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Biomedical subjects

H J Karl

Publications and source records attributed to H J Karl.

At least 19 recordsLinked to original sources

[Comparative examination of endocrine ophthalmopathy by means of ultrasonography, computerized tomography and fish bioassay].

In 35 patients with Graves' ophthalmopathy (GO) thyroid function was tested by T3-RIA, T4-RIA, TBI, TRH-test, thyroid scanning, and determination of thyroid autoantibodies. Additional ultrasonography (A-scan), computed tomography (CT) of the orbit, and the determination of an exophthalmogenic serum activity in fish bioassay was performed. Typical alterations for GO were observed in 26 cases with ultrasonography. CT showed an enlargement of medial and/or lateral rectus muscles in 24 of 33 patients, and in 17 cases a region of high density in the apex of the muscle cone. The density of retrobulbar fat after i.v. injection of contrast medium did not differ significantly from that observed in normal men. Characteristic signs of GO were not detected in only 2 cases using both methods together. Exophthalmogenic serum activity was found in the IgG fraction of serum protein. The incidence rate was high (69%), but for diagnostic purpose the fish bioassay cannot be recommended.

Adult

[Clinical significance of cholesterol excretion in the urine].

Determination of urinary cholesterol has been suggested to be of possible value in the diagnosis of urogenital carcinomas especially of prostate, kidney and bladder. However, it has not been proven whether this method could be used as a screening test in large numbers of patients. 430 males and 545 females with an age above 50 years were selected for the study. Total urinary cholesterol values exceeding 5.1 mg/24 hours (regarded as positive results) were present in 13 males (3%) and 9 females (1.6%). In addition to benign diseases of the kidney and the urogenital tract, 2 carcinomas of the bladder and 1 carcinoma of the kidney were detected in the male group with elevated urinary cholesterol excretion. In view of the low prevalence of urological carcinomas and the cost of urinary cholesterol determination by GLC, this method cannot be recommended as a primary screening test, but could be of practical value in populations with microscopic haematuria and increased prevalence of urological carcinomas.

Cholesterol

[Computerized data processing for radioimmunoassay (author's transl)].

The computer programm of Marschner et al. ((1974), Arztl. Lab. 20, 184-191) for the calculation of radioimmunoassay data by spline functions was improved with regard to immediate availability of quality parameters. The existing programm was adapted to a computer Siemens 4004/151. Methods are reported for obtaining an exactly reproducible and objective smoothing of spline functions. The additional modifications enable even unskilled technicians to use the programm.

Computers