PubMed Health⌕ Search

Biomedical subjects

M E Klein

Publications and source records attributed to M E Klein.

4 recordsLinked to original sources
PubMed1990

Transcutaneous bilirubinometer: intermeter reliability.

This study examined intermeter reliability on two transcutaneous bilirubinometers on 30 white prephototherapy infants between 36 and 42 weeks' gestation with birthweights greater than 2500 g. All infants were screened with both meters, on the forehead, within a 5-minute period. Meter readings were taken within 30 minutes following infant heelstick for serum bilirubin. The Pearson correlations between serum bilirubin and jaundice meter measurements were .75 for meter 1 and .76 for meter 2. The correlation between jaundice meter indices from the two meters was .87, leaving 13% of the variance in one meter not accounted for by the correlation with the other meter. An examination of the differences between the two meters revealed that in the upper range (greater than or equal to 16) meter 1 was always higher than meter 2 by, on the average, 2.6 points (SD = 1.3). In readings of 15 or less, the differences between the meters were inconsistent. Additionally, in 16 of 30 cases, the action levels from the two meters led to the same conclusion; in the remaining 14 cases, meter 1 gave a positive reading (indicating the need to determine serum bilirubin) while meter 2 gave an equivocal reading (indicating user discretion in deciding whether serum bilirubin should be determined). These data indicate that each meter should be individually evaluated to determine action indices, and that jaundice meters should not be used interchangeably on the same infant.

Bilirubin↗
PubMed1986

[Hemorrhagic internal pachymeningitis. A clinical study of 131 cases].

Between 1980 and 1985, 131 patients suffering from haemorrhagic internal pachymeningitis had undergone surgery. Mean patient age was 59 years (range: 16-90 years). Operation technique was burr-hole craniotomy with closed-system drainage in 124 cases. In five cases primary, in 24 cases secondary removal of the capsule was performed. An Ommaya reservoir was implanted in eight cases. All patients were re-examined after an average of six months and classified into six groups according to the neurological findings. Comparison of initial findings and final results showed an improvement in the patients' condition in 83 cases (63%). There was no change in 20 patients (15%) and deterioration in seven (5%). Twenty-one patients (16%) died during the observation period.

Adolescent↗
PubMed1978

Carcinoma of the lung and cigarette smoking. Effect on serum ribonuclease activity.

Serum ribonuclease levels were determined in 54 patients with lung carcinoma, 74 long-term cigarette smokers, and 172 nonsmokers. The mean serum ribonuclease level was significantly higher in patients with lung carcinoma and long-term smokers compared with healthy nonsmokers (P less than .001). The serum ribonuclease activity level was not related to chronological age, sex, or race of the smoker or nonsmoker population. Forty (75%) of 53 patients with lung cancer and 49 (66%) of 74 smokers had elevated serum ribonuclease levels compared with 13 (7%) of 179 nonsmoker healthy controls (P less than .001). The highest incidence of elevation was noted in patients with epidermoid carcinoma (95%).

Adenocarcinoma↗