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S Albert

Publications and source records attributed to S Albert.

13 recordsLinked to original sources

Partial angle inversion recovery (PAIR) MR imaging: spin-echo and snapshot implementation.

The effects of varying the inversion or excitation RF pulse flip angles on image contrast and imaging time have been investigated in IR imaging theoretically, with phantoms and with normal volunteers. Signal intensity in an IR pulse sequence as a function of excitation, inversion and refocusing pulse flip angles was calculated from the solution to the Bloch equations and was utilized to determine the contrast behavior of a lesion/liver model. Theoretical and experimental results were consistent with each other. With the TI chosen to suppress the fat signal, optimization of the excitation pulse flip angle results in an increase in lesion/liver contrast or allows reduction in imaging time which, in turn, can be traded for an increased number of averages. This, in normal volunteers, improved spleen/liver contrast-to-noise ratio (9.0 vs. 5.7, n = 8, p less than 0.01) and suppressed respiratory ghosts by 33% (p less than 0.01). Reducing or increasing the inversion pulse from 180 degrees results in shorter TI needed to null the signal from the tissue of interest. Although this decreases the contrast-to-noise ratio, it can substantially increase the number of sections which can be imaged per given TR in conventional IR imaging or during breathold in the snapshot IR (turboFLASH) technique. Thus, the optimization of RF pulses is useful in obtaining faster IR images, increasing the contrast and/or increasing the number of imaging planes.

Abdomen

Studies to determine the basis for hyperkalemia in recipients of a renal transplant who are treated with cyclosporine.

Hyperkalemia is commonly encountered in patients who receive a renal transplant and the immunosuppressive drug, cyclosporine. There is also a high incidence of hypertension (which is thought to be due to expansion of the extracellular fluid volume) and hyperchloremic metabolic acidosis in this group of patients. This constellation of findings led to the suspicion of the possibility that their basis might be type II hypoaldosteronism. To test this hypothesis, 12 patients with hyperkalemia (plasma K+, 5.1 +/- 0.2 mmol/L at the time of study) while receiving cyclosporine were studied. Patients who had diabetes mellitus, those receiving drugs known to cause hyperkalemia (e.g., beta blockers, angiotensin-converting enzyme inhibitors, K(+)-sparing diuretics), or those with a serum creatinine greater than 200 mumol/L were excluded. The renal response to hyperkalemia was inappropriate because the transtubular K+ concentration gradient (TTKG) was only 4.3 +/- 0.4 compared with a TTKG of 13 +/- 1, 2 h after 50 mmol of KCl was given to normal subjects. The TTKG, after administration of 200 micrograms of fludrocortisone, was still very low (5.6 +/- 0.6) in the patients compared with that of controls (12 +/- 1). After administration of 250 to 500 mg of acetazolamide to increase the delivery of bicarbonate to the distal nephron, the TTKG rose significantly to 11 +/- 1 in patients on cyclosporine, compared with 17 +/- 1 in the controls.(ABSTRACT TRUNCATED AT 250 WORDS)

Acetazolamide

[Cytomegalovirus diagnosis in blood donors and risk patients].

The transfusion transmitted CMV is a possibly dangerous complication of transfusion therapy in immunodeficient patients. We therefore investigated blood donors and patients at increased risk of CMV-infection for CMV-IgG-and-IgM-antibodies. The following CMV IgG and CMV IgM prevalence rates were observed: blood donors 63.7% (0.98%), organ donors 76.9% (0%), patients on hemodialysis 83.0% (17.0%) and drug abusers 57.7% (1.3%). We conclude from our results that CMV IgG testing is useful at every blood donation to provide a large pool of CMV negative blood donors.

Antibodies, Viral

[CMV antibody determination with two enzyme immunoassays in each case].

In each of the two present studies (Frankfurt blood donor center and blood bank of the university of Hamburg) two commercial enzyme immunoassay (EIA) test kits for detecting cytomegalovirus (CMV) antibodies were compared according to their concordance. In the Frankfurt study, 448 sera of blood donors and patients were tested for IgG- and IgM-specific antibodies by CMV-ELA Test (Medac); IgG-specific antibodies were tested in 3 serum dilutions (1:10, 1:100, 1:1000) of each sample, 221 sera were additionally assayed using the EIA of ABBOTT. Both methods showed the same results in 214/221 (96.8%) sera (p less than 0.001). The determination of CMV-IgG-specific antibody levels were as follows: Out of 294 seropositive individuals, titers greater than or equal to 1:1000 were seen in 81% (238). IgM antibodies to CMV were determined in 22/448 serum specimen, which all had IgG antibodies too; there were 18/22 (81.8%) samples with elevated titers for CMV-IgG (greater than or equal to 1:1000). In the second study, 500 sera of blood donors from Hamburg were tested for CMV-IgG antibodies by two enzyme immunoassays, CMV-IgG-ELA (Medac) and Anti-CMV-IgG-ELISA (Biotest). The results were concordant in 418 (83.6%) of the 500 samples (p less than 0.01). All EIA procedures were found to be convenient test methods for CMV antibody screening and the results showed significant correlations. Furthermore, the determination of CMV-IgG-specific antibodies seems to be sufficient for routine CMV screening in blood donor centers.

Antibodies, Viral

[Significance of cytomegalovirus in blood donation].

The subjects of the present study are diagnostic and epidemiologic aspects in the determination of serum antibodies to cytomegalovirus in blood donors, organ donors, dialysis patients and drug addicts (some of whom were HIV-positive); antibodies were determined using the ELA-Test (CMV-IgG ELA and CMV-IgM-ELA). 221 sera were additionally assayed using the CMV total AB EIA which has been used in the Frankfurt blood center since May 1985 for CMV antibody screening of blood donors: both enzyme immunoassays showed the same results in 214 sera (96.8%), which shows a high rate of correlation (requiv = 0.99, p less than 0.001). The groups were found to be CMV antibody positive as follows: blood donors 65/102 (63.7%), organ donors 10/13 (76.9%), dialysis patients 88/106 (83.0%), drug addicts 131/227 (57.7%), and HIV-antibody-positive drug addicts 17/31 (54.8%). There was a significant statistical difference between blood donors and dialysis patients (p less than 0.01); the difference between blood donors and drug addicts was also statistically significant when age was considered (p less than 0.001). There was no statistical significance in the distinction between HIV-negative and HIV-positive drug addicts. IgM-specific antibodies were found in 1/102 (0.98%) blood donors, 18/106 (17.0%) dialysis patients and 3/227 (1.3%) drug addicts, whereas in organ donors no IgM-specific antibodies were determined. The seropositivity rate of a Frankfurt group of regular blood donors (n = 1826) was 55.5%.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent

Cytomegalovirus infection of the alimentary canal: radiologic findings with pathologic correlation.

A spectrum of radiologic findings in cytomegalovirus (CMV) infection of the alimentary canal seen in 14 patients and correlated with pathologic examinations is described. Twelve patients had acquired immunodeficiency syndrome and two had no identified immunosuppression. Autopsies were performed on 12. Diffuse CMV colitis was present in eight patients, enteritis in seven, esophagitis in four, gastritis in two, cholangitis in one, and acute pancreatitis in one. Of 11 patients with enteritis and/or colitis seven had significant lower gastrointestinal bleeding and five died as a result of it. Radiologic findings in the gastrointestinal tract included superficial or deep mucosal ulcerations, perforation or fistula formation, luminal narrowing, rigidity and thickening of the intestinal wall, and inflammatory infiltration of the mesentery. These were seen on barium examinations and computed tomographic (CT) scans. Findings of pancreatitis were seen on CT scans in one patient. In another, a cholangiogram showed abnormal bile ducts caused by CMV cholangitis. The radiologist should be aware of the diverse manifestations of the disease and its likely occurrence in immunosuppressed individuals.

Acquired Immunodeficiency Syndrome

Noncancer deaths in cancer and noncancer lineages.

Starting with white probands who were potential milk donors in a program of human milk collection, a series of 2411 family health histories were obtained of the first degree relatives of the probands' parents. A lineage is defined as the parents and siblings of a parent of the proband as well as the parent. 2090 cancers were identified in the 31,939 people. Of the 21,712 persons without cancer in the parents' generation, age-specific death rates were significantly higher in those lineages with at least one cancer. This was true in infants, children and adults for both males and females (p less than 0.001). Cancer may be linked to other morbid conditions by a commonality of heredity, family environment, or perhaps both as necessary antecedents--neither sufficient by itself.

Adolescent

Familial cancer in the general population.

In the course of collecting samples of human milk for the National Cancer Institute, family histories have been assembled since 1971. Ages, causes of death, reproductive histories, and the history and age of occurrence of cancer were obtained for all first degree relatives of the proband's parents. Two thousand and ninety cancers were identified in 31,945 persons. Cancers were confirmed by pathology reports, hospitals' and doctors' records, or death certificates. Of the family lineages, 65.9% had no cancers and 8.0% had two or more. For all cancers taken together, clustering was not significant but there was significantly more observed than expected cancers in lineages with cancer of breast, ovary, skin, corpus uteri, stomach, rectum, lung and bronchus, or colon. Little or no excess was observed in lineages with leukemia, lymphoma, and cancer of the cervix or prostate. The relative risk of breast cancer was increased 1.5 times for daughters and 3.8 times for sisters of women with the disease.

Breast Neoplasms

Adjunct hospital emergency toxicology service. A model for a metropolitan area.

A feasibility demonstration with a gas chromatograph/mass spectrometer/computer system (GC/MS) was initiated to provide a 24-hour (seven days/week) adjunct emergency toxicology service to the hospitals in the tricounty area comprising Metropolitan Detroit. During June 1, 1974, to April 1, 1975, more than 85 different drugs and other agents were identified in the body fluids of approximately 1,000 victims of accidental or deliberate poisonings. At least one toxic substance was identified in 57% of the cases, and the presence of two or more drugs was established in one of five (19%) of the victims. This study indicates that a centrally located GC/MS/computer system can provide an effective adjunct emergency toxicology service for an entire metropolitan community and thereby provide guidelines for a prompt and rational therapy.

Accidents, Home

Six enteropathogens isolated from a case of acute gastroenteritis.

Isolation of six different gastrointestinal pathogens (Entamoeba histolytica, Plesiomonas shigelloides, Campylobacter jejuni and three different Salmonella species [Salmonella typhimurium, Salmonella blockley and Salmonella hadar]) in the feces of a German female tourist suffering from acute diarrhoea after a trip to Bali.

Acute Disease