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Biomedical subjects

L Rosen

Publications and source records attributed to L Rosen.

At least 127 records · Page 7Linked to original sources
PubMed1985

A prospective study of continuous hepatic perfusion with implantable pump.

The delivery of chemotherapy through the implantable hepatic infusion pump in the management of patients with hepatic metastases secondary to carcinoma of the colon and rectum is evaluated in this preliminary prospective study. Patients were selected according to hepatic lobar distribution and magnitude, age, and general systemic evaluation. Infusion pumps were implanted in a total of 14 patients who were judged to be unsuitable for hepatic resection. After pump implantation all patients were alive and well and receiving regional perfusion chemotherapy. For the nine patients in this study who have been monitored for a full six months, the median decrease in CEA levels was 49 percent. On computerized axial tomography (CT) and/or liver-spleen scan, five patients showed greater than 50 percent reduction in tumor size. All patients have demonstrated minimal systemic toxicity and have maintained a good quality of life. The results encourage further evaluation of perfusion chemotherapy.

Aged↗
PubMed1985

Clinical and manometric evaluation of continence after the Bacon two-stage pull-through procedure.

Twenty-eight patients who underwent the Bacon pull-through operation were evaluated for continence by clinical and radiologic means. Six patients were available for anal manometry. Eighty-three percent of those patients followed for function did not have the sensation to defecate spontaneously. They had normal functioning of the external sphincter, failure of reflex inhibition of the internal sphincter, and decreased rectal compliance secondary to fibrosis of the presacral space. These factors created a distal high-pressure zone which, when combined with sensory loss due to transection of the levators, rendered the patient continent but without the ability to defecate spontaneously unless an enema was administered.

Adult↗
PubMed1985

Urachal carcinoma.

Urachal carcinoma is a rare tumor that often does not manifest clinically until late in its course. Several radiographic features are helpful in suggesting the diagnosis preoperatively. We present a case of urachal carcinoma in which preoperative evaluation included magnetic resonance imaging. This technique was helpful not only in suggesting the diagnosis preoperatively, but also, and more importantly, in the preoperative staging of the neoplasm.

Carcinoma↗
PubMed1985

Comparative susceptibility of mosquito species and strains to oral and parenteral infection with dengue and Japanese encephalitis viruses.

Thirty-four strains of Asian and Pacific mosquitoes belonging to 22 species of 7 genera were compared for oral and/or parenteral susceptibility to infection with 1 or more strains of each of the 4 dengue serotypes. Surprisingly, several species of common man-biting Aedes were much more susceptible to oral infection with each of the 4 dengue serotypes than was Aedes aegypti. These species included Aedes albopictus and members of the scutellaris group of the subgenus Stegomyia found on South Pacific islands. Mosquito strains and species relatively susceptible to 1 dengue serotype usually were relatively susceptible to the others also. Almost all species of Aedes tested were uniformly susceptible to parenteral infection with the dengue viruses but, with the exception of a species of Tripteroides, species of all other genera were comparatively resistant to that mode of infection. Dengue viruses usually replicated to about the same extent in orally-infected mosquitoes as they did in parenterally-infected specimens of the same species. Seventeen species of mosquitoes of 7 genera also were tested for parenteral susceptibility to infection with Japanese encephalitis virus. With the possible exception of 2 species of Anopheles, the virus replicated to about the same degree in all species tested and achieved levels considerably higher than did any of the dengue viruses in the same mosquito strain and species held under the same conditions.

Aedes↗
PubMed1985

Comparative susceptibility of five species of Toxorhynchites mosquitoes to parenteral infection with dengue and other flaviviruses.

Five species of colonized Toxorhynchites mosquitoes were compared for relative susceptibility to parenteral infection with the four dengue serotypes and St. Louis and Japanese encephalitis viruses. Tx. amboinensis, Tx. brevipalpis, Tx. rutilus, and Tx. splendens were equally susceptible to infection with the dengue viruses, while Tx. theobaldi was relatively resistant to infection with those viruses. All five mosquito species were equally susceptible to infection with the encephalitis viruses. The intensity of immunofluorescence in head squashes was slightly less in Tx. brevipalpis infected with the dengue viruses as compared to the other three mosquito species susceptible to those viruses. Immunofluorescence was also less in Tx. theobaldi infected with the encephalitis viruses as compared with all the other mosquito species.

Anopheles↗
PubMed1984

A new X-linked mental retardation-overgrowth syndrome.

We report on a family with 4 affected males in 3 generations with a previously unreported X-linked mental retardation/multiple congenital anomaly (XLMR/MCA) syndrome. The propositus was a 7-year-old Latin American moderately retarded male with: prenatal and postnatal overgrowth; short, broad upturned nose; large mouth; midline groove of tongue, lower alveolar ridge and lower lip; submucous cleft palate; supernumerary nipples; 13 ribs; Meckel's diverticulum; intestinal malrotation; coccygeal skin tag and bony appendage; hypoplastic index fingernails; postaxial polydactyly of the right hand, bilateral syndactyly of 2nd and 3rd fingers; and tibial clinodactyly of 2nd toes. His sister's son, a premature infant who died at 4 months, had nearly identical manifestations. The propositus and his nephew had normal chromosomes. A brother and son of the sister of the mother of the propositus were similarly affected and both died in the newborn period. The mother of the propositus had a large mouth, coccygeal skin tag and bony appendage, and hypoplastic index fingernails. This distinct mental retardation/multiple congenital anomaly syndrome is added to the growing list of presently known X-linked MCA/MR syndromes.

Abnormalities, Multiple↗
PubMed1984

Experimental transovarial transmission of St. Louis encephalitis virus by Culex and Aedes mosquitoes.

Colonized and field-collected female Culex tarsalis, infected with St. Louis encephalitis, (SLE) virus by intrathoracic inoculation or by feeding on a viremic host, transmitted virus to their F1 adult and/or larval progeny when reared at 18(+/- 1) degree C but not when reared at 27(+/- 1) degrees C. The minimal infection rates (MIR) for different populations of Cx. tarsalis ranged from 1:32 to less than 1:250 (mean = 1:121) for larval progeny and from 1:32 to less than 1:1, 989 (mean = 1:1,571) for adult progeny. SLE virus also was transmitted transovarially by colonized and field-collected populations of Culex pipiens (mean MIRs = 1:340 and 1:1,815 for larval and adult progeny, respectively) and by a field population of Culex quinquefasciatus (MIR = 1:500 and less than 1:246 for larval and adult progeny, respectively), but not by colonized strains of Cx. quinquefasciatus and Culex peus. SLE virus was not recovered in tests on 5,522 Cx. tarsalis and 4,798 Cx. quinquefasciatus that were collected as larvae or pupae from field sites in Southern California and reared to adults at 18 degrees C in the laboratory. Transovarial transmission of SLE virus by Aedes epactius was confirmed and extended to a closely related species, Aedes atropalpus. Efforts to demonstrate transovarial transmission of SLE virus by Aedes melanimon, Aedes sierrensis, and Aedes triseriatus were unsuccessful. Aedes dorsalis, Cx. peus, and Toxorhynchites amboinensis were equally sensitive hosts for viral isolation when inoculated with suspensions of larvae transovarially infected with SLE virus.

Aedes↗
PubMed1983

Genetic variation among dengue 2 viruses of different geographic origin.

Genetic variation in dengue 2 isolates from various geographic areas was examined by oligonucleotide fingerprinting of the 40 S genome RNA. Oligonucleotide maps of geographically isolated and epidemiologically unrelated viruses were very distinct. Direct comparison of the oligonucleotide map of the dengue 2 prototype New Guinea 2 virus, isolated in 1944, with the fingerprints of more recent isolates from the South Pacific indicated that the genome of dengue 2 virus had undergone extensive change although the viruses are serologically indistinguishable. The oligonucleotide map of an isolate from a recent case in Jamaica and a mosquito isolate from Upper Volta, Africa, were recognized to be almost identical, suggesting that virus may have been introduced into the Caribbean from West Africa. Likewise, the fingerprints of isolates from Puerto Rico and the South Pacific shared 80 to 95% of their large oligonucleotides, suggesting that the virus involved in these epidemics may have spread throughout Tahiti, American Samoa, Fiji, and to Puerto Rico in the Caribbean or vice versa. On the basis of these studies, five genetic variants or topotypes of dengue 2 virus have been established: (1) Puerto Rico-South Pacific, (2) Burma-Thailand, (3) the Seychelles, (4) the Philippines, and (5) Jamaica-West Africa. Oligonucleotide fingerprinting offers a highly sensitive and reproducible technical approach to the investigation of dengue 2 virus intratypic variation and possibly to the understanding of the biological variation associated with dengue fever and hemorrhagic disease.

Africa, Western↗
PubMed1983

Extrachromosomal inheritance of carbon dioxide sensitivity in the mosquito Culex quinquefasciatus.

Mosquitoes from a laboratory colony of Culex quinquefasciatus from Matsu Island, China, develop irreversible paralytic symptoms after exposure to carbon dioxide at 1 degree. This CO2 sensitivity is caused by an inherited infectious agent, probably a virus. Crossing studies between CO2-sensitive and -resistant mosquitoes showed that the sensitivity trait is inherited extrachromosomally in a fashion strictly analogous to the hereditary transmission of sigma virus in Drosophila melanogaster. Sensitivity could be maintained through maternal transmission alone, despite nine generations of backcrossing of "stabilized" CO2-sensitive females to males from a resistant strain. CO2-sensitive males crossed to resistant females transmitted sensitivity to a portion of their F1 progeny, and only the female F1 sensitives were capable of further hereditary transmission.--Matsu, or a very similar hereditary infectious agent, is common in natural populations of Cx. quinquefasciatus on Oahu, Hawaii. Fifty-nine percent of the families reared from field-collected egg rafts contained CO2-sensitive mosquitoes, and some families contained only sensitive mosquitoes.

Animals↗
PubMed1983

Coexistence of Castleman's disease and Kaposi's sarcoma. Report of a case and a speculation.

A case report of multicentric Castleman's disease associated with Kaposi's sarcoma is presented. Histologic examinations of cutaneous lesions and of an axillary lymph node were made. The cutaneous lesions showed Kaposi's sarcoma and a lymph node revealed Castleman's disease and foci of spindle cells characteristic of Kaposi's sarcoma. The association of Castleman's disease and Kaposi's sarcoma appears too frequently to be due to chance alone. We speculate that these two entities may reflect different tissue reactions to the same causative agent.

Aged↗