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Biomedical subjects

P Rust

Publications and source records attributed to P Rust.

27 records · Page 2Linked to original sources

Mononuclear cell phenotypes in patients with psoriasis.

Mononuclear blood cells from 19 patients with psoriasis were stained with a panel of monoclonal antibodies which detect total T lymphocytes, their helper/inducer and suppressor/cytotoxic subsets and Ia-positive lymphocytes and monocytes. Fluorescence-positive cells were enumerated by cell flow cytometry. In these patients, percentages of all mononuclear cell studies were within reference range with few, sporadic exceptions. Statistical analysis of data showed no significant differences between patient values and reference values from a panel of 100 normal subjects.

Adult↗

Association between fluorescent antinuclear antibodies, capillary patterns, and clinical features in scleroderma spectrum disorders.

Antinuclear antibody and in vivo capillary patterns were studied in 33 patients with Raynaud's phenomenon only and in 68 patients with scleroderma spectrum disorders; the results were correlated with clinical and laboratory findings. In addition, antinuclear antibody results in the groups with Raynaud's phenomenon only and scleroderma spectrum disorders were compared with those found in 70 patients with systemic lupus erythematosus (SLE). Distinct antinuclear antibody profiles were observed in the three diagnostic groups. Comparison of patients with anticentromere antibodies with others in the group with scleroderma spectrum disorders demonstrated that anticentromere antibody-positive patients tended to have a milder disease: less skin and visceral involvement, less frequent presence of hypertension, anemia, and elevated sedimentation rate. These differences did not, however, reach statistical significance. Comparison of patients with scleroderma spectrum disorders according to in vivo capillary patterns revealed that those with an "active" pattern had significantly more extensive skin involvement than those with a "slow" pattern. Visceral involvement tended to be greater in all organ systems in the group with an "active" pattern and reached statistical significance for muscle and kidney. Hypertension was also significantly more frequent in the group with an "active" pattern than in the group with a "slow" one. The latter was positively correlated with the presence of anticentromere antibody.

Adolescent↗

Controlled trial of imipramine for chronic low back pain.

Chronic low back pain is a common problem that has been noted in several studies to exist as a component of masked depression. To determine the usefulness of imipramine in the treatment of chronic low back pain, either by a direct action or indirectly via resolution of a depressive equivalent, 50 consecutive patients were entered into a controlled trail that employed serum imipramine and desipramine levels and Beck depression questionnaires. Forty-one patients completed the study, and 48 were used in the statistical analysis. Imipramine had a statistically significant effect over placebo in most, but not all, of the clinical parameters that were measured. A linear relationship between serum drug levels and reported symptoms was not noted. Only 10 of the 50 patients entered into the study were judged clinically depressed and, of these, 7 were depressed according to standard criteria. There was no statistically significant difference noted in either the initial or the change in Beck depression scores between those on imipramine and those on placebo. However, among those on the active drug, the patients with a greater symptomatic response had a simultaneous change in the total Beck depression scores (toward less depression) that approached statistical significance when compared with those with a less symptomatic response. Although the results are not conclusive, imipramine may possibly be useful in the treatment of chronic low back pain, especially so when it exists as a component of masked depression.

Adult↗

Influence of patient characteristics on peritoneal clearances.

Few studies have explored how patient characteristics may influence clearances. We sought to determine if patient age, sex, size, renal disease, blood pressure, hematocrit, serum total proteins and albumin affected peritoneal clearances, drainage volumes or dialysate protein concentration. We found inulin clearances to be related to surface area and total serum proteins. Creatinine clearance was related to age, serum albumin and hematocrit. Sex, blood pressure or type of renal disease did not influence peritoneal clearances.

Adolescent↗

A comparison of peritoneal transport in patients with psoriasis and uremia.

Peritoneal solute equilibration studies during prolonged intraperitoneal dwell were performed in patients with psoriasis and normal renal function, and compared to patients with renal failure undergoing peritoneal dialysis. Calcium, phosphorous, uric acid and protein equilibration were faster in uremics. No differences were observed for sodium and chloride. Mass transfer area coefficients (a measure of the mass transfer at infinite dialysate flow rates) were calculated for glucose, protein and uric acid and found to be complimentary to the results obtained by studies of solute equilibration. Possible reasons for the differences obtained are discussed.

Adult↗

A method for estimating the prevalence of tuberculosis infection.

The prevalence of tuberculous infection in a population is generally estimated from calculating the proportion of tested individuals who react with at least 10 mm of induration to 5 TU of PPD-S tuberculin. Reactions due to infection with atypical mycobacteria, however, may cause the prevalence to be overestimated. This paper is concerned with an alternative method of estimating the prevalence of infection with Mycobacterium tuberculosis. The method utilizes population distributions of reaction size by dividing study populations into two groups--individuals with and without known exposure to tuberculosis. The mathematical model developed here removes the effect of atypical infections and provides a truer picture of tuberculous infection. Data from a Navy recruit population demonstrate the use of the model with the result that among recruits with no known exposure to tuberculosis, the estimated prevalence is reduced by about one-half. Among recuits with known exposure to tuberculosis, there is essentially no difference between the two methods. Important advantages in using this method are that probabilities of true infection by induration size are generated, and that itis less sensitive to variations caused by differences in reading techniques and in tuberculin potencies. Furthermore, it is applicable to other diseases if the underlying assumptions are met.

Epidemiologic Methods↗

Cancer mortality and the method of chlorination of public drinking water: St. Louis City and St. Louis County, Missouri.

St. Louis City and St. Louis County, Missouri share the same public drinking water source, namely the Missouri River. The 'all cancer' and most organ specific cancer mortality rates have been consistently and considerably higher for St. Louis City than for St. Louis County for the period 1960 through 1972. A change in the St. Louis County water treatment process, which included increasing the chlorine dosage and delaying the addition of ammonia to form chloramines until just prior to distribution, was instituted in 1955. St. Louis City has, by contrast, continued the lower chlorine level and early ammoniation. Trend analysis using the period 1960-67 and 1972-76 showed higher percentage as well as net cancer mortality rate per million increases for large bowel, liver and bladder cancers for St. Louis County. An apparent association between a probable increase in trihalomethane production in the St. Louis County water since 1955 and an increase in these specific cancer rates which exceed the increases in the St. Louis City rates appears to have been shown. This does not imply causality but is in general agreement with other studies which have examined water chlorination and cancer mortality.

Adult↗