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Biomedical subjects

J-L Dhondt

Publications and source records attributed to J-L Dhondt.

6 recordsLinked to original sources
PubMedDate not supplied

[Usual values for 5-hydroxy-indol acetic acid and homovanillic acid in cerebrospinal fluid].

The aim of this work was to reinvestiagte usual values of neurotransmitter catabolites (5-HIAA and HVA) in CSF, their determination being a current method for studying pathological processes and/or drug induced changes on CNS metabolism. 5-HIAA and HVA have been measured by reverse phase HPLC and electrochemical detection. Since many confounding factors have been identified to modify the concentration of both analytes in CSF, data from 1.480 patients have been revisited with strict exclusion and 323 have been selected. Age dependent variation and asymetric distributions were observed. Age-related usual values ranges were established after identification of outliers by non-parametric analysis. In a group of patients for which repeated CSF collection have been performed for the follow up of acute leukemia, wide and unpredictible individual variations (up to 400 %) of CSF 5-HIAA and HVA concentrations have been observed. These large interindividual and individual variations may explain the numerous discrepancies found in studies investigating the CNS monoamine metabolism, especially when small groups of patients are used. Such observation limits the interpretation of monoamine metabolic for diagnostic purposes without a strict selection of indication.

Adolescent↗
PubMedDate not supplied

[Use of formulas for calculating serum osmolality].

Osmolality can be measured or calculated. More than ten formulas have been proposed for calculating serum osmolality from chemical concentrations. The aim of this work was to compare results obtained whith some of these formulas, those calculated in the laboratory using a multiple regression model and measurements with an osmometer. Scattered results for natremia and chloremia, depending on the automate, led us to define formulas adapted for each measurement system in order to reduce the risk of error in the evaluation of the " osmolar gap ".

Blood Chemical Analysis↗
PubMedDate not supplied

[Good practices for the study of hemoglobin].

Hemoglobinopathies have become a significant national health problem in France. The biologists have a pivotal role in the genetic diagnoses. Although sickle cell disease (SCD) is the most frequent abnormality found: not less than 200 new cases are observed each year at birth, many other globin gene variations are found in the various ethnic groups. Since 1995 a neonatal sickle cell screening program has been established for at risk newborns. This programme is supported by the "Association française de dépistage et prévention des handicaps de l'enfant" (AFDPHE). The characterization of hemoglobin genetic variations requires a comprehensive set of laboratory techniques for which we specify here main clinical and technical recommendations.

Blood Chemical Analysis↗
PubMedDate not supplied

[Hyperhomocysteinaemia and type 2 diabetes].

OBJECTIVES: Hyperhomocysteinaemia is associated with cardiovascular events in nondiabetic individuals. The present study was aimed to explore the implication of hyperhomocysteinemia in development of cardiovascular events in patients with type 2 diabetes. DESIGN: A total of 185 patients with type 2 diabetes (115 women and 70 men, 30 to 93 years of age) have been included consecutively in the ambulatory unit at the Saint-Philibert Hospital. For each patient the concentration of homocysteine, cholesterol and triglyceride levels and HbA1c have been measured. In the studied population, 121 patients presented cardiovascular events (myocardial infarctus, peripheric arteriopathy, cerebrovascular accident). RESULTS: The patients with cardiovascular events were older, the concentration of homocysteine and creatinine were higher. The plasma homocysteine levels adjusted for age and creatinine levels were higher in patients with cardiovascular events than in patients without cardiovascular events (15.4 +/- 3.52 micromol/L and 13.13 +/- 2.26 micromol/L respectively; p = 2. 10(-5)). CONCLUSIONS: Hyperhomocysteinemia is an independant risk factor for cardiovascular events in type 2 diabetes, independent of age and renal function.

Aged↗