Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0344329 (collapse)
 28,634 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A study of elderly patients (fourteen men, sixteen women) who were admitted to hospital with acute illness and extreme self-neglect revealed common features which might be called Diogenes syndrome. All had dirty, untidy homes and a filthy personal appearance about which they showed no shame. Hoarding of rubbish (syllogomania) was sometimes seen. All except two lived alone, but poverty and poor housing standards were not a serious problem. All were known to the social-services departments and a third had persistently refused offers of help. An acute presentation with falls or collapse was common, and several physical diagnoses could be made. Multiple deficiency states were found--including iron, folate, vitamin B12, vitamin C, calcium and vitamin D, serum proteins and albumin, water, and potassium. The mortality, especially for women, was high (46%); most of the survivors responded well and were discharged. Half showed no evidence of psychiatric disorder and possessed higher than average intelligence. Many had led successful professional and business lives, with good family backgrounds and upbringing. Personality characteristics showed them to tend to be aloff, suspicious, emotionally labile, aggressive, group-dependent, and reality-distorting individuals. It is suggested that this syndrome may be a reaction late in life to stress in a certain type of personality.
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PMID:Diogenes syndrome. A clinical study of gross neglect in old age. 4 14

Twenty-five patients in acute respiratory failure were randomised to receive either 5 cm of positive end-expiratory pressure (P.E.E.P.) or no-P.E.E.P. while weaning from controlled ventilation. The use of P.E.E.P. resulted in a significant reduction in the increase in alveolar-arterial oxygen tension gradient (AaDO21) which occurred in the group of patients who were converted from controlled ventilation to spontaneous ventilation without P.E.E.P. Patients who weaned without P.E.E.P. had a mean increase in AaDO21 of 102+/-35 mm Hg S.E. while those who weaned with P.E.E.P. had a mean increase of only 10+/-22 mm Hg (P less than 0-03). The use of P.E.E.P. was also associated with a significant improvement in the vital capacity and the maximum inspiratory force. Patients who weaned with P.E.E.P. had an increase in vital capacity of 258+/-108 ml (P less than 0-05) and an increase in inspiratory force of -15+/-5 cm H2O (P less than 0-01), while patients who weaned without P.E.E.P. did not have significant changes in these measurements. The use of P.E.E.P. during weaning may be helpful in patients who fail to wean because of the development of hypoxaemia due to rapid alveolar collapse, since P.E.E.P. appears to minimise the increase in intrapulmonary right-to-left shunt which normally occurs during weaning from controlled ventilation.
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PMID:Positive end-expiratory pressure in weaning patients from controlled ventilation. A prospective randomised trial. 5 67

BL-5255, 2-(2-n-propoxyphenyl)-5-(5-1 H-tetrazolyl)pyrimidin-4 (3H)-one, effectively inhibited allergic reactions in sensitized rats or guinea pigs when administered by oral or intravenous routes as the water-soluble sodium or ethanolamine monohydrate salts. In the IgE-mediated rat PCA, BL-5255 was 50 times more potent than disodium cromoglycate by intravenous administration. When administered orally in this model, BL-5255 inhibited the PCA reaction by 50% at 0.1 mg/kg. At less than 0.1 mg/kg p.o., the compound protected conscious actively sensitized guinea pigs from aerosolized antigen-induced collapse. In N. brasiliensis-sensitized rats, BL-5255 administered at 0.1--10 mg/kg p.o. inhibited antigen-induced airway constriction in a dose-related manner. BL-5255 is not a histamine or serotonin antagonist but appears to exert its antiallergic effect by inhibiting the release of mediators.
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PMID:BL-5255, a tetrazolylpyrimidinone with potent oral antiallergy activity in animals. 9 59

In 1965 International Planned Parenthood recommended the use of IUDs due to their effectiveness, and in that year, IUDs were first introduced in the Eastern European Socialist countries. Newer models are bioactive. Not only do they fill the uterus by their very presence, but they also produce a chemical reaction which influences the enzyme structure, one of the factors in reproduction. Currently there are 4 IUDs being produced in Poland. Spiran W (Securitas) is soft, elastic and heart shaped, molding into various shapes in the uterus to suit the particular uterine structure. A double-layered IUD produced in 1973, pat. no. 68808 is very effective with one layer touching the frontal wall and the other the back wall of the uterus. The new Spider Cu (Securitas), a bioactive IUD is easy to insert and does not require that it be positioned horizontally as for example, the Copper T. Flower Cu (Securitas) shaped like a "W" is simply constructed, elastic and rivals the Copper T, because upon insertion, both ends of the horizontal part rest upon the base of the uterus. Every IUD requires a different technique for insertion; detailed instructions are always included. Polish IUDs are not packaged in sterile containers and so should be placed for 24 hours in a solution of 1% sterinol or better yet, 20 minutes in an iodide water solution 1:5000, which does no cell damage. Inserting an IUD in a woman who has never given birth may require numbing the cervix first. A patient should be ovserved for several minutes after the entire procedure has been completed because women often collapse afterwards. IUDs are effective contraceptives, with currently 20 million users world wide.
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PMID:[Preventing unwanted pregnancies]. 25

The model proposed by Diamond and Bossert [1] for isotonic water transport has received wide acceptance in recent years. It assumes that the local driving force for water transport is a standing osmotic gradient produced in the lateral intercellular spaces of the epithelial cell layer by active solute transport. While this model is based on work done in absorptive epithelia where the closed to open direction of the lateral space and the direction of net transport are the same, it has been proposed that the lateral spaces could also serve as the site of the local osmotic gradients for water transport in secretory epithelia, where the closed to open direction of the lateral space and net transport are opposed, by actively transporting solute out of the space rather than into it. Operation in the backward direction, however, requires a lower than ambient hydrostatic pressure within the lateral space which would seem more likely to cause the space to collapse with loss of function. On the other hand, most secretory epithelia are characterized by transport into a restricted ductal system which is similar to the lateral intercellular space in the absorptive epithelia in that its closed to open direction is the same as that of net transport. In vitro micropuncture studies on the exocrine pancreas of the rabbit indicate the presence of a small but statistically significant increase in juice osmolality, 6 mOsm/kg H(2)O, at the site of electrolyte and water secretion in the smallest extralobular ducts with secretin stimulation which suggests that the ductal system in the secretory epithelia rather than the lateral intercellular space is the site of the local osmotic gradients responsible for isotonic water transport.
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PMID:Isotonic water transport in secretory epithelia. 33 93

This report describes the structure, size, and shape of the uncollapsed polysaccharide capsule of Escherichia coli strain Bi 161/42 [O9:K29(A):H-], its ultrastructural preservation as well as the filamentous components of the isolated capsular material. In a temperature-sensitive mutant, sites were localized at which capsular polysaccharide is "exported" to the cell surface. The highly hydrated capsule of the wild-type cells was visible in the uncollapsed state after freeze-etching, whereas dehydration in greater than or equal to 50% acetone or alcohol caused the capsule to collapse into thick bundles. This was prevented by pretreatment of the cell with capsule-specific immunoglobulin G; the capsule appeared as a homogeneous layer of 250- to 300-nm thickness. The structural preservation depended on the concentration of the anti-capsular immunoglobulin G. Temperature-sensitive mutants, unable to produce capsular antigen at elevated temperatures, showed, 10 to 15 min after shift down to permissive temperature, polysaccharide strands with K29 specificity appearing at the cell surface at roughly 20 sites per cell; concomitantly, capsule-directed antibody started to agglutinate the bacteria. The sites at which the new antigen emerged were found in random distribution over the entire surface of the organism. Spreading of purified polysaccharide was achieved on air-water interfaces; after subsequent shadow casting with heavy metal, filamentous elements were observed with a smallest class of filaments measuring 250 nm in length and 3 to 6 nm in width. At one end these fibers revealed a knoblike structure of about 10-nm diameter. The slimelike polysaccharides from mutants produced filamentous bundles of greater than 100-microns length, with antigenic and phage-receptor properties indistinguishable from those of the wild-type K29 capsule antigen.
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PMID:Polysaccharide capsule of Escherichia coli: microscope study of its size, structure, and sites of synthesis. 40 Jul 98

The addition of the trivalent or tetravalent cations spermidine or spermine to a solution of T7 DNA in aqueous solution causes an alteration of the DNA from its extended coil form to a condensed form. If performed at low DNA concentration and at low ionic strengths, this transformation results in a monomolecular collapse to form a particle with a hydrodynamic radius of about 500 A. We have monitored this change using quasielastic and total intensity light scattering. In a solution of 50% methanol in water, the divalent cations Mg2+ and putrescine also can cause the condensation of DNA. Using Manning's (1978) counterion condensation theory, we calculate a striking unity among these disparate ions: the collapse occurs in each case when from 89 to 90% of the DNA phosphate charges are neutralized by condensed counterions.
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PMID:Counterion-induced condesation of deoxyribonucleic acid. a light-scattering study. 44 48

Air flow resistance in the parabronchial lung of the duck was measured at various pressure differences between the lung and the body surface (Prs) using a body plethysmograph. One lung of the anesthetized animal was ventilated at a steady flow rate, from trachea, through the parabronchial lung, and out via a cannula in the caudal thoracic air sac (Tr leads to CS flow), or vice versa (CS leads to Tr flow), all flow being directed over the parabronchi (Pb) by blocking the main bronchus between the medioventral (MV) and mediodorsal secondary bronchi (MD). Pressure differences were measured between MV and MD (Ptot), and between the clavicular air sac and MD giving the pressure drop along the parabronchial tubes (PPb). The pressure drop along MV, PVb, was derived as Ptot-PPb. Air flow resistances, Rtot, RPb, RVb, were calculated from the ratio of the corresponding pressure difference to the flow rate. Results show: (1) All resistances decreased with increasing distending pressure (Prs) from -20 to +20 cm H2O this change being most pronounced around Prs = 0; (2) The flow resistance of these structures depended on the flow direction, being smaller with Tr leads to CS flow during distension than in the opposite direction; (3) Arterial blood gases did not significantly change with varying distending pressure, suggesting unimpaired gas exchange even when the lung is significantly compressed. The results indicate that the parabronchi and the secondary bronchi of the duck lung have a finite compliance but that changes in intrapulmonary pressure, compression of the lung, do not result in significant collapse of the air capillaries with ensuing impairment of gas exchange.
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PMID:Measurement of the distensibility of the parabronchi in duck lungs. 51 60

Nucleoids obtained from metaphase-arrested HeLa cells by gentle lysis in non-ionic detergent and 2 M salt were prepared for electron microscopy by Kleinschmidt spreading techniques. From biophysical studies nucleoids have been shown to contain high molecular weight DNA which is supercoiled and topologically constrained. The contents of nucleoids disperse and collapse into 2 dimensions on the water surface as discrete particles (spreads), which are provisionally equated with metaphase chromosomes. In some cases separate spreads are linked. The structure of the spreads is complex. A preliminary description is presented, although we believe that some of the structures reported may be products of preparation and spreading rather than significant features of the organization of intact nucleoids. There is considerable variation in the appearance of different spreads which may be related to the degree of unfolding, spreading or damage of the different preparations. Each spread consists of one or more core areas surrounded by a network of fibres. Cores are composed, at least in part, of compressed fibres and superficially appear to constrain fibres of the network. In the network the inter-twining of pairs of fibres and the occurrence of flat fibre spirals (disks) are interpreted as evidence of DNA supercoiling, but other fibres of similar thickness are not visibly supercoiled. High-order structures including groupings of disks are observed: these may be the structural correlates of the folded domains of supercoiled DNA established biophysically. The relative proportion of disks and other network structures varies between spreads.
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PMID:The organization of supercoiled DNA from human chromosomes. 52 72

The hazards experienced by fun runners in Sydney's The Sun City-to-Surf run are principally physical, environmental and medical. The organizers of the event, advised by a representative of the Australian Sports Medicine Federation (N.S.W.), have progressively increased the implementation of the recommendations which were made after the inaugural run in 1971 in the areas of improved organization, competitor education, medical support, recording of competitor data, and conducting the event in cool weather. To ensure the maximum safety of the runners, the number of whom has increased from approximately 1650 in 1971 to 16200 in 1979, additional measurees have been taken. These were (i) the introduction of "spotters" with experience in sports medicine to identify and advise exhausted runners before they collapse; (ii) staffing the run's medical centre with medical and nursing specialists in intensive care; (iii) improved management of heat exhaustion; and (iv) conducting education seminars after the run to make recommendations for improving subsequent events. Since 1971, there has been a progressive reduction in the number of casualties. The incidence of casualties treated in the medical centre fell from 1.76% in 1971 to 0.1% in 1979; and the incidence of those requiring further treatment in hospital fell from 0.42% in 1971 to 0.01% in 1979. None of the participants had suffered severe complications of heat exhaustion. Improvements in the management of heat exhaustion (the most common cause of collapse) which made the use of iced water (hiterto traditional method of cooling casualties with hyperthermia) unnecessary have reduced the risk of using electrical equipment in wet surroundings. The over-all reduction in the incidence and morbidity of collapse casualties is due to a combination of factors. These factors and possibilities of further reduction of hazards are discussed.
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PMID:Reducing the hazards in Sydney's the Sun City-to-Surf runs, 1971 to 1979. 52 71


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