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Biomedical subjects

W B Allen

Publications and source records attributed to W B Allen.

9 recordsLinked to original sources

A comparative study of the regenerative processes in a trematode, Philophthalmus gralli, and a planarian, Dugesia dorotocephala.

Adults of Philophthalmus gralli, an eyefluke of birds, were laterally amputated mid-way between the anterior testis and the ventral sucker. Worms were sampled at various short time intervals (30 min-6 h) after in vitro culture and long time intervals (1-8 days) after transplantation back to the host. Specimens were fixed for scanning electron microscopy and light microscopy and compared to the planarian, Dugesia dorotocephala, which was laterally transected in the pharyngeal region and maintained in springwater. It was found that wound closure took place by 2 days in the planaria; however, at the end of 8 days wound closure had been initiated but not yet completed in P. gralli. Replacement of major tissues was observed only in D. dorotocephala. Because calcium had been reported to be critical for planarian regeneration, a histochemical stain for calcium distribution was carried out. At the end of the 2-day study, no differences could be found in calcium distribution between the two organisms. No areas of calcium concentration were noted in any tissue important for the regenerative process.

Animals↗

Surgical treatment of ventricular septal rupture complicating myocardial infarction.

A review of postinfarction ventricular septal defects repaired surgically at Providence Hospital over the past 6 years is presented. Although this complication of myocardial infarction carries a high mortality rate, a lower rate can be achieved with early operative intervention. Preoperative pharmacologic reduction of preload, afterload, and intra-aortic balloon pumping are only temporizing measures to allow delineation of concomitant lesions. Operative mortality does not appear to be influenced by posterior location of the ventricular septal defects.

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Comparison of cefamandole and cefazolin during cardiopulmonary bypass.

In a randomized comparison, concentrations of cefazolin were found to exceed those of cefamandole in serum, atrial appendage, and sternal bone in patients undergoing cardiopulmonary bypass. No postoperative infections and no antibiotic-related complications occurred in either patient group.

Aged↗

Surgical management of ruptured abdominal aortic aneurysms.

During a 12 year period ending in 1977, 65 patients had surgical treatment of ruptured abdominal aortic aneurysms. Hospital mortality was 48 per cent (31/65 patients). Preoperative shock (P = 0.05), intraoperative blood loss (P less than 0.01), postoperative respiratory complications (P less than 0.05) and renal failure (P less than 0.05) all significantly influenced early mortality as did multiple subsystem complications (P less than 0.01). Late mortality was 26 per cent, comparable to series of unruptured aortic aneurysm resection survivors. Increased awareness of the problem by physicians, and hence, more aggressive elective treatment of abdominal aortic aneurysms should lower the frequency of this problem, and improved intraoperative and postoperative care should improve survival of those patients whose aneurysms rupture.

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