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Biomedical subjects

S C Parker

Publications and source records attributed to S C Parker.

15 recordsLinked to original sources

Atomistic simulation studies of magnetite surface structures and adsorption behavior in the presence of molecular and dissociated water and formic acid.

Static energy minimization techniques have been used to elucidate the surface structures of magnetite crystals in pure and hydroxylated forms. Adsorption energy values in the presence of molecular water, dissociate water and simple carboxylic group molecule (formic acid) are calculated and we found that the carboxylic group do not adsorb strongly in most of the pure and hydroxylated surfaces in comparison to water. Since the associated calcium minerals are floated from magnetite using fatty acid collector, our calculations corroborate the flotation practice of removing these impurity minerals from magnetite.

Journal Article↗

Competitive adsorption on wollastonite: an atomistic simulation approach.

Atomistic simulation techniques are used to simulate surface structure and adsorption behavior of scarcely floatable wollastonite mineral in the presence of molecular and dissociated water, methanoic acid, and methylamine. The latter two additives represent the two widely used collector head-group molecules. The static energy minimization code METADISE was used to perform the simulation to obtain pure surface energy and adsorption energy in the presence of added molecule. The hydroxylation was performed on those surfaces where low-coordinated silicon was made to saturate by bonding with hydroxyl group, and the subsequent charge neutralization was maintained by adding proton on single-coordinated surface oxygen. A comparison of surface energies revealed that all the surfaces become stabilized in the presence of added molecules; however, the presence of methylamine decreased the surface energy to lower values. Adsorption of dissociated water is preferred by the {100} and {102} surfaces, whereas the {001} surface preferred methylamine adsorption, because these show highly negative adsorption energies. In terms of molecular adsorption, the preferred adsorption sequence for all the surfaces is methylamine > methanoic acid > water without considering coadsorption. For the {100} and {102} surfaces, the adsorption energy values of carboxylic acid and amine are more negative than that of water and therefore we conclude that both carboxyl and amine head-group molecules adsorb preferably on wollastonite. Our simulation verify usability of carboxylic acid head group as widely used collectors for wollastonite flotation and, at the same time, it predicts the use of amine head-group collectors as possible modifiers, which corresponds well with our experimental findings.

Adsorption↗

Renal artery stenosis: a disease worth pursuing.

Consider renovascular hypertension (HT) when: Newly diagnosed hypertension presents with features that are atypical of essential hypertension; Resistant hypertension is associated with risk factors for atheroma; or Angiotensin-converting enzyme (ACE) inhibitor or angiotensin-II-receptor antagonist therapy is associated with increasing plasma creatinine levels. Atheromatous renovascular HT can often be managed medically, which includes intensive correction of cardiovascular risk factors. ACE inhibitors are probably second-line antihypertensives for patients with unilateral renal artery stenosis and two kidneys. First-line antihypertensives are diuretics, beta-blockers and calcium-channel blockers. Bilateral renal artery stenosis, or a unilateral stenosis in a patient with only one kidney, is an absolute contraindication to ACE inhibition.

Angiography↗

Didactic value of the clinical evaluation exercise. Missed opportunities.

The clinical evaluation exercise (CEX), a direct observation of trainees' clinical skills, is a common method of house officer evaluation. During our studies of its reliability, the extent of the CEX's didactic value surfaced. This brief report describes the amount of information passed from the evaluator to the house officer in 73 CEXs. On average, evaluators made eight teaching points in postexamination sessions. However, there were as many points recorded on the CEX forms that evaluators never mentioned. In a subset of CEXs carried out with two observers present, agreement in the teaching points presented to the house officer within the pairs witnessing the same examination was 18%. Positive feedback constituted 9% to 12% of the points presented. Our observations suggest that the more systematic feedback mechanisms may enhance the didactic value of the CEX.

Clinical Competence↗

Wegener's granulomatosis presenting as pyoderma gangrenosum.

We report three cases of Wegener's granulomatosis presenting with cutaneous ulceration resembling pyoderma gangrenosum. Wegener's granulomatosis classically affects the upper and lower respiratory tracts and the kidneys. Skin involvement occurs in up to 50% of patients. Increased awareness that cutaneous involvement can take the form of pyoderma gangrenosum and that it can be a presenting sign may lead to more rapid diagnosis of Wegener's granulomatosis.

Adult↗

Habituation and retention of the head-shake response: lack of impairment by nucleus basalis magnocellularis lesions.

Bilateral ibotenic acid lesions of the nucleus basalis magnocellularis (NBM) were examined on the habituation and retention of the head-shake response (HSR). HSR, a rapid, stereotyped rotation of the head about a front-to-rear axis, was elicited by a stream of mildly pressurized air directed at the ear in Fischer 344 rats. HSR training consisted of 40 stimulated trials followed by a 30-min retention test of 20 stimulated trials. Stimulus duration was 15 sec per trial with a 15-sec intertrial interval. Frontal cortex choline acetyltransferase was reduced by 22% in the NBM-lesioned group compared to the controls. The NBM-lesioned rats and the controls were not significantly different on either frequency or latency measures of HSR habituation or retention. The results do not support a role for cortical cholinergic mediation of the HSR.

Animals↗

Tetrahydroaminoacridine facilitates passive avoidance learning in rats with nucleus basalis magnocellularis lesions.

The effect of bilateral ibotenic acid lesions of the nucleus basalis magnocellularis (NBM) on performance in a step-through passive avoidance task and the ability of tetrahydroaminoacridine (THA) to enhance learning were evaluated. Fischer 344 rats were used in a passive avoidance task in which footshock was replaced by ultrasound (30-62 K Hz, 125 dB) as the aversive training stimulus. THA was given immediately after each single daily training trial and retention was tested 24 hr later for 10 consecutive days. Although NBM lesions alone did not impair passive avoidance learning, THA at 5 mg/kg (i.p.), but not 1 mg/kg, significantly facilitated latency performance in NBM-lesioned rats.

Aminoacridines↗

Scleredema.

We report a classical case of scleredema which pursued a chronic progressive course and was associated with poorly controlled diabetes mellitus.

Collagen↗

PUVA-induced blisters, complement deposition, and damage to the dermoepidermal junction.

We followed the course of 56 patients receiving psoralen plus long-wave ultraviolet light (PUVA) therapy. Nonhemorrhagic blisters developed on clinically normal skin on the limbs of seven patients. Seeming to be related to friction and trauma, the blisters form as a result of damage to the basal and suprabasal layers. Perilesional skin specimens from all blistered patients contained granular deposits of C3 at the dermoepidermal junction, around the upper dermal blood vessels, or at both sites. The average time for initiation and complete formation of suction blisters was measured in 51 patients at different stages during the course of PUVA treatment. Blister separation was in the lamina lucida, with the pemphigoid antigen in the roof while the blister floor contained the lamina densa, laminin, and type IV collagen. This impaired dermoepidermal adhesion was a general phenomenon that occurred in all PUVA-treated patients. The mechanism remains to be determined.

Adult↗

Practical problems of conducting patient-satisfaction surveys.

OBJECTIVE: Patient-satisfaction surveys have been used frequently to assess the humanistic behaviors and skills of internal medicine housestaff. In conducting their first such survey, the authors found that many practical problems affected the progress and outcome of the project. This discussion of the authors' experiences is intended to be helpful to others considering patient-satisfaction surveys as part of their housestaff-evaluation process. DESIGN: A description of the practical aspects of conducting a patient-satisfaction survey as well as the problems that the authors encountered. SETTING: Both inpatient and outpatient settings at a major university internal medicine residency program. PATIENTS/PARTICIPANTS: Ambulatory and hospitalized patients under the care of categorical internal medicine interns were eligible for participation in the study. INTERVENTIONS: An established, validated patient-satisfaction questionnaire with high reported reliability was given to patients. MEASUREMENTS AND MAIN RESULTS: Although well over 90% of patients were willing to participate, 10% of participating outpatients and 16% of participating hospital patients could not provide a usable patient-satisfaction questionnaire even with assistance. Certain patient characteristics were responsible for these decreased completion rates. Among the hospitalized patients, 42% of all eligible patients were either too ill or too cognitively impaired to even be approached for participation in the study. CONCLUSIONS: Patient-satisfaction surveys are labor-intensive, require significant resources, and are temporally demanding. Results from them must be viewed with certain caveats.

Adult↗