Biomedical subjects
H Reissigl
Publications and source records attributed to H Reissigl.
[Serum neopterin determination for the additional safeguarding of blood transfusions. Our experiences with 76,587 blood donors].
Since October 1986, all volunteer blood donors in the Tirol of Austria have been tested for neopterin. Serum neopterin levels were raised in 1242 donors (1.6%), 650 of whom (52.3%) consented to another test four weeks after the donation. In retrospect, 148 of these donors (22.8%) had an illness or abnormal symptoms at the time of donation or within a few days of it: according to the "guidelines for blood group testing and blood transfusion" of the Federal German Chamber of Doctors (Deutsche Bundesärztekammer) 25 of these (16.9%) should be permanently excluded as blood donors. The other 123 donors would have been temporarily excluded, according to the guidelines, if their illness had been known at the time of donation. Since the beginning of 1988, all donated blood with increased serum neopterin levels also had an IgM test for cytomegalovirus (CMV): nine of 243 samples tested (3.7%) indicated an acute CMV infection. The neopterin assay thus detects a variety of potentially harmful diseases or conditions which would not be revealed by the usually employed battery of routine tests.
[HIV antigen study].
In the course of a field study in which the blood banks of Vienna, Linz and Innsbruck were involved, the HTLV-III-antigen EIA, developed by Abbott laboratories for research means, was tested for its usefulness in routine blood transfusion. Through the registration of donors newly infected with the HIV virus, who at the time showed no seroconversion, the aim was to narrow the 'diagnostic window' of the HIV infection, and to increase the security of routine blood transfusion. Parallel to the testing of all donors of the Zentralinstitut für Bluttransfusion in Innsbruck for HIV antigens and HIV antibodies, neopterin serum was also measured.
[HIV antigen determination in blood donors. Report on a field study in Austria].
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[The significance of neopterin determination for transfusion medicine].
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[Prediction and occurrence of neonatal and fetal hemolytic disease in a 15 year retrospective study of prenatal mother-child serology in Tirol].
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Endoscopic aspects of aortointestinal fistula.
The etiology, diagnostic difficulties and treatment of five cases of aortointestinal fistulas are presented. In all of them, endoscopy played a major diagnostic role. Early diagnosis is essential for elective surgery since reconstruction in the massive bleeding stage has a mortality of up to 80%.
[Activation of the macrophage/lymphocyte system in AIDS, ARC and AIDS risk groups].
Elevated neopterin levels are indicative of activation of the cellular immune system. Studies on excretion of neopterin in patients with AIDS and ARC, as well as in members of risk groups have demonstrated repeated or permanent stimulation of the immune system. This stimulation can be observed in all risk groups independent of LAV/HTLV-III infection. Additionally, in vitro replication of LAV/HTLV-III has been observed to be quantitatively greatest in activated CD4+-lymphocytes. Hence, we conclude that activation of the cellular immune system represents the central cofactor for progressive LAV/HTLV-III infection. These findings seem to contrast with most reports in the literature to date, but observations of other authors corroborate them. As consequence of these studies, therapeutic regimens using immunostimulatory strategies should be prevented in AIDS and ARC patients. Immunosuppressive treatment should be considered.
Are conditions linked with T-cell stimulation necessary for progressive HTLV-III infection?
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[Endoscopic polypectomy, foreign body extraction and papillotomy].
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[The ERCP in the postcholecystectomy syndrome].
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[Indications for the use of blood products and blood substitutes].
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[Emergency endoscopy. Our experience with emergency endoscopy].
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[Our early stomach cancers. Diagnosis, therapy, early and late results].
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[Beta-glucuronidase activity in various stomach diseases].
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[Immunohistochemical and radioimmunological demonstration of alpha1-fetoprotein in nonmalignant changes of human gastric mucosa (author's transl)].
The occurrence of alpha1-fetoprotein in nonmalignant changes of the gastric mucosa was investigated by means of immunohistochemistry and radioimmunoassay. The investigations were performed in tissue sections, cytological imprint preparations as well as in homogenized tissue samples (obtained by gastroscopy). alpha1-fetoprotein could be demonstrated by immunohistochemistry in about 90% of the samples originating from the surroundings of gastric ulcer and the region of gastrojejunostomy after B II-resection. The RIA was positive in about 75% of the tissue samples, whereas from gastric juice only 40% of positive results could be obtained. No alpha1-fetoprotein-activity could be demonstrated in serum samples. These investigations indicate that alpha1-fetoprotein is not exclusively synthesized by embryonic or neoplastic tissues and also can be synthesized also by regenerating cell-systems. It may be supposed that this synthesis represents an unspecific answer to growth-stimulation.
[Blood group compatibility testing for blood transfusions].
Acute and chronic dangers of blood-transfusion are listed. Three serologic demands in selecting donorblood are identity in the ABO-system compatibility in the Rh-system and a negative cross-match in the mode of a three-step Coombs-test. The often claimed consideration of the Kell-system is shown to be numerical in the background of transfusion-practice. The highest responsibility is taken by the physician in transfusing patients with Coombs-positive auto-immune-diseases in which the cross-match is positive and so present antibodies could be hidden.