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Biomedical subjects

M Jager

Publications and source records attributed to M Jager.

At least 19 recordsLinked to original sources

Microdevices for separation, accumulation, and analysis of biological micro- and nanoparticles.

Microfabrication and performance of a novel microsystem for separation, accumulation and analysis of biological micro- and nanoparticles is reported. Versatile chip functions based on dielectrophoresis and microfluidics were integrated to isolate particles from complex sample solutions such as serum. A bead-based assay for virus detection is proposed. Separation of micro- and sub-mum beads employing dielectrophoretic deflector and bandpass structures is demonstrated. Individual antibody coated beads with hepatitis A virus bound to their surface were trapped by negative dielectrophoresis in a field cage and analysed by fluorescence microscopy.

Journal Article↗

Preferences for treatment during a first psychotic episode.

Psychiatric services providing care for patients and their families confronted with a first psychotic episode need to be sensitive towards patients' and families' preferences. Ten patients, ten family members and ten professional caregivers composed a list of 42 preferences in the treatment for a first psychotic episode. In total 99 patients, 100 family members and 263 professional caregivers evaluated these preferences, thus producing an order of priorities. There appears to be considerable agreement among the groups of respondents regarding their top ten priorities, especially concerning information on diagnosis and medication. However, we found important differences between groups of respondents. The results suggest that in psychiatric services great attention should be given to psycho-education and early outpatient intervention.

Adult↗

Creatine therapy in myophosphorylase deficiency (McArdle disease): a placebo-controlled crossover trial.

OBJECTIVE: To determine whether treatment with creatine can improve exercise intolerance in myophosphorylase deficiency (McArdle disease). DESIGN: Double-blind, placebo-controlled crossover study with oral creatine monohydrate supplementation. PATIENTS: Nine patients with biochemically and genetically proven McArdle disease were treated. INTERVENTION: Five days of daily high-dose creatine intake (150 mg/kg body weight) were followed by daily low-dose creatine intake (60 mg/kg). Each treatment phase with creatine or placebo lasted 5 weeks. MAIN OUTCOME MEASURES: The effect of treatment was estimated at the end of each treatment phase by recording clinical scores, ergometer exercise test results, phosphorus 31 nuclear magnetic resonance spectroscopy, and surface electromyography. RESULTS: Of 9 patients, 5 reported improvement of muscle complaints with creatine. Force-time integrals (P =.03) and depletion of phosphocreatine (P =.04) increased significantly during ischemic exercise with creatine. Phosphocreatine depletion also increased significantly during aerobic exercise (P =.006). The decrease of median frequency in surface electromyograms during contraction was significantly larger (P =.03) with creatine. CONCLUSION: This is the first controlled study indicating that creatine supplementation improves skeletal muscle function in McArdle disease.

Administration, Oral↗

[A case of painful bilateral ophthalmoplegia].

The authors present a case of Tolosa-Hunt syndrome with the particularity of a simultaneous palsy of both oculomotor nerves. The evolution is followed during 16 years. The clinical description, the criteria of the syndrome and the differential diagnosis are discussed. The diagnosis is based on the clinical evolution, the transitory palsy of the oculomotor nerves and the involvement of the optic nerve. The response on steroid treatment was spectacular. Bilateral and fluctuant oculomotor palsy is possible in the TolosaHunt syndrome. General investigations are mandatory to exclude other pathologies.

Diplopia↗

Comparison of coagulation test results for blood samples obtained by means of direct venipuncture and through a jugular vein catheter in clinically normal dogs.

OBJECTIVE: To determine whether coagulation test results for blood samples obtained from heparinized jugular vein catheters in dogs are accurate. DESIGN: Prospective, controlled study. ANIMALS: Fourteen clinically normal dogs. PROCEDURE: Prothrombin time, activated partial thromboplastin time, concentration of fibrin degradation products, and fibrinogen concentration were measured in blood samples obtained by means of direct jugular venipuncture and through an indwelling jugular vein catheter 0, 2, 8, 24, and 48 hours after catheter placement. Blood samples were collected from the catheter by means of a 2-syringe technique, which involved discarding the first volume of blood collected. RESULTS: For all sample times, mean values for samples obtained from the jugular vein catheter were not significantly different from mean values for samples obtained by means of venipuncture. CLINICAL IMPLICATIONS: Blood samples for coagulation tests may be obtained from jugular vein catheters up to 48 hours after catheter placement in clinically normal dogs.

Analysis of Variance↗

Kinetic characterization of the chemotactic protein from Escherichia coli, CheY. Kinetic analysis of the inverse hydrophobic effect.

CheY, the 129 amino acid chemotactic protein from Escherichia coli, is a good model for studying the folding process of the parallel alpha/beta family of proteins. A study of the folding kinetics of CheY using fluorescence and far-UV circular dichroism (CD) stopped-flow measurements is reported. CheY has three prolines, two of them in the trans conformation and one, Pro110, with a cis Lys-Pro peptide bond. This protein presents a unimolecular, but complex, kinetic mechanism that is dominated by a slow phase compatible with a trans-cis isomerization. Mutation of Pro110 to Gly results in the disappearance of this slow phase, indicating that this cis prolyl bond is responsible for it. The slow phase is catalyzed in a very inefficient way by prolyl isomerase, indicating that the cis bond is poorly accessible to the enzyme during refolding. In agreement with this is the fact that the isomerization of the Lys109-Pro110 bond occurs in an intermediate which contains 96% of the native far-UV CD signal and 80% of the native fluorescence signal. Analysis of the unfolded protein with all its prolines in the native conformation shows the existence of a very stable intermediate in the folding reaction. Mutation of a hyperexposed hydrophobic residue, Phe14, to Asn results in an increase in the free energy of unfolding of the protein of approximately 3 kcal mol-1. Kinetic analysis of the unfolding and refolding reactions of this mutant indicates that the major stabilization effect comes from the relative destabilization of the unfolded state and the kinetic intermediate with respect to the transition state, providing kinetic evidence for the inverse hydrophobic effect. This could also indicate the existence of nonnative interactions in folding intermediates.

Bacterial Proteins↗

Hamster Greene melanoma in the rabbit eye: immunosuppressive treatment to improve this tumor model.

BACKGROUND: The hamster Greene melanoma (HGM) implanted in the anterior chamber of the rabbit eye has been used to study experimental therapies for human uveal melanoma. However, the occurrence of spontaneous necrosis limits the value of this model for long-term evaluation of experimental treatments. In the present study we tested the hypothesis that an immune response is the cause of this necrosis and that prevention of the immune response can prolong the experimentation time METHODS: HGM was implanted in the anterior chamber of control, presensitized and immunosuppressed rabbits. The effects of sensitization and immunosuppression were assessed by clinical and histological observation RESULTS: Sensitization led to a significant slowing down of tumor growth, but not to a difference in necrosis. Immunosuppressive treatment with cyclosporin A improved the success rate of implantation and decreased the amount of necrosis in the tumor CONCLUSION: The immune response plays a role in the occurrence of necrosis. However, although immunosuppressive treatment with cyclosporin A decreased the amount of necrosis, significant necrosis still occurred, suggesting that other factors like angiogenesis play a part as well and still limit the usefulness of this model in the long-term evaluation of experimental therapies.

Animals↗

[Aspecific eye disorders in Lyme disease].

Lyme disease shows a large variety of clinical signs and symptoms. Ocular disease may occur in the disseminated stage of the disease. Ocular signs are often not specific of Lyme disease. In the presence of unexplained ocular disease it may be wise to consider Lyme disease as a possible diagnosis. Diagnosis and therapy in two Lyme disease patients with ocular disease are discussed.

Adult↗

[Demonstration of the effects on the corneal epithelium of a mucomimetic collyrium. Study using scanning microscopy].

Ocular surface drying was studied in rabbits using an experimental model of blinking interruption. This model produces a discontinuity in the pre-corneal tear film after a few minutes of exposure to air. Changes in superficial epithelial cell structure were studied using a scan microscope. A decrease of micro-folds and an increase in epithelial cell desquamation were observed. Prolonged exposure to air produced similar cellular lesions in deeper layers. The instillation of a single mucomimetic eye-drop containing chondroitin sulphate prevented total interruption of epithelial humidification, kept the epithelial surface intact and preserved normal cellular structure.

Animals↗

Dynamic double tendon replacement of the posterior cruciate ligament.

Reconstruction of the posterior cruciate ligament combined with medial capsular repair was performed in eight men and four women whose average age was 29 years. In an effort to simulate the tensile behavior of the two major divisions of the posterior cruciate ligament, i.e., the anterolateral and posteromedial portions, we used the gracilis and semitendinosus tendons as substitutes. Since we consider this a dynamic operation, we feel its full benefits are measured better by functional parameters than by purely objective parameters. Accordingly, followup between 1 and 4 years (averaging 32 months) revealed all patients were subjectively pleased with their operative results. Postoperative objective evaluation still demonstrated a positive posterior drawer sign (although decreased) in all cases and a diminished medial joint space opening in most cases. Thigh girth differences were found at followup in most cases, probably as a result of disproportionate activity of the contralateral extremity. We feel that our dynamic reconstruction is an excellent alternative when one is considering surgery for a torn posterior cruciate ligament.

Adolescent↗