Search PubMed⌕ Search

Biomedical subjects

J Herrmann

Publications and source records attributed to J Herrmann.

At least 145 records · Page 8Linked to original sources

Genetic counseling.

The essential aspects of the genetic counseling process may be summarized in these terms: genetic counseling is all of those professional activities which help and sustain the counselee from the moment of ascertainment or referral, through the diagnostic workup, to the point when the clinical, prognostic, therapeutic, and genetic conclusions are put before the counselee and relatives in the most effective and supportive way possible and attempts are made to enlist the counselee's collaboration in examining consequences and options concerning therapy and reproductive choices and to support the counselee in efforts to obtain help in effecting those decisions.

Gene Frequency↗

Enzyme kinetic and substrate-binding studies of the thyroxine to 3,5,3'-triiodothyronine converting enzyme in the rat liver microsomal fraction.

The conversion of T4 to T3 was studied in the rat liver microsomal fraction. A mean Vmax of 0.11 pmol T3 produced per mg microsomal protein/min and a mean apparent Km of 2.1 muM T4 were found. An approximation to the real Km for the experimental conditions used was obtained by applying free instead of total T4 as the substrate concentration. Thus, the Km was found to be 9.7 nM free T4, and changes of Km with different amounts of microsomal protein added were not detected. rT3 was found to be a competitive inhibitor of the T4 to T3 conversion, with a mean apparent Ki of 9.4 nM rT3. Binding studies showed that T4 is bound not only nonspecifically but also to two different classes of specific binding sites. The dissociation constants were 7.5 and 1700 nM t4, and the maximal binding capacities were 58 and 4300 pmol T4/mg microsomal protein, respectively, rT3 and T3 both had one specific binding site besides their unspecific binding to the microsomal fraction. The dissociation constants were found to be 45 nM rT3 and 850 nM T3, respectively; the maximal binding capacities amounted to 75 pmol rT3 and 4600 pmol T3 per mg microsomal protein, respectively. rT3 competes with T4 for its first (apparent Ki, 55 nM rT3) and T3 competes with T4 for its second specific binding site (apparent Ki, 960 nM T3). It is suggested, that the first specific binding site for T4 and the specific binding site for rT3 are identical, and that they represent the 5'-deiodinase. The rT3-induced inhibition of the T4 to T3 conversion is caused by a competition for the binding site of the enzyme. A competition for cofactors may play an additional role. T3 competes with T4 for a different specific binding site, which may contain the 5-deiodinase.

Animals↗

[The effect of thyroid function on the increase of plasma cyclic AMP following glucagon injection (author's transl)].

The increase in plasma cyclic adenosine-3':5'-monophosphate (cAMP) was measured after intravenous injection of 1 mg of glucagon in 26 normal subjects, 36 patients with hyperthyroidism, 35 patients with hypothyroidism and 24 patients with euthyroid goitre. While patients with euthyroid goitre responded normally, the plasma cyclic AMP response in patients with hyperthyroidism was considerably increased and in those with hypothyroidism decreased. 4 patients with cirrhosis of the liver had reduced responses and 1 patient with extrahepatic obstructive jaundice an enhanced response. This test seems to be a valuable additional parameter for the description of the thyroid-dependent metabolic situation. However, because of its unspecificity it cannot replace the measurement of serum T3, T4 and thyrotropin (TSH) response to thyroliberin (TRH).

Adolescent↗

Clinical delineation of trisomy 9 syndrome.

A rare but typical case of trisomy 9 mosaicism is reported. The infant showed the characteristic phenotype of this syndrome: low-set malformed ears, micrognathia, broad nose with bulbous tip, abnormal brain, congenital heart disease, abnormal hands and feet, cryptorchidism, micropenis, and early death. This infant, however, did not have dislocation of joints or microcephaly; the head was larger than normal and had almost a cloverleaf shape.

Abnormalities, Multiple↗

Parachute mitral valve, coarctation of aorta, radius aplasia, and omphalocele in an infant with the trisomy 18 syndrome.

A premature infant with trisomy 18 had cardiac defects including parachute mitral valve, coarctation of the aorta, and a subcristal ventricular septal defect. The parachute mitral valve was funnel-shaped with a moderately-thick cone of fibrous tissue around the annulus and an eccentric orifice. Many forms of congenital cardiac defects have been described in the 18 trisomy syndrome. However, parachute mitral valve has not, to our knowledge, been part of the spectrum of cardiac defects in trisomy 18. Other anomalies were absent radii, omphalocele, and cleft palate and cleft lip; these have been observed previously in the 18 trisomy syndrome.

Abnormalities, Multiple↗

[Kinetics of furfural formation as related to heating, concentration and storage of orange juices and concentrates].

According to studies on an orange concentrate diluted back with distilled water to the desired extract content, the formation of furfural follows the pattern of a consequent reaction. After the induction period, the reaction curve takes a linear course cooresponding to a reaction of a zero order. The temperature dependence of the resultant reaction constant k obeys the ARRHENIUS equation and yields the same energy of activation for all the extract contents under investigation. This is a case of specific acid catalysis, because the reaction velocity is directly proportional to the hydronium ion activity. On a semilogarithmic scale, the dependence of the k values of the extract contents of the concentrates and of the re-constituted juice can be presented for various temperatures in the form of parallels. According to the literature, the amount of the furfural produced correlates with the quality of the orange juices and concentrates. Consequently, this amount might be used as an indicator in evaluating quality deteriorations due to unsuitable manufacturing and storage on the one hand, and for the computation and optimization of the manufacturing processes and parameters on the other hand.

Food Handling↗

Syndrome delineation. 1. Malformations and dysplasias.

A practical classification of genetic disorders and birth defects divides them into five categories: malformations, dysplasias, inborn errors of metabolism, deformities, and variant familial developmental patterns. The first two categories are discussed here. The last three will be discussed next month in part 2.

Abnormalities, Drug-Induced↗

Syndrome delineation. 2. Inborn errors of metabolism, deformities, and variant familial developmental patterns.

Classification of genetic disorders and birth defects into the following five categories aids in efficient patient evaluation, prognostic counseling, and therapy: malformations, dysplasias, inborn errors of metabolism, deformities, and variant familial developmental patterns. These categories highlight different pathogenetic aspects of disease processes. Mixed disorders with manifestations from the different categories may be of special significance.

Abnormalities, Multiple↗

Clinical genetics and pediatric neoplasms: pathogenetic and etiologic perspectives.

Clinical and genetic aspects of pediatric neoplasms were reviewed from pathogenetic and etiologic perspectives. Developmental principles and phenomena common to several tumors and tumor syndromes were identified, summarized, and critically evaluated. Their enumeration may be useful in future cancer research. No single hypothesis on the cause and pathogenesis of cancer appears to apply to all disorders. We believe that multiple causes and pathways lead to the phenotype "cancer" and that in particular the pathogenetic relationship between tissue dysplasias and cancers deserves increased attention.

Child↗

[Risk to patients with latent or manifest hyperthyroidism through iodine-containing contrast media and drugs (author's transl)].

Severe iodine-induced hyperthyroidism occurred in 25 patients with, at the time not yet fully diagnosed thyroid function after administration of iodine-containing contrast media, disinfectants or drugs, in four of them precipitating a thyrotoxic crisis. As iodine-induced hyperthyroidism is often resistant to the usual antithyroid treatment, thyroid function should be checked whenever the use of iodine-containing contrast media is indicated.

Adult↗

[Thyrostatics].

Explore the source record for details and available documents.

Adult↗

[Effect of estrogen upon thyroid metabolism (author's transl)].

During enhanced endogen estrogen production (pregnancy) as well as during exogen estrogen application a rise occurs in TBG concentration in serum, which seems to be dose related. Simultaneously with the TBG there is an increase in total T4 and T3; the concentrations of the free T4 and T3 however decrease. Towards the end of pregnancy AFT4 is significantly decreased, compared to the controls, AFT3 being in the lower normal range. The lower concentrations of the free hormones are also documented by a decline in the T4/TBG and T3/TBG ratios. Normal basal TSH concentration in serum suggest a metabolic state which is still compensated. Oral contraceptives with low estrogen content have no influence on TBG, T4 and T3 concentrations.

Contraceptives, Oral, Hormonal↗

[Thyroid hormones].

Explore the source record for details and available documents.

Biological Transport↗