Biomedical subjects
Publications and source records attributed to B G Blijenberg.
A spectrometric modification of the determination of total bilirubin with the Du Pont ACA is described. Accuracy, precision and standardization problems are discussed in comparison with the earlier published diazo modification, as well as other techniques well known in the field of neonatal chemistry.
The interference of hemoglobin in the determination of total bilirubin with the Du Pont ACA was studied. The method seemed of limited value in our opinion especially with respect to neonatal sera. By changing the wave-length setting a rather broad plateau was found when the hemoglobin concentration was plotted against the actual bilirubin concentration. On the basis of these findings a new calibration graph was constructed and programmed into the ACA. The new method correlates well with two other micro bilirubin techniques.
We evaluated the determination of ammonia used in the Du Pont Automatic Clinical Analyzer (aca). Correlation studies were done with a manual method, based on the same enzymatic principles as the aca and with a method involving a cation-exchange resin, followed by the Berthelot color reaction. In either case, the results agreed well with the results found with the aca. For the aca the mean analytical recovery of ammonia in plasma samples was 104%. Within-run and day-to-day precision had coefficients of variation of 6% for normal values and 1 and 2% for above-normal values. The linearity, tested with primary standards and plasma samples, was good up to 1000 mumol of NH3 per liter.
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Five different enzyme activities were estimated in ejaculates obtained from 96 men visiting our infertility clinic. Sperm count showed a significant positive correlation with aspartate-aminotransferase (GOT) and alanine-aminotransferase (GPT). Acid phosphatase was positively correlated with gamma-glutamyl transpeptidase (GGTP) and citrate and negatively with fructose. GGTP showed similar relationships with citrate and fructose. For beta-glucuronidase a low positive correlation with GGTP and GOT was detected. The enzyme activities of 27 ejaculates with a high viscosity were not significantly different from the activities of ejaculates with normal liquefaction. The conclusion is reached that insufficient prostatic enzyme secretion is not the cause of abnormal liquefaction in these patients.