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Biomedical subjects

M Abrams

Publications and source records attributed to M Abrams.

At least 55 records · Page 3Linked to original sources
PubMed1986

Rats show only a weak preference for the artificial sweetener aspartame.

The preference of adult female rats for aspartame (L-asparty L-phenylalamine methyl ester) was measured using 24 hr/day and 30 min/day two bottle preference tests. At aspartame concentrations that humans find sweet (0.0125% to 0.05%) the rats failed to prefer aspartame to water. At higher concentrations (0.1% to 1.0%) half (n = 11) of the rats tested displayed mild (64%) to moderate (83%) aspartame preferences. The other half of the rats were indifferent or avoided the aspartame. Even at the most preferred concentration (1.0%) the rats' aspartame preference was much less than their preference for saccharin or sucrose, and they showed little increase in total fluid intake when given the aspartame solution. The results indicate that aspartame is not very palatable to rats, and suggest that it has little or no sweet, i.e., sucrose-like, taste to rats as it does to humans.

Animals↗
PubMed1985

Birth control use by teenagers. One and two years postabortion.

A prospective study was undertaken of the contraceptive behavior of adolescent women following a first-trimester abortion. Each women had an individual counseling session, including birth-control counseling. Effective birth control was used by 77% of the 182 respondents one year postabortion. Two years after abortion, 79% of those who remained in the study group continued to use reliable birth control methods. The repeat abortion rate for all respondents was 7% in the first year and 11% in the second year. These results suggest that teenagers who obtain abortions do not rely on the procedure as a method of contraception. Instead, they are more likely to be using reliable methods of birth control postabortion than they were before the unplanned pregnancy.

Abortion, Induced↗
PubMed1984

A new type of continent ileostomy. Results of an animal study.

Kock's continent ileostomy is a well-established technique, however, it is technically difficult to construct and has a high incidence of complications. This study evaluates a new type of mucosal valve constructed in continuity with an intestinal reservoir. The valve is created along the antimesenteric border of the efferent limb 0.5 cm distal to the reservoir. The seromuscular layer is "stripped" from the mucosal layer for 50 per cent of the bowel circumference and then excised. The remaining seromuscular borders are then sutured to the apex of the pouch and along the antimesenteric border of the afferent limb. In this way the valve is created and, upon distention of the afferent limb and apex of the pouch, the valve closes. In seven dogs such a continent ileostomy was constructed and all were clinically continent. The reservoirs were intubated through the ileostomy two to three times a day. The mean volume aspirated was 143 ml/day. After eight weeks, radiographic and volume-pressure studies were performed. Prior to sacrifice, increasing volumes of barium were instilled into each pouch via the afferent limb and radiographs were taken: these studies confirmed the continence in all seven ileostomies. Following this the reservoirs were intubated and the instilled barium was aspirated. Then Ringer's solution was instilled into each pouch with continuous intrapouch pressure measurements. The pressure remained at 0 cmH2O until a mean volume of 243 ml was exceeded. The mean volume at which incontinence occurred was 415 ml.

Animals↗
PubMed1983

Multi-dimensional treatment planning: I. Delineation of anatomy.

We discuss the scope of a multi-dimensional treatment program designed to assist in planning radiation therapy. It includes: synthesis of diagnostic information; techniques for the assessment and delineation of anatomy; fully three-dimensional simulation of therapy; calculation and assessment of dose distributions; verification of treatment delivery; and assessment of the patient during and after treatment. In this paper we present details of techniques for the assessment and delineation of anatomy, including the display of CT information in three dimensions and the ability to draw on and edit the image displays.

Computers↗
PubMed1983

Multi-dimensional treatment planning: II. Beam's eye-view, back projection, and projection through CT sections.

Three features of a fully three-dimensional treatment planning program are presented: (1) The beam's-eye-view provides the user with an accurate reproduction of anatomic features from the viewpoint of a treatment source. The source can be moved to any feasible position relative to the patient, permitting a choice which allows sensitive organs to be excluded from the beam. In this view a field defining aperture can readily be designed. (2) Back-projection of such an aperture shows the parts of the original transverse CT sections, or reconstructed sagittal or coronal sections, which may be covered by the selected beam. (3) Projection through the CT data from any desired origin provides an alignment film simulation which can be used to confirm accuracy of treatment, as well as help establish anatomic relationships relative to the margins of a treatment field.

Computers↗
PubMed1983

Intestinal pseudo-obstruction as the presenting manifestation of small-cell carcinoma of the lung. A paraneoplastic neuropathy of the gastrointestinal tract.

A 58-year-old woman who had presented with intestinal pseudo-obstruction died 9 months later from rapidly progressive neurologic symptoms and autonomic insufficiency. Her gastric emptying had been markedly delayed and transit of markers had been slowed throughout the small bowel. A 5-hour manometric recording of the antrum and duodenum had shown absence of the normal interdigestive motor complex, which was replaced by irregular contractile activity of reduced amplitude. A small-cell carcinoma of the lung was found at autopsy. Pathologic study of the gut showed widespread degeneration of the myenteric plexus, which was infiltrated by plasma cells and lymphocytes and contained significantly reduced numbers of neurons. The extra-intestinal nervous system had neuronal loss and lymphocytic infiltrates in dorsal root ganglia. Thus, a gastrointestinal neuropathy causing intestinal pseudo-obstruction may be the presenting manifestation of a paraneoplastic syndrome associated with small-cell carcinoma.

Autonomic Nervous System Diseases↗
PubMed1979

Cholelithiasis in children with sickle cell disease.

A group of 47 children with homozygous sickle cell disease ranging in age from 2 to 18 years was studied for the prevalence of gallstones. All of these patients had oral cholecystogram and cholecystosonogram. Eight of the 47 patients (17%) had gallstones both on oral cholecystography and on cholecystosonography. These eight patients had a history of recurrent abdominal pain usually localized to the right upper quadrant. All were admitted on several occasions for sickle cell abdominal crises and four of these were admitted for acute hepatic crisis. These patients have undergone elective cholecystectomy and gallstones were found in every patient. The patients have been followed up from seven to 17 months after cholecystectomy and none have had abdominal symptoms or required hospitalization for abdominal crises.

Adolescent↗
PubMed1979

Post-abortion attitudes and patterns of birth control.

Among 63 women questioned one year after a first trimester abortion at an outpatient clinic, over 75 percent had mature, well-considered reasons for having chosen abortion and felt secure in their decision. Their feelings and attitudes toward themselves and abortion were strongly positive, with a few expressions of unresolved guilt, regret, or depression. They had become more responsible about contraceptive use, more interested in planning future pregnancies, and had experienced little change in sexual habits. Although only 21 percent (13 women) had employed contraception when they became pregnant, 76 percent (48 women) were using effective methods of birth control one year after abortion. Furthermore, over one third felt they were better able to deal with problems and had learned more about their coping capacity as a result of the crisis.

Abortion, Legal↗
PubMed1978

Menstrual dysfunction of patients undergoing chronic hemodialysis.

This study group consisted of 10 female patients undergoing chronic hemodialysis. The duration of their illness was from 10 months to 8 years. Nine of the 10 had been undergoing hemodialysis for more than 1 year. Their menstrual patterns have been investigated, specifically with regard to menstrual history, gonadotropin and progesterone levels, and basal body temperature. Nine of the 10 patients had had regular menses prior to their renal illnesses. All patients became amenorrheic during and after hemodialysis with the exception of one patient who became hypermenorrheic. The gonadotropin levels were as follows: the luteinizing hormones were high-normal and the follicle stimulating hormones were low, almost to a hypogonadotropic range; progesterone level coupled with the basal body temperature showed no evidence of ovulatory cycles, except in one case.

Adult↗
PubMed1973

Lung surface-active fraction as a model system for macromolecular ultrastructural studies with Crotalus atrox venom.

The dog lung surface-active fraction and phosphatidylcholine constituents were subjected to hydrolysis by Crotalus atrox phospholipase A(2). Relative rates of hydrolysis were: dipalmitoyl glycerophosphorylcholine > phosphatidylcholine isolated from the surface-active fraction > phosphatidylcholine as an integral component of the intact surface-active macromolecular structure. Cholesterol markedly inhibited, whereas tripalmitin increased, the rate of hydrolysis with both pure phosphatidylcholine substrates. The effect of temperature on the velocity indicated the enzyme was most active when the substrates were in the gel state. These kinetic results, in conjunction with surface chemistry studies, can be interpreted to indicate that the phosphatidylcholine in the intact surface-active macromolecular particle is liquid crystalline due to molecular interactions with other constituents. Gas-liquid chromatographic analysis of the 2-lysophosphatidylcholines and fatty acids produced from the enzymatic hydrolysis of the intact surface-active fraction indicated that palmitoyl residues were more accessible to the enzyme, perhaps because they occupied positions near the surface of the particle.

Animals↗