PubMed HealthSearch

Biomedical subjects

B Mak

Publications and source records attributed to B Mak.

10 recordsLinked to original sources

Modifications of myelin basic protein in DM20 transgenic mice are similar to those in myelin basic protein from multiple sclerosis.

Transgenic mice containing different numbers of transgenes (2-70) of the myelin proteolipid protein DM20 were phenotypically normal up to 3 mo of age, after which the mice containing 70 copies of the transgene spontaneously demyelinated and died at 10-12 mo. Since we demonstrated that demyelination in multiple sclerosis involved specific chemical changes in myelin basic protein (MBP), we investigated the MBP in our transgenic line for similar changes. Both the total amount of MBP in brain and the MBP mRNA levels were unaffected at the different ages. All the isoforms (14-21 kD) of MBP were present, but the microheterogeneity (a posttranslational event) was changed resulting in a higher proportion of the less cationic components reminiscent of the changes in MBP found in multiple sclerosis. An increased amount of the citrullinated form of MBP was found by Western blot analysis. Immunogold labeling of cryosections of brain revealed a greater density of particles with the anticitrulline antibody at 10 mo and that the levels of peptidylarginine deiminase (which deiminates protein-bound arginine to citrulline) were increased. This stable transgenic line represents a useful animal model for the human disease multiple sclerosis.

Animals

The value of ultrasound mammography in palpable breast masses.

Between January 1987 and May 1988 a prospective study was carried out on 232 women with a palpable breast mass. They underwent physical examination, x-ray mammography and ultrasound mammography. The results of each study were interpreted independently by separate observers, and consensus was achieved. From all solid tumours histology was available. Compared to x-ray mammography, ultrasound mammography proved to be significantly (p less than 0.025) more sensitive in diagnosing malignant palpable breast masses (98.7% versus 86.8%). However there was no statistical significant difference in specificity between ultrasound mammography and x-ray mammography. Using ultrasound mammography we classified 9 histological proven malignant tumours as such which were negative on plain x-ray mammography. Despite the good results of ultrasound mammography in diagnosing palpable breast lesions it can never replace x-ray mammography in cases of malignancy, because the results of ultrasound mammography with non-palpable synchronous tumours with or without microcalcifications are poor. In some cases of benign lesions diagnosed with ultrasound mammography no x-ray mammography is necessary.

Adolescent

An operative choledochoscopy using the flexible choledochoscope.

In a prospective study, the value of operative choledochoscopy as a completion procedure after standard instrumental exploration of the common bile duct is evaluated. The technique of examination using the flexible scope is described. Operative choledochoscopy was performed upon 320 patients. Retained stones of the biliary tract missed by exploration were detected in 23 patients (7.1 per cent). Stones retained in spite of endoscopic examination were found in five (1.6 per cent) of the patients. The comparison of the personal experience (158 patients) with the experience of other surgeons and registrars performing the biliary tract operations on their own at our institutions (178 patients) allows a conclusion that, if the technique of choledochoscopy is well standardized and correctly learned, no difference in results achieved is to be expect. Operative choledochoscopy is a reliable method of examination supporting valuable diagnostic information, contributing to the operative decision making and reducing efficiently the incidence of retained biliary tract stones.

Aged

Postoperative choledochoscopy. A five-year experience.

In a five-year period postoperative choledochoscopy was used in 85 consecutive patients for therapeutic or diagnostic interventions in the biliary tract. Seventy-three patients underwent postoperative choledochoscopy for removal of retained biliary stones; 67 (92%) had successful removal of 94 retained stones; in 11 stones were located in the intrahepatic ducts; in six postoperative choledochoscopy failed; and in 12 postoperative choledochoscopy was performed for diagnostic or other therapeutic reasons. No serious complications were encountered in this series. The advantage of this simple and effective technique over other instrumental or so-called radiologic techniques is discussed. In our opinion, postoperative choledochoscopy is now the method of choice for diagnostic and therapeutic (re)interventions in the biliary tract by patients with a T tube still in situ.

Bile Duct Diseases

Results of surgical treatment for hyperthyroidism.

UNLABELLED: In a 10-year period (1967-1977) 273 patients were operated upon for hyperthyroidism at the Department of Surgery of the St. Franciscus Gasthuis, Rotterdam. The evaluation of the results was carried out in 1978. A total of 205 patients appeared for investigations and drawing of blood samples. Total resection of one thyroid lobe and subtotal resection of the other lobe was the procedure of choce. RESULTS: 85% of the patients were euthyroid at the follow-up; 7% of the patients had a recurrent hyperthyroidism and 8% became hypothyroid. In three cases a persistent unilateral vocal cord paralysis was encountered. Surgery remains an effective and satisfactory method of treatment for appropriately selected cases, with a low rate of immediate and late complications.

Adolescent