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Biomedical subjects

A Zettner

Publications and source records attributed to A Zettner.

At least 19 recordsLinked to original sources
PubMed1995

Population norms for serum ferritin.

The purpose of this study was to establish norms for the serum ferritin determination. Analyses of blood samples submitted for a panel of 29 laboratory tests in 964,325 individuals of a random population of all races in 10 centers in the United States were used. A subgroup of 59,914 ferritin values was constituted from panels that showed the values of the 28 other laboratory tests inside prescribed limits that approached the conventionally used reference ranges. The selected group was taken to be more representative of normal ferritin values than the total group, because in the former group the accompanying 28 other test parameters approached normalcy. Although both groups showed a log-normal distribution of serum ferritin values, the values of the selected group were somewhat lower than those of the total population group. The percentile distribution for men and women of different ages is portrayed. In males, the median ferritin level increased from 23 micrograms/L at ages 12 through 16 years to reach a plateau in the 120s after age 32. Values in females remained in the 30s until menopause, after which values rose to about 80 micrograms/L. The validity of these data and their clinical significance are discussed.

Adolescent↗
PubMed1985

Screening for carbohydrate intolerance in pregnancy: a comparison of two tests and reassessment of a common approach.

The usefulness of glycosylated hemoglobin as a prenatal screening test for carbohydrate intolerance was studied in 806 consecutive subjects by correlating glycosylated hemoglobin to 1-hour post-50 gm Glucola plasma glucose levels, 3-hour oral glucose tolerance tests, and perinatal and maternal outcomes. Sixty-seven subjects whose 1-hour post-50 gm Glucola plasma glucose levels were greater than or equal to 150 mg/100 ml underwent 3-hour oral glucose tolerance tests; 12 were diagnostic of carbohydrate intolerance. Compared to carbohydrate-tolerant control subjects, gravid patients with carbohydrate intolerance were older, more obese, had higher 1-hour post-50 gm Glucola plasma glucose and glycosylated hemoglobin levels, and infants with increased birth weight percentiles, depressed 5-minute Apgar scores, and an increased incidence of shoulder dystocia and perinatal mortality. Three of 10 carbohydrate-intolerant patients who were evaluated post partum were found to have previously undiagnosed diabetes. Division of measurements of 1-hour post-50 gm Glucola plasma glucose and glycosylated hemoglobin into normal, borderline, and suspicious groups demonstrated a reduction in discriminatory capability of glycosylated hemoglobin as compared to the 1-hour post-50 gm Glucola plasma glucose. We conclude that laboratory screening for carbohydrate intolerance should be a standard element of the prenatal evaluation; gravid patients found to have carbohydrate intolerance should be reevaluated post partum to rule out overt diabetes, and the 1-hour post-50 gm Glucola plasma glucose test is the preferred means of routine screening for carbohydrate intolerance in pregnancy.

Adult↗
PubMed1984

Glycosylated hemoglobin as a screening test for carbohydrate intolerance in pregnancy.

The usefulness of glycosylated hemoglobin as a prenatal screening test for carbohydrate intolerance was studied in 806 consecutive subjects by correlating glycosylated hemoglobin to 1-hour post-50 gm Glucola plasma glucose (1 degree G) levels, and 3-hour oral glucose tolerance tests (3 degrees GTT). Sixty-seven subjects whose 1 degree G greater than or equal to 150 mg/100 ml received a 3 degrees GTT; 12 were diagnostic of carbohydrate intolerance. Compared to carbohydrate-tolerant controls, carbohydrate-intolerant gravid patients had higher 1 degree G (p less than 0.001) and glycosylated hemoglobin (p less than 0.05) levels. Linear regression analysis of 1 degree G and glycosylated hemoglobin demonstrated r = 0.35 (p less than 0.0001). Compared to the glycosylated hemoglobin test, the 1 degree G screening test has greater specificity, sensitivity, and predictive value for a positive diagnosis. Consequently, the 1 degree G is a better routine screening test for carbohydrate intolerance than is glycosylated hemoglobin.

Diabetes Mellitus↗
PubMed1983

Multilayer film analysis for glucose in 1-microL samples of plasma.

With the ultramicroanalytical system described here we can measure glucose in 1 microL of plasma or serum. The sample is placed on a dry, multilayer film element (Eastman Kodak), where a colored spot about 3.5 mm in diameter develops. The reflectance of these spots is measured with a reflectance digital matrix photometer that was conceived, designed, and constructed in our laboratory. The spot is illuminated with monochromatic light and its image is projected by a camera lens onto the photosensitive surface of a linear photodiode array containing 512 individual photodetectors. The photodetector signals are processed by a computer to obtain the reflectance and diameter of the spot. The latter is proportional to sample volume. Because the reflectance of the spot does not depend greatly on sample volume, accurate pipetting is not required. The coefficients of variation of repeatable glucose analyses were, for 400, 3000, and 5120 mg/L, 1.7, 2.3, and 2.8%, respectively. The correlation coefficient (r) between glucose analyses by our method (y) and with the Ektachem 400 (x) was 0.9918; the regression equation was y = 1.07x - 94.3 mg/L.

Autoanalysis↗
PubMed1983

Reflectance digital matrix photometry.

We have designed and constructed a digital matrix photometer for quantitative measurement of reflected light of small chromophoric areas or colored spots. The areas are divided conceptually into small subunits in which the reflected light is measured. This is done through stepwise scanning with a photodiode array. The sum of the individual reflectance measurements is related to the total amount of an analyte in the spot. We have found that this technique makes possible accurate and precise quantitation of light-absorbing substances in small areas of different sizes, shapes, and internal irregularity measuring as little as 1 mm across.

Color↗
PubMed1982

The abnormal outpatient chemistry panel serum alkaline phosphatase: analysis of physician response, outcome, cost and health effectiveness.

Physician response to, as well as outcome, cost and health effectiveness of the alkaline phosphatase component of an automated chemical screening panel in the primary medical care setting were studied. Out of 118 unexpected deviations, only one new diagnosis resulted--type A viral hepatitis. Because only one new diagnosis was made during the study period, estimates are tentative; however, when compared to other tests, the alkaline phosphatase component has a low health effectiveness (0.0298 Discounted Well-Years) and a low cost-effectiveness ($85,400 per Discounted Well-Years) and does not appear to be an economic way to make new diagnoses of therapeutically responsive diseases in the primary care setting.

Adolescent↗
PubMed1981

Effects of naloxone-HCl on cortisol levels in patients with affective disorder and normal controls.

Cortisol levels were measured before and after administration of naloxone-HCl in patients with affective disorder (n = 16) and normal control subjects (n = 8). On two consecutive days, 20 mg of naloxone-HCl or placebo was administered i.v. over 15 minutes in a double-blind crossover design. Blood samples were collected at 30, 15, and l minute(s) both before and after infusion. Cortisol rose from a mean baseline level of 14.8 microgram% to a mean peak level of 23.1 microgram% following the naloxone administration. Significant cortisol increases were found in both the 15- and 30-minute samples during the naloxone session. There were no differences between patient and normal subject samples or between diagnostic groups. A subgroup of manic patients who had responded to naloxone with a reduction of their manic behavior also had an attenuated cortisol response to naloxone. This proved to be an artifact secondary to variability in the cortisol response in these patients.

Adult↗
PubMed1981

An instrument for digital matrix photometry.

A new instrument was conceived and designed for quantitative measurement of chromophoric areas or colored spots such as are produced in (e.g.) thin-layer chromatography. The areas to be measured are subdivided grid-like into small subunits, and the absorbance of each of these is measured. The sum of absorbances for all subunits is directly proportional to the total amount of light-absorbing substances in a spot. The absorbances of the subunits are measured with a photodetector that contains hundreds of microscopically small photodiodes, arranged in a precise geometric array. The photodiode array is interfaced with a computer via an analog-to-digital converter for numerically integrating the individual signals from each photodiode. With this analytical system, quantitation of light-absorbing substance is accurate and precise for areas of different sizes, shapes, and internal irregularity.

Chromogenic Compounds↗
PubMed1980

Failure of folic acid (pteroylglutamic acid) to affect hyperuricemia.

PGA administered in doses up to 1000 mg orally a day did not significantly lower the serum urate concentration nor decrease the urinary urate or total oxypurine excretion in five hyperuricemic subjects. The folate was well absorbed, as reflected by marked increases in the serum and erythrocyte folate concentrations, and up to 50% of the administered folate could be recovered in the urine. There was no evidence of clinical or laboratory toxicity at these high doses of folate. PGA is a weak inhibitor of human liver xanthine oxidase in vitro, and much of its inhibitory effect is secondary to trace contamination by pterin-6-aldehyde, a potent inhibitor of the enzyme.

Adult↗
PubMed1976

Separation of folate binding protein from human serum by DEAE-cellulose column chromatography.

On diethylaminoethyl-cellulose column chromatography, the folate binding protein in the serum of 21 patients eluted in the early effluents as a single sharply defined peak. The chromatographic behavior of the folate binder remained unchanged whether or not the serum was, before chromatography, complexed with tritium-labeled pteroylglutamic acid ([3H]PGA), dialyzed, or charcoal-adsorbed. Heating to 100 degrees C for 10 min dissociated the [3H]PGA-binder complex while destroying the folate binding property. The presence or appearance of this folate binder in increased amounts in the serum of patients with various diseases may be related to conditions of increased tissue turnover.

Blood Proteins↗
PubMed1975

Relative efficacy of separation of "free" and "bound" (3',5'-3H) pteroylglutamate by charcoal coated with various materials.

We studied the effectiveness with which various charcoal preparations separate free [3H]pteroylglutamate from that complexed with milk folate binder. We tested, in various concentrations, uncoated charcoals and charcoals coated with dextrans of various molecular weights, or with albumin, hemoglubin, or polyvinylpyrrolidone with an average molecular weight of 40 000. Althouth there was some distinction between the "bound" and "free" fractions with all charcoals, those treated with dextrans of average molecular weights of 43 500 or 70 000, or with polyvinylpyrrolidone gave the best separation over a greater range of charcoal concentration. Uncoated charcoal and charcoals coated with albumin, hemoglobin, or dextran T10 (average molecular weight, 10 500) were least effective.

Charcoal↗