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Biomedical subjects

F C Derrick

Publications and source records attributed to F C Derrick.

At least 19 recordsLinked to original sources

Sertoli cells in culture are heterogeneous with respect to transferrin release: analysis by reverse hemolytic plaque assay.

It has been reported that not all Sertoli cells store the same product or respond morphologically to secretagogue stimulation. The following studies were performed to determine whether functional differences among these cells are also present with respect to the secretion of a product. Sertoli cells obtained from 18- to 20-day-old rats were cultured for 3 days and then subjected to reverse hemolytic plaque assays for transferrin (TF). Release of TF could be detected from only 62.7 +/- 0.47% (mean +/- SE; n = 4 experiments) of all cells in culture. Results obtained from immunocytochemical staining of different batches of cells from the same dispersions agreed quite closely with these plaque assay values, indicating that not all Sertoli cells in culture contain or secrete TF. Differences in the basal rate of TF release were observed among these secretors, as evidenced by a gradual appearance of plaques over an 8-h period. Addition of FSH, cAMP, or isoproterenol to the assay incubation mixture resulted in an acceleration in the rate of plaque formation. Although approximately twice as many secretors could be identified after 0.5 and 1 h of incubation in the presence of these agents than in their absence, it still required at least 4 h for the remainder of the TF cells to form plaques. This would indicate that only a portion of all TF secretors respond acutely to these modulators. Thus, our observations that not all Sertoli cells secrete TF, and those that do release this substance respond differently to at least three stimulatory agents demonstrate clearly that Sertoli cells are heterogeneous with respect to TF release. Moreover, these findings raise the possibility that differences in the functional capacity of individual cells may be an important factor contributing to the modulation of Sertoli cell secretion.

Alkaline Phosphatase

Renal calculi in association with hyperparathyroidism: a changing entity.

Hyperparathyroidism as a cause of renal calculous disease has decreased considerably during the last 50 years. From 1972 to 1977, 5,034 cases of calculous disease were seen in 5 major hospitals in South Carolina and only 9 patients had hyperparathyroidism as the underlying etiology. There is a 0.178 per cent incidence of hyperparathyroidism as a cause of renal calculous disease in this series, or between 1 and 2 patients per 1,000 cases of stone disease. This finding is compared to a high incidence of 8 per cent in 1934. This change probably is owing to the large-scale use of multiphasic screening blood tests.

Humans

Epidermoid carcinoma of the penis.

One hundred and twenty-two cases of penile carcinoma at the Medical University of South Carolina from 1945 to 1979 have been analysed. The age and race distribution of these patients, initial clinical staging and surgical treatment have been recorded. In addition, clinical inguinal involvement, results of inguinal lymphadenectomy and survival data based on retrospective staging are listed. The role of adjunctive lymphadenectomy is discussed and the importance of pelvic lymphadenectomy in addition to inguinal node dissection is emphasised. A treatment plan is outlined for the management of penile carcinoma in order to increase survival without increasing patient morbidity.

Adult

Kidney stone disease: evaluation and medical management.

Over the past 15 years we have developed a protocol for evaluation and medical management of urinary calculi that has proved quite effective. For all patients we include plain x-ray films of the urinary tract, intravenous pyelograms, urine cultures and sensitivity studies, serum and 24-hour urinary chemical determinations, and analysis of any stones recovered. Although the cause of calcium stones, the most common type of urinary calculi, has not been established, specific treatment regimens have been devised. Maintenance of a dilute urine remains the mainstay of therapy, and diuretics, alkalinizing or acidifying agents, and various specific drugs may be indicated, depending on laboratory findings. Surgery is not indicated unless the stone is large, is in the upper part of the urinary tract, or shows no signs of movement.

Allopurinol

Benign lesions of the tunica albuginea.

Although most testicular masses are malignant we present 7 cases to demonstrate that benign lesions of the tunica albuginea do occur and that these may be a source of diagnostic confusion. Consideration should be given to the possibility of a benign lesion of the tunica albuginea when the lesion is small, discrete, painless and projecting above the surface of the tunica albuginea. All of our patients were referred to us with a tentative diagnosis of testicular malignancy. We do not wish to decrease the importance of vigilance concerning testicular masses but the cases presented herein demonstrate that all masses of the testis are not malignant.

Adult

Leydig cell tumor in identical twin.

A case is presented of an identical twin who had an interstitial cell tumor of the testis removed, and comparison is made with his identical brother over an ensuing six-year period. The dramatic effects of the interstitial cell tumor are clearly shown in the comparison of the two males over this six-year period. To our knowledge this is the only such case in the world literature.

Adolescent

Bacterial effect on sperm motility.

Human semen containing normal number of sperm was exposed to concentrations of Escherichia coli varying from 500 to 10-8 colonies per cubic centimeter. A significant decrease in motility was abserved at 10-6 colonies per cubic centimeter.

Escherichia coli

Use of methenamine hippurate in male infertility.

In sperm-freezing for infertility patients with low sperm counts, we found that semen containing high numbers of white blood cells, greater than 15 to 20 per high-power field, was both poor in quality and difficult to freeze. In examining these patients carefully, we found that many had smoldering prostatitis and some an overt history of prostatitis. We treated them with methenamine hippurate using various methods and found that by decreasing the white blood cell count in their semen, we could frequently improve the semen quality, particularly sperm motility, also achieve pregnancies in some cases.

Cell Count

Urinary tract infections in the adult. The Postgraduate Medicine Lecture.

Diagnosis of urinary tract infection should be made only on the basis of complete evidence. Examination and culture of the urine are necessary steps in correct diagnosis and treatment. Urinary obstruction is almost always present in recurrent infections. Contributory factors include sex practices conducive to entry of bacteria, poor perineal hygiene, occupations that require long periods of driving or riding, chronic constipation, and use of oral contraceptives, tampons, and douches. Many antibacterial drugs are effective in eliminating infection. Contributing factors should be modified or eliminated to prevent recurrence.

Adult