The Medical Reform Group has a purpose.
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Biomedical subjects
Publications and source records attributed to T J Muckle.
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In a preliminary attempt to distinguish random intrinsic and methodologic variations of blood lipid levels from any that have possibly been induced by ingestion of vitamin E, blood samples were analyzed in duplicate for lipids several times before and during oral vitamin E administration. Three of eight subjects showed temporally closely coordinated and maintained increases of high-density lipoprotein cholesterol and apolipoprotein-A, total apolipoprotein-A, and the ratio of high-density to low-density cholesterols. Changes of other lipids in these three subjects, and lipid changes in the other subjects, were much less dramatic, fell within the range of intrinsic random variation or statistical uncertainty, and showed no significant trends. The results suggest that elevation of high-density lipoproteins in response to ingestion of megadoses of vitamin E is very much an individual characteristic and not uniformly typical of the population at large. The findings complement published examples of individual variation of response to vitamin E as an explanation of disagreements between other reports.
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Close examination of a series of temporal artery biopsy specimens provided histologic and statistical evidence that any association between the occurrence of giant cell arteritis and senile amyloidosis of the temporal artery internal elastic lamina is not direct, but is associated incidentally with old age. Substantial demographic differences between the 2 conditions were found; the prevalence of giant cell arteritis first waxed and then waned with increasing age, while rates for senile amyloidosis of the temporal artery progressed steadily toward 100% in the ninth decade of life.
Reports of HDL cholesterol levels in the elderly from around the world show differences which could represent national or ethnic characteristics. However, statistical analysis reveals that such variations are hardly distinguishable from those generated by a group of independent laboratories in a single country. The differences in the international values may thus reflect only methodological variation, and thus be misleading if employed to relate HDLC levels to atherosclerotic complications in old age. Use of a common standard around the world could help resolve this uncertainty and provide a more reliable basis for study of the effects of race and culture upon HDLC in older people.
The purpose of this study was to investigate the acute effects of exercise on plasma high-density lipoprotein cholesterol (HDL-C) and to determine whether the magnitude of this response would be affected by the intensity of the exercise. Twelve men (19-41 yr) ran an equivalent distance (9-12 km) on a treadmill on two separate occasions. On one occasion the exercise was performed at a speed that elicited 60% of the subject's maximal O2 uptake (VO2max), and on the other occasion exercise was performed at a speed that elicited 90% of VO2max. Changes in total cholesterol, triglycerides (TG), HDL-C, HDL apoprotein A (HDL-A), HDL saturation, lactate (LA), and free fatty acids (FFA) were measured during the course of each run, and all values were corrected for changes in plasma volume as indicated by hematocrit. There were significant increases (P less than 0.01) in HDL-C, HDL-A, and HDL saturation with exercise at both intensities, but greater increases in HDL-C (25 vs. 14%) and HDL-A (18 vs. 8%) were observed with the higher intensity exercise. Plasma FFA and TG did not differ between conditions, but LA concentrations rose significantly during the high-intensity exercise. These results indicate that increases in HDL components can occur with a relatively moderate exercise session and that the magnitude of these increases are directly related to the exercise intensity.
Levels of high-density lipoprotein cholesterol were found to be significantly lower in 5 men with multi-infarct dementia than in 12 men with senile dementia of the Alzheimer type. The large difference between the groups suggests that levels of high-density lipoprotein cholesterol may be useful in differential diagnosis of these two kinds of senile dementia. The finding also supports the theory that multi-infarct dementia may be a complication of atherosclerosis.
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The presence of indocyanine green during extended traditional electrophoresis and immunoelectrophoresis of serum is associated with bimorphism of albumin. This occurs over a range of dye--albumin molar ratios an order or more greater than was obtained in similar phenomena described previously. The bimorphism seems not to be dose dependent beyond a certain point, and the two albumins so separated show tinctorial differences. The phenomenon has been observed to apparently the same degree in all normal sera tested, and may represent a means of distinguishing ligand-loaded and ligand-light serum albumin.
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The case history of a Caucasian child in whom the exanthem of varicella appeared to be related only, and directly, to the darkness of skin suntan is presented and discussed.
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For some time following intravenous administration of heparin to non-fasting normal subjects, routine immunoelectrophoretic preparations show characteristic changes in serum lipoproteins. These alterations are of two types: (1) marked anodal mobility increase, the alpha-2 (beta) component locating in the alpha-1 region while the alpha-1 appears as a pre-albumin; (2) conformational alterations of the immunoprecipitin arcs comprising elongation of the alpha-2 (beta) arc, and splitting of the alpha-1 arc into two distinct entities. Familiarity with these patterns should minimize the possibility of interpretative errors with specimens from patients receiving heparin.