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Biomedical subjects

C Petersson

Publications and source records attributed to C Petersson.

At least 37 records · Page 2Linked to original sources
PubMed1997

Cytogenetic findings in phyllodes tumors of the breast: karyotypic complexity differentiates between malignant and benign tumors.

Clonal karyotypic abnormalities were detected in short-term cell cultures from six phyllodes tumors of the breast. Whereas all five benign tumors had simple chromosomal changes, the highly malignant one had a near-triploid stemline, indicating that karyotypic complexity is a marker of malignancy in phyllodes tumors. Interstitial deletions of the short arm of chromosome 3, del(3)(p12p14) and del(3)(p21p23),were the only aberrations in two benign tumors. Cytogenetic polyclonality was detected in three benign tumors: two had cytogenetically unrelated clones, whereas the third had three different, karyotypically related cell populations as evidence of clonal evolution. The finding of clonal chromosome abnormalities in both the epithelial and connective tissue components of the phyllodes tumors indicates that they are genuinely biphasic, that is, that both components are part of the neoplastic parenchyma.

Breast Neoplasms↗
PubMed1997

Parental education as viewed by nurses. An interview study.

This interview study of nurses in three health centres in Växjö municipality in Sweden sought to find out how they perceived their work with parental education. The aim was to study the possibilities of and any obstacles to achieving the goals of good parenthood training on equal terms for all people. The results showed areas where further development is needed. It appears to be difficult to achieve the goals. Parents' needs for educational measures differed depending on social, cultural, and gender differences. Young single mothers rarely took part in the parents' groups. They belonged to a minority whose needs and problems differed from those of the majority of parents. Also immigrant parents rarely participated in parents' groups. According to the nurses, this may have been due to cultural differences in child care and difficulties with the Swedish language. To give fathers more scope and opportunity to take part, it was suggested that special fathers' groups should be set up. To sum up, families with specific needs should be given more individual education and guidance by nurses. This study, confined to one geographical area, has only shed light on a few nurses' perceptions of parental education, so the findings merely serve to indicate a trend. More general knowledge would require further research-oriented trial projects with the focus on the parents' perspective.

Adult↗
PubMed1997

Radioactive synoviorthesis in patients with hemophilia with factor inhibitor.

In nine patients with hemophilia and factor inhibitor (six with hemophilia A; three with hemophilia B), 19 joints were treated with radioactive synoviorthesis using Au-198. Ages ranged from 3 to 40 years. Synoviorthesis was performed when the antibody titer was low (< 10 Bethesda units), thus making hemostasis possible by factor administration for 2 to 4 days. On five occasions, radioactive synoviorthesis was performed simultaneously with tolerance induction according to the Malmö protocol. A bleeding free interval of more than 6 months was obtained in 11 joints, six of which remained bleeding free for more than a year. At long term followup (range, 18-182 months) five joints were rated good, one joint was fair, and 11 joints were poor. Although the results are inferior to those for patients with hemophilia without inhibitor, radioactive synoviorthesis should be considered because of its ease of performance and the definite decrease in joint bleeding frequency that it brings about. This is of particular interest in patients with hemophilia caused by factor inhibitor who otherwise are difficult to treat.

Adolescent↗
PubMed1996

The FHIT and PTPRG genes are deleted in benign proliferative breast disease associated with familial breast cancer and cytogenetic rearrangements of chromosome band 3p14.

We have used nested reverse transcription-PCR (RT-PCR) and PCR on genomic DNA to search for aberrations in the FHIT and PTPRG genes, both located in chromosomal band 3p14.2, in specimens from cytogenetically analyzed benign breast lesions (three samples with atypical hyperplasia and one with fibroadenosis) from two women belonging to breast cancer families. The transcription analysis showed that the FHIT gene was either not expressed or that its expression was dramatically reduced to a level not detectable by nested RT-PCR in the samples with atypical hyperplasia. Genomic analysis of exons 3 and 5 of FHIT and exon 12 of PTPRG provided evidence that these DNA segments were homozygously deleted in the majority of the cells. These data are in line with the histopathological features and cytogenetic findings in the three samples; none contained normal parenchyma, and all had chromosomal aberrations involving band 3p14. RT-PCR analysis of the fibroadenosis specimen, which had a normal karyotype, detected the expected 856-bp fragment as well as an additional alternative transcript variant of FHIT with 1014 bp. The additional 158-bp sequence, which may add 38 amino acids to the NH2-terminal part of the previously described FHIT protein, was inserted between exons 4 and 5 and seems to be a new exon located in intron 4 of FHIT.

Acid Anhydride Hydrolases↗
PubMed1996

Structural studies of the O-specific chain of Hafnia alvei strain 32 lipopolysaccharide.

The structure of the O-specific side chain of the Hafnia alvei strain 32 lipopolysaccharide has been investigated. Methylation analysis, partial acid hydrolysis, Smith degradations, NMR spectroscopy, MALDI-TOF and FAB mass spectrometry in combination with collision-induced decomposition MS/MS were the principal methods used. It is concluded that the polysaccharide is composed of pentasaccharide repeating units having the following structure which is partially O-acetylated in the 2- (20%) and 3- (50%) position of the-->4)-alpha-D-GalpA-(1-->residue. [sequence :see text] A MALDI-TOF mass spectrum of the O-specific chains indicated that they consisted of up to 16 repeating units.

Carbohydrate Conformation↗
PubMed1996

Structural studies of the O-specific polysaccharide of Hafnia alvei strain 1209 lipopolysaccharide.

The structure of the O-specific side chains of the Hafnia alvei strain 1209 lipopolysaccharide has been investigated. Methylation analysis and 1H-NMR and 13C-NMR spectroscopy were the principal methods used. It is concluded that the polysaccharide is composed of pentasaccharide repeating units that have the following structure: -->3)-beta-D-Galp-(1-->4)-alpha-D-Glcp-(1-->4)-beta-D-GlepA-(1--> 3)-beta-D-GalpNAc-(1 --> 4 increases 1 alpha-L-Rhap The relative intensity of the signals from the terminal repeating unit in the 1H-NMR spectrum, the amount of 2,3,6-tri-O-methylgalactose in the methylation analysis, and the matrix-assisted laser-desorption ionisation time-of-flight (MALDI-TOF) mass spectrum of the O-polysaccharide indicated that the structure is also the biological repeating unit and that the O-chains mainly consisted of 8-11 repeating units and, on average, ten repeating units.

Carbohydrate Conformation↗
PubMed1996

Different cytogenetic patterns in skeletal breast cancer metastases.

Short-term cultures of breast cancer metastases to bone from two patients were analyzed cytogenetically. One metastasis had a complex hypotriploid karyotype with numerous marker chromosomes, whereas the other had simple karyotypic changes in three unrelated clones, 46,XX,t(4;11 )(p14;p 13)/45,XX,- 19/46,XX,del(3)(p 13p23), suggesting that the metastasis had originated from a simultaneous invasion of multiple cells from the primary tumor. The metastasis with complex chromosomal aberrations developed quickly as part of a clinically aggressive disease, whereas that with simple changes developed more than 20 years after the initial breast cancer diagnosis. Our findings therefore indicate that the tumor karyotype may play a role in determining the clinical course in patients with breast cancer.

Bone Neoplasms↗
PubMed1996

Chromosome aberrations in prophylactic mastectomies from women belonging to breast cancer families.

Short-term cultures of samples from eight prophylactic mastectomies from five unrelated women who were genetically predisposed to breast cancer were analyzed cytogenetically. Clonal chromosome abnormalities were detected in five breasts. Three samples from two women had aberrations involving the short arm of chromosome 3, with a breakpoint in 3p14 in common. Three samples from three women had rearrangements of 1q. Two of them, one of which also displayed a 3p14 rearrangement, shared a breakpoint in 1q41. Both 1q41 and, in particular, 3p14 have been reported to be rearranged frequently in malignant breast proliferations. Whether alterations of genes in these bands are essential in mammary tumorigenesis and, if so, whether they are equally important in sporadic and in hereditary cases remains to be explored.

Adult↗
PubMed1996

High-consulting children indicate illness-prone families. A study of 38 rural and 38 urban Swedish children's health and use of medical care.

OBJECTIVE: To study health problems and use of medical care in a group of rural and urban children. To relate a number of socio-demographic factors to the children's consultation frequency. To compare high- and low-consulting children with respect to socio-economic status of the family and use of medical care and sicklisting pattern of their parents. DESIGN: Health check-up at school start. Investigation of the children's medical records from birth to the age of seven, and of their parents' use of primary medical care during the same period. SETTING: Lammhult, a rural community with 3000 inhabitants, and Teleborg, an urban district with 9000 inhabitants, situated in Växjö town, southern Sweden. SUBJECTS: 38 rural and 38 urban preschool children, as well as their parents. MAIN OUTCOME MEASURES: Medical visits encountered and antibiotic courses prescribed during the first seven years of life. RESULTS: Parents having manual occupations and mother being a smoker were factors of importance for the children's use of health and medical care (i.e. gave a high number of medical visits). The 14 high consulters had recurring respiratory tract infections and allergic/asthmatic complaints. Their parents were also high users of primary medical care and they were more often sick-listed than parents of low-consulting children. Rural and urban children made the same number of medical visits and received the same number of antibiotic courses during their first seven years of life. CONCLUSION: With respect to the children's use of health and medical care, we found only minor differences between rural and urban children, whereas socio-economic characteristics of the families were of importance. Moreover, high-consulting children had parents who were high users of primary medical care and who were often sick-listed.

Anti-Bacterial Agents↗
PubMed1996

What factors are of importance for infants' use of health and medical care during the first 18 months?

OBJECTIVE: To study factors of importance for infants' use of health and medical care. DESIGN: We studied the medical records of the mother during pregnancy (at the health centre, at the antenatal clinics, and at the department of obstetrics and gynaecology) and of her infant during the first 18 months of life (at the health centre, at the child health clinic, and at the departments of paediatrics and oto-rhino-laryngology). We also interviewed the mother when her infant was 18 months old. SETTING: Teleborg health centre, Växjö, southern Sweden. SUBJECTS: 206 infants and their mothers. MAIN OUTCOME MEASURES: Medical visits, to doctor or district nurse, during the infants' first 18 months of life, and factors of potential importance for those visits. RESULTS: A stepwise linear multiple regression analysis showed that the following factors were of importance for the infant's use of health and medical care: number of mother's visits to the health and medical services during pregnancy, mother being a primipara, and mother being a blue-collar worker. The model (12.98 + 0.52* (no. of mother's visits) + 2.19 (if primipara) + 1.48 (if blue-collar worker)) was able to explain 8.6% of the number of infant's visits. CONCLUSION: The studied factors explained only a minor part of the infants' use of health and medical care.

Child Health Services↗
PubMed1996

Total hip replacement in patients with hemophilia. 13 hips in 11 patients followed for 1-16 years.

During 1973-88, we performed 13 total hip replacements in 11 hemophilia patients, mean age 46 (25-65) years. During the operation, blood loss averaged 920 mL, and a mean of 120,000 units of factor VIII/IX were used. The mean duration of follow-up was 7 (1-16) years. 5 hips became loose within 6 years, and a further one after 13 years. 4 hips were revised, 2 of them due to infection in patients who were also seropositive for HIV. At the latest follow-up, 10 patients were alive. 6 had no hip pain and 7 could walk at least 1,000 meters at a time. Although these results are inferior to those obtained in arthrosis, total hip replacement should be considered in hemophiliac patients.

Adult↗
PubMed1996

Orthopaedic surgery in hemophilia. 20 Years' experience in Sweden.

At the International Hemophilia Center, Malmö, Sweden, which serves a large proportion of the Swedish hemophilia population, 98 orthopaedic surgical procedures were performed from 1970 to 1989 in 66 patients ranging in age from 6 to 71 years. The most common procedures were knee synovectomy, elbow synovectomy in combination with resection of the radial head, and total hip replacement. Comparing the 2 decades of the period, 3 differences were observed: a decreasing need of surgery, an increasing average age of the patients, and a change in the kinds of operations performed. Knee synovectomy and achillotenotomy were most frequent during the 1970s, whereas elbow synovectomy with resection of the radial head and total hip replacement were most frequent during the 1980s. Owing to the availability of regular factor replacement therapy as practiced at the Malmö Center, the situation of patients with hemophilia has improved dramatically during the last 2 decades. In the authors' opinion, it is now possible to avoid hemophilic arthropathy almost completely by giving effective continuous prophylaxis from an early age. In all likelihood, this is the explanation of the changing picture of orthopaedic surgery in patients with hemophilia today.

Adolescent↗
PubMed1995

Structural studies of the O-specific chain and a core hexasaccharide of Hafnia alvei strain 1192 lipopolysaccharide.

The structure of the O-specific side-chain and a core hexasaccharide of the Hafnia alvei strain 1192 lipopolysaccharide has been investigated. Methylation analysis, NMR spectroscopy, MALDI-TOF spectrometry, and various specific chemical degradations were the principal methods used. It is concluded that the polysaccharide is composed of hexasaccharide repeating-units having the following structure which is partially O-acetylated in the 2-position of the --> 4)-alpha-D-Glc pA-(1-->(70%) and on different positions of the L-Rha residues (50%). [Formula: see text] The core hexasaccharide was found to have the following structure: [Formula: see text]

Acetylglucosamine↗
PubMed1995

Chromosome analysis of 97 primary breast carcinomas: identification of eight karyotypic subgroups.

Chromosome banding analysis of 97 short-term cultured primary breast carcinomas revealed clonal aberrations in 79 tumors, whereas 18 were karyotypically normal. In 34 of the 79 tumors with abnormalities, two to eight clones per case were detected; unrelated clones were present in 27 (34%) cases, whereas only related clones were found in seven. These findings indicate that a substantial proportion of breast carcinomas are of polyclonal origin. Altogether eight abnormalities were repeatedly identified both as sole chromosomal anomalies and as part of more complex karyotypes: the structural rearrangements i(1)(q10), der(1:16)(q10;p10), del(1)(q11-12), del(3)(p12-13p14-21), and del(6)(q21-22) and the numerical aberrations +7, +18, and +20. At least one of these changes was found in 41 (52%) of the karyotypically abnormal tumors. They identify a minimum number of cytogenetic subgroups in breast cancer and are likely to represent primary chromosome anomalies in this type of neoplasia. Other candidates for such a role are translocations of 3p12-13 and 4q21 with various partner chromosomes and inversions of chromosome 7, which also were seen repeatedly. Additional chromosomal aberrations that give the impression of occurring nonrandomly in breast carcinomas include structural rearrangements leading to partial monosomies for 1p, 8p, 11p, 11q, 15p, 17p, 19p, and 19q and losses of one copy of chromosomes X, 8, 9, 13, 14, 17, and 22. The latter changes were seen consistently only in complex karyotypes, however, and we therefore interpret them as being secondary anomalies acquired during clonal evolution.

Breast Neoplasms↗
PubMed1995

Does tranexamic acid reduce blood loss in knee arthroplasty?

In a retrospective study of 179 total knee arthroplasties, 70 patients received tranexamic acid (Cyklokapron, Kabi Pharmacia, Uppsala, Sweden) before the tourniquet was released to reduce postoperative blood loss. A group of 109 patients who underwent surgery before this treatment was introduced served as controls. Multiple regression analysis showed that the average postoperative blood loss was 340 mL less in treated patients compared with controls. Blood transfusions were reduced from 2 to 0 units (median values). Complications did not differ between the two groups apart from the number of postoperative hematomas.

Aged↗
PubMed1995

Structural and serological characterization of Hafnia alvei lipopolysaccharide core region.

The structures and serological activities of core oligosaccharide of Hafnia alvei strains have been investigated. Methylation analysis, NMR spectroscopy and various specific degradation procedures were the principal methods used. It is concluded that, core hexasaccharides are identical in the lipopolysaccharides tested and are built of two glucose, three heptose and one 2-keto-3-deoxyoctulosonic acid residues. The antiserum raised against the ATCC13337 oligosaccharide core-tetanus toxoid conjugate cross-reacted strongly with all lipopolysaccharides used as antigens in ELISA test, suggesting that this core region is the common structure in the Hafnia genus.

Carbohydrate Sequence↗