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A Brand

Publications and source records attributed to A Brand.

At least 19 recordsLinked to original sources
PubMed1995

Occurrence of allogeneic HLA and non-HLA antibodies after transfusion of prestorage filtered platelets and red blood cells: a prospective study.

The incidence and consequences of HLA and non-HLA immunization were evaluated in 229 patients with aplastic thrombocytopenia. All patients were transfused with prestorage filtered red blood cells and platelets. On admission, 29 patients presented with HLA antibodies due to prior immunization by pregnancy and/or blood transfusions. Of the 200 patients showing no detectable HLA antibodies on admission, 164 could be evaluated. HLA antibodies developed in 2.7% (3 of 112) of the patients with a negative risk history of prior immunization. The occurrence of HLA antibodies in patients with a history of previous pregnancies or prior non-leukocyte-depleted blood transfusions (risk history positive) was 31% (16 of 52). Of the total of 48 patients who were or became alloimmunized, 92% (44 of 48) had a positive risk history. Ten patients with broad multispecific HLA antibodies with a panel reactivity (PRA) of greater than 70% required transfusions with HLA-matched platelets. Patients with HLA antibodies with lower PRA could be supported by random donor platelets. Two patients developed platelet-specific antibodies, causing transfusion refractoriness that necessitated selecting platelets by the absence of a platelet-specific antigen. Using prestorage leukocyte depletion of red cells and platelets with less than 5 x 10(6) residual leukocytes, 95% of the patients, including patients with a previous risk history or with HLA antibodies with low PRA, can be supported with random donor transfusions for the entire duration of their thrombocytopenic periods.

Abdominal Pain↗
PubMed1995

[Production management on dairy farms: the road to the future].

In this paper the developments in the field of bovine herd health and production management are illustrated. The current use of herd health and production management methods in veterinary practices are illustrated, and a uniform concept for execution of herd health and production management programs is given. The expected future developments and the critical points in these developments are discussed. The changing role of the veterinarian in bovine practice with the application of herd health is outlined.

Animals↗
PubMed1995

Leukocyte depletion of random single-donor platelet transfusions does not prevent secondary human leukocyte antigen-alloimmunization and refractoriness: a randomized prospective study.

We studied the value of leukocyte depletion of platelet transfusions for the prevention of secondary human leukocyte antigen (HLA)-alloimmunization in patients with a high-risk of prior immunization induced by pregnancies. Seventy-five female patients with hematologic malignancies (mostly acute leukemia) and a history of pregnancy were randomized to receive either standard random single-donor platelet transfusions (mean leukocytes, 430 x 10(6) per transfusion) or leukocyte-depleted random single-donor platelet transfusions. Leukocyte depletion to less than 5 x 10(6) leukocytes per platelet transfusion (mean leukocytes, 2 x 10(6) per transfusion) was achieved by filtration. Of the 62 evaluable patients, refractoriness to random donor platelets occurred in 41% (14 of 34) of the patients in the standard group and in 29% (8 of 28) of the patients in the filtered group (P = .52); anti-HLA antibodies developed in 43% (9 of 21) of individuals in the standard group and 44% (11 of 25) of cases in the filtered group. The time toward refractoriness and development of anti-HLA antibodies was similar for both groups. We conclude that leukocyte depletion of random single-donor platelet products to less than 5 x 10(6) per transfusion does not reduce the incidence of refractoriness to random donor platelet transfusion because of boostering of anti-HLA antibodies.

Adult↗
PubMed1995

Changes in organic solutes, volume, energy state, and metabolism associated with osmotic stress in a glial cell line: a multinuclear NMR study.

Diffusion-weighted in vivo 1H-NMR spectroscopy of F98 glioma cells embedded in basement membrane gel threads showed that the initial cell swelling to about 180% of the original volume induced under hypotonic stress was followed by a regulatory volume decrease to nearly 100% of the control volume in Dulbecco's modified Eagle's medium (DMEM) but only to 130% in Krebs-Henseleit buffer (KHB, containing only glucose as a substrate) after 7 h. The initial cell shrinkage to approx. 70% induced by the hypertonic stress was compensated by a regulatory volume increase which after 7 h reached almost 100% of the control value in KHB and 75% in DMEM. 1H-, 13C- and 31P-NMR spectroscopy of perchloric acid extracts showed that these volume regulatory processes were accompanied by pronounced changes in the content of organic osmolytes. Adaptation of intra- to extracellular osmolarity was preferentially mediated by a decrease in the cytosolic taurine level under hypotonic stress and by an intracellular accumulation of amino acids under hypertonic stress. If these solutes were not available in sufficient quantities (as in KHB), the osmolarity of the cytosol was increasingly modified by biosynthesis of products and intermediates of essential metabolic pathways, such as alanine, glutamate and glycerophosphocholine in addition to ethanolamine. The cellular nucleoside triphosphate level measured by in vivo 31P-NMR spectroscopy indicated that the energy state of the cells was more easily sustained under hypotonic than hypertonic conditions.

Animals↗
PubMed1995

Bovine respiratory syncytial virus antibodies in non-bovine species.

To study the role of non-bovine species in the epidemiology of bovine respiratory syncytial virus (RSV) infections, sera obtained from 9 non-bovine animal species and from humans were examined for bovine RSV specific antibodies. Sera were mainly from animals and humans which had been in contact with cattle. Forty sera of each species were tested in an RSV specific whole virus ELISA as well as in a peptide based ELISA, that was developed to measure antibodies specific for bovine RSV. Antibodies directed against RSV were detected in over 50% of sera obtained from sheep, goat, cattle and human beings, and anti-RSV activity was also found in some roe and dogs and one horse. Antibodies to bovine RSV were found in sera of all tested cattle, 11 (27.5%) goats and in some other individual animals: 3 horses, 2 roe, 1 cat and 1 dog. These results indicate that of the investigated species, besides cattle only goats might play a role in the epidemiology of bovine RSV.

Amino Acid Sequence↗
PubMed1995

Antibodies against p53 are associated with poor prognosis of colorectal cancer.

Mutation of the p53 gene is a common event in colorectal cancer. This alteration can result in cellular accumulation of p53 and may also induce p53 antibodies. Accumulation of p53 in tumour cells has been associated with poor prognosis of colorectal cancer. We tested preoperative sera from 255 patients with colorectal cancer by enzyme-linked immunosorbent assay (ELISA). A total of 70.2% had reactivity that was higher than the 'low' control serum. Employing a cut-off level of 10% of the 'high' control sample, 25.5% of the patients were positive for p53 antibodies. The presence of p53 antibodies correlated with the following prognostic factors: histological differentiation grade, shape of the tumour, and tumour invasion into blood vessels. Patients with p53 antibodies were shown to have decreased survival and decreased disease-free survival. Specifically for patients with cancer stage A and B1 the presence of p53 antibodies selected a subgroup with poor prognosis.

Antibodies, Neoplasm↗
PubMed1995

Adjuvant high-dose intravenous gammaglobulin in the treatment of pemphigus and bullous pemphigoid: experience in six patients.

At present, initial high-dose prednisone is the treatment of choice for patients with pemphigus and bullous pemphigoid. To reduce the risks associated with long-term corticosteroid treatment, other immunosuppressants are often given as steroid-sparing agents. Occasionally, the dose of steroids cannot be reduced. In this study, we report six patients with pemphigus vulgaris, pemphigus foliaceus and bullous pemphigoid, in whom the daily corticosteroid dose could only be tapered to acceptable, effective, maintenance levels following treatment with high-dose intravenous gammaglobulin.

Adult↗
PubMed1995

The differentiation of Staphylococcus aureus from other Micrococcaceae isolated from bovine mammary glands.

Haemolysin production, the slide coagulase test and the tube coagulase test were assessed for their capability to differentiate Staphylococcus aureus among other Micrococcaceae in 199 isolates from udders of cows in herds with a low bulk milk somatic cell count. The API-Staph test was used as a reference. Haemolysin production was less effective in identifying Staph. aureus among Micrococcaceae than a combination of other tests. Differences were found in the predictive values of results from diagnostic protocols in which the slide coagulase test was performed on all Micrococcaceae, or on beta-haemolysin-negative Micrococcaceae only. Diagnostic protocols in which haemolysin production was combined with the results of the other tests resulted in excellent diagnostic performance and a reduction in diagnostic procedures. Recommendations for routine Staph. aureus identification in bovine mastitis bacteriology are given.

Animals↗
PubMed1995

Diagnostic value of GM1 antibodies in motor neuron disorders and neuropathies: a meta-analysis.

We performed a meta-analysis on the diagnostic value of IgM anti-GM1 antibodies. The reported frequencies of IgM anti-GM1 antibodies ranged from 0 to 100% for patients with multifocal motor neuropathy (MMN), from 0 to 33% in the Guillain-Barré syndrome, from 0 to 65% in amyotrophic lateral sclerosis (ALS), from 0 to 77% in chronic inflammatory demyelinating neuropathy, and from 0 to 81% in lower motor neuron disease (LMND). However, using funnel graphs and a chi-square test we determined that the method of ELISA was the most important factor explaining these differences. After allowing for two factors--the use of detergent and the duration and temperature of serum incubation-studies became homogeneous in all but the LMND group of method A (no detergent, duration of serum incubation 5 hours) and the ALS group of method B (no detergent, duration of serum incubation at least 12 hours [overnight]). Since the anti-GM1 antibody assay serves to confirm clinical suspicion of MMN rather than to exclude the disease, specificity is more important than sensitivity. ELISA methods that do not use detergent and that incubate serum overnight resulted in a specificity of 90% and sensitivity of 38% in the comparison of MMN and LMND. With these values we calculated incremental ruling-in and ruling-out gain curves. Prior probabilities between 20 and 60% for having MMN changed to post-test probabilities between 50 and 85%, which is of clinical importance. In conclusion, ELISA is a useful diagnostic test to demonstrate IgM anti-GM1 antibodies provided the methods do not use detergent and do incubate serum overnight.

Antibodies↗
PubMed1995

Detection of subclinical mastitis from on-line milking parlor data.

A model, based on automatically collected data, was developed for detection of subclinical mastitis. The logistic regression model was based on the following variables: milk electrical conductivity, milk production, parity, and DIM. Subclinical mastitis was defined as a minimal period of 1 wk in which the SCC was > 500 x 10(3) cells/ml. In contrast, periods were defined as healthy if the SCC was < 200 x 10(3) cells/ml. The resulting model had a sensitivity of 55% and specificity of 90% for individual milkings. For periods of 14 milkings, sensitivity was 54% and specificity 92% when the threshold for that period was > 6 electrical conductivity signals for high SCC. Based on these test characteristics, the model could be used as an initial screening tool in a herd with a high incidence of subclinical mastitis. Cows with a signal would have a higher probability of being diseased than the total population. In such herds, separation of milk from the signaled cows might be a possible management strategy to reduce the SCC in the bulk milk tank.

Animals↗
PubMed1995

Comparison of analysis techniques for on-line detection of clinical mastitis.

Three techniques were compared for analysis of automatically collected data from the milking parlor. Mammary quarters showing signs of clinical mastitis were compared with randomly selected healthy quarters. Automatic data were analyzed from the milking on which the milkers observed clinical mastitis as well as data from the two prior milkings. Electrical conductivity of milk was not corrected for individual cows. Milking parlor data were preprocessed so that information on the electrical conductivity pattern during a milking was retained. Principal component analysis was used to verify whether variation in the data was caused by mastitis. Performance of logistic regression models for detection of clinical mastitis was compared with that of backpropagation neural networks. Variation in the quarter data was caused by mastitis. Automatic data from infected quarters did not always differ from data from healthy quarters, especially from the two prior milkings. The detection performance of the logistic regression model was similar to that of the neural networks. When both models were tested on the development data, sensitivity was approximately 75%, and specificity was approximately 90% at the milking of mastitis observation. Detection results were lower for the prior milkings. Therefore, not all incidences of clinical mastitis cases could be detected before clinical signs occurred.

Animals↗
PubMed1995

A knowledge-based system for diagnosis of mastitis problems at the herd level. 1. Concepts.

Much specialized knowledge is involved in the diagnosis of a mastitis problem at the herd level. Because of their problem-solving capacities, knowledge-based systems can be very useful to support the diagnosis of mastitis problems in the herd. Conditional causal models with multiple layers are used as a representation scheme for the development of a knowledge-based system for diagnosing mastitis problems. Construction of models requires extensive cooperation between the knowledge engineer and the domain expert. The first layer consists of three overview models: the general overview conditional causal model, the contagious overview conditional causal model, and the environmental overview conditional causal model, giving a causal description of the pathways through which mastitis problems can occur. The conditional causal model for primary udder defense and the conditional causal model for host defense are attached to the overview models at the second layer, and the conditional causal model for deep primary udder defense is attached to the conditional causal model for the primary udder defense at the third layer. Based on quantitative user input, the system determines the qualitative values of the nodes that are used for reasoning. The developed models showed that conditional causal models are a good method for modeling the mechanisms involved in a mastitis problem. The system needs to be extended in order to be useful in practical circumstances.

Animals↗
PubMed1995

A knowledge-based system for diagnosis of mastitis problems at the herd level. 2. Machine milking.

A knowledge-based system for the diagnosis of mastitis problems at the herd level must search for possible causes, including malfunctioning milking machines or incorrect milking technique. A knowledge-based system on general mechanisms of mastitis infection, using hierarchical conditional causal models, was extended. Model building entailed extensive cooperation between the knowledge engineer and a domain expert. The extended knowledge-based system contains 12 submodels underlying the overview models. Nine submodels were concerned with mastitis problems arising from machine milking. These models are briefly described. The knowledge-based system has been validated by other experts after which the models were adjusted slightly. The final knowledge-based system was validated to data collected at 17 commercial dairy farms with high SCC in the bulk milk. Reports containing the farm data were accompanied by recommendations made by a dairy farm advisor. This validation showed good agreement between the knowledge-based system and the dairy farm advisors. The described knowledge-based system is a good tool for dairy farm advisors to solve herd mastitis problems caused by a malfunctioning milking machine or incorrect milking technique.

Animals↗
PubMed1995

The role of splenectomy in the treatment of relapsing thrombotic thrombocytopenic purpura.

Thrombotic thrombocytopenic purpura (TTP) is a serious disorder of unknown etiology. Clinical findings are the result of vascular occlusions by platelet aggregates. Treatment with plasma exchange, often used in combination with corticosteroids, vincristine, aspirin, and dipyridamole, has reduced mortality to 20%. Relapses may occur even after long disease-free intervals. In this report we describe our experience with splenectomy in patients with relapsing TTP. Between July 1978 and March 1994, 16 patients with TTP were treated in our hospital. Five of the 13 patients surviving the first episode of TTP had relapses. Most relapses were treated as the first episode of TTP with plasma exchange with fresh-frozen plasma, followed by plasma infusions, corticosteroids, and vincristine. Sometimes aspirin and dipyridamole were added. Splenectomy was performed after five relapses in the first two patients and after two and three relapses in the other patients. Before splenectomy the disease-free interval varied from 3 weeks to 27 months and the incidence rate of relapses was 1.5 relapse/patient/year. None of the patients had relapses after splenectomy. The mean follow-up after splenectomy is 39 months with a range of 9-62 months. We conclude that patients with relapsing TTP can benefit from splenectomy, since it seems to increase disease-free intervals. Further investigation is necessary to understand the role of the spleen in the pathogenesis of TTP.

Adult↗