126
|
Wood IB, Amaral NK, Bairden K, Duncan JL, Kassai T, Malone JB, Pankavich JA, Reinecke RK, Slocombe O, Taylor SM. World Association for the Advancement of Veterinary Parasitology (W.A.A.V.P.) second edition of guidelines for evaluating the efficacy of anthelmintics in ruminants (bovine, ovine, caprine). Vet Parasitol 1995; 58:181-213. [PMID: 7571325 DOI: 10.1016/0304-4017(95)00806-2] [Citation(s) in RCA: 387] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The first edition of the W.A.A.V.P. anthelmintic guidelines for ruminants was published in 1982. Since then improved parasitological procedures have been developed, new therapeutic and prophylactic products have appeared requiring different test methods, and registration authorities are requesting more detailed record keeping and data validation. This second edition addresses these developments and fulfills the original goal of publishing guidelines for high quality, scientifically valid testing standards for trials that would be accepted as proof of efficacy by registration authorities regardless of country of origin. This second edition includes updated guidance on standard parasitological procedures, dose titration, dose confirmation and clinical trials, and provides guidelines for evaluating products for efficacy against anthelmintic resistant parasites, persistence of activity and prophylactic activity. Tests for efficacy against nematodes, trematodes and cestodes are included.
Collapse
|
127
|
Freemantle SJ, Taylor SM, Krystal G, Moran RG. Upstream organization of and multiple transcripts from the human folylpoly-gamma-glutamate synthetase gene. J Biol Chem 1995; 270:9579-84. [PMID: 7721888 DOI: 10.1074/jbc.270.16.9579] [Citation(s) in RCA: 55] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Folylpoly-gamma-glutamate synthetase (FPGS) is essential for the survival of proliferating mammalian cells and central to the action of all "classical" folate antimetabolites. We report the isolation of cDNAs corresponding to the 5' ends of FPGS mRNA from both human and hamster cells which include a start codon upstream of and in-frame with the AUG in the previously reported FPGS open reading frame. The predicted hamster and human amino-terminal extension peptides have features consistent with a mitochondrial targeting sequence. Ribonuclease protection and 5'-rapid amplification of cDNA ends assays indicated multiple transcriptional start sites consistent with the sequence of the promoter region of this gene, which was highly GC-rich and did not contain TATA or CCAAT elements. These start sites would generate two classes of transcripts, one including the upstream AUG and one in which only the downstream AUG would be available for translation initiation. Transfection of the full length human cDNA into cells lacking FPGS restored their ability to grow in the absence of glycine, a product of mitochondrial folate metabolism, as well as of thymidine and purines. Therefore, we propose that the mitochondrial and cytosolic forms of FPGS are derived from the same gene, arising from the use of the two different translation initiation codons, and that the translation products differ by the presence of a 42-residue amino-terminal mitochondrial leader peptide.
Collapse
|
128
|
Taylor SM, Mallon TR, Kenny J, Edgar H. A comparison of early and mid grazing season suppressive anthelmintic treatments for first year grazing calves and their effects on natural and experimental infection during the second year. Vet Parasitol 1995; 56:75-90. [PMID: 7732654 DOI: 10.1016/0304-4017(94)00660-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
A comparison was made of the efficacy and parasitological sequelae over 2 years, of continuous and intermittent periods of anthelmintic suppression applied both early and in the middle of the first grazing season of calves. Five groups of 15 calves grazing separate paddocks within the same field were allotted to one of the following treatment regimes during their first year at grass: Group 1, untreated controls; Group 2, treated with ivermectin injections at 3, 8 and 13 weeks after turnout; Group 3, treated with ivermectin injections at 10, 15 and 20 weeks after turnout; Group 4, treated with a morantel slow release intraruminal bolus at turnout; Group 5, treated with a morantel slow release bolus at 10 weeks after turnout. Five animals from each group were slaughtered at the end of both grazing seasons. Two months after the end of the second season the remaining five calves were challenged with an experimental infection of 250,000 third-stage larvae (L3) of both Ostertagia ostertagi and Cooperia oncophora. All treatment regimes protected the respective calves from parasitic gastroenteritis. Over the 2 year observation period Groups 2 and 4 showed significantly better weight gain than other groups, and at the end of the first season, they were found to harbour significantly fewer O. ostertagi in the early fourth stage of development. During Year 1, Groups 2 and 3 excreted much lower percentages of Ostertagia spp. eggs than other groups. In Year 2, Group 2 excreted a higher percentage of Ostertagia spp. eggs although the total egg output was approximately half that of Group 1 during the same period. The results showed that the effects of anthelmintic suppression on egg output of different nematode species was affected by the activity of the anthelmintic used.
Collapse
|
129
|
Weatherford DA, Stephenson JE, Taylor SM, Blackhurst D. Thoracoscopy versus thoracotomy: indications and advantages. Am Surg 1995; 61:83-6. [PMID: 7832389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Although the diagnosis and treatment of intrathoracic diseases have been affected by the use of thoracoscopy, the indications and advantages of this procedure are poorly defined. To review the indications and results in a community practice, 52 consecutive cases of thoracoscopy were reviewed and the postoperative courses were compared to a control group of 43 simultaneous thoracotomies. Operative indications for thoracoscopy included investigation or treatment of a lung mass (n = 33), spontaneous pneumothorax (n = 10), mediastinal mass (n = 4), pleural effusion (n = 2), mesothelioma (n = 2), and a ruptured hemidiaphragm (n = 1). General endotracheal anesthesia was used in each case. Overall, thoracoscopy was successful in 40 cases (77%). Conversion to formal thoracotomy was required in 14 cases (27%) secondary to poor visualization or to aid in further dissection. Compared to thoracotomy, complication rates were less (7.6 vs 16.2%), hospital stay shorter (5.5 vs 8 days), ICU stay shorter (0 vs 2 days) and pleural drainage time less (2 vs 5 days) in the thoracoscopy group. In summary, 73% of the patients in this study who formerly would have undergone thoracotomy were successfully managed with thoracoscopy alone, with acceptable morbidity and mortality. These data define the indications, morbidity, and mortality of thoracoscopy and suggest that thoracoscopy may emerge as the procedure of choice in the diagnosis and management of many thoracic diseases.
Collapse
|
130
|
Hansraj KK, Weaver LD, Todd AO, Taylor SM, Griffin MD, Dukhram KM, Judd TP, Hansraj MS. Efficacy of ceftriaxone versus cefazolin in the prophylactic management of extra-articular cortical violation of bone due to low-velocity gunshot wounds. Orthop Clin North Am 1995; 26:9-17. [PMID: 7838507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
One hundred patients sustained gunshot wounds involving bone but not joint with a low-velocity bullet. Soft-tissue involvement was less than 1 cm at its greatest diameter. All patients were free from artery or nerve damage. No formal fixation of fracture was required. The results of the study suggest that patients need not be hospitalized longer than 2 days after an extra-articular, low-velocity gunshot wound that violates the cortex. In addition, through the use of long half-life antibiotics, such as ceftriaxone, the length of hospitalization may further be reduced to a day, while the potential for morbidity from infection is not increased.
Collapse
|
131
|
Taylor SM, Finch AM, Heron AE, Brown LC, Florin TH. Reversibility of tachyphylaxis to C5A in guinea pig tissues, perfused human placental lobule, and umbilical artery. Inflammation 1994; 18:645-57. [PMID: 7843807 DOI: 10.1007/bf01535262] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
The spasmogenic effect of C5a is mediated by histamine and/or eicosanoids. Tachyphylaxis to this effect of C5a occurs rapidly, but the spasmogenic effects of C5a on a guinea pig lung parenchymal strips, field-stimulated ventricular papillary muscle, and human umbilical artery were completely restored by a 1-h period of drug-free rest, whereas that of guinea pig ileum was not. Perfusion of the isolated human placental lobule with C5a caused a transient pressor response that was largely abolished by indomethacin (5 microM), indicating mediation by cyclooxygenase metabolites. This pressor response to C5a was also completely restored following a 1-h rest period. The results show that tissue rest reverses tachyphylaxis to the spasmogenic effects of C5a in tissues where the response is mediated by cyclooxygenase metabolites. Where the response is mediated by histamine released by mast cells, restoration does not occur, presumably because of the catastrophic nature of mast cell degranulation. Histamine released in guinea pig papillary muscle by C5a may be from non-mast-cell sources.
Collapse
|
132
|
Hagino RT, Fujitani RM, Dawson DL, Cull DL, Buehrer JL, Taylor SM, Mills JL. Does infrapopliteal arterial runoff predict success for popliteal artery aneurysmorrhaphy? Am J Surg 1994; 168:652-6; discussion 656-8. [PMID: 7978013 DOI: 10.1016/s0002-9610(05)80139-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
BACKGROUND A 6-year experience with surgical management of popliteal artery aneurysms (PAAs) was examined to determine the influence of infrapopliteal outflow vessel patency on the long-term success of popliteal artery aneurysmorrhaphy. METHODS Arteriograms were reviewed to characterize the anatomy of the infrapopliteal arterial runoff. Regular clinical evaluation and prospective serial duplex scan surveillance assessed graft patency. RESULTS A total of 28 patients underwent 45 popliteal aneurysmorrhaphies. Elective repair was performed in 32 limbs (71%); emergency treatment was needed for 13 limbs (29%) because of acute limb-threatening ischemia. All patients were managed with PAA exclusion and reversed saphenous vein grafting. Only 20 limbs (44%) had a patent trifurcation with three continuous vessels to the ankle, 13 (29%) had two continuous tibial vessels, 10 (22%) had one patent runoff artery, and 2 (4%) had no vessel continuous to the foot. With a mean follow-up of 19.1 months, the 5-year primary graft patency by life-table analysis was 95 +/- 12.3%, with a 5-year assisted primary patency of 97 +/- 10.0%. One vein graft underwent elective secondary revision. Another graft thrombosed, requiring a secondary bypass. Outcome did not correlate with the status of the runoff anatomy. Limb salvage was 100%. CONCLUSION The use of autologous reversed vein grafting and attention to technical details yielded normal graft hemodynamics and excellent long-term patency and limb salvage despite the suboptimal runoff anatomy associated with PAAs.
Collapse
|
133
|
Mills JL, Gahtan V, Fujitani RM, Taylor SM, Bandyk DF. The utility and durability of vein bypass grafts originating from the popliteal artery for limb salvage. Am J Surg 1994; 168:646-50; discussion 650-1. [PMID: 7978012 DOI: 10.1016/s0002-9610(05)80138-2] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
BACKGROUND Short vein grafts originating from sites distal to the common femoral artery have been reported to be useful in selected patients with tibial artery disease. From 1987 to 1993, we performed 504 consecutive infrainguinal vein bypass grafts, of which 56 (11%) originated from the popliteal artery, 25 above and 31 below the knee. PATIENTS AND METHODS The patients were 16 women and 37 men, with a mean age of 62.4 years. Eighty-seven percent were diabetic, 57% had clinically obvious coronary artery disease, and 28% had end-stage renal disease (ESRD). The indication for surgery was ulceration or gangrene in 93% of cases. We preferentially used reversed greater saphenous vein harvested from the thigh to optimize conduit quality and avoid lower leg wound complications. The outflow artery sites were: dorsal pedal (17), posterior tibial (14), peroneal (10), anterior tibial (8), lateral or medial plantar (5), and sequential tibial (2). All patients were followed postoperatively with serial duplex surveillance. The mean follow-up was 12.5 months (range 1 to 66). RESULTS In-hospital mortality was 5.4%. Mortality at 24 months was 19% overall and 38% in patients with ESRD. Limb salvage was 77% at 3 years, 92% in patients with normal renal function versus 59% in those with ESRD (P < 0.003). Primary graft patency by life-table analysis was 94% at 1 month and 84% at 3 years. Five patients with patent grafts required amputation, 4 early and 1 late. Eight months after surgery, 1 patient (1.8%) developed superficial femoral artery stenosis which was diagnosed by duplex surveillance and successfully treated by percutaneous transluminal balloon angioplasty. CONCLUSIONS Vein bypass grafts originating from the popliteal artery are effective and durable. Proximal disease progression rarely poses a significant threat to long-term graft patency. Patients with ESRD, blind tibial outflow tracts, and extensive forefoot lesions appear to be at increased risk of limb loss even with continued graft patency.
Collapse
|
134
|
Montgomery AM, Mueller BM, Reisfeld RA, Taylor SM, DeClerck YA. Effect of tissue inhibitor of the matrix metalloproteinases-2 expression on the growth and spontaneous metastasis of a human melanoma cell line. Cancer Res 1994; 54:5467-73. [PMID: 7923181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
In this study, we examined the effect of expression of tissue inhibitor of metalloproteinases-2 (TIMP-2) on the growth and dissemination of a highly metastatic human melanoma cell line (M24net). M24net melanoma cells express a number of matrix metalloproteinases (MMPs), including gelatinase A and B (MMP-2 and MMP-9) and interstitial collagenase (MMP-1) (A. M. P. Montgomery et al., Cancer Res., 53: 693-700, 1993). The activity of these proteases was effectively down-regulated by transfecting M24net cells with complementary DNA-encoding human TIMP-2. Overexpression of TIMP-2 markedly reduced melanoma growth in the skin of immunodeficient mice but did not prevent these highly malignant cells from spontaneously metastasizing to the lungs and lymph nodes of inoculated mice. We provide a mechanism to account for the growth inhibitory property of TIMP-2 based on its ability to regulate M24net cell growth in three-dimensional interstitial collagen. In the presence of this matrix, M24net cells assume a differentiated morphology and have a reduced growth rate. We present evidence that overexpression of TIMP-2 increases the susceptibility of M24net cells to growth inhibition and morphological differentiation by occluding interstitial collagen.
Collapse
|
135
|
Dunn JR, Taylor SM, Elliott SJ, Walter SD. Psychosocial effects of PCB contamination and remediation: the case of Smithville, Ontario. Soc Sci Med 1994; 39:1093-104. [PMID: 7809663 DOI: 10.1016/0277-9536(94)90381-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
A cross-sectional study design was used to investigate psychosocial effects in the population exposed to PCB contamination and remediation in Smithville, Ontario, Canada. Psychosocial effects were defined as the complex of distress, dysfunction and disability manifested in a wide range of psychological, social and behavioural outcomes as a consequence of actual or perceived contamination. This paper describes the results of logistic regression analyses conducted to investigate the determinants of psychosocial effects of exposure. The data come from an epidemiologic survey of a sample (N = 272) of Smithville households within 3 km of the site, and a sample from a matched comparison community (N = 263). Two types of outcome variables were used as indicators of psychosocial effects. Scores on the general measures of psychosocial health and well-being (the GHQ-20 and the somatic complaints checklist of the SCL-90) for the Smithville sample did not differ from those expected in a 'normal' population, nor did they differ from those in the comparison community. Scores on these outcomes were associated with plausibly linked independent variables, but were not associated with exposure to the PCB site. Results for site-specific outcome measures (concern and health concern) showed that moderate levels of concern reported by Smithville respondents were explained by concern about another local hazardous waste issue and could not be explained by PCB site exposure. We conclude from these results that local community context exerts an important influence on psychosocial effects of environmental contamination. Furthermore, the types of outcome measures employed and the timing of the research in the context of the site history were important factors in our ability to detect psychosocial effects of the PCB contamination and remediation in Smithville.
Collapse
|
136
|
Sanderson SD, Kirnarsky L, Sherman SA, Ember JA, Finch AM, Taylor SM. Decapeptide agonists of human C5a: the relationship between conformation and spasmogenic and platelet aggregatory activities. J Med Chem 1994; 37:3171-80. [PMID: 7932541 DOI: 10.1021/jm00045a023] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
A series of decapeptide analogues corresponding to the C-terminal region of human C5a anaphylatoxin (C5a65-74) was synthesized with residue substitutions to restrict conformational flexibility in the C-terminus. These conformationally constrained peptides behaved as agonists of C5a in spasmogenic assays (smooth muscle contraction in human fetal artery, guinea pig ileum, and guinea pig lung parenchyma) as well as guinea pig platelet aggregation. There were significant correlations in the potencies of these peptides between the various assays. A structure-function analysis led to the identification of a preferred backbone conformation that correlated with the expression of these biological responses. These backbone structural motifs were consistent with a helix-like conformation for residues 65-69, an elongated structure for residues 70-71, and a beta-turn of either type II or type V for residues (71)72-74. The most potent of these agonists expressed almost 5% of the potency of natural C5a.
Collapse
|
137
|
De Clerck YA, Shimada H, Taylor SM, Langley KE. Matrix metalloproteinases and their inhibitors in tumor progression. Ann N Y Acad Sci 1994; 732:222-32. [PMID: 7978795 DOI: 10.1111/j.1749-6632.1994.tb24738.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|
138
|
Taylor SM, Heron AE, Cannell GR, Florin TH. Pressor effect of ethanol in the isolated perfused human placental lobule. Eur J Pharmacol 1994; 270:371-4. [PMID: 7805788 DOI: 10.1016/0926-6917(94)90015-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Pharmacologically relevant concentrations of ethanol (0.01-0.3 g/%) were perfused via the fetal circulation in isolated human placental lobules. This resulted in a dose-related rise in fetal arterial pressure, which at 0.3 g/% ethanol, was 10.1 +/- 1.1 mmHg above the pre-drug baseline. The pressor responses to ethanol were (i) rapid in onset, reaching a stable plateau within 5-10 min following administration, (ii) readily reversible by perfusion with drug-free media, (iii) non-tachyphylactic and (iv) largely inhibited by the cyclo-oxygenase inhibitor, inhibitor, indomethacin (5 microM). This pressor action of ethanol in the fetal circulation may contribute to the pathogenesis of the fetal alcohol syndrome as well as represent an underlying mechanism of ethanol-induced hypertension.
Collapse
|
139
|
Taylor SM, Langridge SA, Kenny J. Anthelmintic suppression of Fasciola hepatica infections in sheep. Vet Rec 1994; 135:86-8. [PMID: 7975094 DOI: 10.1136/vr.135.4.86] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
In an experiment to examine the use of anthelmintics to suppress the faecal egg output of Fasciola hepatica from sheep and reduce the prevalence of infection on a sheep farm with a history of chronic fasciolosis, triclabendazole was administered four times annually for three years. During the first year, treatments in April, June, August and October failed to reduce the prevalence. In the subsequent two years the first annual treatment was brought forward to January and February, and the prevalence was reduced by 74.6 and 69.7 per cent, respectively. The mean plasma gamma-glutamyl transpeptidase concentration of the flock was significantly reduced from 55.9 units/litre before the experiment to 40.9 and 38.3 units/litre. In the second and third years the packed cell volume increased from 0.29 litre/litre to 0.36 litre/litre and the percentage of infected Lymnaea truncatula decreased to zero.
Collapse
|
140
|
Taylor SM, Mills JL, Fujitani RM. The juxtarenal abdominal aortic aneurysm. A more common problem than previously realized? ARCHIVES OF SURGERY (CHICAGO, ILL. : 1960) 1994; 129:734-7. [PMID: 8024454 DOI: 10.1001/archsurg.1994.01420310066011] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVE To determine the incidence and treatment outcome of juxtarenal infrarenal aneurysmectomy in a vascular practice minimally biased by tertiary referral. DESIGN A 5-year retrospective review of all aortic operations from our vascular registry was performed, and a case series of juxtarenal aneurysmectomies was analyzed. PATIENTS Of 174 infrarenal aortic aneurysmectomies performed, 27 (15.5%) (95% confidence interval, 10.5% to 21.8%) involved the juxtarenal aorta. INTERVENTIONS Juxtarenal involvement was unsuspected but found by aortography in 25 (93%) of 27 cases. Resection was performed transabdominally in 20 cases (74%) and retroperitoneally in seven cases (26%). MAIN OUTCOME MEASURES Incidence, operative technique, morbidity, and mortality were analyzed and compared with those of historical controls. RESULTS The incidence of juxtarenal aneurysmectomy was 15.5%. No operative deaths occurred, but there was a 19% incidence of surgical morbidity (including a 7% incidence of transient renal failure). The late survival rate was 89% (follow-up, 1 to 53 months; mean, 18 months). CONCLUSIONS Juxtarenal aortic aneurysms are not uncommon. Successful management is possible, even outside the large referral center.
Collapse
|
141
|
Weiler SR, Taylor SM, Deans RJ, Kan-Mitchell J, Mitchell MS, Trent JM. Assignment of a human melanoma associated gene MG50 (D2S448) to chromosome 2p25.3 by fluorescence in situ hybridization. Genomics 1994; 22:243-4. [PMID: 7959781 DOI: 10.1006/geno.1994.1374] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|
142
|
McAlhany JC, Hanover TM, Taylor SM, Sticca RP, Ashmore JD. Long-term follow-up of patients with Roux-en-Y gastrojejunostomy for gastric disease. Ann Surg 1994; 219:451-5; discussion 455-7. [PMID: 8185395 PMCID: PMC1243166 DOI: 10.1097/00000658-199405000-00002] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
OBJECTIVE A consecutive series of Roux-en-Y gastrojejunostomies with a mean follow-up of 11.9 years was reviewed to characterize the long-term results of patients having this operation to treat or prevent bile reflux gastritis. SUMMARY BACKGROUND Development of postprandial abdominal discomfort, nausea, vomiting, or bezoar formation (Roux stasis syndrome) in the postoperative follow-up period has prompted questions about the role of Roux-en-Y gastrojejunostomy to treat or prevent bile reflux gastritis. METHODS Long-term clinical follow-up (mean, 11.9 years) data for 24 patients was collected by reviewing medical records, interviewing patients directly through telephone contact, or both. All patients who had symptoms in the follow-up period were evaluated by upper gastrointestinal series, endoscopy, or both. A modified Visick scale was used for clinical ratings. RESULTS Of the 22 evaluable patients, follow-up was complete in 20; the clinical condition that prompted surgery was corrected in 21 (95%). Roux-en-Y gastrojejunostomy was successful for treating or preventing bile reflux gastritis in all 22 patients. Despite this success, clinical failure (Visick scale III or IV) was documented in 8 patients (36%). Seven of the 8 patients had clinical failure within 6 months of operation, with the Roux stasis syndrome developing in 6 of them (27%). CONCLUSION This consecutive series of Roux-en-Y gastrojejunostomies performed by one surgeon has the longest follow-up to date. Although the Roux-en-Y gastrojejunostomy is safe and often successful, the procedure appears to be limited by a substantial rate of clinical dissatisfaction. Surgeons should be cautious in using it to treat primary or remedial gastrointestinal disease.
Collapse
|
143
|
Menzies FD, Goodall EA, Taylor SM. The epidemiology of Ascaris suum infections in pigs in Northern Ireland, 1969-1991. THE BRITISH VETERINARY JOURNAL 1994; 150:165-72. [PMID: 8025848 DOI: 10.1016/s0007-1935(05)80224-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
This paper presents the results of analysis of condemnations of pig livers due to cirrhosis which, in temperature climates, gives an accurate estimation of Ascaris suum infections. Over the 23 years analysed, a very highly significant upward trend in the prevalence of A. suum is demonstrated. The association between the prevalence and the mean air temperature over the early summer period is highlighted. Thorough cleansing of pig units in early spring and at various times during the summer are suggested as the most appropriate control measure.
Collapse
|
144
|
Walter SD, Birnie SE, Marrett LD, Taylor SM, Reynolds D, Davies J, Drake JJ, Hayes M. The geographic variation of cancer incidence in Ontario. Am J Public Health 1994; 84:367-76. [PMID: 8129051 PMCID: PMC1614820 DOI: 10.2105/ajph.84.3.367] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVES Our objectives were (1) to describe an analysis of the spatial pattern of cancer incidence in Ontario and (2) to discuss the quality of data in the Ontario Cancer Registry with respect to the accuracy of local cancer rates. METHODS Cancer incidence rates were calculated for 22 cancer sites in 49 counties of Ontario during 1976 to 1986. Capture-recapture methods were used to estimate completeness of case registration, and completeness of residence information was also assessed. Spatial autocorrelation was used in measuring the geographic pattern of incidence rates. Comparisons were also made between sexes and with earlier data from 1966 to 1975. RESULTS The quality of the geographic data in the registry appeared good, and corrections for incomplete or inaccurate registration had little impact. About one third of the sex-site combinations showed some evidence of spatial patterning in the cancer rate. Particularly strong regional variation was noted for cancers of the stomach, lung, uterus, and prostate. CONCLUSIONS The analysis revealed a number of cancers with significant spatial patterning of risk. Further work is needed to relate the cancer data to other information on potential life-style and environmental factors.
Collapse
|
145
|
Taylor SM, Fields CR, Barker FM, Sanzo J. Effect of depth upon the smoothness of excimer laser corneal ablation. Optom Vis Sci 1994; 71:104-8. [PMID: 8152741 DOI: 10.1097/00006324-199402000-00009] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
The Argon Fluoride (ArF) Excimer laser is currently used for experimental reshaping of the front surface of the cornea for the correction of myopic refractive error (photorefractive keratectomy, PRK) and for smoothing corneal irregularities (phototherapeutic keratectomy, PTK). Both PRK and PTK are in FDA clinical trials, but are more readily available outside the U.S.A. These techniques have achieved reasonable success in spite of early reports that deeper ablation procedures can cause reduced corneal clarity (haze) or a result which is less accurate or tends to regress. We studied how different depths of excimer tissue removal affect the smoothness of the ablation zone of the rabbit cornea. Dutch belted rabbits were immediately sacrificed by pentobarbital overdose. Their corneas were de-epithelialized with a knife or by the excimer laser and then were photoablated. A 4.5-mm circular ablation beam was delivered to each denuded area, but the beam was masked by positioning a steel blade to partially block the laser beam, thus creating variable ablation depths corresponding to 0.0, 12.5, 37.5, and 62.5 microns. The eyes were fixed in situ by topical and anterior chamber application of glutaraldehyde and the corneas were excised after 5 min and placed in glutaraldehyde for tissue processing. The corneas were whole-mounted and examined by scanning electron microscopy (SEM). The resultant micrographs show increasing irregularity of the ablated surface as a function of depth. The irregularity appeared to be due largely to the inhomogeneities of the anterior stroma, which is known to be layered by alternately directed collagen fibrils.(ABSTRACT TRUNCATED AT 250 WORDS)
Collapse
|
146
|
Fields CR, Taylor SM, Barker FM. Effect of corneal edema upon the smoothness of excimer laser ablation. Optom Vis Sci 1994; 71:109-14. [PMID: 8152742 DOI: 10.1097/00006324-199402000-00010] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
We studied the effect of corneal hydration upon ablation rate in excimer laser photorefractive keratectomy (PRK). This variable may alter the subepithelial smoothness and the resulting clarity of the result. The eyes of freshly slaughtered pigs (N = 5) and the eyes of Dutch-belted rabbits (N = 4) (in vivo) were de-epithelialized and central ablation zones 3.0 to 4.5 mm in diameter were produced in the subepithelial corneal layers using a 193 nm argon fluoride (ArF) ophthalmic excimer laser. Ablation was performed immediately or after a 15-min incubation period in distilled water as a means of inducing corneal edema. Smoothness was evaluated using specular reflection microscopy and showed the water-treated surface to be increasingly less regular than the nonwater-treated samples. Water treatment may affect the final outcome of the PRK procedure and indicates the need to monitor the preoperative cornea for the development of any edema, especially after the epithelium is removed.
Collapse
|
147
|
Taylor SM, Mills JL, Fujitani RM, McAlhany JC, Bandyk DF. Does arterial inflow failure cause distal vein graft thrombosis? A prospective analysis of 450 infrainguinal vascular reconstructions. Ann Vasc Surg 1994; 8:92-8. [PMID: 8193005 DOI: 10.1007/bf02133410] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Classically, inadequate arterial inflow, diseased runoff, and poor bypass conduit quality have all been cited as causes of infrainguinal vein graft failure. To examine the role of arterial inflow failure as a specific cause of vein graft thrombosis, we prospectively analyzed 450 consecutive infrainguinal vascular reconstructions by means of a strict duplex scan surveillance protocol at three teaching institutions from 1986 to 1993. Sixteen incidences of arterial inflow failure (11 occlusions and five high-grade stenoses) above previously placed infrainguinal vein grafts were identified in 14 patients and confirmed by arteriography. Despite these inflow failures, all 14 autogenous vein infrainguinal reconstructions remained patent on arteriography. These inflow failures were observed from 2 to 72 months (mean 16 months) after infrainguinal reconstruction. Immediate successful inflow repair was performed in 13 of the 16 failures. Conversely, among 450 grafts followed, 37 acute graft occlusions occurred-all with arteriographically or noninvasively documented normal inflow. Thus no graft in the series has yet failed as a result of inflow occlusion (mean follow-up 22 months; range 1 to 78 months). We thus conclude that properly constructed infrainguinal saphenous vein bypass grafts with an intact endothelium often remain patent through low-flow collateral vessels despite total arterial inflow occlusion. These data thus challenge the premise that arterial inflow disease is a major cause of infrainguinal vein bypass occlusion.
Collapse
|
148
|
Kan JL, Jannatipour M, Taylor SM, Moran RG. Mouse cDNAs encoding a trifunctional protein of de novo purine synthesis and a related single-domain glycinamide ribonucleotide synthetase. Gene 1993; 137:195-202. [PMID: 8299947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Three of the enzymatic activities of de novo purine synthesis, glycinamide ribonucleotide synthetase (GARS), aminoimidazole ribonucleotide synthetase (AIRS) and glycinamide ribonucleotide formyltransferase (GART), can be catalyzed by a single 110-kDa protein in mouse cells. Western blots using a polyclonal antibody (Ab) to this protein identified two species, the trifunctional 110-kDa protein and a 50-kDa cytosolic protein with GARS, but not GART activity. We used Ab and, subsequently, oligodeoxyribonucleotide screens to isolate cDNAs corresponding to these two proteins from mouse T-cell cDNA expression libraries. The sequence of one class of these cDNAs and the partial sequence of a corresponding genomic clone defined an open reading frame (ORF) encoding a 1010-amino-acid (aa) protein, individual domains of which showed high homology to each of the monofunctional bacterial GARS, AIRS and GART proteins, and to each domain of chicken and human trifunctional GARS-AIRS-GARTs. cDNAs corresponding to the smaller protein contained a 1.3-kb ORF with complete identity to the GARS domain of, but with a 3' untranslated region different from, the trifunctional cDNAs. Hence, both cDNAs appear to derive from the same gene due to either differential splicing or use of an intronic polyadenylation signal. The functional requirement for the expression of both trifunctional protein with GARS activity and monofunctional, catalytically active GARS is unknown.
Collapse
|
149
|
Taylor SM, Kenny J, Houston A, Hewitt SA. Efficacy, pharmacokinetics and effects on egg-laying and hatchability of two dose rates of in-feed fenbendazole for the treatment of Capillaria species infections in chickens. Vet Rec 1993; 133:519-21. [PMID: 8310628 DOI: 10.1136/vr.133.21.519] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Laying broiler breeder hens infected with Capillaria obsignata were treated with in-feed fenbendazole either at a dose of 30 ppm for six days or 80 ppm for three days. The respective efficacies of treatment were 92.3 and 99.3 per cent. These results were a reflection of the plasma pharmacokinetics of fenbendazole and its metabolites in the regimens, which showed that the detectable plasma concentrations of the anthelmintically active fenbendazole sulphoxide in the second treatment were significantly greater than the first, with the area under the curve 1.34 times that of treatment 1. Both treatments produced a slight decline in egg production, but only the loss in production with treatment 1 was significant. Hatchability of eggs with both treatments was not significantly affected.
Collapse
|
150
|
Taylor SM, Edgar H, Kenny J. Prophylactic efficacy of moxidectin for periparturient ewes and mid-summer lambs. Vet Rec 1993; 133:270-1. [PMID: 8236651 DOI: 10.1136/vr.133.11.270] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
|