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Biomedical subjects

J Marty

Publications and source records attributed to J Marty.

At least 163 records · Page 9Linked to original sources
PubMed1984

T cell subset heterogeneity in a series of patients with mycosis fungoides and Sézary syndrome.

The diagnostic value of the identification of T cell subsets in skin biopsies from a series of eight patients (clinical stages I-IV) with cutaneous T cell lymphoma (6 with mycosis fungoides and 2 with Sézary syndrome) was determined with an indirect immunoperoxidase technic using commercially available monoclonal anti-T lymphocyte antibodies. Each patient had a mixture of helper and suppressor T cells within both the dermis and the epidermis, although helper T cells predominated approximately 2:1 over suppressor cells in all except two patients. This pattern is not appreciably different from that reported in benign inflammatory dermatoses. One patient with Sézary syndrome who had had an unusually protracted course was found to have a greater number of suppressor cells than helper cells within the epidermis. We conclude that the in situ identification of T cell subsets adds little, if any, diagnostic sensitivity to standard histopathologic methods in cutaneous T cell lymphoma.

Aged↗
PubMed1984

Absorption and metabolism of the volatile fatty acids in the hind-gut of the rabbit.

Volatile fatty acids (VFA) absorption in the large intestine of the anaesthetized rabbit was evaluated by measuring variations in the concentration of VFA in intestinal loops and plasma arteriovenous differences. Metabolic conversions were studied using [1-14C]acetate, [1-14C]propionate and [3,4-14C]butyrate. The hind-gut tissues metabolized the three VFA, although this metabolism varied with the segment studied. Butyrate was the best respiratory fuel for the colonic wall, followed by propionate; acetate participated also, but it was mainly converted to glutamate. The liver was the main organ metabolizing absorbed propionate and butyrate; acetate was available for extrahepatic tissue metabolism. For the rabbit, VFA represented about 40% of the maintenance energy requirement.

Acetates↗
PubMed1984

Absorption of electrolytes and volatile fatty acids in the hind-gut of the rabbit. Circadian rhythm of hind-gut electrolytes and plasma aldosterone.

Interrelationships between the amount of water, solute concentrations in the hind-gut, plasma aldosterone concentrations, and the excretory cycle in the rabbit were studied as well as the effects of hormones generally implicated in electrolyte regulation. It appeared that the levels of water, electrolytes and volatile fatty acids (VFA) in the large intestine varied cyclicly with the excretion pattern: during the soft-phase, water, sodium, chloride and VFA were absorbed and potassium secreted as in other mammals; during the hard-phase two opposite phenomena occurred: secretion in the ascendant colon and absorption in the rest of the colon. Absorption of water, Na, K, chloride and VFA was increased and by this means only material without nutritional value was lost. Plasma levels of aldosterone showed a circadian rhythm parallel to hind-gut changes, i.e. the higher values were found during the hard-phase. Exogenous aldosterone enhanced secretive and absorptive processes, which occurred normally when hard faeces were elaborated.

Aldosterone↗
PubMed1984

Pre-B cell acute lymphoblastic leukemia in the newborn.

Leukemia in the newborn is an infrequent disease that has not been well defined using modern laboratory techniques. We describe two infants, one at birth and one at four weeks, with acute lymphoblastic leukemia. The blasts from each patient were studied in great detail, using a battery of cytochemical and immunologic procedures in addition to ultrastructural studies. Immunologic cell marker studies, not previously reported in congenital leukemia, showed the lymphoblasts from each infant to be of the pre-B cell phenotype. Each infant relapsed, one after a 17-week clinical remission and the other after a 44-week remission. The former has died while the latter is in a second remission. The subtype of pre-B cell acute lymphoblastic leukemia (ALL) which in childhood appears to confer an unfavorable prognosis, may have the same significance in neonatal ALL.

Antineoplastic Agents↗
PubMed1983

T-cell prolymphocytic leukemia. Clinical and immunologic characterization.

The clinical course of a patient with extensive skin involvement due to T-cell prolymphocytic leukemia is described. The malignant cells isolated from the patient's blood and skin were studied utilizing cytochemical analysis and multiple monoclonal antibodies directed against cell surface antigens. The leukemic cells displayed a surface antigen phenotype similar to that of normal post thymic suppressor T-cells. On the basis of this study together with the few published reports, it appears that T-prolymphocytic leukemia is derived from lymphocytes demonstrating either the suppressor or helper phenotype, and that extensive dermal infiltration may be independent of phenotypic classification. Although T-prolymphocytic leukemia shares certain morphologic, cytochemical, and immunologic features with chronic lymphocytic leukemia, it is an aggressive disease with an average survival of approximately 6 months and is best thought of as a distinct pathologic entity.

Antibodies, Monoclonal↗
PubMed1983

[Hand injuries and occupational accidents. Statistics and prevention].

Hand injuries count for a 1/3 of all injuries at work, 1/3 of chronic injuries, 1/4 of lost working time, 1/5 of permanent disability. This varies from activity to activity and with the material element involved. An average of 22 working days are lost, but this varies according to lesion. The average permanent rate is 5.8% against 10% for accidents in generally. High rates are not very frequent (2% above 10%). The average cost is between 12,000 F and 15,000 F (at 1980 rates) of which more than 2/3 can be attributed to daily compensations. In 1980, the number of finger amputations can be estimated at 11,000 (3300 fo which were accidents at work) whose overall cost was 140,000,000 F, the daily compensations being 2/3 of this figure. The cost of insuring this risk is subscribed by employers, and the contributions are based on the nature of the risk. To prevent accidents and the after effects certain points must obviously be stressed. The return of patients into working life is vital, even before complete recovery from their injuries.

Absenteeism↗
PubMed1983

Effects of flunitrazepam on left ventricular performance, coronary haemodynamics and myocardial metabolism in patients with coronary artery disease.

The effects of flunitrazepam 15 micrograms kg-1, on left ventricular (LV) performance, coronary sinus blood flow (CSBF), myocardial oxygen uptake and myocardial lactate balance were studied in nine patients with coronary artery disease undergoing cardiac catheterization. Flunitrazepam produced a decrease in mean aortic pressure (MAP) and in systemic vascular resistance (SVR) with maximal changes from control value observed at 15 min for MAP and at 5 min for SVR. No change in cardiac index was observed. The following changes in variables related to LV performance were observed: (1) a transient increase in heart rate and left ventricular contractility (Vmax); (2) a sustained decrease of left ventricular end-diastolic pressure, maximum at 15 min. Myocardial oxygen consumption was decreased at 15 min but CSBF did not change, whereas total coronary vascular resistance was decreased. Since myocardial lactate extraction was increased and no change in ECG was observed, a coronary steal induced by coronary vasodilatation did not appear to take place.

Carbon Dioxide↗
PubMed1983

The stability of glyceryl trinitrate tablets during patient use.

The stability of glyceryl trinitrate (GTN) tablets stored in ways commonly used by patients was investigated to enable pharmacists and physicians to give better advice about tablet storage. Analysis of 43 samples of tablets collected from hospital patients showed that the GTN content of these samples differed significantly from that of fresh tablets. Tablets kept in the manufacturer's bottle contained significantly more GTN than those transferred to other airtight vials (p less than 0.05) or pill boxes (p less than 0.005). The content of GTN was also significantly lower in tablets stored in pill boxes compared with other vials (p less than 0.01). Similar trends were found when tablets were stored in glass or plastic vials, pill boxes or were left exposed to air in the laboratory. These results emphasize that the best way to store GTN tablets is in the manufacturer's container. However, since many patients find that this bottle is awkward and inconvenient, a suitable alternative would be to carry a few tablets in a small airtight container (preferably glass). The unused tablets should be discarded every two weeks and nothing else should be added to the container. The use of pill boxes should be strongly discouraged.

Drug Packaging↗
PubMed1982

Effects of droperidol on left ventricular performance in humans.

The action of droperidol on left ventricular (LV) performance was examined before angiography in nine unpremedicated patients undergoing cardiac catheterization for stable uncomplicated coronary artery disease. Using local anesthesia, catheters were placed in the left ventricle, thoracic aorta, and pulmonary artery. Cardiac output (CO) and LV pressure derivatives were measured before and 2, 5, 10, 15, and 20 min after intravenous administration of 0.15 mg/kg droperidol. Droperidol administration induced a time-dependent decrease of mean arterial pressure (MAP) (significant at 2, 10, 15, and 20 min) and of cardiac index (CI) (significant at 15 and 20 min) with maximal changes observed at 20 min (-14 per cent for MAP and -15 per cent for CI). in addition, the following changes occurred in variables related to LV performance: 1) a transient increase in both heart rate (HR) (2, 5, and 10 min) and maximum rate of rise of left ventricular pressure/instantaneous left ventricular pressure (dP . dt-1 max . IP-1) (+ 15 per cent for HR and + 14 per cent for dP .dt-1 max . IP-1); 2) an early (2 min) and sustained (5, 10, 15, and 20 min) decrease of left ventricular end-diastolic pressure (LVEDP), maximum at 5 min (-30 per cent); 3) no change in systemic vascular resistance (SVR). This study shows that the fall in MAP which occurs after intravenous administration of clinical doses of droperidol is primarily due to decreased CO, secondary to decreased LVEDP and not to changes in cardiac contractility and in SVR.

Blood Pressure↗
PubMed1982

T-cell lymphoma and the Chediak-Higashi syndrome.

The majority of patients with Chediak-Higashi syndrome (CHS) develop a lymphoproliferative disorder during the accelerated phase of the disease. Controversy exists regarding the benign versus malignant nature of this cellular proliferation. For the first time, we have characterized the immunologic cell markers on the cellular infiltrate in a lymph node from a patient with CHS. The infiltrate was composed almost entirely of T cells, with histopathologic features consistent with a non-Hodgkin's T-cell lymphoma.

Bone Marrow↗
PubMed1981

Prolymphocytic transformation of chronic lymphocytic leukemia.

This report describes eight patients with B-cell chronic lymphocytic leukemia whose disease became more aggressive over a variable period of time. This clinical progression was associated with a change in cell morphology from small lymphocytes to an increasing number of large transformed lymphocytes in the blood, bone marrow, and lymph nodes. In the peripheral blood, the predominant large cell was a prolymphocyte. The small lymphocytes and the prolymphocytes had identical cell surface markers in each patient. However, the prolymphocytes had a greater density of surface immunoglobulin than did the same lymphocytes. No features were found that help predict in which patients CLL will convert to a more aggressive form. Once transformation has taken place, however, there appears to be a correlation between the number of prolymphocytes in the blood and patient survival. It is suggested that the entities of prolymphocytic transformation of CLL, prolymphocytic leukemia, and Richter's syndrome are less distinct than has been thought previously. These disorders probably represent several phases of transformation of the same cell type, and they may be examples of different stages in the natural history of CLL.

Aged↗
PubMed1981

Evaluation of the provision of rapid drug plasma assays in an outpatient anticonvulsant clinic.

The benefits of providing a rapid assay service for phenytoin and carbamazepine were assessed during a 3-month study in an outpatient anticonvulsant clinic. Fifty-three patients were tested using the EMIT assay system, and a questionnaire was used to compare the physicians' choice of drug dosage and appointment interval before and after each patient result was available. Results were in the therapeutic range for 10 (24%) of the 42 patients on phenytoin and 20 (74%) of the 27 on carbamazepine. The management of 29% of the patients on phenytoin and 22% on carbamazepine was affected, with approximately equal numbers of changes made to dosage (phenytoin 19%, carbamazepine 15%) and appointments (phenytoin 19%, carbamazepine 11%). Of 34 patients with subtherapeutic plasma concentrations, 19 (56%) did not have their doses altered because their seizures were well controlled. Five patients had phenytoin concentrations above 80 mumol/l, but only 1 had toxic symptoms. The dose was lowered in 2 cases, and 2 more were reduced at the next visit when symptoms of toxicity had developed. It was concluded that both clinical evidence and drug plasma concentrations were considered when making decisions about patient management. The rapid assay service was useful for detecting noncompliers, confirming suspected toxicity, and aiding decision making in doubtful cases.

Ambulatory Care↗
PubMed1981

Effects of fentanyl on respiratory pressure-volume relationship in supine anesthetized children.

The effects of fentanyl on total respiratory pressure-volume relationship were studied in 12 supine, anesthetized (thiopental, succinylcholine, halothane, N2O/O2) children, 5, 10 and 15 min after administration of fentanyl, 3 micrograms/kg (Group F) and at similar intervals in 11 control, anesthetized children who did not receive fentanyl (Group C). Lung and chest wall pressure-volume relationships were measured in five children from Group F and in six from Group C. Compliance values were estimated from the linear part of PVR curves. In Group F, a significant decrease was observed at 5, 10 and 15 min (maximum 29%) for total compliance and at 15 min (maximum 26%) for lung compliance. Chest wall compliance was reduced (maximum 45%) at 15 min, but not significantly. In Group C, no change in compliances was noted. The comparison between the two groups for total, chest wall and lung compliances showed a significant decrease in these three parameters at 15 min in children receiving fentanyl. The decrease of chest wall compliance can be explained by increased muscle tone, but the mechanism of decreased lung compliance awaits further study.

Anesthesia, General↗