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Biomedical subjects

C Berger

Publications and source records attributed to C Berger.

At least 271 records · Page 15Linked to original sources
PubMed1983

Adenocarcinoma of the gallbladder: chromosome abnormalities in a genetic form of cancer.

Chromosome studies on gallbladder adenocarcinoma in a Papago Indian woman were performed. These studies revealed a high degree of aneuploidy including multiple instances of missing chromosomes, extra chromosomes, and chromosome rearrangements. Double minute chromosomes and homogeneous staining regions on chromosomes were present in the cancer cells. To our knowledge this is the first report on the cytogenetic analysis of a gallbladder cancer. Chromosome studies on gallbladder cancers will be of unusual interest because of the relatively high frequency of this rare genetic form of cancer in American Indians.

Adenocarcinoma↗
PubMed1983

[Pregnancy and labor after insemination with frozen sperm from a donor].

A total of 168 out of 196 pregnancies that were obtained after A.I.D. have been followed up. Six cases were lost for follow-up (3%). The mean age was 30 years and 65% of the women had their ovulation induced. 130 nullipara were delivered. They were compared with a series of nullipara of the same age group and selected from 300 primiparous pregnancies who delivered in the department in the same year. The abortion rate was 12.5%. 79% of the pregnancies were normal in the 2nd and 3rd trimesters as compared with 83% in the control series. 94% delivered at term as compared with 97% in the control series. 21% of the women had Caesarean section as compared with 19.2% in the control series. The sex ratio was 1.08 as compared with 1.06 in the control series. There was no significant difference between the two series. It does seem, however, that the age factor is the most important factor of all in determining how frequent pathological conditions will be and the number of Caesareans that will have to be carried out. 14% were under 30 years of age as compared with 28.5% who were over 30 years of age, which is a significant difference. These results should be followed up in a larger series.

Abortion, Spontaneous↗
PubMed1983

[Study of fetal and placental circulation by ultrasound. New technic in the surveillance of pregnancy].

Echotomography has been used for several years in routine for pregnancy follow-up. The morphological parameters provided by this technique (biparietal diameter, transversal abdominal diameter, length of the limbs...) give an objective information on the foetal growth. The exploration of foetal and placental circulation by Doppler measurement has been used in the past for the detection of the foetal cardiac rythm. The association of Doppler and echotomography allows to know precisely the location of vessels of interest, to quantify blood flow volume transcutaneously, and to determine an index of placental resistance. Recent improvements have simplified the use of this complex technique. Transducers for Doppler and imaging have been placed in the same probe very easy to handle. This system allows a precise localization of Doppler sample volume within the vessel to be explored. The great vessels can be studied all long the pregnancy. Normal Doppler spectrum of umbilical arteries shows an important diastolic flow. This fact is related to the low circulatory resistance of the placenta. When the placental circulatory resistances increase (because of placental infarcts for instance) the diastolic flow decreases in the umbilical arteries. To quantify this modification of umbilical circulation we used an index of the resistance (Pourcelot index) [9]: R = (formula; see text) [A systolic amplitude; D diastolic amplitude]. In normal cases, values of R decrease progressively during the course of the pregnancy. In case of abnormal pregnancies (dysgravidy) the index increases. Abnormal values of R had been correlated with hypotrophy or foetus death. With this duplex system it is also possible to determine the different parameters which are necessary to quantify the foetal blood flow in ml/mn. The first results obtained in dysgravidies confirm the major interest of blood flow study in follow-up and prognosis of high risk pregnancies.

Adult↗
PubMed1983

[2 uncommon malformations of the nose. Attempt at an explanation].

The etiology of two rare congenital malformations of the nose (half-nose associated with craniostenoses, and nasal hypoplasia with atresia of the nares) could be related to a facial hematoma in the first case and to an immunity mechanism in the second case.

Abnormalities, Multiple↗
PubMed1982

[Haemophilus influenza infections in infants and mothers. Three cases (author's transl)].

The three cases reported were diagnosed at the time of contamination by direct examination and culture, at birth, of placental tissue, gastric fluid and peripheral specimens. The culture media included a chocolate agar medium favourable to the growth of H. influenzae. One of the isolates was beta-lactamase producer and therefore resistant to the group A penicillins usually prescribed. Determination of the M.I.C.s of eight antibiotics showed that cefotaxime constitutes, for the time being, a suitable alternative to penicillins against such strains. Early detection of H. influenzae perinatal infections make it possible to treat neonates before complications develop. Among the 19 cases published, there were 4 cases of meningitis, 8 cases of septicaemia and 1 case of arthritis.

Adult↗
PubMed1982

Maternal factors associated with small-for-dateness among twins.

The maternal risk factors that correlate with small-for-dateness among twins have been analyzed using a sample of 659 twins pairs and a matched sample of singletons. Non-marital status, job involvement, and the previous delivery of a low-birth weight (less than 2,500g) infant present a negative interaction with twinning, as low gestational age-adjusted birth weight does not correlate significantly with these risk factors among twin gestations, while it does among singleton gestations. On the other hand, the effects of parity, habitual maternal weight, smoking during pregnancy, and twinning are additive on gestational age-adjusted birth weight. Indeed, the decrease in adjusted birth weight associated with these risk factors is of the same magnitude among twins and singletons and is statistically significant in both cases. These findings suggest that exposure of twin pregnancies to these latter risk factors, and particularly to smoking during pregnancy, can lead to the delivery of newborns with extremely low birth weights.

Birth Weight↗
PubMed1981

[Prevention of urinary tract infections with a single dose of cotrimoxazole (bactrim forte) in patients with a urinary catheter (author's transl)].

Prevention of urinary tract infections (UTT's) in female patients with postoperative indwelling catheter was investigated by applying a single dose of cotrimoxazole on the day of removal of the catheter, and the results compared to the morbidity from perioperative urinary tract infections in the years 1978-1979. Hence, it was the aim of this open study to establish whether the incidence of postoperative nosocomial UTT'S could be lowered and development of clinical symptoms prevented. Bacteriological problem and the diagnostic value of urinary sediment were also investigated. A single dose of Cotrimoxazole proved to be significantly effective in preventing or treating nosocomial UTT's. Urinary sediment in preventing or treating nosocomial UTT's. Urinary sediment is a simple, cheap and effective screening method for detecting uncomplicated urinary tract infections. However, interpretation of the sediment is doubtful if analysed in the early phase following gynaecological operations.

Catheters, Indwelling↗
PubMed1981

Twinning following oral contraceptive discontinuation.

The characteristics of 673 mothers of twins were compared to those of a matched sample of mothers of singletons. Both groups of mothers were interviewed just after delivery, and births in each group were matched for time and place. Of the characteristics studied, the use of oral contraceptives (OC) displayed a significant negative association with dizygotic twinning, with an estimated relative risk of 0.55 (95% confidence limits: 0.39/0.78). Among other maternal trails significantly associated with dizygotic twinning, ony age, parity and weight were possible confounders as far as the relationship between OC use and dizygotic twinning was concerned. Adjustment for these 3 characteristics left this relationship unaltered. These findings are compatible with the existence of the a direct relationship between OC use and a reduction in dizygotic twinning. Review of the available evidence concerning reproductive capacities following OC discontinuation suggests that the higher incidence of chromosomic abnormalities among spontaneous abortuses of OC users or their lower fertility could explain a reduction of dizygotic twinning rate after OC discontinuation. It is concluded that examination of te time and place variations in OC use and dizygotic twinning would help to clarify the nature of their relationship.

Adult↗
PubMed1981

Post mortem changes in drug-metabolizing enzymes of rat liver and human liver.

The aim of this investigation was to obtain information on the time-dependent decrease of the drug-metabolizing system in autolysing rat liver, and also in human cadaver liver. Rat liver, divided into three parts, was tested immediately after removal and 6 and 12 hrs later. Parameters investigated were: microsomal protein, cytochrome P-450, NADPH cytochrome C reductase, glucose-6-phosphatase, aminopyrine-N-demethylation and aniline-p-hydroxylation. In human liver, samples taken from 0.5 up to 3.5 hrs after death, microsomal protein cytochrome P-450, NADPH cytochrome C reductase and phospholipids were tested. Nearly all parameters based on microsomal protein decrease during autolysis, but by different amounts. Interestingly, the cytochrome P-450 content of patients with signs of shock 12 hrs before death is significantly lower than in patients without shock.

Adult↗