10J background genes. Finally, spontaneous aspermatogenesis was shown not to be a function of differences in the level of testicular testosterone.

Animals↗
PubMed1994

Induced regression of bovine papillomas by intralesional immunotherapy.

It has long been assumed that papilloma regression is mediated by immunological mechanisms which are probably cellular in nature. The potentiation of these responses may alter the course of papilloma progression. Certain strains of the bacterium Corynebacterium parvum (Propionibacterium acnes) have been shown to augment cellular immune mechanisms by increasing both macrophage and natural killer cell activity. This study involves the use of naturally occurring bovine papillomas to investigate the immune mechanisms involved in induced papilloma regression. Papillomas were treated by intralesional injection of a C. parvum suspension. Treated papillomas were biopsied at various stages of regression. Tissue samples were subjected to immunohistochemical staining to identify specific infiltrating cells. Results showed that intralesional administration of C. parvum was capable of inducing regression of bovine papillomas in 8-15 weeks. Immunological staining revealed that regression was associated with an increased number of CD8+ and gamma delta+ cells in the dermis, as well as a marked infiltration of neutrophils.

Adjuvants, Immunologic↗
PubMed1992

Pathology induced by interleukin-6.

Interleukin 6 (IL-6) is a multi-functional cytokine which plays an important role in the immune response, hemopoiesis and host defense. Recombinant human IL-6 (rhIL-6) was administered at high doses to mice, rats and non-human primates. In all species IL-6 had an immunostimulatory and hemopoietic (especially on megakaryocytes) effect. An acute phase response was most pronounced in non-human primates, which was not, however, associated with any major histopathological liver change. Finally, no evidence of glomerular pathology was found. Neutralising antibodies were detected within 10 days of rhIL-6 administration in all species.

Animals↗
PubMed1988

Surgical spectrum of aortic stenosis in children: a thirty-year experience with 257 children.

Aortic stenosis accounts for 5 to 6% of infants and children seen for surgical repair of congenital heart disease. The clinical presentation and reported results of operation for aortic stenosis are highly variable. This retrospective review was undertaken to assess our operative mortality and the degree of gradient reduction afforded by each of several surgical techniques used to treat aortic stenosis in children over a 30-year period. Two hundred fifty-seven patients ranging in age from 1 day to 19 years were operated on between 1957 and 1986. The indication for operation included asymptomatic patients with gradients greater than 50 mm Hg to patients in profound cardiogenic shock. The operative mortality for children older than 6 months was 4%, whereas neonates seen with critical aortic stenosis had a 60% mortality. The late mortality was 2%. Eighty percent of surviving patients to date have undergone cardiac catheterization after repair. This shows an overall reduction of 57 mm Hg in the left ventricular-aortic gradient. Patients with supravalvular aortic stenosis and discrete subvalvular aortic stenosis as well as patients undergoing aortic valve replacement showed a reduction in or elimination of associated aortic insufficiency, whereas patients undergoing aortic valvotomy or neonates having valvotomy had a significant increase in demonstrable aortic insufficiency. The incidence of third-degree heart block or cerebral emboli following operation for aortic stenosis was less than 1%. However, the incidence of late bacterial endocarditis following repair was nearly 5%; six of eleven cases occurred in the group with discrete subvalvular aortic stenosis. Twenty-nine (13%) of the 223 long-term survivors have undergone a subsequent procedure for relief of residual or recurrent obstruction; 12 have had insertion of an aortic valve prosthesis, 12 have had insertion of an apicoaortic conduit, and 6 have required repeat aortic valvotomy. These data demonstrate the low operative mortality and excellent hemodynamic benefit of surgical relief of single-level aortic stenosis in children older than neonates. Conduits placed for complex obstructions or operative procedures in neonates have acceptable hemodynamic benefits, but operative mortality remains high.

Adolescent↗
PubMed1984

Percutaneous transhepatic drainage for malignant biliary obstruction.

Percutaneous transhepatic drainage ( PTHD ) is an adjunct in the management of malignant biliary obstruction. It can be used for two purposes: as a palliative measure alone or as part of the preoperative preparation. This study assesses the efficacy of this technique. The charts of all patients undergoing PTHD were reviewed, and the data were collated according to the intent of catheterization. In the palliative group (18 patients), bilirubin levels fell from 20 +/- 1.8 to 10 +/- 1.9 mg/dl. PTHD complications developed in 14 (78%), the 1-month mortality was 56 per cent (10/18), and all of the patients have died (mean, 2.3 months). In the preoperative group (17 patients), bilirubin levels fell from 17 +/- 1.4 to 6 +/- 0.6 mg/dl, PTHD complications developed in three (18%), and postoperative complications occurred in five (30%). All patients in the preoperative group survived operation, 11 of 16 dying a mean of 4.5 months postoperatively. The five surviving patients have lived 2 to 25 months. The authors conclude that PTHD significantly lowers the serum bilirubin in both preoperative and palliative groups. In the preoperative group, its use is associated with low morbidity and may improve the patient's preoperative condition. In the palliative group, PTHD is associated with an appreciable morbidity that tempers the enthusiasm for its routine use in this circumstance.

Aged↗
PubMed1982

Treatment results in males with breast cancer.

Between 1948 and 1978, 39 previously untreated males with breast cancer received curative treatment at M. D. Anderson Hospital; an additional 30 males were referred for first treatment failure after outside definitive treatment. Of 21 patients who were treated with mastectomy, six had radical mastectomy alone, and 15 had radical mastectomy and postoperative irradiation. Of 18 patients who had less than radical surgery and postoperative irradiation to the chest wall and peripheral lymphatic areas, 7 had simple mastectomy, 3 excision biopsy and 8 had needle biopsy. Chest wall recurrences developed in four of six patients with grave signs treated with radical mastectomy, one had a recurrence in an unirradiated chest wall following peripheral lymphatic irradiation and three others had orthovoltage irradiation of 2400, 3000, and 4200 rad. No local or regional recurrences had developed in patients treated with simple mastectomy, excision, or needle biopsy, and radiation therapy to the chest wall and peripheral lymphatics. The ten-year disease-free survival (Kaplan-Meier) is 50% for the entire group, 70% for patients with histologically or a clinically negative axilla, and 34% for those patients with histologically or clinically positive axilla. Recommendations for the management of primary and regional disease are reviewed.

Adult↗