Biomedical subjects

B Zawta

Publications and source records attributed to B Zawta.

8 recordsLinked to original sources

PubMed2001

Reference ranges for analytes in extravascular body fluids.

Interpreting analytes measured in extravascular body fluids can be problematic as the only suitable literature reference, the Geigy Scientific Tables (1), is almost 20 years old, dating back to the year 1981. It is not always possible to apply the values indicated therein to modern analytical procedures since many of these determinations were developed in the 1940es, 1950es and 1960es and measured with methods that have since lost their significance. We therefore did some extensive literature searches to compile an updated list for the most essential extravascular body fluids. The number of analytes featured in the list has been limited to the most relevant substances. A critical examination of the published data revealed that only 10-20% of the papers could actually be used because of insufficient statistical data, too small number of test subjects, or a lack of plausibility.

Bodily Secretions↗

PubMed1992

[Diagnosis of chronic pancreatitis. Studies of duodenal juice after stimulation with the secretin-ceruletide test. Decision limits and evaluation of various parameters].

187 patients were checked up over 4 years by the secretin-ceruletide test. Independently of the test results they were assigned to various disease groups on the basis of clinical assessment. 131 subjects were divided in a pilot investigation into: subjects with a healthy pancreas (n = 55); subjects with chronic pancreatitis (n = 50); subjects whose pancreatic condition could not be classified clearly (n = 26). 8 parameters were compared by univariate and multivariate statistical procedures in order to confirm or rule out the presence of chronic pancreatitis. The discriminatory power of the following parameters in duodenal fluid proved to be sufficiently high, with less than 15% frequency of misclassification: chymotrypsin (activity) and/or; lipase (activity) and/or; amylase (activity); viscosity. Under routine conditions measurement of the activity of two of these enzymes is sufficient. Their contribution to discrimination proved to be approximately equal. The diagnostic sensitivity and specificity of the parameters bicarbonate, lipase (concentration), trypsin (activity) and volume of duodenal fluid are lower. The classification rules derived from the above pilot group were confirmed by a diagnostic study under routine condition in a test group of 38 patients. Limitation to examining only volume and a maximum of 3 parameters which proved best in distinguishing between patients with chronic pancreatitis and healthy subjects, together with the omission of the first-hour samples after a secretin bolus, considerably reduced laboratory workload without altering the discriminatory power of the secretin-ceruletide test.

Adult↗

PubMed1988