[Rational diagnosis of mucoviscidosis by a modified method of sweat chloride determination].
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Biomedical subjects
Publications and source records attributed to G Boehm.
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Pollen collecting devices such as the 'Hirst' trap and the 'Burkard' apparatus provide information on average pollen content in the air during a certain time in a certain volume of air (e.g. 24 hr in 1 m3 air). They give no idea, however, of the allergenic particles to which individual hay fever patients are exposed to the course of a day. An 'Individual Pollen Collector', attached to the patient's clothing, showed that the counts varied considerably in different persons in the same place. They differed--quantitatively and qualitatively--from the values with the 'Burkard' pollen and spore traps at two places in Switzerland. The slides from the 'Individual Pollen Collector' frequently show 'clouds' of certain kinds of pollen grains, which could be responsible for hay fever attacks in moderately sensitized subjects.
A method is described for the determination of mevalonate in ultrafiltrates of blood plasma. The method depends on the phosphorylation of mevalonate with [gamma-32P]ATP and mevalonate kinase to 5-[32P]phosphomevalonate, and the subsequent isolation of the 5-[32P]phosphomevalonate together with known amounts of added 5-phospho[14C]mevalonate by ion-exchange chromatography. The 32P/14C ratio in the isolated 5-phosphomevalonate is a linear function of the mevalonate content of the samples. The smallest amount that can be determined is 1--2 pmol. The fasting level in human plasma varied between 20 and 75 pmol/ml. Human red blood cells absorb mevalonate from plasma relatively slowly; their maximum storage capacity is about 1.3 pmol/10(6) red cells. An oral and intravenous "mevalonate tolerance test" in man is described that can be carried out with 200 and 30 mumol. respectively, of the unlabeled (RS)-mevalonate in a 70-kg man. Beer and wine contain mevalonate at a concentration of 3--8 microns, too low to provide a significant amount of mevalonate even for heavy drinkers. The mevalonate content of the plasma from the blood of the vena cava inferior of male rats varied between 81 and 502 pmol/ml and is positively related to the levels of liver 3-hydroxy-3-methylgultaryl-CoA reductase, suggesting that the liver is probably the main source of mevalonate circulating in blood. The plasma of renal venous blood contained only 33--85% as much mevalonate as the arterial plasma.
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A device is briefly described by which the personal exposure of hay-fever patients to pollen and fungal spores can be ascertained. Pollen and fungal spores are caught on an adhesive surface, after which they are mounted in the Gelvatol and determined qualitatively and quantitatively under the microscope.
The histologic diagnosis of carcinoma of the parathyroid is difficult to make, and invasion of contiguous structures or metastasis must be present before the diagnosis can be established. The serum calcium level is usually high, and the tumor is palpable in approximately one half of the patients. A case of parathyroid carcinoma is presented in which the patient had a high serum calcium level, a palpable tumor with invasion of the thyroid gland and metastasis to a local lymph node. Treatment consists of en bloc resection of the tumor and, if possiblethe metastasis. Usually an ipsilateral neck dissection is indicated.
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In 25 very low birth weight infants appropriate for gestational age the influences of different human milk (HM) preparations on weight gain, gross indices of nitrogen metabolism and energy balance were studied during the second month of postnatal life. HM was fortified either by HM-protein (HMP) or by an enzymatic meat protein hydrolysate (PH) to protein concentrations between 1.5 and 1.7 g/100 ml. The caloric densities of both HM preparations were similar between 62 and 68 kcal/100 ml. There were no differences in weight gain (MM + HMP: 18.6 +/- 3.4 g/kg/day; HM + PH: 16.5 +/- 4.1 g/kg/day), nitrogen retention (HM + HMP: 31.5 +/- 3.1 mmol/kg/day; HM + PH: 30.0 +/- 3.2 mmol/kg/day), and the preprandial estimated essential amino acid profiles between the both feeding groups. In contrast the serum concentrations of alpha-amino-nitrogen 60 minutes postprandially were elevated in the infants fed HM + PH in comparison to the infants fed HM + HMP. This high postprandial amino acid concentrations in serum in the group fed HM + PH were accompanied by increased bile acids concentrations in serum, higher renal amino acid excretion and increased fecal fat losses. The results suggest that due to the more rapid intestinal absorption of amino acids from PH than from HMP the concentrations of amino acids increase postprandially which results in a detectable increase of the newborn cholestasis in these infants. Nevertheless, the scale of these metabolic responses to feeding protein hydrolysates is small and without detectable influences on nitrogen retention or weight gain.
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Protein utilization in very low birth weight infants fed the formula MANASAN or human milk protein. The influence of protein utilization was studied in 19 very low birth weight infants appropriate for gestational age between the 5th and 6th week of postnatal life. 8 of the infants were fed with the formula MANASAN (protein: cow's milk casein) and 11 were fed with similar quantities of human milk (HM) protein (HM fortified with 6g freeze-dried HM/100 ml). On two following days the protein intake and the nitrogen excretion in urine and stools were measured and the nitrogen balance was calculated. In the urine the excretions of alpha-amino-nitrogen, urea, ammonium and sulfuric acid were also estimated. On one of both study days the concentrations of alpha-amino-nitrogen and urea were measured in the preprandially obtained serum. The weight gain was calculated as mean of two weeks ending with the last day of study. Despite the similar protein intakes and the sufficient energy intakes in both study groups the serum concentration of alpha-amino-nitrogen and the renal excretions of alpha-amino-nitrogen, ammonium and sulfuric acid were significantly higher in the groups fed MANASAN than in the groups fed HM protein. The excretion of ammonium in the urine was significantly correlated to the excretion of sulfuric acid. The weight gain and the nitrogen balance were significantly lower in the infants fed MANASAN in comparison to the infants fed HM protein.(ABSTRACT TRUNCATED AT 250 WORDS)