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Biomedical subjects

J J Vanhoutte

Publications and source records attributed to J J Vanhoutte.

At least 19 recordsLinked to original sources

Automatic method for evaluating the activity of sourdough strains based on gas pressure measurements.

A new method is proposed for the evaluation of the activity of sourdough strains, based on gas pressure measurements in closed air-tight reactors. Gas pressure and pH were monitored on-line during the cultivation of commercial yeasts and heterofermentative lactic acid bacteria on a semi-synthetic medium with glucose as the major carbon source. Relative gas pressure evolution was compared both to glucose consumption and to acidification and growth. It became obvious that gas pressure evolution is related to glucose consumption kinetics. For each strain, a correlation was made between maximum gas pressure variation and amount of glucose consumed. The mass balance of CO2 in both liquid and gas phase demonstrated that around 90% of CO2 was recovered. Concerning biomass production, a linear relationship was found between log colony-forming units/ml and log pressure for both yeasts and bacteria during the exponential phase; and for yeasts, relative gas pressure evolution also followed optical density variation.

Carbon Dioxide↗

The reliable sonographic diagnosis of hypertrophic pyloric stenosis.

Fifty-five infants who presented to the Oklahoma Children's Memorial Hospital with vomiting and the clinical suspicion of hypertrophic pyloric stenosis (HPS) were evaluated using real-time ultrasound. Previously published criteria for the sonographic diagnosis of HPS were evaluated in these patients. The anterposterior diameter measurement of 1.5 cm or greater proposed by Strauss et al. had an accuracy of 36/50 (72%). The 4-mm or greater wall thickness measurement of Blumhagen et al. was correct in 46/50 (92%) of cases. A proposed criterion, the true pyloric muscle (TPM) length of 2.0 cm or greater was accurate in 33/33 cases. Application of the TPM length criterion should improve the reliability of sonographic diagnosis of HPS and decrease the need for radiographic studies.

Humans↗

An evaluation of diagnostic techniques utilized in the initial workup of pediatric patients with acute lymphocytic leukemia.

The records of 32 pediatric patients with acute lymphocytic leukemia (ALL) were reviewed to evaluate the role of various diagnostic techniques used to assess the extent of extramedullary disease. Our findings indicate that adequate screening for hepatosplenomegaly is obtained by clinical assessment and for bone and renal involvement by bone scintigraphy including concomitant renal imaging. We recommend that radiographs be restricted to scintigraphically abnormal areas and/or sites of bone pain. Liver-spleen scintigraphy, gallium studies, intravenous pyelography, and ultrasound studies of the abdomen and pelvis should be utilized only to answer specific clinical questions. Evaluation in this manner reduces both radiation exposure and patient expense, while it adequately defines the extent of disease in these organs.

Bone and Bones↗

Enhanced gastroduodenal motility in children.

Metoclopramide hydrochloride was administered to nine children for the treatment of gastric stasis (N=6) and unexplained vomiting (N=3). One additional patient with gastric stasis displayed no response to the test dose of metoclopramide. Both the frequency and apparent forcefulness of the gastric and duodenal waves increased with the administration of metoclopramide in the nine patients receiving treatment. Eight clinical aspects were monitored, with improvement seen in all during therapy; the rates of both improvement and freedom from symptoms were time dependent. After one month, the median rate of improvement in individual symptoms was 86%, and the median rate of freedom from symptoms was 54%. Only two of the nine patients became totally asymptomatic within the month. However, sustained improvement was maintained after discontinuance of metoclopramide administration. Within the administered dosages and within the study population, metoclopramide was found to be safe.

Adolescent↗

A two-year reject/retake profile analysis in pediatric radiology.

With increasing interest in the use of reject/retake analysis as an integral part of a routine quality assurance program in diagnostic radiology comes the need for a better understanding of the information obtained. The present study investigated the reject/retake profiles in a pediatric radiology department on a long-term basis. Retake profiles have been continually analyzed for a period of 24 months. Emphasis of the analysis were placed upon understanding the characteristics of the profiles observed and the effectiveness of the corrective actions implemented. The analysis indicated that after the implementation of a comprehensive quality assurance program, the overall rejection profile is predominantly determined by the rate of positioning errors.

Pediatrics↗

Femoral neck anteversion in perspective.

Routine evaluation of anteversion by biplanar radiographic means is unreliable, poorly reproducible, and unnecessary. Isolated measurement of femoral neck anteversion is a concept which has outlived its usefulness. The relationship of the femoral head to the acetabulum is more important than the direct measurement of femoral anteversion. Computerized axial tomography can provide both forms of information. The radiation dose in computerized tomography is relatively large and its use in children should be correspondingly limited.

Child↗

Gluceptate renal imaging: experience in a pediatric population.

Gluceptate renal imaging was performed to evaluate renal function and morphology in 50 pediatric patients (27 males, 23 females). Retrospective categorization revealed that 49% (27) of the studies were for functional evaluation, 27% (15) were for anatomic considerations and 23% (13) were of a miscellaneous nature. Thirty-one patients also underwent intravenous pyelograms (IVP) and in seven discordant cases gluceptate imaging provided correct information in five, compared with only one correct IVP. While both the IVP and gluceptate imaging provide clinical information concerning renal function and morphology, the ability to obtain blood flow data and to quantitate differential renal functional mass allows gluceptate imaging to define renal function more specifically than the IVP making a more meaningful diagnostic procedure for the evaluation of patients with known or suspected renal abnormalities.

Adolescent↗

A potential pitfall of operative cholangiography in infants.

Retrograde linear extravasation of contrast media along the anatomical course of intrahepatic arborizing structures may occur during intraoperative cholangiography for evaluation of prolonged neonatal jaundice. The resultant image may mimic the appearance of intrahepatic biliary radicles.

Bile Ducts↗

Positive 67Ga-citrate scans in patients receiving Corynebacterium parvum.

Gallium-67 citrate imaging for the staging of lymphomas was performed in three patients receiving Corynebacterium parvum (C. parvum) immunotherapy. Unexpected uptake at the site of C. parvum injections was identified and although the mechanism of localization is not determined by this study, similarities between C. parvum's known actions and the postulated mechanism of 67Ga-citrate localization are compared.

Child↗

A generalization of Chevrot's method for determining anteversion and cervico-diaphyseal angles.

Chevrot's method for determining the angle between the axis of the femoral shaft and the axis of the femoral neck (the cervico-diaphyseal angle), and the angle between the axis of the femoral neck and the diacondylar plane (the anteversion angle) has been investigated and generalized. Mathematical formulae giving the anteversion and cervico-diaphyseal angles in terms of two x-ray tube angles and two measured projections of the cervico-diaphyseal angle have been derived. These formulae facilitate preparation of computer programs and tables for the routine clinical determination of the anteversion and cervico-diaphyseal angles.

Femur↗