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Biomedical subjects

S Davidson

Publications and source records attributed to S Davidson.

At least 163 records · Page 9Linked to original sources

Mast cell differentiation depends on T cells and granule synthesis on fibroblasts.

Mast cell differentiation was generated in the following three experimental situations: (i) infection of mice with Schistosoma Mansoni or with Nippostrongylus brasiliensis and growth of the lymph node cells in the presence of the corresponding helminth antigen; (ii) immunization with horse serum and growth of blood and lymph node cells in the presence of the horse serum; (iii) exposure of T-cell-depleted suspensions of lymph node cells from unimmunized mice to T-cell factor (TCF) released into medium of the young cultures of (i) and (ii). This differentiation was also obtained when lymph node cells from athymic nude mice were exposed to TCF. The cell suspensions were plated on X-irradiated fibroblast monolayers prepared from embryonic mouse skin. Screening of the suspensions before plating on the fibroblasts in culture revealed no young forms of mast cells, and none were present in culture of nude mice lymph node cells maintained without TCF. Primordial appearance of metachromatic granules generally in the golgi zone was first seen in many 'large lymphoid cells' as early as 18 hr after plating. This was followed by increase in the cytoplasm volume, increase in granule number and mitosis, ending at 10-18 days with homogeneous populations of mature mast cells. When the mesenteric lymph node cells from mice infected with the helminths were grown in the absence of fibroblasts but in the presence of the antigen, homogeneous populations of cells with extended cytoplasm, filled with unstained vacuoles developed during days 7-13. These cells did not contain histamine (or at most 0.2 microgram per 10(6) vacuolated cells). When these cells were plated on fibroblast monolayers clear granule formation in all the vacuoles was seen 2 days later. It increased progressively in size and staining intensity, until the vacuoles transformed into typical mast cell granules. By the fourth day the vacuolated cells attained the typical mast cell morphology and the histamine content greatly increased (from 0.12 microgram per 10(6) vacuolated cells to 3.02 micrograms per 10(6) mast cells). These mast cells were readily degranulated by monoclonal anti-DNP-BSA IgE, and the antigen, releasing 90% of the histamine. The study shows that mucosal mast cells formation from 'large lymphoid-like' cells present in the blood and in the lymph, is stimulated by TCF. The condensation of the metachromatic material and histamine synthesis depends on other cells, presumably fibroblasts which comprise the principal cell in the embryonic skin monolayers. The mechanism of the fibroblast influence is not yet known.

Animals↗

Murine interleukin-2 generates glycogen-rich and mucus-secreting NK cells.

Colonies of cells termed 'giant granular leucocytes' (GGL) displaying natural killer (NK) activity were generated in cell culture. The prominent feature of these cells was the formation of large cytoplasmic pool--the 'theca'--filled up with glycogen. This was demonstrated by the strong positive red staining of the theca with periodic acid Schiff reagent (PAS) which was abolished by prior treatment with amylase. Two different procedures were employed for obtaining colonies of NK-GGL. In the first, mice were injected either with killed Corynebacterium parvum or with killed Bordetella pertusis preparations and their mesenteric lymph-node cells were grown on syngeneic X-irradiated embryonic skin fibroblast monolayers. At the foci of GGL formation the fibroblasts were killed and the cleared areas thus formed were populated by adherent GGL. In the second procedure, supernates from rat or mouse spleen cultures stimulated with concanavalin A (Con A)--Interleukin-2 (IL-2)--were added to cultures of spleen and lymph-node cells prepared from either ordinary or from athymic nude mice. Richest GGL populations developed when rat IL-2 was added to cells of nude mice. Mouse IL-2 was less consistent. With nude mouse cells it stimulated, either mast cells or GGL, or both; rat IL-2 did not stimulate mast-cell differentiation in nude mouse cultures. In contrast, supernates from lymph-node cell cultures prepared from mice infected with Schistosoma mansoni. Mucosal mast cell-stimulating factor (MMSF) stimulated the formation of colonies of mast cells but not GGL. When MMSF was added as late as 23 days, colonies of young mast cells appeared and mast cells progressively increased in number. When rat IL-2 was added to such mature mast-cell cultures on the 30th day, colonies of cytolytic-GGL appeared. These observations indicate that precursors of mast cells and GGL persist in the cultures and preserve their potential to be stimulated by T-cell factors. GGL-NK cells developed on monolayers prepared from whole embryos released substance that displayed morphology and staining characteristic of mucus. Evidence gathered from in-vitro and in-vivo studies links the in-vitro GGL-NK cells to motile cells that inhabit the mucosal epithelium. Based on the observations, a hypothesis on the function of NK cytotoxicity is brought forward. It proposes the replacement of ordinary epithelial cells, which are killed during a proliferative and differentiative response of other cells at the onset of an infection course.

Amylases↗

Endogenous endophthalmitis due to Salmonella typhimurium.

Endogenous endophthalmitis due to Salmonella typhimurium is reported in a 1-year-old child. Despite vigorous antibiotic therapy, the child's vision deteriorated, and loss of light perception occurred in the infected eye. Endophthalmitis is a very rare complication of salmonellosis, and it should alert physicians because of its severe damage to the eye.

Endophthalmitis↗

Pseudomonas aeruginosa meningitis treated with an azlocillin combination.

Pseudomonas aeruginosa meningitis following trauma or surgery is associated with a high mortality rate. This high rate is explained both by tissue damage which leads to infection and by the failure of antibacterial therapy. The latter is due to the relatively resistant microorganism and the insufficient penetration of antibiotics into the CSF. We are reporting the successful therapy of a case of postoperative P. aeruginosa meningitis treated with the combination of azlocillin and gentamicin administered systemically together with intraventricular gentamicin.

Adolescent↗

Attitudes towards mental illness in a sample of Israeli rehabilitation workers.

Forty-six rehabilitation workers from the Tel Aviv metropolitan area were tested for their views about mentally ill people. It was found that these workers were ambiguous in their attitudes. In some respects they were more tolerant than the general Israeli population. In others, they displayed the same negative views towards the mentally ill as other researchers have found in Israeli society. This ambiguity may be due to the fact that while their professional ideology forces them to express "tolerant" opinions, they nonetheless are influenced by the attitudes prevalent in Israeli culture. Then, too, these negative attitudes may also stem from disappointing professional experience with chronic mentally ill clients. Mainsteam psychiatric professionals could assist these rahabilitation workers by offering more consultative, back-up services.

Adult↗

Comparative susceptibilities of 40 strains of Pseudomonas aeruginosa to 10 antipseudomonal antimicrobial agents.

The in vitro susceptibility of 40 clinical isolates of Pseudomonas aeruginosa to 10 antipseudomonal antibiotics was determined. Of the strains examined, 100, 90, 85 and 80% were susceptible to netilmicin, amikacin, gentamicin and tobramycin, respectively; 93, 85 and 72% were susceptible to piperacillin, azlocillin and carbenicillin, respectively; and 93, 88 and 84% were susceptible to cefotaxime, moxalactam and cefsulodin, respectively. These data confirm that the newer antipseudomonal antimicrobial agents are more effective against Ps. aeruginosa than the older agents.

Anti-Bacterial Agents↗

Bacterial meningitis. A follow-up study of 115 children.

The clinical and laboratory date on 115 pediatric patients with bacterial meningitis are presented. Sixty-one were less than 12 mo of age including 13 less than 1 mo of age. Thirty-nine children were treated prior to admission with antimicrobial agents which obscured accurate bacteriologic diagnosis in eight of them. Gram-negative enteric bacteria, mainly Escherichia coli, were recorded in 9 of 13 neonates. Hemophilus influenzae type B accounted for 56 (52%) of all isolated recorded in those greater than 2 mo of age, of which 35% were resistant to chloramphenicol. Seventy-eight patients (73%) recovered completely following 10 to 14 days of antimicrobial therapy. Fifteen patients died, most of whom were less than 1 yr of age, including five neonates. Major neurologic sequelae included subdural effusions, cerebral abscesses and recurrent convulsions. This study, which documents the infrequency of Streptococcus group B and H. influenzae as etiological agents of neonatal meningitis, indicates that treatment of this disease with ampicillin and an aminoglycoside is efficacious. Chloramphenicol may be the drug of choice in the postnatal period, since H. influenzae is partly resistant to ampicillin.

Aminoglycosides↗

Hepatobiliary ultrasonography as a diagnostic aid in neonatal jaundice.

Neonatal hepatitis and biliary atresia are disorders of early infancy that represent variable expressions of one entity. Clinical and extensive laboratory evaluation are unsatisfactory in distinguishing between the two diseases. The usefulness of hepatobiliary ultrasonography in the evaluation of neonatal jaundice is described in four infants. Ultrasonic diagnosis was substantiated by laparotomy, liver biopsy or autopsy. The performance of hepatobiliary ultrasonography is recommended in all cases of neonatal jaundice in order to differentiate between extrahepatic biliary obstruction and neonatal hepatitis.

Bile Ducts↗

Plasma testosterone and beta HCG levels in the first twenty-four hours of life in neonates with cryptorchidism.

We determined serum concentrations of beta HCG and testosterone by specific radioimmunoassays in eight cryptorchid and 13 normal newborns in the first 24 h of life. Mean serum beta HCG concentration in the cryptorchid infants (18.9 +/- 9.7 miu/ml) did not differ significantly from the control group (26.7 +/- 7.6 miu/ml). Mean serum testosterone level in the cryptorchid newborns (271 +/- 27 ng/dl) also did not differ significantly from the control group (333 +/- 30 ng/dl). These data suggest beta HCG and testosterone concentrations on the first day of life are of the same magnitude in normal and cryptorchid infants.

Age Factors↗

Mitogenicity and pathogenicity of Mycoplasma pulmonis in rats. I. Atypical interstitial pneumonia induced by mitogenic myeoplasmal membranes.

Mitogenic preparations of nonviable lysed cells and purified membranes of Mycoplasma pulmonis induced interstitial pneumonia and tracheitis after intranasal administration to pathogen-free rats. The pneumonia, characterized by peribronchial, perivascular, and alveolar wall infiltration by lymphocytes, was indistinguishable from that produced by viable M. pulmonis. Both pathologic and mitogenic effects were significanlty reduced by prior treatment of membranes with heat or proteolytic enzyme. Intranasal administration of the thymus-derived-cell mitogen, concanavalin A, produced interstitial pneumonia but not tracheitis. These results indicate a correlation of mitogenicity and pathogenicity and suggest that activation of thymus-derived lymphocytes is the major cause of the pneumonia resulting from infections with M. pulmonis.

Animals↗

Changes in alcohol consumption after childbirth.

The early post-partum period is one of the few times of life stress for which health care professionals recommend alcohol consumption. In this study, a group of nursing mothers who had delivered normal full-term, first-born infants were examined during the 1-month period following childbirth. Data were collected on alcohol consumption patterns prior to and during pregnancy and following childbirth. Most women reported abstaining or decreasing consumption during pregnancy. Those who continued to drink during pregnancy reported drinking on social occasions, rather than when depressed or bored. During the post-partum period, a number of women began drinking. By far the most common post-partum drinking situation was during or prior to breast feeding. Reportedly, many women were advised to drink by nurses and doctors in order to relax and to aid the letdown reflex. Several factors seem worth noting. First, professional advice may be based on misinformation. Animal studies have suggested that alcohol inhibits the letdown reflex and may interfere with nursing. Secondly, because alcohol has been shown to enter the milkstream, attention should be given to possible harmful effects of alcohol (on the newborn) during nursing. Nurses could easily incorporate up-to-date information into their nursing practice.

Adult↗

The treatment of adolescents and their parents in group settings in a psychiatric hospital.

This paper describes the structure, composition, function and treatment methods in an adolescent unit containing 16-20 patients, at the Shalvata Psychiatric Center. Treatment is based on organizing the adolescents in a group setting with organized activities. Description of group therapy with the adolescents, their families and group sessions of the team receives special emphasis. Our objectives went beyond a symptomatic improvement and were towards strengthening and integrating the personality. Emphasis was thus placed on creating a therapeutic and educational milieu conducive to new developmental as well as corrective emotional experiences, rather than on economy in length of hospitalization and therapeutic hours invested. This demanded considerably more investment in terms of period of hospitalization and number of personnel than was the usual practice with adult patients in the hospital.

Adolescent↗

Neonatal enterobacter suppurative arthritis and osteomyelitis.

Suppurative arthritis of the right knee and osteomyelitis of the adjacent femur complicated a urinary tract infection in an 18-day-old infant with a posterior urethral valve causing urinary flow obstruction. Initially cephalosporine sensitive Enterobacter caused the urinary tract infection. Shortly following cephazolin therapy, cephalosporine resistant Enterobacter microorganisms were isolated both from the urine and the knee joint fluid. These two infections were successfully treated with a combination of gentamicin and Co-trimoxazole. Gram-negative bacteria should be considered among the pathogens in neonatal osteoarticular infections, particularly if a urinary tract infection co-exists.

Arthritis, Infectious↗

The development of a psychiatric rehabilitation service: a two year pilot project.

In the history of psychiatry, one can discern conflicting trends with regard to hospitalization of people suffering from severe mental disturbances. From the beginning of the 19th century, the standard method for dealing with such people has been to take them away from their homes and work and put them in hospitals. However, since the discovery of antipsychotic drugs in the 1950's, there has developed a new movement to treat mentally disturbed people in their communities, either avoiding hospitalization altogether, or at least greatly shortening it. In many hospitals there has been a synthesis of these two trends, reflected in an upgrading of the importance of the rehabilitation function. In Shalvata Psychiatric Center, a medium-sized psychiatric hospital in Hod Hasharon, Israel, a two-year pilot project to introduce a centralized Rehabilitation Service was recently completed. The present Rehabilitation Service is based on the rehabilitation/activity therapy model in which the hospital is conceptualized as a setting in which patients may develop or recover social and vocational skills needed to function adequately in the community. It has drawn on existing, motivated staff from all mental health professions represented at the hospital, and works closely with all in-hospital wards and the day hospital. The authors discuss six areas of vocational and social rehabilitation with which the Rehabilitation Service has attempted to deal: 1. activity therapy/rehabilitation groups, 2. vocational guidance unit, 3. after-care therapeutic social club, 4. in-hospital rehabilitation consultation, 5. liaison activities with community-based facilities, 6. job placement.

Aftercare↗