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Biomedical subjects

A L Frank

Publications and source records attributed to A L Frank.

At least 55 records · Page 3Linked to original sources

Liver disease following occupational exposure to 1,1,1-trichloroethane: a case report.

A patient with a progressive liver disease whose job involved substantial exposure to 1,1,1-trichloroethane (TCE) was seen. A comprehensive work-up ruled out nonoccupational etiologies for his liver condition. Neither the patient's history nor his liver histology suggested alcoholic cirrhosis. Removal of the patient from exposure to TCE led to significant improvement of his impaired liver function over a 3-month period. We conclude that this was a case of occupational liver disease induced by chronic exposure to TCE. This report joins other reports concerning hepatotoxicity of TCE which is considered the least toxic among the halogenated hydrocarbon solvents.

Adult↗

HZE beam transport in multilayered materials.

A nonperturbative analytic solution of the high charge and energy (HZE) Green's function is used to implement a computer code for laboratory ion beam transport in multiple-layered materials. The code is established to operate on the Langley nuclear fragmentation model used in space engineering applications. Computational procedures are established to generate linear energy transfer (LET) distributions for a specified ion beam and target for comparison with experimental measurement. Comparison with 56Fe ion with Pb-Al and Pb-(CH2)x targets shows reasonable agreement.

Aluminum↗

Comparison of the safety and immunogenicity of acellular (BIKEN) and whole-cell pertussis vaccines in 15- to 20-month-old children.

OBJECTIVE: To compare the immunogenicity and reactogenicity of a two-component acellular pertussis vaccine (BIKEN) with whole-cell diphtheria and tetanus toxoids and pertussis vaccine (WC-DTP) when administered to children aged 15 to 20 months. DESIGN: A randomized, double-blind study. SETTING: Children in this study were from 12 general pediatric practices (11 were private and one was university-affiliated) and one inner-city university pediatric clinic. PARTICIPANTS: Two hundred forty-six children aged 15 to 20 months who had received a three-dose primary series of standard WC-DTP vaccine during infancy. SELECTION PROCEDURES: Children were randomly assigned to receive either WC-DTP or one of three lots of acellular diphtheria and tetanus toxoids and pertussis vaccine (DT-aP) in a 1:3 ratio at the 11 private practices and in a 1:1 ratio at the university-affiliated practice and inner-city university pediatric clinic. INTERVENTIONS: The DT-aP vaccines contained 23.4 micrograms each of pertussis toxin and filamentous hemagglutinin per 0.5 mL and the same concentrations of diphtheria and tetanus toxoids as WC-DTP. Serum samples were obtained on the day of immunization and 4 to 6 weeks later. Adverse reactions at 6, 24, 48, and 72 hours were recorded by parents who were contacted by telephone at 24 and 72 hours and 14 days after immunization. MEASUREMENTS/MAIN RESULTS: An indirect enzyme-linked immunosorbent assay method was used to determine IgG antibody response to pertussis toxin and filamentous hemagglutinin and IgG, IgA, and IgM to tetanus toxoids; a Chinese hamster ovary cell assay was used to measure functional antibodies to pertussis toxin; serum neutralization on VERO cells assayed diphtheria anti-toxin. Recipients of the DT-aP vaccine had fewer local reactions in the first 6 to 48 hours and fewer systemic reactions at 24 hours than did recipients of the WC-DTP vaccine. Acetaminophen was administered to 31% of DT-aP recipients compared with 63% of WC-DTP recipients. Infants given DT-aP had higher geometric mean antibody titer levels against pertussis antigens after vaccination. CONCLUSION: The BIKEN DT-aP vaccine used in this study is less reactogenic and more immunogenic for selected pertussis antigens than the WC-DTP vaccine in children aged 15 to 20 months.

Antibody Formation↗

Arsenic poisoning in central Kentucky: a case report.

A recent case of chronic arsenic intoxication due to prolonged accidental ingestion of a commercially available crabgrass killer illustrates one of the more common etiologies of present day arsenic poisoning. A review of 20 years of arsenic poisoning at the University of Kentucky (21 cases) revealed no cases attributable to an industrial source. A tabulation of the 21 most recent cases is included.

Adolescent↗

An in vivo evaluation of Endex electronic apex locator.

Because of technical problems and hazards of radiation, dentists have desired alternative ways to determine the working length during root canal therapy. Attention has turned to electronic devices for measuring root canal length. Several such devices are now available. They show promise but their accuracy is hampered because moisture in the root canal can result in inaccurate responses. Recently, a new device, Endex, has been introduced, claiming ease of operation and accuracy in moist environments. Ten operators used the Endex to measure 185 root canal lengths (in 99 teeth). Endex measurements were compared with radiographic measurements. The Endex located the apical constriction accurately within +/- 0.5 mm in 89.64% of moist canals.

Adolescent↗

Survival of the endodontic endosseous implant.

The endodontic endosseous implant (EEI) enjoyed wide use in the United States after it was introduced in the 1960's. For various reasons including incorrect case selection, improper use of the materials, and poor preparation for the implant a high number of failures resulted. Following opposition by some members of the dental community, the procedure fell into disuse. The authors of this article had treated a number of cases with the endodontic endosseous implant from 1965 to 1975, many of which did fail. However, we have noted some remarkable very long-term successes with the technique, two of which are presented here. We suggest that the endodontic endosseous implant should not be discarded totally, but, with further research to improve the materials and technique, it still may be used in carefully selected cases.

Adolescent↗

Global problems from exposure to asbestos.

Considerable human-derived data the health consequences of asbestos exposure are available. Usually, less information is available from laboratory models of asbestos-related health effects. Animal data mirror the experience in man, and cellular studies help in to understand the mechanistic changes related to asbestos. Although it is clearly carcinogenic, asbestos has shown much variability when examined for its mutagenic activity. Asbestos, a commercial term referring to a family of six naturally occurring mineral fibers, has been widely used around the world. Disease has been recognized into the last century, and at this time every occupational group that has been examined for possible asbestos-related disease has demonstrated it. Disease associated with asbestos makes no distinction based on race or geography, and wherever asbestos is handled it produces disease. With shifting global commercial patterns, disease patterns can be expected to shift also.

Animals↗

Pre-operative staging of colorectal carcinoma using positron emission tomography.

Positron emission tomography (PET) is a unique technique for imaging functional metabolism of normal and diseased tissue. Accelerated rate of glucose metabolism typical of malignant tumor cells can be detected by using fluorine-18 deoxyglucose. In this pilot study, PET FDG imaging was compared to computerized tomography for the pre-operative staging of colorectal carcinoma. We prospectively evaluated 16 patients by simultaneously performing PET FDG and CT imaging for lesions in the liver, colon and rectum. The results were compared to the operative findings in all patients. Twenty tumor sites (lymph nodes 5, colon and rectum 13, liver 2) were found on histology in 16 patients. On comparison with histology, sensitivity, specificity and predictive accuracy for detection of tumor sites were 90%, 66% and 87% with PET as compared to 60%, 100%, and 65% with CT. These findings represent increased sensitivity and predictive accuracy for staging of colorectal carcinoma with PET FDG imaging as compared to CT scanning.

Aged↗

Ionizing radiation exposure of LDEF (pre-recovery estimates).

The long duration exposure facility (LDEF), launched into a 258 nautical mile orbit with an inclination of 28.5 degrees, remained in space for nearly 6 yr. The 21,500 lb NASA satellite was one of the largest payloads ever deployed by the Space Shuttle. LDEF completed 32,422 orbits and carried 57 major experiments representing more than 200 investigators from 33 private companies, 21 universities and nine countries. The experiments covered a wide range of disciplines including basic science, electronics, optics, materials, structures and power and propulsion. A number of the experiments were specifically designed to measure the radiation environment. These experiments are of specific interest, since the LDEF orbit is essentially the same as that of the Space Station Freedom. Consequently, the radiation measurements on LDEF will play a significant role in the design of radiation shielding of the space station. The contributions of the various authors presented here attempt to predict the major aspects of the radiation exposure received by the various LDEF experiments and therefore should be helpful to investigators who are in the process of analyzing experiments which may have been affected by exposure to ionizing radiation. The paper discusses the various types and sources of ionizing radiation including cosmic rays, trapped particles (both protons and electrons) and secondary particles (including neutrons, spallation products and high-LET recoils), as well as doses and LET spectra as a function of shielding. Projections of the induced radioactivity of LDEF are also discussed.

Computer Simulation↗

LDEF radiation measurements: preliminary results.

The Long Duration Exposure Facility (LDEF), retrieved by the Space Shuttle mission STS-32 after nearly 6 yr in orbit, is the focus of a broad-based study of the radiation environment in low Earth orbit (LEO) and its effects on materials. A combination of passive techniques has been used to study this environment via detectors which were contained in experiments aboard the LDEF spacecraft and through analysis of induced radioactivities. Preliminary results for absorbed dose measurements and for induced activities in various materials are presented. A number of effects have been observed which reflect the anisotropy of the charged particle flux in low Earth orbit. Quantitative results from these measurements should provide an accurate means of confirming environmental flux models and techniques for predicting radiation encountered in future LEO missions, particularly those of extended duration.

Activation Analysis↗

Neutron fluences and energy spectra in the Cosmos-2044 biosatellite orbit.

Joint Soviet-American measurements of the neutron component of space radiation (SR) were carried out during the flight of the Soviet biosatellite Cosmos-2044. Neutron flux densities and differential energy spectra were measured inside and on the external surface of the spacecraft. Three energy intervals were employed: thermal (En < or = 0.2 eV), resonance (0.2 eV < En < 1.0 MeV) and fast (En > or = 1.0 MeV) neutrons. The first two groups were measured with U.S. 6LiF detectors, while fast neutrons were recorded both by U.S. fission foils and Soviet nuclear emulsions. Estimations were made of the contributions to absorbed and equivalent doses from each neutron energy interval and a correlation was presented between fast neutron fluxes, measured outside the satellite, and the phase of solar activity (SA). Average dose equivalent rates of 0.018 and 0.14 mrem d-1 were measured for thermal and resonance neutrons, respectively, outside the spacecraft. The corresponding values for fast neutrons were 3.3 (U.S.) and 1.8 (U.S.S.R.) mrem d-1. Inside the spacecraft, a value of 3.5 mrem d-1 was found.

Cosmic Radiation↗

Experimental and calculated LET distributions in the Cosmos-2044 biosatellite orbit.

During the flight of the Cosmos-2044 biosatellite, joint U.S.S.R.-U.S.A. investigations of different characteristics of cosmic radiation (CR) in the near-Earth environment were carried out. The U.S. dielectric track detectors CR-39 and Soviet BYa- and BR-type nuclear photo-emulsions were used as detectors. The present work shows some results of experimental measurements of linear energy transfer (LET) spectra of CR particles obtained with the use of these detectors, which were placed both inside and outside the satellite. The LET spectra measurement with plastic detectors is composed of two parts: the measurement of galactic cosmic rays (GCR) particles, and of short-range particles. The contributions of these components to the total LET distribution at various thicknesses of the shielding were analyzed and the results of these studies are presented. Calculated LET spectra in the Cosmos-2044 orbit were compared with experimental data. On the basis of experimental and calculated values of the LET spectra, absorbed and equivalent CR doses were calculated. In the shielding range of 1-1.5 g cm-2, outside the spacecraft, the photo-emulsions yielded 10.3 mrad d-1 and 27.5 mrem d-1 (LET > or = 2 MeV cm-1) while the CR-39 yielded averages of 1.43 mrad d-1 and 13.4 mrem d-1 (LET > or = 40 MeV cm-1). Inside the spacecraft (> or = 10 g cm-2) the photo-emulsions yielded 8.9 mrad d-1 and 14.5 mrem d-1.

Cosmic Radiation↗

Cosmic ray LET spectra and doses on board Cosmos-2044 biosatellite.

Results of the experiments on board Cosmos-2044 (Biosatellite 9) are presented. Various nuclear track detectors (NTD) (dielectric, AgCl-based, nuclear emulsions) were used to obtain the LET spectra inside and outside the satellite. The spectra from the different NTDs have proved to be in general agreement. The results of LET spectra calculations using two different models are also presented. The resultant LET distributions are used to calculate the absorbed and equivalent doses and the orbit-averaged quality factors (QF) of the cosmic rays (CR). Absorbed dose rates inside (approximately 20 g cm-2 shielding) and outside (1 g cm-2) the spacecraft, omitting electrons, were found to be 4.8 and 8.6 mrad d-1, respectively, while the corresponding equivalent doses were 8.8 and 19.7 mrem d-1. The effects of the flight parameters on the total fluence of, and on the dose from, the CR particles are analyzed. Integral dose distributions of the detected particles are also determined. The LET values which separate absorbed and equivalent doses into 50% intervals are estimated. The CR-39 dielectric NTD is shown to detect 20-30% of the absorbed dose and 60-70% of the equivalent dose in the Cosmos-2044 orbit. The influence of solar activity phase on the magnitude of CR flux is discussed.

Cosmic Radiation↗

Cosmic ray particles with different LET values under various thicknesses of shielding in low altitude orbits: calculations and Cosmos-2044 measurements.

Fluxes of cosmic ray particles with different LET values were measured on board the Cosmos-2044 biosatellite under various thicknesses of shielding by stacks of CR-39 and nitrocellulose plastic nuclear track detectors (mounted outside the satellite). The component composition of the particles detected under shieldings of 0.1-2.5 g cm-2 is verified by comparing experimental data with the results of model simulations of the fluxes of galactic cosmic ray particles and of radiation belt protons.

Computer Simulation↗