726
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Abstract
We studied the first instance of aniridia-Wilms' tumor syndrome in twins who were mentally retarded. Both of them had congenital aniridia, cataracts, and glaucoma; only one subsequently developed a Wilms' tumor. A two-allele, two-step mutation is the most likely explanation of this genetically abnormal syndrome in twins. The aniridia-Wilms' tumor syndrome in twins further documents the relationship of teratogenic malformations and neoplasias.
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727
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Abstract
Blood-counts and folate assays were performed on samples from 102 adults at a residential institution for severe mental impairment. 96 of these patients were receiving anticonvulsant therapy and 6 were not. Only 1 subject had a macrocytic blood-picture, and 5 subjects had hypochromic anaemia. No features of incipient metaloblastic haemopoiesis were identified in the remaining samples. However, serum-folate measured by two assay methods was subnormal in 83% of the samples; red-cell folate was subnormal in 40%. It is concluded that the development of macrocytic anaemia in subjects on long-term anticonvulsants therapy is probably not related to the biochemical process which causes their low assayable folate but reflects inadequate nutrition.
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728
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Abstract
75Se-selenofolate radioassay was adapted for the purpose of red cell folate measurement. The results of assay of 124 whole blood samples by Lactobacillus casei microbiological assay and by radioassay using the adapted selenofolate method were concordant (r = 0.8). Red cell folate levels by the radioassay were below 170 microgram/1 in people who had haematological features of folate depletion. The distribution of results among reputedly healthy subjects extended down to 140 microgram/1.
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729
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730
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Rose M, Millard R. Hypersplenism preceding overt chronic lymphocytic leukaemia. Lancet 1977; 2:988. [PMID: 72340 DOI: 10.1016/s0140-6736(77)90943-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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731
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Johnson I, Guilford H, Rose M. Measurement of serum folate: experience with 75Se-selenofolate radioassay. J Clin Pathol 1977; 30:645-8. [PMID: 407265 PMCID: PMC476506 DOI: 10.1136/jcp.30.7.645] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Three hundred and eighty-two serum samples were assayed for folate content by a standard Lactobacillus casei microbiological assay and by radioassay using the 75Se-selenofolate radioassay kit from the Radiochemical Centre, Amersham. Results showed encouraging concordance. Explanations were discovered for the few disparities. The radioassay procedure is simple and an assay batch can be completed in one working day.
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732
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Peyman GA, Sanders DR, Rose M, Korey M. Vitrophage in management of congenital cataracts. ALBRECHT VON GRAEFES ARCHIV FUR KLINISCHE UND EXPERIMENTELLE OPHTHALMOLOGIE. ALBRECHT VON GRAEFE'S ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY 1977; 202:305-8. [PMID: 302096 DOI: 10.1007/bf02387403] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
We have used the vitrophage for combined lensectomy and vitrectomy in six eyes with congenital cataracts. No intraoperative complications were encountered. One week after operation four of the six eyes had clear corneas, and all eyes showed a bright red reflex. With follow-up ranging from 18 to 21 months all eyes had clear corneas and a view of the posterior pole consistent with 20/20 vision.
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733
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Waltz H, Rose M. Crossing over in the HLA system between the DS-1 and SD-3 loci. JOURNAL OF IMMUNOGENETICS 1977; 4:215-8. [PMID: 894054 DOI: 10.1111/j.1744-313x.1977.tb00903.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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734
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Rapoport B, Adams RJ, Rose M. Cultured thyroid cell adenosine 3',5'-cyclic monophosphate response to thyrotropin: loss and restoration of sensitivity to iodide inhibition. Endocrinology 1977; 100:755-64. [PMID: 233822 DOI: 10.1210/endo-100-3-755] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Unlike in all other thyroid preparations, exposure of dog thyroid cells in long-term monolayer culture to iodide (10(-7) to 10(-3) M for up to 19 h did not blunt the subsequent adenosine 3', 5'-cyclic monophosphate (cAMP) response to thyrotropin (TSH) stimulation. This lack of effect of iodide was observed even when confluent thyroid cells were "follicularized" by the action of TSH in the culture medium. Preincubation of these cells in thyroxine (T4) and triiodothyronine (T3) was similarly without effect on the subsequent cAMP response to TSH. Study of thyroid cells during the early phase of primary culture demonstrated that inhibition by iodide (10(-4) M) of the cAMP response to TSH occurred after 7 h but was lost after 48 h of cell culture. This inhibitory effect of iodide was prevented by the inclusion of methimazole in the preincubation medium. As with iodide-insensitive cells, T4 and T3 were without effect on the cAMP response to TSH in iodide-sensitive thyroid cells. Exposure of iodide-insensitive thyroid cells to iodide-containing medium obtained after 2 h of incubation with dog thyroid slices, as well as to medium enriched with the 100,000 g supernatant fraction of homogenates prepared from these thyroid slices, did not restore the inhibitory action of iodide. However, iodide-sensitivity of the cAMP response to TSH was restored by preincubation of iodide-insensitive cells in 10(-4) M iodide plus an H2O2-generating system (glucose-glucose oxidase). These data suggest that T4 and T3 are not organic iodine inhibitors of the thyroid cAMP response to TSH. In addition, they provide evidence against the existence of a soluble, freely diffusible, organic iodine inhibitor of thyroid adenylate cyclase. The loss of sensitivity to iodide inhibition of adenylate cyclase that occurs in thyroid cells shortly after initiation of primary culture appears to be related to a defect in the cellular organification mechanism, possibly the H2O2-generating system.
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735
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Boasberg PD, Henry JP, Rosenbloom AA, Hall TC, Rose M, Fisher DA. Case reports and studies of paraneoplastic hypotension: abnormal low pressure baroreceptor responses. MEDICAL AND PEDIATRIC ONCOLOGY 1977; 3:59-66. [PMID: 840162 DOI: 10.1002/mpo.2950030109] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Intrathoracic stretch receptors regulate adjustments of the vasculature to gravitational changes and influence urinary water and solute excretion. Few reports of pathologic states involving interruption of these regulatory mechanisms have appeared. Two patients with orthostatic hypotenstion related to advanced intrathoracic carcinoma were studied, utilizing tilt-table examinations and immersion of the entire body in water to test the function of their intrathoracic baroreceptor reflex arcs. Both patients showed abnormalities of antidiuretic hormone level and sodium excretion as compared with normal controls. This suggests that total immersion is a safe and convenient test of the low-pressure baroreceptor system in patients with suspected dysfunction. Three patients are also reported whose charts were reviewed posthumously. Although they were not tested in the laboratory, their clinical data suggest that they too had been suffering from an interference with the transmission of impulses from the intrathoracic receptors.
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736
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737
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738
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739
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Rose M. A Laboratory Guide to Clinical Diagnosis. Clin Mol Pathol 1976. [DOI: 10.1136/jcp.29.8.763-b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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740
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Fisk GC, Wright JS, Hicks RG, Anderson RM, Turner BB, Baker WC, Lawrence LC, Stacey RB, Lawrie GM, Kalnins I, Rose M. The influence of duration of circulatory arrest at 20 degrees C on cerebral changes. Anaesth Intensive Care 1976; 4:126-34. [PMID: 937721 DOI: 10.1177/0310057x7600400208] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
In infants and piglets subjected to periods of circulatory arrest at 20 degrees C there was close correlation between duration of arrest and delay in return of electroencephalographic activity. Post mortem studies demonstrated histological evidence of brain damage in patients after circulatory arrest at 20 degrees C. Similar histological changes were demonstrated in piglets, including some who had complete E.E.G. and clinical recovery from circulatory arrest.
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741
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Peyman GA, Rose M, Sanders D. Intravitreal antibiotic injection and vitrectomy in acute bacterial endophthalmitis. CANADIAN JOURNAL OF OPHTHALMOLOGY 1976; 11:188-90. [PMID: 1088804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Two days after an unplanned extra-capsular cataract extraction with sector iridectomy, a patient showed typical signs of bacterial endophthalmitis. Vitreous and aqueous were aspirated for culture, and gentamicin and dexamethasone were injected. Twenty-four hours later, after isolation of Staphylococcus epidermidis, a vitrectomy to remove the central vitreous was done. Postoperatively, vision progressively improved; at the last review nine months after vitrectomy, visual acuity was 20/50.
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742
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Rose M. [Is it possible to eat sweets without damaging the teeth]. ODONTOSTOMATOLOGIA E IMPLANTOPROTESI 1976; 2:85-6. [PMID: 1088702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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743
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Zir LM, Nocero MM, Rose M, Weisinger B, Krauss K, Glassman E. Effects of intravenous glucose during pacing-induced angina pectoris in patients with coronary artery disease. CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS 1976; 2:49-57. [PMID: 1260850 DOI: 10.1002/ccd.1810020107] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The effects of hypertonic glucose infusion on the anginal threshold determined by atrial pacing was studied in 14 patients with significant coronary artery disease. After glucose, angina occurred at a significantly lower heart rate and double product (systolic arterial pressure x heart rate), suggesting a decreased tolerance to ischemic stress. No stoichiometric relationship was noted between glucose uptake and lactate production, and there was no evidence that hypertonic glucose infusion resulted in enhanced anaerobic glycolysis in the ischemic myocardium. Acute elevation of plasma glucose levels may not be beneficial to patients with coronary artery disease.
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744
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Cotlier E, Rose M. Cataract extraction by the intracapsular methods and by phacoemulsification: the results of surgeons in training. TRANSACTIONS. SECTION ON OPHTHALMOLOGY. AMERICAN ACADEMY OF OPHTHALMOLOGY AND OTOLARYNGOLOGY 1976; 81:OP163-82. [PMID: 1274036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The results of 63 phacoemulsifications performed by 14 resident ophthalmologists (surgeons in training) were compared to their first 112 intracapsular cataract procedures. Although the number of complications was greater in the eyes undergoing intracapsular operations, the final visual acuities obtained by either procedurewere similar: visual acuities in the range of 20/20 to 20/30 were found in 80.7% of intracapsular cataract operations and in 83.3% of phacoemulsification procedures. Visual acuities of 20/50 or better were found in 90.3% of intracapsular cataract extractions andin 88.8% of phacoemulsification procedures. Cylindric correction of higher power was required to correct astigmatism associated with intracapsular cataract surgery as compared to phacoemulsification. The results of irrigation-aspiration of soft or traumatic cataracts performed in 20 eyes with needle and syringe were compared to results of 19 eyes operated on by use of the Cavitron-Kelman irrigation-aspiration handpiece. The incidence of postoperative secondary membrane requiring discussion was similar for both procedures. The basis for setting up a successful program for resident training in phacoemulsification is discussed.
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745
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Peyman GA, Huamonte FU, Rose M. Management of traumatic retinal detachment with pars plana vitrectomy, scleral buckling, and gas injection. Acta Ophthalmol 1975; 53:731-7. [PMID: 1242598 DOI: 10.1111/j.1755-3768.1975.tb01188.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Vitreous involvement as a result of penetrating trauma complicates and worsens the prognosis in retinal detachment repair. Seven patients in whom poor visualization of the fundus seemed to preclude success by routine procedures underwent combined vitrectomy, scleral buckling, release of subretinal fluid, and intravitreal gas injection. The retina was successfully reattached in five of the seven patients, although postoperative visual acuity was limited - possible on account of the duration of retinal detachment prior to repair or because of the degree of macular involvement.
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746
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Tooze J, Rose M. Letter: Abnormal haemoglobins in Wandsworth. Lancet 1975; 2:235. [PMID: 51996 DOI: 10.1016/s0140-6736(75)90712-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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747
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Peyman GA, Homer P, Rose M, Sanders D, Vastine D. The vitrophage in ocular trauma. Report of 15 cases. Acta Ophthalmol 1975; 53:427-35. [PMID: 1174402 DOI: 10.1111/j.1755-3768.1975.tb01174.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Fifteen patients underwent a pars plana approach vitrectomy and membranectomy after acute and chronic injury. In all cases the lens fragments, hemorrhage, and secondary membranes were removed restoring clarity to the ocular media. In two cases the final visual acuity was limited by preexisting retinal injury. The advantages of pars plana approach are the small incision and minimal ocular manipulation during surgery. In the presence of retinal injury, diathermy during the procedure or photocoagulation within 24 hours is also indicated.
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748
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Rose M. [Why prevention and how to do it]. PREVENZIONE STOMATOLOGICA 1975; 1:41-2. [PMID: 1076482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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749
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Rose M. [Milk as vehicle for fluoridation, also as a means of prevention of tooth disease]. ODONTOSTOMATOLOGIA E IMPLANTOPROTESI 1975:62-3. [PMID: 1088648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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750
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Rose M. [For a better prevention of dental disease]. MONDO ODONTOSTOMATOLOGICO 1974; 16:633-8. [PMID: 4535303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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