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Biomedical subjects

L E Karp

Publications and source records attributed to L E Karp.

At least 55 records · Page 3Linked to original sources
PubMed1981

Azathioprine teratogenicity: review of the literature and case report.

An infant born with preaxial polydactyly to a mother taking azathioprine throughout pregnancy is described. Experimental studies in animals reveal a teratogenic role for azathioprine and its main metabolite, 6-mercaptopurine. The skeletal system appears to be the primary tissue target for such action of these drugs. Although no direct cause-effect relationship can be established from the single case presented, the similarity of this anomaly to experimental azathioprine teratogenesis suggests the necessity for further surveillance.

Abnormalities, Drug-Induced↗
PubMed1981

Sperm penetration assay: useful test in evaluation of male fertility.

The recently developed sperm penetration assay (SPA) tests the functional capacity of sperm. It is based upon the ability of in vitro capacitated human spermatozoa to penetrate zona-free hamster eggs in vitro. The SPA was superior to seminal fluid analysis in predicting both fertility and infertility; in the prediction of infertility, the difference was highly significant. Data further indicated that fertility in the male may not remain constant with the passage of time. The SPA would appear to have wide application both clinically and experimentally.

Animals↗
PubMed1980

Therapy of genetic diseases: a three-level approach.

Therapy of genetic diseases may be attempted at three different levels in the evolution of the disease process. At the first level, after clinical manifestations have appeared, methods are symptomatic and include diet, drugs, surgery, and avoidance of hazardous substances. At the second level, midway between the origin of the disease and the appearance of clinical manifestations, therapy consists of administration of a normal gene product, such as insulin in diabetes and factor VIII in hemophilia. At the third level, the origin of the disease, methods involve correcting the gene defect and are currently under investigation.

Congenital Abnormalities↗
PubMed1979

The premature breech: trial of labor or cesarean section?

Sixty-six premature breech deliveries were studied retrospectively. Forty-eight patients were permitted a trial of labor, 47 of whom ultimately delivered vaginally. Eighteen patients underwent cesarean section as soon as possible after their arrival at the delivery suite. When Apgar scores, perinatal mortality rates, cord prolapse, and entrapment of the aftercoming head are considered, cesarean section is probably the safer course of management for the patient with a footling breech infant, especially when the infant weighs 1500 g or less. However, the data indicate that a trial of labor can be safely undertaken in the presence of a premature frank or complete breech presentation.

Anesthesia, Obstetrical↗
PubMed1978

Novel mechanisms of reproduction: preimplantational ectogenesis.

The polarization of attitudes concerning preimplantational ectogenesis, combined with the fact that the field is technically in its infancy, makes likely the passage of much time before the use of ectogenesis becomes widespread either clinically or as a research tool. It is to be hoped that during this interval a properly critical attitude will lead to slow, steady progress while society readjusts some basic philosophic concepts.

Animals↗
PubMed1977

A lethal neonatal dwarfing condition with short ribs, polysyndactyly, cranial synostosis, cleft palate cardiovascular and urogenital anomalies and severe ossification defect.

A case of severe lethal neonatal dwarfism is reported. It appears to be a new variety of short rib-polydactyly dwarfism. It is characterized by severe lack of ossification of all bones except the clavicle and the presence of cleft palate, as well as genitourinary, central nervous system and cardiovascular anomalies. Electronmicroscopy revealed accumulations of granular material in the chondrocytes.

Abnormalities, Multiple↗