Biomedical subjects

Thomas Andersen

Publications and source records attributed to Thomas Andersen.

10 recordsLinked to original sources

PubMed2006

Evaluation of a Dallas Pain Questionnaire classification in relation to outcome in lumbar spinal fusion.

Several studies have suggested that psychosocial distress is an important predictor of negative outcome in lumbar spine surgery. Ozguler et al. [Spine 27:1783-1789, 2002, 18] described a classification tool for low back pain patients using the Dallas Pain Questionnaire (DPQ) which included a measure of distress. We wanted to evaluate the ability of this classification tool to predict the outcome in spinal fusion patients. Five hundred and sixty-six patients (239 men, 327 women; mean age 46, range 18-81) operated between 1992 and 2002, with a complete DPQ preoperatively and after a minimum of 1-year follow-up, were included. They were classified preoperatively and at follow-up into four groups: group 1 (slight disability), group 2 (intermediate disability), group 3 (major disability) and group 4 (major disability and emotional distress). Using logistic regression, seven predictor variables were investigated: age (-39 years/40-59 years/60+ years), Gender (male/female), Indication (spondylolisthesis/primary degeneration/secondary degeneration), Work status (working/without work or on sick leave/retired or pensioned), Duration of pain (less than 1 year/1-2 years/more than 2 years), Presence of radiating pain (yes/no) and disability/distress [intermediate disability (group 1-2)/major disability (group 3)/major disability and distress (group 4)]. The outcome variable was disability at follow-up (low = group1 + 2/high = group 3 + 4). Preoperative classification was group 1, 1%; group 2, 14%; group 3, 37%; group 4, 48%. Variables found to predict high disability at follow-up were secondary degeneration Odds Ratio (OR) 1.61 (P=0.020), being retired/pensioned OR 3.48 (P<0.0005), age between 40-59 years OR 1.68 (P=0.011), belonging to group 3 OR 2.69 (P=0.003) or belonging to group 4 OR 5.53 (P<0.0005). The classification based on the DPQ were able to identify lumbar spinal fusion patients with a considerable amount of psychological distress in their symptomatology. Furthermore, the presence of distress, as determined by this classification, was a highly significant risk factor for inferior outcome.

Adolescent↗

PubMed2004

Temperature-programmed packed capillary liquid chromatography coupled to evaporative light-scattering detection and electrospray ionization time-of-flight mass spectrometry for characterization of high-molecular-mass hindered amine light stabilizers.

High-molecular weight-hindered amine light stabilizers (HMW-HALSs) are of utmost importance in modern polyolefin stabilization technology and in-depth knowledge about their chemical composition, particularly the oligomers, is essential for development of new and more efficient stabilizers. In the present study, the applicability of temperature-programmed packed capillary LC coupled to miniaturized ELSD and positive mode ESI-TOF-MS for analysis of HMW-HALSs is demonstrated through extensive characterization of two state-of-the-art stabilizers, i.e., HALS-1 and HALS-2. Both stabilizers were individually separated on a 320 microm i.d. x 35 cm long Hypersil 3 microm ODS-100 column using a temperature program from 30 to 120 degrees C and a quaternary mixture of ethylacetate, acetonitrile, triethylamine (TEA) and acetic acid (45.0:44.9:10.0:0.1 (v/v/v/v)) as the mobile phase. The effect of using various amounts of ethylacetate, acetonitrile and triethylamine in the mobile phase on the chromatographic separation is demonstrated. Furthermore, the LC-ESI-TOF-MS analyses revealed that HALS-1 (oligomeric) was highly complex and consisted of at least five different mass series, while HALS-2, which was assumed to be monomeric, contained two different mass series. Chemical structures for nearly all species of both stabilizers are proposed.

Amines↗

PubMed2004

Isoelectric point separation of proteins by capillary pH-gradient ion-exchange chromatography.

In the present work, isoelectric point (pl) separation of proteins by pH-gradient ion-exchange chromatography (IEC) on packed capillary columns is demonstrated. The development of a miniaturized flow-through pH probe for reliable pH monitoring of the column effluent, which was an important technical challenge for adapting this technique to capillary dimensions, was solved by designing a low microliter per minute flow rate housing to a commercially available micro pH probe. Highly linear outlet pH-gradients within the pH range 8.5-4.0 were obtained when applying simple inexpensive buffers consisting solely of piperazine, N-methylpiperazine and imidazole on 10 cm x 0.32 mm i.d. fused silica capillaries packed with anion-exchange poly(styrene divinylbenzene)-based macroporous materials, i.e. 10 microm Mono P from Amersham Biosciences and 10 microm PL-SAX from PolymerLabs. Furthermore, when using a pH-gradient from 6.8 to 4.3, both columns were able to baseline separate the A and B genetic variants of beta-lactoglobulin, which differ with two amino acid residues only, but the PL-SAX column provided almost a two-fold decrease in peak widths compared to the Mono P column. The influence of varying the buffer concentration, injection volume and column temperature on the peak widths and resolution of the beta-lactoglobulins was investigated, e.g. a 100 microl sample of dilute beta-lactoglobulins was injected directly on the column with practically no increase in peak width as compared to what obtained with conventional injection volumes. Finally, a pH-gradient from 6.8 to 4.3 was used to separate proteins in skimmed bovine milk on the PL-SAX column. The milk was simply diluted 1:10 (v/v) with water and filtrated before injection.

Chromatography, Ion Exchange↗

PubMed2004

Studies on the long-term thermal stability of particulate and monolithic poly(styrene-divinylbenzene) capillaries in reversed-phase liquid chromatography.

In the present study, the long-term high-temperature (>80 degrees C) and temperature programming stability of fused silica capillaries packed with 5 microm PLRP-S 300 A and monolithic PS-DVB capillaries (both 180 microm id x 6 cm) under reversed-phase conditions has been examined. In isothermal mode, the columns were defined as temperature-stable when a less than 10% change in apparent retention factors (k) and a less than 20% change in "retention time/peak width"-factors (n) of the probe solutes (proteins) were observed after passing 7,500 void volumes of effluent through the columns (about 100 h operation). According to these criteria, the PLRP-S and monolithic capillaries were defined temperature-stable at 100 and 130 degrees C, respectively. Furthermore, when continuously running temperature programs between 50 degrees C and the upper temperature limit determined in isothermal mode, virtually no change in k or n were observed on neither of the columns after running more than 35,000 void volumes or 1,600 temperature programs. Additionally, temperature-programmed reversed-phase separations of proteins on both types of capillaries are demonstrated and discussed.

Journal Article↗

PubMed2004

Alcohol and other drug use among students in Greenland--a comparison between some 1999 and 2003 ESPAD data.

OBJECTIVES: Smoking and drinking habits among young people are of great concern in Greenland. The Home Rule government has through the Department of Prevention (PAARISA) carried out several campaigns to highlight the risks of smoking and drinking alcohol. To monitor the changes in these habits Greenland has participated in the European Survey Project on Alcohol and Drugs (ESPAD) in 1999 and 2003. The objective of this article is to make some preliminary comparisons between the 1999 and 2003 survey results on smoking and drinking alcohol. STUDY DESIGN/METHODS: The survey population in both the 1999 and 2003 surveys are all students in the 9th, 10th and 11th grade (persons between 14 and 16 years old). Hence the surveys include students born in 1982-84 and 1986-88, respectively. The ESPAD questionnaire focuses on alcohol and other drug use, but it also includes questions on lifestyle, relations to family and friends and the students' perception of their living conditions. Only answers from respondents born in 1983-84 and 1987-88 and only questions on smoking and drinking habits are analysed in this article. RESULTS/CONCLUSION: Smoking and alcohol drinking among students aged 14-16 years has been decreasing from 1999 to 2003 measured by use during the last 30 days. The same trends cannot be found in students' use of marijuana/hashish and sniffing different substances.

Adolescent↗

PubMed2003

Mesoporous polybutadiene-modified zirconia for high-temperature packed capillary liquid chromatography: column preparation and temperature programming stability.

In the present study, three different methods for packing of 3 microm PBD-ZrO2 particles in 0.5 mm i.d. glass-lined stainless steel columns have been examined. The two first methods were based on a traditional downstream high-pressure technique using tetrachloromethane (Method I) or aqueous Triton X-100 (Method II) as slurry solvents, while Method III was an upstream high-pressure flocculating method with stirring, using isopropanol both as the slurry and packing solvent. Method I was found to be superior in terms of efficiency, producing 0.5 mm i.d. x 10 cm columns with almost 90,000 plates m(-1) for toluene (R.S.D. = 8.7%, n = 3), using a slurry concentration of 600 mg ml(-1), ACN-water (50:50 (v/v)) as the packing solvent and a packing pressure of 650 bars. For Method I, the slurry concentration, column i.d., column length and initial packing pressure were found to have a significant effect on column efficiency. Finally, the long-term temperature stability of the prepared columns was investigated. In isothermal mode, using ACN-20 mM phosphate buffer, pH 7 (50:50 (v/v)) as the mobile phase, the columns were found to be stable for at least 3,000 void volumes at 100 degrees C. At this temperature, the solute efficiencies changed about 5-18% and the retention factors changed about 6-8%. In temperature programming mode (not exceeding 100 degrees C), on the other hand, a rapid decrease in both column efficiency and retention factors was observed. However, when the columns were packed as initially described, ramped up and down from 50 to 100 degrees C for 48 h and refilled, fairly stable columns with acceptable efficiencies were obtained. Although not fully regaining their initial efficiency after refilling, the solute efficiencies changed about 19-28% (32-37%) and the retention factors changed about 4-5% (13-17%) after running 3,000 (25,000) void volumes or 500 (3,900) temperature programs.

Butadienes↗

PubMed2003

High-temperature liquid chromatography.

The present state of the active use of elevated temperatures in liquid chromatography is reviewed, including the effects on retention, selectivity and efficiency. Separations in aqueous mobile phases as well as non-aqueous media are discussed, with particular emphasis on narrow-bore columns.

Chromatography, Liquid↗

PubMed2003

Pain 5 years after instrumented and non-instrumented posterolateral lumbar spinal fusion.

Pain drawings have been used in spine surgery for diagnostic use and psychological evaluation of fusion candidates; they have rarely been used to evaluate pain status after spinal fusion. This study is a 5-year follow-up on a randomised clinical trial assigning patients to posterolateral spinal fusion with or without pedicle screw instrumentation. Patients were mailed a pain drawing and questionnaires including questions regarding work, social status, smoking status, the Dallas Pain Questionnaire (DPQ), and the Low Back Pain Rating Scale (LBPRS). Pain drawings were scored using a visual inspection method and a surface-based point scoring and evaluated for the presence of donor site pain. Pain drawings from 109 patients (87% of the initially included patients), 56 men and 53 women, mean age at follow-up 51 years, were analysed. Fifty-three patients had undergone an instrumented fusion and 56 a non-instrumented fusion. Some presence of low back pain was marked by 79% and leg pain by 69%. Sixty-two percent of the pain drawings were classified as "organic" and 38% as "non-organic". There was no difference between the instrumented and the uninstrumented group. DPQ and LBPRS scores were higher in the non-organic group ( P=0.007). Using the point scoring, no difference between the instrumented and the uninstrumented group was seen. The results of the point scoring were found to correlate with the DPQ and LBPRS scores ( P=0.001). Working patients (39%) had significantly better scores than the rest. Ten percent of the patients had donor site pain. Twenty percent of spinal fusion patients are totally pain free at 5-year follow-up. Ten percent still experience donor site pain. In general, instrumentation does not affect the amount and localisation of pain 5 years after lumbar spinal fusion surgery. The pain drawing seems to be a valuable tool when following spinal fusion patients, but its use as prognostic marker in connection with fusion surgery needs further investigation.

Bone Transplantation↗

PubMed2003

A new method to correlate histology with biomechanical properties in urethral tissue. An in-vitro study using light microscopy and scanning acoustic microscopy.

When surveying the classical biomechanical theory of flow and resistance, the passive elastic properties of the urethra seems to be important for the transport of urine though the urethra. The aim of this study was to show that scanning acoustic microscopy (SAM) is a suitable methodology for investigating elastic properties of the urethra, and that it can be used to correlate elastic properties to histological areas. One 40 kg female pig and one 2 kg male rabbit comprised the material. A SAM2000 was used at a working frequency of 1000 MHz. Sections of nominal 3 micrometer thickness fixed urethral tissue were prepared for SAM and stained for light microscopy. The histological layers of the urethra were evident in the SAM image, and showed highly variable values of elastic properties. The layers seen with SAM correlated well with those seen with light microscopy. In conclusion, we have provided the first images of the microelastic properties of the urethra and correlated them to histology.

Animals↗

PubMedDate not supplied

In vitro osteoblast proliferation as a predictor for spinal fusion mass.

BACKGROUND CONTEXT: The biological factors determining a successful spinal fusion have not yet been fully determined. PURPOSE: To determine the influence of graft cell vigor on fusion rate and fusion mass using in vitro osteoblast proliferation as a predictor. STUDY DESIGN: Animal study randomizing to posterolateral fusion with autograft with or without pedicle-screw instrumentation. PATIENT SAMPLE: Twenty adult Göttingen mini-pigs. OUTCOME MEASURES: Fusion rate measured both with X-ray and computed tomography (CT) as well as amount of fusion mass determined with three-dimensional CT. METHODS: Animals underwent posterolateral fusion with autograft either with or without pedicle-screw instrumentation. Additional graft was harvested for osteoblastlike cell culture. Cells were counted after 3 weeks, and their proliferative capacity was correlated to fusion rate and fusion amount. RESULTS: Cell count was significantly higher in the fused animals (p<.011). Furthermore, a tendency toward a positive correlation to fusion mass amount was observed (p<.091). CONCLUSIONS: The achievement of a solid spinal fusion using autograft is related to properties of the bone-forming cells in the graft and fusion bed. Most likely it is the number of cells and not their proliferative capacity that is the most important factor.

Animals↗