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Biomedical subjects

J Blazek

Publications and source records attributed to J Blazek.

At least 19 recordsLinked to original sources

Liver transplantation: perspectives after 250 liver transplants at the Ochsner Clinic.

At the Ochsner Clinic we recently performed our 250th liver transplant. Reaching this milestone has led us to reflect back on the history of liver transplant, both at our own institution and nationally, noting the many achievements and improvements in liver transplantation during the relatively brief history of this therapeutic modality. Furthermore, there are a number of issues both medical and political which will likely be affecting how liver transplantation is performed in the future.

Chronic Disease↗

Liver transplantation for hepatocellular carcinoma: one center's experience, 1987-1994.

A retrospective review was done to evaluate the detection of hepatocellular carcinoma preoperatively, using ultrasonography and alpha-fetoprotein in patients awaiting orthotopic liver transplantation. Sixteen of the 187 patients who underwent 209 orthotopic liver transplantations at the Ochsner Transplant Center from 1987 to 1994 were diagnosed with hepatocellular carcinoma, 3 preoperatively and 11 at the time of pathological inspection of the liver explant. Two developed metastatic hepatocellular carcinoma while awaiting orthotopic liver transplantation. Ultrasonography detected abnormalities in the region where hepatoma was identified in 5 of 11 (45%) patients with incidental hepatocellular carcinoma, in all 3 with overt hepatocellular carcinoma, and in neither of the 2 who developed metastatic hepatocellular carcinoma while awaiting orthotopic liver transplantation. Hepatocellular carcinoma was present in 5 of 23 (22%) patients with an alpha-fetoprotein greater than 20 ng/mL and in 3 of 10 (30%) with an alpha-fetoprotein greater than 50 ng/mL.

Carcinoma, Hepatocellular↗

Diffusion of antibiotics across tissue expanders: an in vitro study.

Local infection remains a significant complication of tissue expansion. Subclinical infection of pockets with permanent prosthesis used in breast reconstruction has also been associated with capsular contracture around the implant. In an in vitro model, we used four groups of eighteen 50-ml tissue expanders, each containing Bactrim, Ancef, Nafcil, or saline only, in beakers containing fresh frozen plasma, placed in a rotary shaker for 48 hours. Inoculums of Staphylococcus aureus and Staphylococcus epidermidis were then selectively added to the medium external to the expanders in each group. The growth of such strains was found to be variably inhibited. We thus determined that antibiotics can diffuse through a tissue expander's Silastic membrane and establish an efficient bacteriostatic level in the surrounding fluid. This information could have potential clinical application in reducing infections associated with the use of expanders.

Anti-Bacterial Agents↗

[Accuracy of ultrasound measurements of the axial length of the eye].

Ultrasonic assessment of the axial length of the eye provides important baseline data for the calculation of the dioptric power of an artificial intraocular lens. The accuracy of ultrasonic biometry performed by an OPHTASCAN B apparatus is discussed based on evaluation of a group of repeated measurements of the axial length and depth of the anterior chamber in 592 bulbi.

Adult↗

[Structure of the hen's egg shell and its changes during incubation. A scanning electron microscope study].

The structure of the hen's egg shell was studied during the incubation. The local differences in the structure of the shell were estimated during the incubation in dependence to the development of the allantochorial vascular system. On the external surface of the shell there is a thin layer, homogenous in the SEM. It remains changeless during the whole period of incubation. The main part of shell is formed by long prisms with their long axes oriented perpendicularly to the external surface of the shell. These prisms are partially twisted round each other, similarly as in the case of the teeth enamel. The inner layer of the shell is formed by a system of fibers forming the three-dimensional network, similar to an air filter. In the middle of incubation, when the embryo's skeleton is still predominantly cartilaginous, is the structure of the shell identical with that one at the beginning of incubation. At the end of incubation, when the embryo's skeleton is already predominantly ossificated, the inner layer of the shell disappears without any trace. By resorption of the shell are the peaks of the prisms of the middle layer of the shell destroyed as well. The above described changes are the best visible in the equator region of the shell. Less developed are they in the region of the sharp pole of the egg. They are not detectable in the region of the blunt pole of the egg. In this region the egg's shell has the same structure during the whole period of incubation. The changes of structure of the shell--the resorption of the inner layer together with partial destruction of the prisms of the middle layer - exactly correspond with extension of the allantochorial vascular system.

Animals↗

[Immunological aspects of nucleolar activation. III. Changes in nucleolar activation after application of S III pneumococcal polysaccharide in vivo].

Intraperitoneal application of 0.7 microgram S III pneumococcal polysaccharide led to a significant increase in the values of nucleolar activation in small, medium, and large lymphocytes, plasmoblasts, and plasmatic cells in a white mouse. Macrophages did not respond to the application of S III by an increase in nucleolar activation. The study tested the possibility of using the observation of the functional morphology of the nucleous for observing the changes in the activation of B-cells after administration of nonspecific mitogen and a thymus-independent antigen.

Animals↗