38 results on '"Fulton JA"'
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2. USDA animal genomics program: the view from the chicken coop
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Fulton Janet E
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Biotechnology ,TP248.13-248.65 ,Genetics ,QH426-470 - Abstract
Abstract In 2007, the USDA Animal Genomics Strategic Planning Task Force prepared a Blueprint to direct national needs for future research, education, and extension efforts in agricultural animal genomics. This plan is entitled "Blueprint for USDA Efforts in Agricultural Animal Genomics 2008–2017". The Blueprint is reviewed from the perspective of a molecular biologist working within the poultry breeding industry. The diverse species used in animal agriculture require different tools, resources and technologies for their improvement. The specific requirements for chickens are described in this report.
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- 2009
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3. GCS and QTc interval as prognostic indicators: less reliable than red clouds at morning for the sailor.
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Fulton JA, Bouchard NC, Crane SA, Hoffman RS, and Mally S
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- 2005
4. Fasciotomy after envenomation: measure twice and cut once.
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Fulton JA, Hoffman RS, Clark RF, Tanen DA, Fulton, Jessica A, and Hoffman, Robert S
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- 2005
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5. GCS and AVPU: the alphabet soup doesn't spell 'C-O-M-A' in toxicology.
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Fulton JA, Greller HA, Hoffman RS, Kelly CA, Upex A, and Bateman DN
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- 2005
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6. Mapping of QTL affecting incidence of blood and meat inclusions in egg layers
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Vennerström Pia, Cavero David, Preisinger Rudolf, Schmutz Matthias, Uimari Pekka, Ahola Virpi, Tuiskula-Haavisto Maria, Honkatukia Mervi, Arango Jesus, O'Sullivan Neil, Fulton Janet, and Vilkki Johanna
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Genetics ,QH426-470 - Abstract
Abstract Background Occurrence of blood and meat inclusions is an internal egg quality defect. Mass candling reveals most of the spots, but because brown eggshell hampers selection in brown chicken lines it has not been possible to eliminate the defect by selection. Estimated frequency of blood and meat inclusions in brown layers is about 18% whereas it is 0.5% in white egg layers. Several factors are known to increase the incidence of this fault: genetic background, low level of vitamin A and/or D, stress or infections, for instance. To study the genetic background of the defect, a mapping population of 1599 F2 hens from a cross of White Rock and Rhode Island Red lines was set up. Results Our histopathological analyses show that blood spots consist of mainly erythrocytes and that meat spots are accumulations of necrotic material. Linkage analysis of 27 chromosomes with 162 microsatellite markers revealed one significant quantitative trait locus (QTL) affecting blood spot and meat spot frequency. We sequenced a fragment of a candidate gene within the region, ZO-2, coding for a tight junction protein. Nine polymorphisms were detected and two of them were included in fine-mapping and association analysis. Fine-mapping defined the QTL result. To further verify the QTL, association analyses were carried out in two independent commercial breeding lines with the marker MCW241 and surrounding SNPs. Association was found mainly in a 0.8 Mb-wide chromosomal area on GGAZ. Conclusions There was good agreement between the location of the QTL region on chromosome Z and the association results in the commercial breeds analyzed. Variations found in tight junction protein ZO-2 and microRNA gga-mir-1556 may predispose egg layers to blood and meat spot defects. This paper describes the first results of detailed QTL analyses of the blood and meat spots trait(s) in chickens.
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- 2011
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7. Persistence of accuracy of genomic estimated breeding values over generations in layer chickens
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Fernando Rohan, Habier David, Preisinger Rudolf, Fulton Janet E, O'Sullivan Neil P, Settar Petek, Arango Jesus, Wolc Anna, Garrick Dorian J, and Dekkers Jack CM
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Animal culture ,SF1-1100 ,Genetics ,QH426-470 - Abstract
Abstract Background The predictive ability of genomic estimated breeding values (GEBV) originates both from associations between high-density markers and QTL (Quantitative Trait Loci) and from pedigree information. Thus, GEBV are expected to provide more persistent accuracy over successive generations than breeding values estimated using pedigree-based methods. The objective of this study was to evaluate the accuracy of GEBV in a closed population of layer chickens and to quantify their persistence over five successive generations using marker or pedigree information. Methods The training data consisted of 16 traits and 777 genotyped animals from two generations of a brown-egg layer breeding line, 295 of which had individual phenotype records, while others had phenotypes on 2,738 non-genotyped relatives, or similar data accumulated over up to five generations. Validation data included phenotyped and genotyped birds from five subsequent generations (on average 306 birds/generation). Birds were genotyped for 23,356 segregating SNP. Animal models using genomic or pedigree relationship matrices and Bayesian model averaging methods were used for training analyses. Accuracy was evaluated as the correlation between EBV and phenotype in validation divided by the square root of trait heritability. Results Pedigree relationships in outbred populations are reduced by 50% at each meiosis, therefore accuracy is expected to decrease by the square root of 0.5 every generation, as observed for pedigree-based EBV (Estimated Breeding Values). In contrast the GEBV accuracy was more persistent, although the drop in accuracy was substantial in the first generation. Traits that were considered to be influenced by fewer QTL and to have a higher heritability maintained a higher GEBV accuracy over generations. In conclusion, GEBV capture information beyond pedigree relationships, but retraining every generation is recommended for genomic selection in closed breeding populations.
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- 2011
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8. Breeding value prediction for production traits in layer chickens using pedigree or genomic relationships in a reduced animal model
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Fernando Rohan, Habier David, Preisinger Rudolf, O'Sullivan Neil P, Fulton Janet E, Settar Petek, Arango Jesus, Stricker Chris, Wolc Anna, Garrick Dorian J, Lamont Susan J, and Dekkers Jack CM
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Animal culture ,SF1-1100 ,Genetics ,QH426-470 - Abstract
Abstract Background Genomic selection involves breeding value estimation of selection candidates based on high-density SNP genotypes. To quantify the potential benefit of genomic selection, accuracies of estimated breeding values (EBV) obtained with different methods using pedigree or high-density SNP genotypes were evaluated and compared in a commercial layer chicken breeding line. Methods The following traits were analyzed: egg production, egg weight, egg color, shell strength, age at sexual maturity, body weight, albumen height, and yolk weight. Predictions appropriate for early or late selection were compared. A total of 2,708 birds were genotyped for 23,356 segregating SNP, including 1,563 females with records. Phenotypes on relatives without genotypes were incorporated in the analysis (in total 13,049 production records). The data were analyzed with a Reduced Animal Model using a relationship matrix based on pedigree data or on marker genotypes and with a Bayesian method using model averaging. Using a validation set that consisted of individuals from the generation following training, these methods were compared by correlating EBV with phenotypes corrected for fixed effects, selecting the top 30 individuals based on EBV and evaluating their mean phenotype, and by regressing phenotypes on EBV. Results Using high-density SNP genotypes increased accuracies of EBV up to two-fold for selection at an early age and by up to 88% for selection at a later age. Accuracy increases at an early age can be mostly attributed to improved estimates of parental EBV for shell quality and egg production, while for other egg quality traits it is mostly due to improved estimates of Mendelian sampling effects. A relatively small number of markers was sufficient to explain most of the genetic variation for egg weight and body weight.
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- 2011
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9. Mapping QTL affecting resistance to Marek's disease in an F6 advanced intercross population of commercial layer chickens
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Wang Jing, Cheng Hans, Arthur James A, Fulton Janet E, O'Sullivan Neil P, Heifetz Eliyahu M, Soller Morris, and Dekkers Jack CM
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Biotechnology ,TP248.13-248.65 ,Genetics ,QH426-470 - Abstract
Abstract Background Marek's disease (MD) is a T-cell lymphoma of chickens caused by the Marek's disease virus (MDV), an oncogenic avian herpesvirus. MD is a major cause of economic loss to the poultry industry and the most serious and persistent infectious disease concern. A full-sib intercross population, consisting of five independent families was generated by crossing and repeated intercrossing of two partially inbred commercial White Leghorn layer lines known to differ in genetic resistance to MD. At the F6 generation, a total of 1615 chicks were produced (98 to 248 per family) and phenotyped for MD resistance measured as survival time in days after challenge with a very virulent plus (vv+) strain of MDV. Results QTL affecting MD resistance were identified by selective DNA pooling using a panel of 15 SNPs and 217 microsatellite markers. Since MHC blood type (BT) is known to affect MD resistance, a total of 18 independent pool pairs were constructed according to family × BT combination, with some combinations represented twice for technical reasons. Twenty-one QTL regions (QTLR) affecting post-challenge survival time were identified, distributed among 11 chromosomes (GGA1, 2, 3, 4, 5, 8, 9, 15, 18, 26 and Z), with about two-thirds of the MD resistance alleles derived from the more MD resistant parental line. Eight of the QTLR associated with MD resistance, were previously identified in a backcross (BC) mapping study with the same parental lines. Of these, 7 originated from the more resistant line, and one from the less resistant line. Conclusion There was considerable evidence suggesting that MD resistance alleles tend to be recessive. The width of the QTLR for these QTL appeared to be reduced about two-fold in the F6 as compared to that found in the previous BC study. These results provide a firm basis for high-resolution linkage disequilibrium mapping and positional cloning of the resistance genes.
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- 2009
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10. Characteristics associated with US Walk to School programs
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Neelon Brian, Vaughn Amber, Linnan Laura, Ward Dianne S, Martin Sarah L, and Fulton Janet E
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Nutritional diseases. Deficiency diseases ,RC620-627 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Participation in Walk to School (WTS) programs has grown substantially in the US since its inception; however, no attempt has been made to systematically describe program use or factors associated with implementation of environment/policy changes. Objective Describe the characteristics of schools' WTS programs by level of implementation. Methods Representatives from 450 schools from 42 states completed a survey about their WTS program's infrastructure and activities, and perceived impact on walking to school. Level of implementation was determined from a single question to which respondents reported participation in WTS Day only (low), WTS Day and additional programs (medium), or making policy/environmental change (high). Results The final model showed number of community groups involved was positively associated with higher level of implementation (OR = 1.78, 95%CI = 1.44, 2.18), as was funding (OR = 1.56, 95%CI = 1.26, 1.92), years of participation (OR = 1.44, 95% CI = 1.23, 1.70), and use of a walkability assessment (OR = 3.22, 95%CI = 1.84, 5.64). Implementation level was modestly associated with increased walking (r = 0.18). Conclusion Strong community involvement, some funding, repeat participation, and environmental audits are associated with progms that adopt environmental/policy change, and seem to facilitate walking to school.
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- 2007
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11. Chitosan-based multifunctional oxygenating antibiotic hydrogel dressings for managing chronic infection in diabetic wounds.
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Abri S, Durr H, Barton HA, Adkins-Travis K, Shriver LP, Pukale DD, Fulton JA, and Leipzig ND
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- Animals, Biguanides chemistry, Biguanides pharmacology, Biguanides administration & dosage, Wound Infection drug therapy, Wound Infection microbiology, Male, Oxygen chemistry, Chronic Disease, Fluorocarbons chemistry, Fluorocarbons pharmacology, Fluorocarbons administration & dosage, Chitosan chemistry, Chitosan pharmacology, Anti-Bacterial Agents pharmacology, Anti-Bacterial Agents chemistry, Anti-Bacterial Agents administration & dosage, Hydrogels chemistry, Hydrogels pharmacology, Hydrogels administration & dosage, Wound Healing drug effects, Bandages
- Abstract
Current treatment strategies for infection of chronic wounds often result in compromised healing and necrosis due to antibiotic toxicity, and underlying biomarkers affected by treatments are not fully known. Here, a multifunctional dressing was developed leveraging the unique wound-healing properties of chitosan, a natural polysaccharide known for its numerous benefits in wound care. The dressing consists of an oxygenating perfluorocarbon functionalized methacrylic chitosan (MACF) hydrogel incorporated with antibacterial polyhexamethylene biguanide (PHMB). A non-healing diabetic infected wound model with emerging metabolomics tools was used to explore the anti-infective and wound healing properties of the resultant multifunctional dressing. Direct bacterial bioburden assessment demonstrated superior antibacterial properties of hydrogels over a commercial dressing. However, wound tissue quality analyses confirmed that sustained PHMB for 21 days resulted in tissue necrosis and disturbed healing. Therefore, a follow-up comparative study investigated the best treatment course for antiseptic application ranging from 7 to 21 days, followed by the oxygenating chitosan-based MACF treatment for the remainder of the 21 days. Bacterial counts, tissue assessments, and lipidomics studies showed that 14 days of application of MACF-PHMB dressings followed by 7 days of MACF dressings provides a promising treatment for managing infected non-healing diabetic skin ulcers.
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- 2024
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12. The Influence of Service Era: Comparing Personality Assessment Inventory (PAI) Scale Scores Within a Posttraumatic Stress Disorder Treatment Clinic (PCT).
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Ingram PB, Morris CS, Golden B, Youngren WA, Fulton JA, and Sharpnack J
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- Humans, Personality, Personality Assessment, Personality Disorders, Personality Inventory, Stress Disorders, Post-Traumatic diagnosis, Stress Disorders, Post-Traumatic therapy, Veterans
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Research is mixed on the role of service era in symptom endorsement among Veterans, with differences emerging depending on the instrument evaluated. This study compares Personality Assessment Inventory (PAI) scale scores of VA test-takers who served during the Vietnam, Desert Storm, or Post-9/11 service eras. The sample was collected at a VA Posttraumatic Stress Disorder Clinical Team. Associations between gender and combat exposure were also examined as covariates. Results suggest that Veterans' self-report on the PAI is influenced by service era, even after accounting for gender and combat exposure during deployment. The largest differences were between Vietnam or Post-9/11 Veterans and those from the Gulf War era. Symptom differences typically varied across scales commonly associated with symptoms of trauma exposure/posttraumatic stress disorder. Implications for the clinical use of, and research with, the PAI and other broadband personality assessments within the VA healthcare system and trauma treatment settings are discussed., (© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.)
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- 2022
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13. A prospective clinical trial evaluating changes in the wound microenvironment in patients with chronic venous leg ulcers treated with a hypothermically stored amniotic membrane.
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McQuilling JP, Carter MJ, Fulton JA, Patel K, Doner B, Serena TE, and Mowry KC
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- Female, Humans, Male, Prospective Studies, Proteomics, Wound Healing, Amnion, Varicose Ulcer therapy
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Amniotic tissues have been long utilised to treat chronic wounds; however, there are few studies evaluating how the wound microenvironment responds to these therapies. The goal of this study was to evaluate the changes in wounds treated with a hypothermically stored amniotic membrane (HSAM). In this prospective single-arm study, 15 female patients with venous leg ulcers were treated with HSAM from male donors and standard of care for 12 weeks. Over the course of the study, wound exudate was collected and evaluated using proteomic microarrays. Biopsies were collected during the course of treatment to detect the presence of HSAM tissue. By 4 weeks, 60% of subjects achieved 50% or greater reduction in wound size, and by 12 weeks, 53% of subjects achieved 100% re-epithelialization. HSAM DNA was detected in 20% of biopsies as determined by the detection TSPY4, indicating HSAM was no longer present within the wound bed approximately 7 days from the last treatment for the majority of wounds. Proteomic analysis of wound exudate found that wounds on a healing trajectory had significantly higher levels of MMP-10, MMP-7, and TIMP-4 and significantly lower levels of CX3CL1, FLT-3 L, IL-1ra, IL-1a, IL-9, IL-2, IL-3, MCP-1, and TNF-b compared with other wounds., (© 2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.)
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- 2022
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14. Depression and substance use: The CES-D's utility in predicting treatment outcomes in a longitudinal multi-site study of residential treatment centers.
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Morris CS, Fulton JA, Youngren WA, Schumacher JR, and Ingram PB
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- Factor Analysis, Statistical, Humans, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results, Residential Treatment, Treatment Outcome, Depression, Substance-Related Disorders therapy
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This investigation utilized a large sample of individuals undergoing substance use treatment to examine the CES-D's structural validity and establish its predictive utility relative to treatment discharge. The sample included 5750 individuals who were receiving substance abuse treatment at 19 different residential treatment facilities. The CES-D was administered to participants over the course of their time in a residential inpatient substance use treatment program. The present study used a split sample method to conduct both exploratory (EFA) and confirmatory (CFA) factor analyses. Results of both the EFA and CFA indicated that the CES-D contains three first order factors measuring negative mood, positive affect, and interpersonal interactions as well as a second-order high score factor which can be used to guide interpretation and symptom monitoring. Individuals receiving residential treatment fell into one of three distinct groups based on their CES-D scores, and that their scores (and subsequent trajectories of scores over time) were differentially related to discharge status. Implications for practice and the utility of the CES-D within substance use populations are discussed., (Copyright © 2020 Elsevier Ltd. All rights reserved.)
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- 2021
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15. Fluorinated methacrylamide chitosan hydrogels enhance collagen synthesis in wound healing through increased oxygen availability.
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Patil PS, Fountas-Davis N, Huang H, Michelle Evancho-Chapman M, Fulton JA, Shriver LP, and Leipzig ND
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- Animals, Male, Rats, Rats, Wistar, Acrylamides chemistry, Acrylamides pharmacology, Chitosan chemistry, Chitosan pharmacology, Collagen biosynthesis, Fluorocarbon Polymers chemistry, Fluorocarbon Polymers pharmacology, Hydrogels chemistry, Hydrogels pharmacology, Oxygen metabolism, Wound Healing drug effects, Wounds, Penetrating drug therapy, Wounds, Penetrating metabolism
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Unlabelled: In this study, methacrylamide chitosan modified with perfluorocarbon chains (MACF) is used as the base material to construct hydrogel dressings for treating dermal wounds. MACF hydrogels saturated with oxygen (+O2) are examined for their ability to deliver and sustain oxygen, degrade in a biological environment, and promote wound healing in an animal model. The emerging technique of metabolomics is used to understand how MACF+O2 hydrogel dressings improve wound healing. Results indicate that MACF treatment facilitates oxygen transport rate that is two orders of magnitude greater than base MAC hydrogels. MACF hydrogel dressings are next tested in an in vivo splinted rat excisional wound healing model. Histological analysis reveals that MACF+O2 dressings improve re-epithelialization (p<0.0001) and synthesis of collagen over controls (p<0.01). Analysis of endogenous metabolites in the wounds using global metabolomics demonstrates that MACF+O2 dressings promotes a regenerative metabolic process directed toward hydroxyproline and collagen synthesis, with confirmation of metabolite levels within this pathway. The results of this study confirm that increased oxygen delivery through the application of MACF+O2 hydrogels enhances wound healing and metabolomics analyses provides a powerful tool to assess wound healing physiology., Statement of Significance: This work presents the first application of a novel class of oxygen delivering biomaterials (methacrylamide chitosan modified with perfluorocarbon chains (MACF)) as a hydrogel wound dressing. This manuscript also contains strong focus on the biochemical benefits of MACF dressings on underlying mechanisms vital to successful wound healing. In this vein, this manuscript presents the application of applied metabolomics (tandem mass spectroscopy) to uncover biomaterial interactions with wound healing mechanisms. We believe the approaches described in this manuscript will be of great interest to biomedical scientists and particularly to researchers studying wound healing, metabolomics, applied biomaterials and regenerative medicine., (Copyright © 2016 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.)
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- 2016
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16. Analysis of the Pressure Distribution Qualities of a Silicone Border Foam Dressing.
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Miller SK, Sharma N, Aberegg LC, Blasiole KN, and Fulton JA
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- Adult, Female, Heel, Humans, Male, Pressure Ulcer prevention & control, Prospective Studies, Bandages, Pressure, Silicones
- Abstract
Purpose: To determine whether application of a silicone foam dressing is associated with decreased interface pressures when applied to the heel., Design: Prospective, within-subjects design., Subjects and Setting: The study was conducted in a community-based hospital using a convenience sample of 50 healthy volunteers with a mean age of 39.6 years and mean body mass index of 26.6; 70% were female., Methods: Application of the silicone border foam dressing was randomized between the left and right heels. Participants were asked to lie down in the supine position on a viscoelastic foam mattress. Interface pressure measurements were captured using a pressure mapping system; measurements were taken once with the dressing applied to the heel (intervention map) and once without (control map). Data were captured after a 4-minute time period allowing stabilization. Analysis was based on mean interface pressure; data points were collected for both heels in each of the 2 frames, yielding 4 observations per subject., Results: Application of the dressing was associated with a significant decrease in average pressure measurements as compared to the heel with no dressing applied (P < .001). Application of the dressing did not impact pressure readings for the heel to which no dressing was applied (P = .53), and application of the dressing to either the left or right heel did not impact pressure readings (ie, the random effect was insignificant; P = .9)., Conclusions: Application of a silicone border foam dressing is associated with significant reduction in interface pressure and may be considered as part of a pressure ulcer prevention program.
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- 2015
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17. Preventing deep tissue injury from extended procedures.
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Miller S, Parker M, Blasiole K, Beinlich N, and Fulton JA
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- Female, Humans, Male, Beds adverse effects, Operating Tables adverse effects, Pressure adverse effects, Pressure Ulcer etiology, Pressure Ulcer prevention & control, Quality Control
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- 2013
18. Wound care certification: the grin without a cat.
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Masturzo A, Beltz WR, Cook R, Bates-Jensen B, Stechmiller J, Korzendorfer H, Bogie K, Fulton JA, Himel H, and Gould LJ
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- Credentialing standards, Eligibility Determination standards, Humans, United States, Wounds and Injuries nursing, Certification standards, Specialty Boards standards, Wounds and Injuries therapy
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- 2013
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19. Wound dressing absorption: a comparative study.
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Fulton JA, Blasiole KN, Cottingham T, Tornero M, Graves M, Smith LG, Mirza S, and Mostow EN
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- Absorption, Humans, Materials Testing economics, Bandages classification, Materials Testing methods, Wound Healing physiology
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The purpose of this study was to compare absorption properties of a variety of wound dressing products that are available on the market. A simple, inexpensive method of evaluation was utilized so that new dressings could easily be tested and added to the data set.
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- 2012
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20. Steroids in second degree caustic burns of the esophagus: a systematic pooled analysis of fifty years of human data: 1956-2006.
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Fulton JA and Hoffman RS
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- Adolescent, Adult, Aged, Aged, 80 and over, Burns, Chemical pathology, Child, Child, Preschool, Clinical Trials as Topic, Data Interpretation, Statistical, Esophagoscopy, Esophagus pathology, Female, Germany, Humans, Male, Middle Aged, Prospective Studies, Randomized Controlled Trials as Topic, Retrospective Studies, Anti-Inflammatory Agents therapeutic use, Burns, Chemical drug therapy, Esophagus injuries, Steroids therapeutic use
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Background and Objective: Although steroids are usually withheld in grades I and III esophageal burns, controversy continues regarding their use in grade II burns. Two analyses, including data from 1956-1991 and 1991-2003, respectively, disagreed in their therapeutic recommendations. Our objective is to re-evaluate the usefulness of steroids in grade II burns., Methods: The two previous analyses and their references were reviewed. Medline was searched for additional recent human reports. Inclusion criteria were endoscopically documented grade II burns and at least ten days of steroids or no steroids. Pooled data were evaluated by X(2) test with alpha set at 0.05., Results: Prior analyses identified 12 studies, and one additional study was found during the literature search for a total of 328 patients. 30/244 patients receiving steroids and 16/84 patients who did not receive steroids developed strictures, respectively. This difference was not statistically significant. Heterogeneity of the data prevented formal metanalysis., Conclusion: Although methodologically limited, the existing data fail to support the use of steroids in patients with caustic-induced grade II esophageal burns.
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- 2007
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21. Intramuscular ziprasidone: an effective agent for sedation of the agitated ED patient.
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Fulton JA, Axelband J, Jacoby JL, and Heller MB
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- Adult, Emergency Service, Hospital, Female, Humans, Injections, Intramuscular, Male, Pain Measurement, Prospective Studies, Antipsychotic Agents administration & dosage, Hypnotics and Sedatives administration & dosage, Piperazines administration & dosage, Psychomotor Agitation drug therapy, Thiazoles administration & dosage
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- 2006
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22. Renal infarction during the use of rizatriptan and zolmitriptan: two case reports.
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Fulton JA, Kahn J, Nelson LS, and Hoffman RS
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- Adult, Cluster Headache drug therapy, Humans, Infarction diagnostic imaging, Kidney diagnostic imaging, Kidney drug effects, Male, Middle Aged, Migraine Disorders drug therapy, Oxazolidinones administration & dosage, Oxazolidinones therapeutic use, Serotonin Receptor Agonists administration & dosage, Serotonin Receptor Agonists therapeutic use, Tomography, X-Ray Computed, Triazoles administration & dosage, Triazoles therapeutic use, Tryptamines administration & dosage, Tryptamines therapeutic use, Infarction chemically induced, Kidney blood supply, Oxazolidinones adverse effects, Serotonin Receptor Agonists adverse effects, Triazoles adverse effects, Tryptamines adverse effects
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Rizatriptan and zolmitriptan are both used to relieve acute migraine and cluster headaches. The mechanism of action is similar to the other triptans, in that they reverse abnormal cerebral vasodilation through their activity as 5-HT1B receptor agonists. Triptan-induced vasoconstriction is attributed to its activity on peripheral 5-HT1B receptors and has rarely been reported to result in stroke, myocardial infarction and ischemic colitis. We present two cases of renal infarction associated with therapeutic triptan use. The first patient is a 57-year-old man with a history of hypertension that was well controlled on valsartan and hydrochlorothiazide. He was recently diagnosed with cluster headaches and was treated with indomethacin, prednisone, butalbital-acetaminophen-caffeine and hydrocodone without relief. He then received two therapeutic doses of rizatriptan on each of the two days prior to presentation. Subsequently, he presented to the emergency department complaining of nausea, vomiting and right-sided abdominal pain. A computerized tomography (CT) scan of the abdomen and pelvis with intravenous contrast revealed a very large wedge shaped infarction of the right kidney. The second patient is a 34-year-old man with a past medical history significant only for life-long migraine headaches successfully treated for the past six years with zolmitriptan. Shortly after taking one therapeutic dose of zolmitriptan, he presented to the emergency department complaining of nausea and left-sided abdominal pain. A CT scan of the abdomen and pelvis with intravenous contrast revealed multiple wedge-shaped infarctions of the left kidney. Renal infarction was confirmed in both patients by arteriogram of the renal arteries. Although both rizatriptan and zolmitriptan are effective in the treatment of migraine and cluster headaches, they may induce peripheral vasospasm leading to renal infarction.
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- 2006
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23. Medication labeling errors in non-English-speaking patients.
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Fulton JA and Nelson LS
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- Adult, Drug Labeling methods, Educational Status, Female, Humans, Infant, Newborn, Male, Medication Errors methods, Drug Labeling standards, Language, Medication Errors standards
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- 2005
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24. Propylene glycol accumulation after high-dose lorazepam: what have we learned?
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Bouchard NC, Fulton JA, and Hoffman RS
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- Acidosis etiology, Acidosis metabolism, Humans, Infusions, Intravenous, Acid-Base Equilibrium, Critical Illness, Hypnotics and Sedatives administration & dosage, Lorazepam administration & dosage, Propylene Glycol blood
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- 2005
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25. Tiagabine overdose: a case of status epilepticus in a non-epileptic patient.
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Fulton JA, Hoffman RS, and Nelson LS
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- Adolescent, Drug Overdose therapy, Female, Humans, Status Epilepticus therapy, Suicide, Attempted, Tiagabine, Treatment Outcome, Anticonvulsants poisoning, Nipecotic Acids poisoning, Status Epilepticus chemically induced
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Tiagabine is an antiepileptic drug used as adjunctive therapy for partial seizures that is believed to selectively inhibit the presynaptic reuptake of gamma aminobutyric acid (GABA). We describe a case of a tiagabine overdose that resulted in status epilepticus (SE) in a patient with no seizure history. A 14-year-old girl with a history of asthma presented with convulsive SE after ingestion of an unknown amount of her sister's tiagabine in a suicide attempt. Attempted anticonvulsant therapy included a total of diazepam 10 mg IV, lorazepam 6 mg IV, pyridoxine 5 g IV, and fosphenytoin 20 mg PE/kg. All were without effect. A computed tomography and electrocardiogram were normal. Continuous bedside EEG monitoring showed suppression of seizure activity following intravenous midazolam. A tiagabine level obtained on ED arrival was 420 ng/mL (therapeutic 20-103 ng/mL). The patient was discharged to psychiatry within 1 week with no neurologic sequelae.
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- 2005
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26. FFP in organophosphate poisoning: what's the secret ingredient?
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Fulton JA, Bouchard NC, Becker ML, Gertz S, and Hoffman RS
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- Butyrylcholinesterase administration & dosage, Butyrylcholinesterase blood, Poisoning blood, Treatment Outcome, Organophosphate Poisoning, Plasma, Poisoning therapy
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- 2005
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27. Tetracycline delivery from fibrin controls peritoneal infection without measurable systemic antibiotic.
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Woolverton CJ, Fulton JA, Salstrom SJ, Hayslip J, Haller NA, Wildroudt ML, and MacPhee M
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- Animals, Dose-Response Relationship, Drug, Male, Mice, Mice, Inbred BALB C, Microscopy, Electron, Scanning, Peritonitis microbiology, Peritonitis pathology, Rats, Rats, Sprague-Dawley, Staphylococcal Infections pathology, Anti-Bacterial Agents administration & dosage, Drug Delivery Systems methods, Fibrin Tissue Adhesive administration & dosage, Peritonitis drug therapy, Staphylococcal Infections drug therapy, Tetracycline administration & dosage, Tissue Adhesives administration & dosage
- Abstract
The addition of antibiotics to an adhesive haemostat results in an ideal system for the treatment of a localized infectious disease. Fibrin sealant (FS) is a biocompatible, resorbable, adherent haemostat that can deliver antibiotics. Previous use of fibrin to deliver antibiotics resulted in rapid release and limited bioactivity. We have reported previously that poorly soluble antibiotics significantly retard release from FS, resulting in extended delivery in vitro, and overcome antibiotic-resistant infection. We now report that localized antibiotic delivery from FS controls peritoneal infection without measurable systemic antibiotic. Rats and mice were implanted with preformed FS discs containing tetracycline free-base to evaluate control of peritoneal sepsis and to measure serum tetracycline levels. Infection was initiated with Staphylococcus aureus. Morbidity and mortality were evaluated for 14 days. Serum was isolated from jugular vein blood with subsequent evaluation for antimicrobial activity. Mice prophylactically treated with FS-tetracycline (FS-TET) 500 mg/kg 2 days before infection cleared the S. aureus infection, resulting in 100% survival. Mice treated with FS-TET 500 mg/kg 7 days before infection survived. Mice treated with FS-TET 1750 mg/kg 35 days before infection also survived. Rats treated with FS-TET 500 mg/kg had undetectable serum tetracycline levels, whereas in vitro release of tetracycline from FS-TET pellets in rat serum was readily detected. We conclude that fibrin is an excellent vehicle for extended delivery of low solubility tetracycline. Tetracycline delivered from FS is an appropriate chemotherapy for S. aureus peritonitis. FS-TET controls localized infection without a measurable concentration of systemic tetracycline.
- Published
- 2001
- Full Text
- View/download PDF
28. Phosphorylation of the kinase suppressor of ras by associated kinases.
- Author
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Volle DJ, Fulton JA, Chaika OV, McDermott K, Huang H, Steinke LA, and Lewis RE
- Subjects
- Amino Acid Sequence, Animals, Antigen-Antibody Complex genetics, Antigen-Antibody Complex metabolism, Binding Sites genetics, Cell Line, Embryo, Mammalian, Humans, Kidney cytology, Mice, Molecular Sequence Data, Mutagenesis, Site-Directed, Phosphorylation, Precipitin Tests, Protein Denaturation, Protein Kinases chemistry, Protein Kinases genetics, Protein Serine-Threonine Kinases genetics, Protein Serine-Threonine Kinases metabolism, Sequence Deletion, Serine genetics, ras Proteins antagonists & inhibitors, Protein Kinases metabolism, ras Proteins metabolism
- Abstract
The kinase suppressor of Ras (KSR) is a loss-of-function allele that suppresses the rough eye phenotype of activated Ras in Drosophila and the multivulval phenotype of activated Ras in Caenorhabditis elegans. The physiological role of mammalian KSR is not known. We examined the mechanisms regulating the phosphorylation of this putative kinase in mammalian cells. Wild-type mouse KSR and a mutated KSR protein predicted to create a kinase-dead protein are phosphorylated identically in intact cells and in the immune complex. Phosphopeptide sequencing identified 10 in vivo phosphorylation sites in KSR, all of which reside in the 539 noncatalytic amino terminal amino acids. Expression of the amino terminal portion of KSR alone demonstrated that it was phosphorylated in the intact cell and in an immune complex in a manner indistinguishable from that of intact KSR. These data demonstrate that the kinase domain of KSR is irrelevant to its phosphorylation state and suggest that the phosphorylation of KSR and its association with a distinct set of kinases may affect intracellular signaling.
- Published
- 1999
- Full Text
- View/download PDF
29. Nutrition and pulmonary function predictors of delayed puberty in adolescent males with cystic fibrosis.
- Author
-
Boas SR, Fulton JA, Koehler AN, and Orenstein DM
- Subjects
- Adolescent, Body Height, Body Mass Index, Body Weight, Cross-Sectional Studies, Cystic Fibrosis complications, Humans, Longitudinal Studies, Male, Predictive Value of Tests, Puberty, Delayed complications, Respiratory Function Tests, Sensitivity and Specificity, Cystic Fibrosis physiopathology, Nutritional Status, Puberty, Delayed diagnosis
- Published
- 1998
- Full Text
- View/download PDF
30. Kinase suppressor of Ras inhibits the activation of extracellular ligand-regulated (ERK) mitogen-activated protein (MAP) kinase by growth factors, activated Ras, and Ras effectors.
- Author
-
Joneson T, Fulton JA, Volle DJ, Chaika OV, Bar-Sagi D, and Lewis RE
- Subjects
- 3T3 Cells, Animals, Caenorhabditis elegans, Cells, Cultured, Drosophila, Enzyme Activation, Insulin pharmacology, MAP Kinase Kinase 1, Mice, Tetradecanoylphorbol Acetate pharmacology, Growth Substances metabolism, Mitogen-Activated Protein Kinase Kinases, Protein Kinases metabolism, Protein Serine-Threonine Kinases metabolism, Protein-Tyrosine Kinases metabolism, Signal Transduction, ras Proteins metabolism
- Abstract
Kinase suppressor of Ras (KSR) is a loss-of-function allele that suppresses the rough eye phenotype of activated Ras in Drosophila and the multivulval phenotype of activated Ras in Caenorhabditis elegans. Genetic and biochemical studies suggest that KSR is a positive regulator of Ras signaling that functions between Ras and Raf or in a pathway parallel to Raf. We examined the effect of mammalian KSR expression on the activation of extracellular ligand-regulated (ERK) mitogen-activated protein (MAP) kinase in fibroblasts. Ectopic expression of KSR inhibited the activation of ERK MAP kinase by insulin, phorbol ester, or activated alleles of Ras, Raf, and mitogen and extracellular-regulated kinase. Expression of deletion mutants of KSR demonstrated that the KSR kinase domain was necessary and sufficient for the inhibitory effect of KSR on ERK MAP kinase activity. KSR inhibited cell transformation by activated RasVal-12 but had no effect on the ability of RasVal-12 to induce membrane ruffling. These data indicate that KSR is a potent modulator of a signaling pathway essential to normal and oncogenic cell growth and development.
- Published
- 1998
- Full Text
- View/download PDF
31. Recent population trends in nonmetropolitan cities and villages: from the turnaround, through reversal, to the rebound.
- Author
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Fuguitt GV, Beale CL, Fulton JA, and Gibson RM
- Subjects
- Americas, Demography, Developed Countries, Geography, North America, Population, Population Characteristics, Residence Characteristics, United States, Emigration and Immigration, Population Dynamics, Rural Population, Suburban Population
- Abstract
"The purpose of this study is to track and contrast the patterns of local concentration and deconcentration in nonmetropolitan America between 1950 and 1996. We consider the growth of places by initial size as well as the growth of population living in the countryside or in unincorporated hamlets.... To determine how widespread and consistent the trends are, we compare patterns of growth by nearness to metropolitan areas, and by region of the country. We also examine differences among a subset of nonmetropolitan places distinguished by the primary socioeconomic character of their county. Using a detailed data file from the 1990 census, we are able to give some consideration to commuting.", (excerpt)
- Published
- 1998
32. Nutrition in the pediatric double lung transplant patient with cystic fibrosis.
- Author
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Fulton JA, Orenstein DM, Koehler AN, and Kurland G
- Subjects
- Adolescent, Child, Female, Humans, Male, Nutritional Status, Survival Rate, Weight Gain, Cystic Fibrosis therapy, Enteral Nutrition, Lung Transplantation mortality
- Abstract
Cystic fibrosis (CF) is the most common lethal genetic disease in the white population. The pulmonary infections and pancreatic insufficiency make CF a medically challenging disease. Although the importance of nutrition in the CF patient is known, approximately 50% of CF patients are in less than the 10th percentile for weight and height as reported by the 1991 CF Foundation Registry of 114 CF Centers in the United States. This paper addresses the nutritional status of 10 pediatric CF patients who underwent double lung transplant at Children's Hospital of Pittsburgh between August 1991 and May 1993. Patients who survived beyond 1 year gained a significant amount of weight sooner after transplant than those who survived less than 1 year. Gastrostomy tube feedings were more effective than oral intake for weight gain after transplant. CF patients with pancreatic insufficiency have more difficulty with adjustment of doses of immunosuppressive agents for reasons that are not clearly understood.
- Published
- 1995
- Full Text
- View/download PDF
33. Interferences appearing in fluorometrically measured liquid-chromatographic profiles of creatine kinase isoenzymes in serum.
- Author
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Schlabach TD, Fulton JA, Mockridge PB, and Toren EC Jr
- Subjects
- Blood Proteins analysis, Chromatography, High Pressure Liquid instrumentation, Chromatography, High Pressure Liquid methods, Humans, Isoenzymes, L-Lactate Dehydrogenase blood, Serum Albumin analysis, Spectrometry, Fluorescence instrumentation, Spectrometry, Fluorescence methods, Creatine Kinase blood
- Abstract
We observed nonenzymic peaks when serum isoenzymes of lactate dehydrogenase (EC 1.1.1.27; LD) and creatine kinase (EC 2.7.3.2.; CK) were separated by "high-performance" liquid chromatography and detected by continuously monitoring the column effluent for enzyme activity. Such background peaks were particularly apparent in CK isoenzyme profiles obtained from human sera. We observed two nonenzymic peaks with fluorescence detection, one in the CK-MB region, the other in the CK-BB region. Serum albumin was a major component in the artifactual CK-MB peak, with lipoprotein as a minor component. We present evidence that the material responsible for the other peak fluoresced quite strongly and is mostly pre-albumin.
- Published
- 1980
34. Resolution of diastereomers of N,N,N',N'-tetrakis(2-hydroxypropyl)ethylenediamine (quadrol) by reversed-phase high-performance liquid chromatography.
- Author
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Fulton JA, Pokharna HK, Dunphy MJ, and Smith DJ
- Subjects
- Chromatography, High Pressure Liquid, Magnetic Resonance Spectroscopy, Stereoisomerism, Adjuvants, Immunologic analysis, Ethylenediamines analysis
- Abstract
Quadrol, N,N,N',N'-tetrakis(2-hydroxypropyl)ethylenediamine, has been recently observed to display biological activity. It is an immunostimulant and has been implicated as a potentially useful agent in accelerated wound healing. Quadrol exists as a mixture of four unique diastereomers, each of which may, upon further investigation, display differences in biological activity. This paper describes an high-performance liquid chromatographic procedure (both analytical and prep) for the separation of the Quadrol diastereomers. Gas-liquid chromatography and NMR data are presented which corroborate the high-performance liquid chromatographic results. This procedure may be used to obtain pure Quadrol diastereomers, to monitor the progress of Quadrol synthesis from propylene oxide and ethylenediamine or to develop a quantitative assay for Quadrol diastereomers.
- Published
- 1988
- Full Text
- View/download PDF
35. New developments in analysis of isoenzymes separated by "high-performance" liquid chromatography.
- Author
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Schlabach TD, Fulton JA, Mockridge PB, and Toren EC Jr
- Subjects
- Autoanalysis, Chromatography, High Pressure Liquid instrumentation, Chromatography, High Pressure Liquid methods, Computers, Humans, Isoenzymes, L-Lactate Dehydrogenase isolation & purification, L-Lactate Dehydrogenase blood
- Abstract
We have developed two enzyme analyzers for use in "high-performance" liquid chromatography. In both systems two detectors are used, placed after the column effluent has been combined with assay reagent. In one system, an absorbance detector is placed before and after a post-column reaction coil. Peaks observed at one detector are subtracted from those at the other, to produce a two-point measurement of enzyme activity. The linear dynamic range was 17--1700 U/L for lactate dehydrogenase (EC 1.1.1.27). In the other system, two reaction coils were used and a single fluorescence detector was placed at the end of each coil. These coils were kept at different temperatures, and an automated switching valve diverted equal amounts of column effluent and reagent into both coils. The fluorescence readings were then subtracted to produce a differential measurement of enzyme activity. The linear dynamic range was 20--1000 U/L. We used both systems to chromatographically analyze lactate dehydrogenase isoenzymes, and could separately determine both the distribution and activity of sample isoenzymes.
- Published
- 1979
36. Dual-detector-post-column reactor system for the detection of isoenzymes separated by high-performance liquid chromatography. I. Description and theory.
- Author
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Fulton JA, Schlabach TD, Kerl JE, Toren EC Jr, and Miller AR
- Subjects
- Chromatography, High Pressure Liquid instrumentation, Chromatography, High Pressure Liquid methods, Computers, Isoenzymes isolation & purification
- Abstract
We describe a dual-detector-post-column chromatographic reaction detector system that corrects for substances present in biological samples that interfere with the measurement of isoenzymes separated on a chromatographic column. The response observed at the detector in front of the reaction coil is mathematically dispersed, time transformed and subtracted from the detector behind the coil to produce a blank corrected chromatogram. The same computer program calculates peak areas and other chromatographic parameters such as height equivalent to a theoretical plate and retention time. In addition, we have evaluated the dispersion effects caused by various changes in our experimental system.
- Published
- 1979
- Full Text
- View/download PDF
37. Determination of serum isoenzyme activity profiles by high performance liquid chromatography.
- Author
-
Schlabach TD, Fulton JA, Mockridge PB, and Toren EC Jr
- Subjects
- Chromatography, High Pressure Liquid methods, Creatine Kinase blood, Humans, L-Lactate Dehydrogenase blood, Isoenzymes blood
- Published
- 1980
- Full Text
- View/download PDF
38. Dual-detector-post-column reactor system for the detection of isoenzymes separated by high-performance liquid chromatography. II. Evaluation and application to lactate dehydrogenase isoenzymes.
- Author
-
Fulton JA, Schlabach TD, Kerl JE, and Toren EC Jr
- Subjects
- Chromatography, High Pressure Liquid methods, Clinical Enzyme Tests, Computers, Humans, Isoenzymes, L-Lactate Dehydrogenase blood, Liver enzymology, Lung enzymology, Myocardial Infarction diagnosis, Myocardium enzymology, L-Lactate Dehydrogenase isolation & purification
- Abstract
We describe the separation of lactate dehydrogenase isoenzymes by high-performance liquid chromatography-anion-exchange columns and their quantitation by a computer-controlled, dual-detector post-column reaction system. The recoveries from the separation column were ca. 90%. The dynamic range of the system was linear over about three orders of magnitude from 3 to 1500 U/l. The coefficient of variation for isoenzyme peak areas was ca. 2%. The method is compared to the classical electrophoresis measurement and shows increased speed, resolution, precision and accuracy.
- Published
- 1979
- Full Text
- View/download PDF
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