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M Probst

Publications and source records attributed to M Probst.

95 records · Page 6Linked to original sources

Body size estimation in anorexia nervosa patients: the significance of overestimation.

Using the video distortion method on a life-size screen, we have studied body size estimation in 100 female restricting anorexia nervosa patients. About half of the patients were accurate in estimating their own body dimensions and only 20% clearly showed overestimation. We then tested whether differences in accuracy of estimation were related to scores on the following questionnaires: Eating Disorder Inventory; Body Attitude Test; and Symptom Checklist (SCL-90). Overestimators reported a more negative body attitude and a more "neurotic profile" on the SCL-90. These differences might have both prognostic and therapeutic implications.

Adolescent↗

[Cancer surgery in advanced age].

The problems of surgical treatment of older carcinoma patients consist of the indication for operation, careful preparation and intensive after-care. With adherence to these conditions curative operations are possible even in patients over 70 years of age shown by the example of colo-rectal operations. The mortality rate is 9.6%, only a little higher than the total (6%). The surgical decision has to take account of the expected outcome, and has to be individual. The expected quality of life should influence operative tactics.

Aftercare↗

[Body image and anorexia nervosa. The use of confrontation via video in psychomotor therapy].

The body image of the patient suffering from anorexia nervosa is not only an important diagnostic criterion, but also an important aspect of therapy. In the patient unit of the university clinic for psychiatry at Kortenberg (K.U. Leuven), which specialises in the treatment of anorexia nervosa, a great deal of attention is given to body-image through the video confrontation technique. Video recordings are made of each patient on her arrival and departure. The recordings are shown to the patient and her group and discussed afterwards. It is expected that such confrontations will improve the attitude of the patient towards her own body. In order to evaluate these possible changes, the therapist fills out questionnaires at the start and the end of the program. The results of this method are analysed in this article.

Adolescent↗

Caffeine, estradiol, and progesterone interact with human CYP1A1 and CYP1A2. Evidence from cDNA-directed expression in Saccharomyces cerevisiae.

Heterologous expression of cytochrome P-450 cDNAs in yeast is a potent instrument for the study of enzyme-specific parameters and can be used to answer questions with regard to substrate specificity as well as drug interaction in a background with no interfering activities. Two cDNAs of human CYP1A1 and CYP1A2 were expressed in yeast Saccharomyces cerevisiae, and microsomes of transformed strains contained substantial amounts of functional heterologous enzymes. Enzyme kinetics with 7-ethoxyresorufin as substrate resulted in KM values of 0.017 and 1.67 microM and Vmax values of 840 and 387 pmol/mg/min for CYP1A1 and CYP1A2, respectively. Both heterologous enzymes showed an overlapping substrate specificity pattern assayed with different phenoxazone ethers and caffeine. Caffeine was shown to be metabolized by CYP1A2 and CYP1A1. Both enzymes formed paraxanthine and minor amounts of theobromine; however, trimethyluric acid was exclusively formed by CYP1A1. The fact that theophylline was not formed by either enzyme anticipates the involvement of additional enzyme(s) in the primary metabolism of caffeine. Inhibition studies with caffeine, phenacetin, 17 beta-estradiol, and progesterone as inhibitors of the CYP1A1 and CYP1A2 catalyzed O-deethylation of 7-ethoxyresorufin suggest all compounds as possible substrates of CYP1A enzymes. 17 beta-estradiol inhibited CYP1A1-catalyzed paraxanthine and trimethyluric acid formation. In contrast 17 beta-estradiol did not inhibit CYP1A2-catalyzed formation of primary caffeine metabolites. These data clearly demonstrate the capacity of human CYP1A1 and CYP1A2 to metabolize caffeine. Furthermore, possible consequences of CYP1A enzyme inhibition by caffeine, phenacetin, 17 beta-estradiol, and progesterone will be discussed.

Alkylation↗