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Agrawal R, Browne R, Baldwin N, Scott H, Tso S. Faculty development: clinical dermatology for medical secretaries and administrative staff. Clin Exp Dermatol 2019; 45:479-481. [PMID: 31828812 DOI: 10.1111/ced.14155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/10/2019] [Indexed: 12/01/2022]
Affiliation(s)
- R Agrawal
- Department of Dermatology, Warwick Hospital, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick, UK
| | - R Browne
- Department of Dermatology, Warwick Hospital, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick, UK
| | - N Baldwin
- Department of Dermatology, Warwick Hospital, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick, UK
| | - H Scott
- Department of Dermatology, Warwick Hospital, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick, UK
| | - S Tso
- Department of Dermatology, Warwick Hospital, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick, UK
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Baldwin N, Gray R, Goel A, Wood E, Buxton J, Rieb L. Corrigendum to "Fentanyl and heroin contained in seized illicit drugs and overdose-related deaths in British Columbia, Canada: An observational analysis" [Drug Alcohol Depend. 185 (2018) 322-327]. Drug Alcohol Depend 2019; 197:48. [PMID: 30772782 DOI: 10.1016/j.drugalcdep.2019.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- N Baldwin
- Department of Family Practice, University of British Columbia, Canada
| | - R Gray
- Department of Family Practice, University of British Columbia, Canada
| | - A Goel
- Department of Family Practice, University of British Columbia, Canada
| | - E Wood
- Department of Medicine, University of British Columbia, Canada
| | - J Buxton
- School of Population and Public Health, University of British Columbia, Canada
| | - L Rieb
- Department of Family Practice, University of British Columbia, Canada.
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Jaeger V, Aubin A, Baldwin N, Fligelstone K, Sims R, Welling J, Burrill R, Connolly K, Gordon J, Frech T, Ngcozana T, Kowalczyk M, Lammi M, Lasky J, Walker U, Saketkoo L. AB0711 Optimizing Scleroderma Centers of Excellence: Perspectives From Patients and Systemic Sclerosis (SSC) Experts. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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McClean P, Tunney M, Parsons C, Gilpin D, Baldwin N, Hughes C. Infection control and meticillin-resistant Staphylococcus aureus decolonization: the perspective of nursing home staff. J Hosp Infect 2012; 81:264-9. [PMID: 22727826 DOI: 10.1016/j.jhin.2012.05.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2012] [Accepted: 05/08/2012] [Indexed: 11/16/2022]
Abstract
BACKGROUND Infection control and meticillin-resistant Staphylococcus aureus (MRSA) in nursing homes have started to assume greater importance in practice and policy. AIM To explore infection control and MRSA decolonization in nursing homes in Northern Ireland from the perspective of nursing home staff. METHODS Semi-structured interviews with nursing home managers and focus group discussions with nursing home staff were conducted, transcribed verbatim and analysed via the framework method. FINDINGS Six one-to-one interviews and six focus group discussions (N = 7, 6, 6, 5, 5 and 4 participants, respectively) were conducted. Three overarching themes with inter-related subthemes were identified as influencing infection control and MRSA decolonization in the nursing homes: organizational factors (e.g. time, financial resources, environment, management and culture), external factors [e.g. hospitals, regulation and general practitioners (GPs)], and residents and families. It was reported that when the workload was unmanageable, aspects of infection control were not adhered to and more financial resources were necessary. There was conflict in maintaining an environment that was both 'homely' and clinical, and it was difficult to achieve good infection control practices with confused residents, some families, GPs and members of staff who were resistant to change. Support for MRSA decolonization in nursing homes was tempered by the risk of recolonization, particularly from hospital admissions. CONCLUSIONS Infection control and MRSA decolonization in the nursing home environment appear to be affected by many factors, some of which may be beyond the direct control of staff.
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Affiliation(s)
- P McClean
- School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast, UK
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Nelson S, Baldwin N, Taylor J. Mental health problems and medically unexplained physical symptoms in adult survivors of childhood sexual abuse: an integrative literature review. J Psychiatr Ment Health Nurs 2012; 19:211-20. [PMID: 22070785 DOI: 10.1111/j.1365-2850.2011.01772.x] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
People sexually abused in childhood are at higher risk than non-abused people of medically unexplained symptoms such as irritable bowel syndrome or chronic pain, with mental ill health and high healthcare use. Friction and frustration, with high, unproductive healthcare costs, can often develop between these patients and health-care professionals such as general practitioners and nursing staff. The aim of this integrative literature review was to seek a sound evidence base from which to develop helpful interventions, improve relationships and identify gaps in knowledge. It found some theories about interconnections among childhood sexual abuse mental health and medically unexplained symptoms, such as 'somatization' or 'secondary gain', were used prejudicially, stigmatizing survivors. Conflicting theories make more difficult the search for effective interventions. Researchers rarely collaborated with sexual abuse specialists. Emphasis on identifying key risk factors, rather than providing support or alleviating distress, and lack of studies where survivors voiced their own experiences, meant very few targeted interventions for this group were proposed. Recommendations to enable effective interventions include making abuse survivors the prime study focus; qualitative research with survivors, to assist doctors and nursing staff with sensitive care; case histories using medical records; prospective studies with sexually abused children; support for the growing field of neurobiological research.
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Affiliation(s)
- S Nelson
- Centre for Research on Families and Relationships, University of Edinburgh, Edinburgh, Scotland, UK.
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Aldeyab M, Baldwin N, McElnay J, Scott M, McNally M, Kearney M. Strategy for improving and maintaining compliance with adequate hospital hand hygiene practices. J Hosp Infect 2011; 77:87-8. [DOI: 10.1016/j.jhin.2010.09.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2010] [Accepted: 09/09/2010] [Indexed: 10/18/2022]
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Skinner JA, Sharma M, Baldwin N, Lemoine B, Blankenship D, De Vol EB, Mejias A, Ramilo O, Cohen M, Letvin N, Goldstein D, Soderberg K, Denny TN, Shianna K, McMichael A, Haynes B, Banchereau J, Chaussabel D. P01-01. The blood transcriptional response to early acute HIV infection is transient and responsive to antiretroviral therapy. Retrovirology 2009. [PMCID: PMC2767581 DOI: 10.1186/1742-4690-6-s3-p1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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8
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Gilpin D, Baldwin N, Hughes C, Kearney P, Gardiner D, Tunney M. P4.02 Characterisation of Methicillin Resistant Staphylococcus aureus in Nursing Homes in the Northern Health and Social Services (NHSSB) in Northern Ireland. J Hosp Infect 2006. [DOI: 10.1016/s0195-6701(06)60064-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Sun WH, Hola M, Baldwin N, Pedley K, Brooks RF. Heterogeneity in nuclear transport does not affect the timing of DNA synthesis in quiescent mammalian nuclei induced to replicate in Xenopus egg extracts. Cell Prolif 2001; 34:55-67. [PMID: 11284919 PMCID: PMC6495702 DOI: 10.1046/j.1365-2184.2001.00196.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Intact G0 nuclei from quiescent mammalian cells initiate DNA synthesis asynchronously in Xenopus egg extracts, despite exposure to the same concentration of replication factors. This indicates that individual nuclei differ in their ability to respond to the inducers of DNA replication. Since the induction of DNA synthesis requires the accumulation of replication factors by active nuclear transport, any variation in the rate of transport among nuclei could contribute to the variability of DNA replication. Using the naturally fluorescent protein allophycocyanin (APC) coupled with the nuclear localization sequence (NLS) of SV40 T antigen, as a marker of nuclear uptake, we show here that individual G0 nuclei differ in their rate of transport over a range of more than 20-fold. Surprisingly, this variation has no direct influence on the timing or extent of DNA synthesis. Similar results were obtained by monitoring the uptake of nucleoplasmin, a nuclear protein present at high levels in egg extracts. These experiments show that the initiation of DNA synthesis is not driven merely by the accumulation of replication factors to some threshold concentration. Instead, some other explanation is needed to account for the timing of initiation.
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Affiliation(s)
- W H Sun
- Guy's, King's and St Thomas' School of Biomedical Sciences, King's College London, UK
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Baldwin N. A column dedicated to unbiased product information would help the surgeon and the patient. Spine J 2001; 1:234; discussion 234. [PMID: 14588357 DOI: 10.1016/s1529-9430(01)00089-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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11
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Benzel EC, Baldwin N. Re: Bridging the gap between science and practice in managing low back pain: a comprehensive care system in a health maintenance organization setting. Spine (Phila Pa 1976) 2000; 25:2844-5. [PMID: 11064534 DOI: 10.1097/00007632-200011010-00021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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12
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Baldwin N, Ament PA, Ryan JJ. Glucose levels are not associated with common features-derived prototype memory abstractions. Psychol Rep 2000; 87:105-6. [PMID: 11026396 DOI: 10.2466/pr0.2000.87.1.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Elevated glucose levels are associated with increased recall on declarative memory tasks. No previous studies have examined such a relationship using a common features-derived prototype memory abstraction task. 20 participants volunteered, 10 each in an experimental group who were given 40 g of glucose to drink and a control group given an artificially sweetened beverage after fasting. Analysis indicated that common features-derived prototype memory abstractions seem resistant to glucose fluctuations.
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Affiliation(s)
- N Baldwin
- Department of Psychology and Counselor Education, Central Missouri State University, Warrensburg 64093, USA
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Adair JC, Baldwin N, Kornfeld M, Rosenberg GA. Radiation-induced blood-brain barrier damage in astrocytoma: relation to elevated gelatinase B and urokinase. J Neurooncol 2000; 44:283-9. [PMID: 10720208 DOI: 10.1023/a:1006337912345] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Successful management of brain tumors prolongs life, raising the risk of delayed injury secondary to the treatment. Radiation therapy, a mainstay of brain tumor treatment, can damage the cerebral blood vessels. Acutely a breakdown of the blood-brain barrier (BBB) may be seen, but fibrosis complicates radiation injury in the chronic phase. Matrix metalloproteinases (MMPs) and plasminogen activators are two matrix-degrading proteolytic enzymes, which are induced by radiation. They disrupt the basal lamina around cerebral capillaries and open the BBB. We report a patient with an astrocytoma managed by partial resection and external beam irradiation to maximal tolerable doses. The patient later developed malignant brain edema shortly after stereotactic radiosurgery. Tissue obtained during surgical debulking to control the edema showed very high levels of gelatinase B (92 kDa type IV collagenase) and urokinase-type plasminogen activator (uPA). Tumor cells were absent from the biopsy and subsequent autopsy specimens, but necrosis with fibrosis of the blood vessels was seen. If abnormal matrix enzyme function participates in the expression of radiation injury, then inhibitors to such enzymes may provide one strategy for controlling cerebrovascular damage after therapeutic brain radiation.
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Affiliation(s)
- J C Adair
- Neurology Service, Albuquerque Veterans Medical Center, NM 87108, USA
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Affiliation(s)
- J Taylor
- School of Nursing and Midwifery, University of Dundee, Dundee DD1 4HH, UK
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Benzel EC, Ferrara L, Baldwin N. Multidirectional stabilizing potential of BAK interbody spinal fusion system for anterior surgery. J Spinal Disord 1998; 11:454-5. [PMID: 9811109 DOI: 10.1097/00002517-199810000-00015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Rael JR, Orrison WW, Baldwin N, Sell J. Direct thrombolysis of superior sagittal sinus thrombosis with coexisting intracranial hemorrhage. AJNR Am J Neuroradiol 1997; 18:1238-42. [PMID: 9282848 PMCID: PMC8338027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
We present a case of dural cerebral venous thrombosis with coexisting left frontal hemorrhage that was successfully treated with 13.79 million units of urokinase over a period of 165 hours.
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Affiliation(s)
- J R Rael
- Department of Radiology, University of New Mexico School of Medicine, Albuquerque 87131, USA
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17
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Baldwin N. The Handbook of Residential Care. West J Med 1994. [DOI: 10.1136/bmj.308.6935.1048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Chesnut RM, Marshall LF, Klauber MR, Blunt BA, Baldwin N, Eisenberg HM, Jane JA, Marmarou A, Foulkes MA. The role of secondary brain injury in determining outcome from severe head injury. J Trauma 1993; 34:216-22. [PMID: 8459458 DOI: 10.1097/00005373-199302000-00006] [Citation(s) in RCA: 1297] [Impact Index Per Article: 41.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
As triage and resuscitation protocols evolve, it is critical to determine the major extracranial variables influencing outcome in the setting of severe head injury. We prospectively studied the outcome from severe head injury (GCS score < or = 8) in 717 cases in the Traumatic Coma Data Bank. We investigated the impact on outcome of hypotension (SBP < 90 mm Hg) and hypoxia (Pao2 < or = 60 mm Hg or apnea or cyanosis in the field) as secondary brain insults, occurring from injury through resuscitation. Hypoxia and hypotension were independently associated with significant increases in morbidity and mortality from severe head injury. Hypotension was profoundly detrimental, occurring in 34.6% of these patients and associated with a 150% increase in mortality. The increased morbidity and mortality related to severe trauma to an extracranial organ system appeared primarily attributable to associated hypotension. Improvements in trauma care delivery over the past decade have not markedly altered the adverse influence of hypotension. Hypoxia and hypotension are common and detrimental secondary brain insults. Hypotension, particularly, is a major determinant of outcome from severe head injury. Resuscitation protocols for brain injured patients should assiduously avoid hypovolemic shock on an absolute basis.
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Affiliation(s)
- R M Chesnut
- Division of Neurological Surgery, UCSD Medical Center 92103-1990
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Bretan PN, Baldwin N, Martinez A, Stowe N, Scarpa A, Easley K, Erturk E, Jackson C, Pestana J, Novick AC. Improved renal transplant preservation using a modified intracellular flush solution (PB-2). Characterization of mechanisms by renal clearance, high performance liquid chromatography, phosphorus-31 magnetic resonance spectroscopy, and electron microscopy studies. Urol Res 1991; 19:73-80. [PMID: 1853517 DOI: 10.1007/bf00368180] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
A number of new intracellular renal flush solutions have been found to be more efficacious than Collins-2 (C-2) solution in extending organ viability during simple cold storage. However, the mechanism of action of these solutions remains poorly understood. To delineate better underlying intracellular mechanisms, we studied a modified, simple, hypothermic, intracellular (340 mOsm/kg) flush solution (PB-2). The development of PB-2 solution is based on the ability of some of its individual components to minimize ischemic adenine nucleotide (AN) catabolism and endothelial post "reperfusion injury." Preliminary results in 10 canine autorenal transplants show a significant (P less than 0.02) improvement in renal recovery and viability (recipient posttransplant inulin clearance and survival) after 50 h of cold storage compared with 10 canine kidneys similarly preserved using conventional C-2 flush solution. High performance liquid chromotography (HPLC) studies show a significant (P less than 0.01) loss of AN using C-2, while PB-2 was associated with regeneration of AN within 45 min of reperfusion. Magnetic resonance spectroscopy using phosphorus 31 (31P-MRS) showed more high energy phosphorus metabolites (phosphomonoester and nicotinamide-adenine-dinucleotide phosphate: P less than 0.001) at 50 h cold storage using PB-2 compared with C-2. Electron micrographs (EM) revealed normal microcapillary morphology for the PB-2 group; however, moderate vascular red and white blood cell clumping was observed in the C-2 group. Characterization of the basic preservation mechanisms by HPLC, 31P-MRS, and EM studies indicates that PB-2 solution enhances renal preservation by diminution of both reperfusion injury and the loss of intracellular high energy metabolites that are necessary for viability.
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Affiliation(s)
- P N Bretan
- Department of Urology, Case Western Reserve University, Cleveland, Ohio
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Clifford JS, Baldwin N, Brett J, Cerbo L, Demers-Gendreau C. Treatment of alcoholism. J Psychoactive Drugs 1990; 22:377. [PMID: 2286872 DOI: 10.1080/02791072.1990.10472568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Bretan PN, Baldwin N, Novick AC, Majors A, Easley K, Ng T, Stowe N, Rehm P, Streem SB, Steinmuller DR. Pretransplant assessment of renal viability by phosphorus-31 magnetic resonance spectroscopy. Clinical experience in 40 recipient patients. Transplantation 1989; 48:48-53. [PMID: 2665235 DOI: 10.1097/00007890-198907000-00011] [Citation(s) in RCA: 52] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
A group of 40 cadaveric kidneys was studied just prior to planned transplantation to further assess the applicability of 31P-MRS in the analysis of clinical renal transplant viability. Renal intracellular high-energy phosphorus metabolites (ATP [or NADP], phosphomonoester [PME] and inorganic phosphate [Pi]) and pH were measured noninvasively with MRS surface coils external to cold storage containers. Pretransplant MRS parameters were correlated with subsequent renal function in recipient patients (measured one week postoperatively by the need of dialysis, drop in serum creatinine, urine output, and 123I or 131I Hippuran assessed renal tubular function). ATP and NADP was detected in eleven kidneys and was significantly (P less than 0.001) associated with the best renal function posttransplantation. These kidneys also had the highest PME/Pi ratios (1.66-0.54), while lower ratios (0.36-0.10) were associated with prolonged acute tubular necrosis. The PME/Pi ratios significantly (P less than 0.0001) correlated with subsequent clinical renal function, whereas cold storage times (37 +/- 10 hr) or intracellular renal pH (6.53-7.91) did not. These preliminary data suggest that MRS is a noninvasive, nondestructive and sterile method for assessing clinical viability during hypothermic storage of human cadaver kidneys and the subsequent recovery of renal function postrenal transplantation.
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Affiliation(s)
- P N Bretan
- Department of Urology, Cleveland Clinic Foundation, Ohio 44106
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22
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Bretan PN, Baldwin N, Novick AC, Majors A, Easley K, Ng TC, Stowe N, Streem S, Steinmuller D, Rehm P. Clinical experience with pretransplant assessment of renal viability by phosphorus-31 magnetic resonance spectroscopy (31P-MRS) in 40 recipient patients. Transplant Proc 1989; 21:1266-7. [PMID: 2652418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- P N Bretan
- Department of Urology, Cleveland Clinic Foundation, OH 44106
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Bretan PN, Baldwin N, Novick AC, Ng TC, Majors A, Stowe N, Streem S, Steinmuller D, Go R, Meaney T. Preliminary clinical experience with pretransplant assessment of renal viability by phosphorus-31 magnetic resonance spectroscopy (31P-MRS). Transplant Proc 1988; 20:852-3. [PMID: 3055516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- P N Bretan
- Department of Urology, Cleveland Clinic Foundation, OH 44106
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Abstract
Vertebral osteomyelitis and epidural abscess are uncommon causes of backache but may have a prediliction for patients with diabetes. We report four cases seen in a diabetic unit over 2 years to emphasize the importance of making a diagnosis as early as possible. We suggest that when a diabetic patient complains of backache the erythrocyte sedimentation rate should be measured since this is the best clue that backache is due to something other than a mechanical derangement.
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Pederson LL, Baldwin N, Lefcoe NM. Utility of behavioral self-help manuals in a minimal-contact smoking cessation program. Int J Addict 1981; 16:1233-9. [PMID: 7327784 DOI: 10.3109/10826088109039176] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
The effectiveness of two commercially available smoking cessation manuals was evaluated under minimal therapist contact conditions. Forty cigarette smokers who volunteered to participate in a self-help quit smoking program were randomly assigned to one of three conditions: 18 to Pomerleau and Pomerleau's 1977 manual, 13 to Danaher and Lichtenstein's 1978 manual, and nine to a waiting-list control. Six-month follow-ups indicate that the former manual offers a useful treatment approach, while no firm conclusions can be made regarding the latter manual. Utility of self-help manuals in multilevel treatment programs is discussed.
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Roberts RM, Bazer FW, Baldwin N, Pollard WE. Progesterone induction of lysozyme and peptidase activities in the porcine uterus. Arch Biochem Biophys 1976; 177:499-507. [PMID: 1015831 DOI: 10.1016/0003-9861(76)90461-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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