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Biomedical subjects

J Beck

Publications and source records attributed to J Beck.

At least 235 records · Page 13Linked to original sources

The role of circulating immune complexes in the aetiology of polymorphic eruption of pregnancy.

Circulating immune complexes were measured in 35 patients with polymorphic eruption of pregnancy employing three different techniques. No significant abnormalities were detected by the C1q solid phase binding assay and polyethylene glycol precipitation of immunoglobulin G. However, using a solid phase polyclonal rheumatoid factor binding assay, which detects small immune complexes, we demonstrated a significant reduction in the level of circulating immune complexes during the acute stage of the eruption. We suggest that the leakage of small immune complexes through dilated upper dermal vessels may play a role in the aetiology of polymorphic eruption of pregnancy.

Antigen-Antibody Complex↗

Neoadjuvant chemotherapy for osteogenic sarcoma: results of a Cooperative German/Austrian study.

From December 1979 to August 1982 158 patients were registered for an adjuvant chemotherapy (CT) study COSS -80. To compare the effect of cisplatin (CPL) to that of the drug combination bleomycin, cyclophosphamide, and dactinomycin (BCD), patients were randomized to receive either drug(s) within a course of sequential multidrug CT including doxorubicin and high-dose methotrexate (HDMTX). Definite surgery was done 10-18 weeks after the start of CT. Patients were randomized a second time to receive or not to receive fibroblast interferon in addition to CT beginning at week 16. At a median observation time of 19.5 months (range, 4-34 months), 116 (73%) of 158 patients were continuously disease-free (CDF). After exclusion of 42 patients because of some deviation in history and/or management, 86 (74%) of 116 patients actually were CDF with a 30-month calculated CDF-rate of 68%. There was no difference in CDF rates in the patients receiving BCD versus CPL or receiving interferon versus no interferon. Whereas, in comparison to the previous study COSS -77, the over-all increase in CDF rate does not reach statistical significance, it does, however, for the younger (less than or equal to 12 years) and for male patients, which is assumed to be the effect of increasing the methotrexate dose from 6 to 12 g/m2 in the COSS -80 study.

Adolescent↗

Application of the coplanar principle to dynamic epidural pressure measurements.

The application of the coplanar principle to dynamic epidural pressure measurements was investigated in vitro. The authors used a coplanar pressure-displacement transducer, commonly employed to measure the viscoelastic properties of brain tissue in vivo. The present studies were performed using canine dura and a specially constructed fluid-filled chamber. The accuracy of the technique was assessed by comparing the pressure in the chamber recorded by the coplanar transducer to the pressure measured by a transducer directly vented to the chamber. The results show that the coplanar principle remained valid for dynamic measurements with the transducer under a variety of conditions.

Epidural Space↗

Textural segmentation, second-order statistics, and textural elements.

Beck (1972, 1973) hypothesized that textural segmentation occurs strongly on the basis of simple properties such as brightness, color, size, and the slopes of contours and lines of the elemental descriptors of a texture or textural elements. The experiment reported supports the hypothesis that specific stimulus features, rather than second-order statistics, account for textural segmentation. The results agree with Julesz (1981a,b) who has reported evidence disproving his original conjecture of the importance of second-order statistics. Julesz (1981a,b) now hypothesizes textural segmentation to be a function of local features which he called textons. Textons are features that give textural segmentation when textures have identical second-order statistics. The two hypotheses are to date in complete agreement on the stimulus features producing textural segmentation, and the experiment reported is consistent with both.

Discrimination, Psychological↗

Adjuvant chemotherapy in osteosarcoma - effects of cisplatinum, BCD, and fibroblast interferon in sequential combination with HD-MTX and adriamycin. Preliminary results of the COSS 80 study.

In a cooperative adjuvant chemotherapy study of osteosarcoma (COSS-80), 192 patients were registered from December 1979 to March 1982. Forty-one patients have been excluded from study because of their nonadjuvant situation, therapy-limiting clinical conditions, or inadequate diagnosis. One hundred and fifty-one patients have been randomized to receive either the drug combination bleomycin + cyclophosphamide + dactinomycin (BCD) or cisplatinum (CPL) within a course of sequential multidrug chemotherapy including adriamycin (ADR) and high dose methotrexate (HDMTX). After exclusion of 51 patients with some deviation in history and/or management 100 selected patients were randomized once more to receive in addition or not fibroblast interferon after preoperative chemotherapy and surgical removal of the primary tumor. Patients were stratified for age and sex and for site and extension of tumor as well in both randomizations. Median follow up is now 12 (1-16) months. The expected 2-year disease free survival (DFS) rate of the total doubly randomized group is 78% and of the single randomized group 76%. No difference could be discerned between recombined groups receiving BCD vs CPL or interferon vs no interferon. The effect of preoperative chemotherapy on the tumor was evaluated clinically and by histopathologic grading; 66/85 (78%) patients were judged clinically as responders with pathohistologic verification of this finding in 71% of these cases. No adverse effect arose from delaying definite surgery for preoperative chemotherapy, but initial application of chemotherapy as well as planning, preparing, and performing of the surgical procedure have been facilitated. The majority of patients received some kind of limb-salvage treatment without local recurrences so far. A statistically insignificant but intriguing tendency for a slightly higher incidence of pulmonary metastases after resection as opposed to amputation could be detected. Similar to observations in the previous study COSS-77.

Adult↗

The advantages and limitations of an in vivo test system for investigating the cytotoxicity and fibrogenicity of fibrous dusts.

The acute response of the rat lung to a range of fibrous materials has been investigated by bronchopulmonary lavage, at dose levels of 0.5 and 1.0 mg, 1 and 7 days after their administration by intratracheal instillation. The materials chosen for study included UICC chrysotile A, amosite, crocidolite and anthophyllite, and samples of S. African "long" amosite and glass fiber. In addition, the subacute response to 1, 2 and 3 mg of chrysotile and amosite has been studied at 50 and 100 days after instillation. In the acute phase at 1 day after instillation, the response to chrysotile was greater than that to any of the other materials, but by 7 days there was no gradation in the response to different dusts. In the subacute phase, cell recoveries were low, and it was not possible to assess the long-term cytotoxic or fibrogenic effects of amosite and chrysotile by analyses of lung washes, even though biochemical and histological methods indicated gross changes in lung pathology.

Animals↗

Neonatal small left colon syndrome in twins.

There are no previous reports of small left colon syndrome in twins. Small left colon syndrome is reported in 2 sets of twins. In 1 set 1 twin had clinical and radiographic signs of small left colon syndrome. The sib was clinically normal and had no radiographic studies. In the other set, both twins had identical clinical and radiographic findings of hyperplastic left colon. This suggests a genetic and/or environmental intrauterine, rather than a postpartum etiology for the small left colon syndrome.

Barium Sulfate↗

Induction of interferon by mycoplasmas in mouse spleen cell cultures.

Interferon production in cocultures between lymphoma cells and lymphocytes was previously found to be caused by mycoplasma contamination of the tumor cells. Here we have shown that M. arginini caused interferon production in spleen cells of C57BL/6 mice. The producer cell in spleen cell cultures was insensitive to treatment with anti-theta serum plus complement and it was present in spleen cell cultures of homozygous nude mice. Macrophage depletion did not adversely affect interferon production whereas interferon production was abolished in cultures of cells obtained after passage through nylon wool columns. Collectively, these data suggest, but cannot definitively prove that interferon is produced by B cells. By the use of specific antisera it was found that by all probability the interferon produced represented interferon alpha.

Animals↗

Status of geriatric medicine in the United States.

Geriatrics has experienced a gradual and cyclical evolution in the United States. A considerable amount of attention has recently been focused on the status of geriatric medicine and the issue of specialty recognition. Numerous organizations within established medicine have developed position documents and are in the process of re-examining their status. In the United Kingdom, physicians can now be designated as having a special interest in geriatric medicine, and Canada is proceeding with the development of a certificate of special competence in geriatric medicine under the auspices of the Division of Medicine, Royal College of Physicians and Surgeons. This paper presents hypotheses to account for the lack of organization status in geriatrics, and arguments are examined regarding the need for specialty recognition. There is general consensus that geriatrics has an identifiable body of knowledge and skills and that there is need for a cadre of academic geriatricians and educators in geriatrics for students and residents. However, specialty recognition introduces conflict within established specialties that consider care of the elderly crucial to their existence. The options for special recognition, including a certificate of special competence, are described with their advantages and disadvantages. Substantial arguments favor some form of specialty recognition.

Aged↗

Influence of betamethasone on the development of mechanical properties in the fetal rhesus monkey lung.

Previous investigations of the effect of glucocorticoids on fetal lung development have suggested that changes in lung structural properties may be of greater functional significance than changes in lung surfactant. In this study we examined the mechanism of the glucocorticoid-induced change in lung structure and compared it with the changes that occur during normal development. Rhesus monkeys (Macaca Mulatta) were treated with betamethasone prior to 133 days gestational age and then delivered by cesarian section either at 133 days or near term at 160 days. Our results show that normal fetal lung development over the last month of gestation occurs with a 45% increase in lung dry weight and a 56% increase in the maximal air volume per gram lung (Vmax/g). The immediate effect of the steroid was to cause a similar percentage increase in Vmax/g but no increase in lung weight. In fact, there were significant decreases in lung weight at both 133 and 160 days in the treated animals. In addition, we found no significant changes in the mean alveolar size either with normal development or with the steroid treatment. We thus conclude that in the rhesus monkey, the lung maturation process involves both an increase in lung mass and an increase in the number of alveoli per gram of that mass. The betamethasone treatment results in accelerated recruitment of alveoli coupled with impaired growth of lung tissue.

Animals↗