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Biomedical subjects

D Dicker

Publications and source records attributed to D Dicker.

136 records · Page 8Linked to original sources
PubMed1983

FHR patterns in Potter's Syndrome.

The antenatal diagnosis of POTTER's Syndrome (bilateral renal agenesis) is important in order to avoid delivery by cesarean section of newborns with congenital anomalies incompatible with life. In seven cases of this syndrome delivered at the Hasharon Hospital, a similar FHR pattern was retrospectively observed in pregnancy and labor suggesting that electronic fetal monitoring (EFM) may possibly contribute to the diagnosis of this condition in utero. Nevertheless, it must be emphasized, that similar cardiotocographic alterations may result from umbilical cord and/or placental compression in the presence of severe oligohydramnios. The latter may, concurrent with POTTER's Syndrome, predispose to changes in intraamniotic pressure transmitted to fetal autonomic centers. Thus, these variations in FHR pattern may be of value only if the presence of other signs of POTTER's Syndrome is confirmed by a reliable ultrasound examination. Further observations of antenatal FHR patterns in a large number of cases of this syndrome may establish their value in the antenatal diagnosis of POTTER's Syndrome.

Female↗
PubMed1980

Structure of the nucleoid in cells of Streptococcus faecalis.

The structure of the nucleoid of Streptococcus faecalis (ATCC 9790) was examined and compared in the unfixed and fixed states by immersive refractometry and electron microscopy. It appears from these studies that the nucleoid structure is much more centralized in unfixed chloramphenicol-treated (stationary-phase) cells than it is in cells in the exponential phase of growth. The more dispersed configuration of the exponential-phase nucleoid could be preserved by fixation in glutaraldehyde, but not in Formalin or in osmium tetroxide. One important factor in explaining these differences in preservation is that glutaraldehyde (but not Formalin or osmium tetroxide) can rapidly cross-link the amino groups of macromolecules in cells. It was also observed that osmium tetroxide resulted in a preferential breakdown of nascent ribonucleic acid. These results are interpreted as indicating that glutaraldehyde is able to stabilize the exponential-phase nucleoid before it assumes the more central appearance seen in osmium tetroxide- and Formalin-fixed cells. These results are discussed in terms of the proposed organization of the exponential-phase nucleoid in unfixed cells.

Cell Nucleus↗
PubMedDate not supplied

Reinsemination in human IVF with fresh versus initial semen: a comparative study.

In the event of non-fertilization of oocytes at the first insemination, repeat insemination is often successful in the IVF procedure. Nevertheless, the value of reinsemination is still controversial. In 56 out of 132 (42%) women treated in our IVF-ET Unit for mechanical infertility by identical induction and aspiration protocols, reinsemination of one or more ova was required. They were divided into two groups. Group I: 79 oocytes from 32 women who were reinseminated with initial semen 24 hours following primary insemination. Group II: 57 oocytes from 24 patients who were reinseminated with fresh semen 24 hours following primary insemination. Fertilization, cleavage and pregnancy rates differed significantly in group I as compared to group II (21.2%, 37.3%, p less than 0.005; 18.6%, 31.9%, p less than 0.001; 18.4%, 29.1%, p less than 0.001). We conclude that reinsemination is a beneficial procedure in cases of non-fertilization of oocytes at the first insemination. Furthermore, the use of fresh semen is preferred to achieve higher fertilization, cleavage and pregnancy rates.

Evaluation Studies as Topic↗
PubMedDate not supplied

The value of GnRH agonists in the treatment of failed cycles in an IVF-ET program: a comparative study.

Occasionally, menotropins fail to induce ovulation for IVF-ET, due to early luteinization resulting in high cancellation rates of 15-40% of cycles. The efficacy of GnRH agonists in reducing these problems was prospectively studied in 91 women undergoing repeated IVF-ET, after desensitization with GnRH agonists. In all patients, the cycles that had been induced by menotropins alone failed due to early luteinization. By comparing these patients to a control group with significantly lower cancellation rates as well as significantly higher fertilization, the cleavage and pregnancy rates were achieved for the former group (p less than 0.001 in all parameters). Pituitary down-regulation by means of GnRH agonists prior to the induction of ovulation seems to be an effective and rewarding method for minimizing cancellation rates, and for achieving improved results in IVF-ET therapy.

Adult↗
PubMedDate not supplied

The clinical significance of slightly elevated serum human chorionic gonadotropin levels.

The use of highly sensitive procedures for detecting human chorionic gonadotropin (hCG) has brought about an increasing occurrence of test results that are difficult to interpret. Furthermore, different results on the same serum sample can be obtained by different methods of measurement and, in extreme cases, serum hCG may be positive by one method and negative by the other. These observations are important, since patients may be hospitalized and receive unnecessary treatment as a result of confusing laboratory data. The clinical significance of slightly elevated serum hCG level is reviewed.

Antibodies, Monoclonal↗
PubMedDate not supplied

Menstrual characteristics of women suffering from insulin-dependent diabetes mellitus.

OBJECTIVE: To assess the frequency of menarche and menstrual disturbances among women suffering from insulin-dependent diabetes mellitus, and to evaluate their correlation to the onset of diabetes, its duration, and complications. RESEARCH DESIGN AND METHODS: Retrospective analysis of the menstrual regularity and gynecologic and fertility history of 100 women suffering from insulin-dependent diabetes mellitus. These data were compared with information obtained from the patients' medical records regarding the age at onset of diabetes, its management, control, and complications. RESULTS: The average age at menarche was 13.5 years. Delayed menarche tended to appear in girls whose diabetes was diagnosed before the age of menarche, and before the age of 10 years. Menstrual disturbances, such as oligomenorrhea, amenorrhea, and polymenorrhea, occurred in 32% of the women. A significant correlation was found between late menarche and menstrual disturbances. Furthermore, patients with diabetic complications had a higher incidence of menstrual disorders compared with uncomplicated diabetic patients. CONCLUSIONS: It appears that women with insulin-dependent diabetes mellitus who had been diagnosed prior to menarche had a higher probability of delayed menarche, and were at higher risk for development of menstrual disturbances, including amenorrhea with subsequent fertility disorders.

Adolescent↗