Biomedical subjects
Publications and source records attributed to C Rose.
An anti influenza vaccine was administered by oral route, as capsules, to 24 volunteers. The presence of IgAs in nasal secretions led us to the fact that some lymphocytes of the small intestine were the precursors of circulating IgAs, and, while proliferating, they settled on mucous sites at a distance.
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159 primary breast carcinomas were examined histologically with regard to grade of anaplasia, cellularity, amount of elastic tissue, and whether they were of ductal or lobular origin. Possible correlations between these variables and the oestrogen receptor (OR)-content were investigated. There was a marked tendency toward a greater number of OR-positive tumors in the group rich in elastosis. A significant correlation between the OR-content and the histological grade was found, whereas there was no correlation between either the OR-content or the grade of anaplasia and the cellularity. Furthermore, the group of tumors that were lobular in derivation had a significantly greater number of OER-positive tumors than the group ductally derived.
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The relationship between the antral mucosal appearance and the incidence of duodenal ulcer was examined by review of 250 double-contrast barium-meal studies. When the mucosal pattern was seen, the areae gastricae were larger in patients with duodenal ulcer. Failure to see the mucosal pattern occurred more frequently in patients without ulcer.
This paper reviews the theoretical background for the use of progestins in advanced breast cancer and the clinical experience obtained from 13 major studies. The average rate of response is about 30%, with somewhat higher rates when the dominant site of disease is localized to soft tissue and to bones, compared with viscera. Furthermore it seems that cross resistance between progestin therapy and other endocrine therapies is only partial. However, response rates related to previous therapy and to important prognostic variables such as age of the patient, disease-free interval and hormone receptor content of the tumor tissue are poorly elucidated. Only limited data are available concerning response rate in relation to dose and route of administration and data from prospective randomized trials to analyze these relations are still lacking. Considering the only modest side effects of treatment with progestins and the clinical and theoretical evidence favoring a mode of action different from that of other endocrine therapies, progestins are drugs with interesting qualities. Therefore future controlled studies with progestins alone or in combination with other systemic therapies should be carried out to establish the therapeutic efficacy of progestin therapy in primary and advanced disease.
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Vicarious liability in Canadian law implies additional responsibilities which parallel the benefits of a partnership, and the benefits of employer--employee relationships. It promotes optimum patient care, together with avenues for loss distribution in situations where negligence occurs. Radiologists, as persons in charge, are expected to exercise due care and skill in maintaining the quality of care which patients receive during all phases of the professional relationship. They are expected to provide the patient with a reasonable standard of care and skill, irrespective of whether the radiologist chooses to deal with the patient directly, or through a partner or employee. This is the same common sense requirement which all of us expect when we contract with a builder or mechanic who employs others to do part of the work. It is not reasonable to expect a patient to entrust his or her health on any other basis.
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Acute non-lymphocytic leukemia occurred in eight women following long-term treatment with Treosulfan (= dihydroxybusulfan) for ovarian carcinoma. The leukemia developed from 21 to 58 months (median 50 months) after the institution of chemotherapy. At the time when the leukemia appeared seven of the patients were in complete, and one in partial, remission as regards the ovarian carcinoma. Seven of the eight cases of acute leukemia occurred in a series of 553 patients treated with Treosulfan for ovarian cancer in the period from 1970 to 1977 and followed closely for a total of 1159 patient-years up to February 1978. As compared with an expected number of 0.04 cases of acute myeloblastic leukemia based on patient-years, the observed seven cases correspond to a 175-times increased risk. Although the cumulative probability of acute non-lymphocytic leukemia among surviving patients at five years using life-table statistics was 7.6%, the survival curve for the 553 patients with ovarian carcinoma was only slightly affected by death from leukemia. The probability of developing acute leukemia in this study was not significantly correlated to the total cumulative dosage of Treosulfan. Cytogenetic studies of the bone marrow performed after the development of acute leukemia showed chromosome abnormalities in all five patients examined, with hypodiploidy and loss of B and C group chromosomes.
Cytoplasmic oestrogen receptor (ER) determinations were performed in 59 postmenopausal patients with metastatic breast cancer. Fifty percent of the patients were found to be ER+. Forty patients were treated with tamoxifen (TAM) and 19 patients were treated with tamoxifen plus medroxyprogesterone acetate (MPA). The response rate of TAM-treated patients was 30% (12/40). Of the 21 ER+ patients, ten (48%) responded to therapy. The ER values of these patients were significantly higher than the ER values of nonresponders (P less than 0.01). No correlation could be found between the ER value and the duration of remission in TAM-treated patients.
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The isotachophoresis principle provides unique opportunities for rational designs of fractionation procedures involving molecules. Theoretically any two charged molecules that are soluble under the experimental conditions involved can be physically separated if their electrophoretic net mobilities differ only slightly in the electrophoresis medium used. A theoretical and practical outline is presented that enables the reader to set up this fractionation system and on a rational basis develop fractionationprocedures for a given set of charged macromolecules by isotachophoresis with simple and well characterized ampholytes as spacer substances. The planning of preparative experiments in this approach is based on results obtained from rapid analytical screens on a microgram scale. The report includes an appendix containing the theoretical basis for computation of buffer compositions in the isotachophoretic steady state with mono/polyvalent constituents in systems involving one or more counterions and controlled amounts of interfering ions.
Labeling of cerebral H1-receptors is obtained following i.v. administration of [3H]mepyramine in tracer dose as shown by saturability, stereospecificity, regional distribution and pharmacological specificity. Cerebral H1-receptors are occupied following administration of most H1-antihistamines at low therapeutic dosage, which probably accounts for the sedative side-effects of these agents.