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Biomedical subjects

K Persson

Publications and source records attributed to K Persson.

At least 235 records · Page 13Linked to original sources
PubMed1985

Painful scars after thoracic and abdominal surgery.

Painful scars after thoracic or abdominal surgery were treated in 37 patients with various methods, including analgesic block, transcutaneous nerve stimulation (TNS), neurotomy, scar resection, epidural spinal electrical stimulation and thermocoagulation. At follow-up, three patients were free from pain and three experienced significantly less pain as a result of the treatment. In two other patients the pain had spontaneously diminished. The results indicate that surgery on peripheral structures is not effective, which suggests that the source of the pain is to be found in central structures. The authors advocate conservative measures such as blockade, TNS and physiotherapy in combination with psychologic support.

Abdomen↗
PubMed1984

Postabortal pelvic infection associated with Chlamydia trachomatis and the influence of humoral immunity.

Among 1101 women undergoing legal abortion by vacuum aspiration within 14 weeks of gestation, 69 (6.3%) harboured Chlamydia trachomatis in the cervix and/or urethra. Of the chlamydia-positive women, 16 (23.2%) developed endometritis and 10 (14.5%) developed salpingitis during the first postoperative month. The corresponding figures among the chlamydia-negative women were 59 (5.7%) and 5 (0.6%). These differences are highly significant (p less than 0.001). To study the significance of systemic and local humoral immunity to C. trachomatis in these complications, chlamydial antibodies were determined in serum and cervical secretions. No difference in frequency of local IgA antibodies in chlamydia-positive women was observed between those with and those without complications. On the other hand, there was a strong indication that chlamydia-positive women who developed salpingitis had a lower mean titer (17) of serum IgG chlamydial antibodies than carriers without symptoms (82, p less than 0.02). The group of endometritis patients did not differ in this respect from chlamydia-positive women who were free of infectious complications. These results suggest that C. trachomatis may be an etiologic agent in postabortal salpingitis and probably also in endometritis. Serum antibodies seemed to offer some protection against salpingitis in chlamydia-positive cases, whereas local antibodies did not.

Abortion, Induced↗
PubMed1984

Immunological aspects of humidifier fever.

An epidemiological investigation was made of eight employees working in a defined section of an office building who complained of febrile reactions accompanied by respiratory tract symptoms and fatigue. Culture of the water from the humidifier for their section yielded strains of Pseudomonas acidovorans and an unidentified Pseudomonas species. In vitro studies showed that these strains activated the alternative pathway of the complement system in Mg-EGTA supplemented serum, as evidenced by properdin depletion and conversion of C3-proactivator (Factor B) and C3. Whereas the employees with symptoms had significantly reduced properdin values during the symptomatic phase, a slight C3 conversion and antibodies to Pseudomonas spp., staff working in another part of the building with a different ventilation system did not. It was concluded that staff with humidifier fever symptoms had been exposed to Pseudomonas spp. through the faulty ventilation system, and their symptoms were most likely a result of complement activation.

Adult↗
PubMed1984

The sensitizing potential of di-(meth)acrylates based on bisphenol A or epoxy resin in the guinea pig.

Most composite materials in dentistry used today, contain resins based on dimethacrylates. BIS-GMA [2,2-bis-(4-(2-hydroxy-3-methacryloxypropoxy)phenyl)propane], the addition reaction product of bisphenol A and glycidyl methacrylate or an epoxy resin and methacrylic acid, is used most extensively. More recently, dimethacrylates based on bisphenol A, with various chain lengths have appeared on the market as a substitute for or in addition to BIS-GMA. Such compounds are BIS-MA [2,2-bis-(4-(methacryloxy)phenyl)propane], BIS-EMA [2,2-bis-(4-(2-methacryloxyethoxy)phenyl)propane] and BIS-PMA [2,2-bis-(4-(3-methacryloxypropoxy)phenyl)propane]. Increasing interest in the radiaton cure of coatings and printing inks have focused attention on these substances and on epoxy diacrylates as radiation-curable resins. The sensitizing capacity of the different acrylates based on bisphenol A or epoxy resin have been investigated with the guinea pig maximization test. The pattern of simultaneous reactivity of the compounds was also studied. Epoxy diacrylate [2,2-bis-(4-(2-hydroxy-3-acryloxy-propoxy)phenyl)propane], BIS-EMA and BIS-MA are shown to be strong sensitizers, while the linear fraction of BIS-GMA and its isomers and BIS-PMA have none or a low sensitizing capacity. The impurities in the BIS-GMA and BIS-MA batches seem to have high allergenic potential. These results stress the importance of a pure substance when discussing allergenicity and cross reactions.

Acrylates↗
PubMed1984

Assay of tritium-labelled terbutaline.

A method for the determination of unchanged 3H-labelled terbutaline in biological samples was developed for use in early pharmacokinetic investigations involving various species. Terbutaline was isolated from the biological sample by ion pair extraction with 0.015 mol/L bis(2-ethylhexyl)phosphoric acid in methylene chloride. To eliminate co-determination of conjugated terbutaline present in the samples, extraction was combined with partition chromatography. Quantification was achieved by liquid scintillation counting. The recovery of [3H]terbutaline from serum and urine was 96.1 +/- 0.7 (mean +/- SEM) in the concentration range 1-250 ng/mL.

Animals↗
PubMed1984

Elimination pathways of terbutaline.

The main elimination pathways of tritium-labelled terbutaline have been investigated in the rat, the dog, and man. In the rat, 25% of an intravenous dose is excreted unchanged in the urine. Terbutaline is extensively metabolized to the glucuronic acid conjugate which is eliminated via bile (40% of the dose) and urine (25% of the dose). After oral administration, a high first-pass metabolism (70%) was found. In contrast, in the dog, more than 90% of a parenteral dose is excreted renally, largely as unchanged terbutaline together with a small amount of the sulphate conjugate. Only 1.7% of the dose is excreted via bile. The first-pass metabolism amounted to 13%. The elimination of terbutaline in man exhibits a pattern intermediate between rat and dog. Thus, more than 90% of a parenteral dose is eliminated in the urine, of which about 2/3 is unchanged drug. The main metabolite is the sulphate conjugate which is excreted renally. Less than 1% of the dose is excreted in the bile. A large first-pass metabolism (69%) was confirmed in man.

Animals↗
PubMed1983

Neonatal chlamydial eye infection: an epidemiological and clinical study.

Neonatal chlamydial eye infection was detected in 39 cases of 281 infants with purulent conjunctivitis seen at the Department of Ophthalmology. Most cases of neonatal chlamydial eye infection (90%) were detected during the first month of life, and no case was found after 2 months of age. C. trachomatis was not isolated from any of 161 healthy control infants at 3-4 weeks of age. Genital chlamydial infection was demonstrated in 50% of the mothers to infected infants. Two of these women developed post-partum complications possibly due to chlamydial infection. Mothers of infected infants tended to be younger than average. Of 23 cases examined 2 years later, late sequelae were identified in 3.

Adolescent↗
PubMed1983

Human monoclonal antibodies to a genus-specific chlamydial antigen, produced by EBV-transformed B cells.

Stable B cell lines producing human monoclonal antibodies to Chlamydia were established from salpingitis patients in the early convalescence phase. The antibody-producing cells were immortalized by Epstein Barr virus (EBV) transformation. Specific antibody-secreting clones were enriched by a stepwise microtiter plate cloning procedure. The selected B cell clones showed stable antibody production for more than 1 yr in continuous culture. Serologic specificity was demonstrated by micro-immunofluorescence (micro-IF) tests against a panel of Chlamydia reference strains. The antibodies were of the IgG1 subclass, and complement fixation could be demonstrated for one clone. There was no cross-reactivity against a large number of other bacteria. The monoclonal antibodies are directed against a common genus-specific surface antigen of the Chlamydia organism. Infected McCoy cells showed a brilliant, punctuated fluorescence surrounded by an inclusion membrane. Compared with conventional antisera, the monoclonal antibodies showed a clearer fluorescence pattern with very low background.

Antibodies, Bacterial↗
PubMed1982

Epidemiologic and serodiagnostic aspects of chlamydial salpingitis.

Cultural, serologic, and epidemiologic aspects of Chlamydia trachomatis in acute salpingitis were assessed. Of 111 patients, 52 (47%) harbored C trachomatis in the cervix urethra, or both. Neisseria gonorrhoeae was isolated in 41 patients of 209 (20%). A majority (79%) of women with gonorrhea were also infected with C trachomatis. A fourfold titer rise of chlamydial IgG antibodies or significant IgM titer, or both, was demonstrated in 37 patients of 72 (51%) from whom paired sera were obtained. The serologic response distinguished 3 different phases of chlamydial infection: acute, subacute, and chronic or reinfection. The patients' male sex partners were examined on a voluntary basis, and C trachomatis was detected in 68%, indicating a need for effective partner examination and treatment.

Acute Disease↗
PubMed1982

Chlamydial eye infection in adults.

In Western industrialized countries, conjunctivitis caused by Chlamydia trachomatis is most prevalent in adults at about the age of 20 years. In the case of classical trachoma in developing countries, the highest incidence of active disease occurs in children between 2 and 5 years of age. Inclusion conjunctivitis in adults is usually an autoinfection, resulting from a concomitant genital chlamydial infection. By contrast, in endemic trachoma the infection is spread from eye to eye. Only rarely has a nongenital transmission of inclusion conjunctivitis been inferred, among medical personnel and after swimming-pool bathing. Neonates with inclusion blennorrhea also may transmit the infection to family members. Diagnosis relies on the demonstration of C. trachomatis recovered from infected eyes. Treating chlamydial eye infection in adults means controlling the concomitant genital infection as well. The recommended treatment is oral tetracycline or erythromycin.

Adolescent↗
PubMed1982

Neonatal eye infections caused by Chlamydia trachomatis.

Neonatal conjunctivitis associated with Chlamydia trachomatis has been known since the beginning of the century. Isolation of chlamydiae in eggs, in conjunctivitis of newborns, and from the cervix of their mothers was achieved in the late 1950s. In volunteers, inoculations of ocular and genital strains caused conjunctivitis. Recent studies have shown that incidence figures of chlamydial conjunctivitis in infants are 0.5% to 4%, depending on the prevalence of genital infections by C. trachomatis in the pregnant women in the population studied. Younger women are more at risk. Recurrent, chronic infection and late sequelae may occur unless neonatal chlamydial infection, which is often multifocal, is effectively treated. Serious sequelae of chlamydial infection include pneumonia, which may develop in infants, and post-partum salpingitis, which may occur in infected mothers.

Age Factors↗
PubMed1981

Maternal and infantile infection with Chlamydia in a Swedish population.

Chlamydia trachomatis was isolated from 2.4% of 1 328 puerperal women. The frequency was highest in the age group below 20 years and thereafter decreased with increasing age. Chlamydial conjunctivitis was confirmed in 0.4% of the infants. Two additional cases of conjunctivitis occurred among the exposed infants but chlamydia cultures were not obtained. In a separate ophthalmological material of neonatal conjunctivitis a third of the cases developing within the first month of life was associated with chlamydia. The early and sharp incidence peak for chlamydial conjunctivitis suggested that transmission occurred at delivery. No cases of chlamydial pneumonia were noted. Peroral chemotherapy is recommended in infants for systemic eradication of C. trachomatis.

Adult↗
PubMed1981

Several factors influencing the colonization of group B streptococci--rectum probably the main reservoir.

Women (1 268) attending a gynaecological clinic or a venereal disease clinic had positive cultures of group B streptococci from urethra in 27.8% and from rectum in 29.4%. The colonization rate was highest in patients from the venereal disease clinic (p less than 0.001). In a study of 405 of the females at different parts of the menstrual cycle group B streptococci were detected during the last half of the cycle in specimens from cervix in 18%, from urethra in 29% (p less than 0.005), and from rectum in 35% (p less than 0.001). The correlation between contraceptive methods and isolation of group B streptococci was investigated for 435 women. Females with intrauterine devices but not those using oral contraceptives had a significantly increased colonization rate genitally. The colonization rate of group B streptococci was also studied in 271 women using sanitary tampons and 129 women using sanitary towel. Those using tampons were significantly more often colonized. Cultures for Neisseria gonorrhoeae were performed from 380 patients but no correlation between N. gonorrhoeae and group B streptococci was found. The study supports the view that rectum and not the genito-urinary tract is the main reservoir of group B streptococci in females, that genital colonization mainly represents contamination from the gastrointestinal flora and sexual transmission is only one of many factors influencing the colonization rate.

Adult↗