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Biomedical subjects

M Friedman

Publications and source records attributed to M Friedman.

At least 433 records · Page 24Linked to original sources
PubMed1983

Occurrence of acute nonlymphocytic leukemia in a prospective randomized study of treatment for Hodgkin's disease.

In a prospective randomized study of treatment with radiation therapy (RT) or RT followed by chemotherapy (CT) for patients with Hodgkin's disease stages I-III, four patients developed acute nonlymphocytic leukemia (ANLL) during post-treatment follow-up. There was a significant relationship between the intensity of the treatment and the appearance of this complication: no cases of ANLL were observed among the 128 patients treated with involved field (IF) RT, IF RT followed by CT, total nodal RT alone (TNR), or total lymphoid irradiation alone (TLI) after a follow-up from 21 to 126+ months (median follow-up 76 months). In contrast, four of 36 patients treated with extensive RT followed by CT developed ANLL at 17, 63, 72, and 91 months. Three of these patients had received TLI + CT, the fourth one TNR + CT.

Adolescent↗
PubMed1983

Legionella pneumophila-induced suppression of macrophage spreading in vitro.

Incubation of normal mouse resident peritoneal cell suspensions rich in macrophages with Legionella pneumophila whole cell vaccine or soluble preparations thereof resulted in marked inhibition of the ability of the cells to spread on glass surfaces during a 24-h period. This inhibition, however, was transient in that by day 2 to 3 after culture initiation only partial inhibition was evident, and by day 4 to 5 thereafter most of the treated macrophage cultures showed normal spreading activity. Suppression of macrophage spreading was evident not only with intact Legionella preparations and the sonic extract but also with a lipopolysaccharide-rich somatic antigen preparation and flagella. The suppressive effects of Legionella preparations on a functional activity of normal macrophages in vitro indicate that these bacteria may have a detrimental effect on an important activity of cells involved in the immune defense system.

Animals↗
PubMed1983

Detection of varicella-zoster virus-specific IgA antibodies in varicella and zoster patients and in healthy adults of various ages by solid-phase radioimmunoassay.

The varicella-zoster virus(VZV)-specific serum immunoglobulin A(IgA) response was studied in varicella and zoster patients and in healthy adults of various ages by a sensitive solid-phase radioimmunoassay technique. Significant rises in VZV-specific IgA titer were found for both varicella and zoster patients, while VZV-specific IgA was also detected in greater than 90% of healthy adults but at lower titers. No significant decrease in VZV-specific IgA titer with increasing age was found. The role of humoral versus cell-mediated immunity in VZV reactivation is discussed.

Adult↗
PubMed1983

Changes in inert gas rebreathing parameters after ozone exposure in dogs.

The acute (30 min postexposure) and delayed (24 and 48 h postexposure) effects of a 4-h exposure to 1.0 ppm O3 (n = 10), 0.3 ppm O3 (n = 9) were evaluated using an inert multiple gas rebreathing method as well as arterial blood gas determinations in anesthetized dogs. Rebreathing parameters included pulmonary capillary blood flow (Qc), diffusing capacity, functional residual capacity, pulmonary tissue plus capillary blood volume (VTPC), and oxygen consumption. The Qc and PaO2 were significantly decreased 30 min after exposure to O3 and remained decreased 24 and 48 h after exposure only in the 1.0 ppm O3 group. After exposure to 1.0 ppm O3 only, a 33% increase in VTPC was found at 24 but not at 48 h and was confirmed by autopsy lung water determinations. No changes in rebreathing parameters or arterial blood gas measurements occurred in the air exposure control group. Therefore, an acute exposure to O3 resulted in adverse cardiopulmonary effects in dogs. Five additional dogs were exposed to 1.0 ppm O3 for 4 h while breathing spontaneously rather than with ventilation being assisted by electrophrenic stimulation (as done in the other exposures), and no changes in VTPC occurred. Thus, the ventilatory pattern used during O3 exposure is also an important factor in causing critical degrees of parenchymal lung injury.

Animals↗
PubMed1983

Legislative aspects of hazardous waste management.

In the fall of 1976 Congress enacted the Resource Conservation and Recovery Act, commonly referred to as RCRA. The objective of the statute is to create an orderly system for the generation, handling and disposal of hazardous waste by means of a comprehensive tracking and record keeping mechanism. RCRA does not regulate directly by statute so much as it delegates rule making authority to the U.S. Environmental Protection Agency. Pursuant to its mandate to develop regulations in accordance with the broad criteria of RCRA, EPA has published extensive regulations. These regulations address hazardous waste generation, transportation, treatment, storage and handling and its final disposal. The statute also offers remedies available to both EPA and the public at large to ensure enforcement of the provisions of RCRA and the EPA regulations. Additionally, it sets guidelines for states to implement their own hazardous waste management programs. This article is intended to introduce this complicated statutory/regulatory package to scientists and health professionals. It outlines the provisions of RCRA and the EPA regulations, abbreviates early judicial decisions interpreting these provisions and sets forth a brief description of various state approaches to hazardous waste management.

Government Agencies↗
PubMed1983

Pregnancy complicated by herpes zoster. A report of two cases and literature review.

Herpes zoster during pregnancy is rare, with only 13 reported cases. Although the prognosis is usually favorable, the disease can be associated with congenital malformations. We treated two pregnant women with herpes zoster at 25 and 31 weeks of gestation. The disease was diagnosed clinically and confirmed by serology and virus isolation. Both women delivered normal infants with normal development.

Adult↗
PubMed1983

Helium charged-particle radiotherapy of locally advanced carcinoma of the esophagus, stomach, and biliary tract.

Sixty-five patients with squamous carcinoma of the esophagus (32 patients), carcinoma of the stomach (18 patients) and carcinoma of the biliary tract (15 patients) received from 6000 to 7000 equivalent rad (60-70 Gray-equivalents) of helium radiotherapy at 2.0 GyE per fraction, four fractions per day, using multiportal, spread-out Bragg peak therapy. All patients had locally advanced disease without evidence of distant metastases. Partial compensation for tissue inhomogeneities was accomplished. Although palliation of symptoms and regression of tumor was commonly seen, local failure occurred in most patients (77%). The median survival was 8 months. It does not appear that an increase in tumor dose relative to normal tissues can be achieved that would be high enough to increase locoregional control rates over historical control rates with low-LET irradiation. Further studies will be carried out with heavier particles such as neon or silicon in hopes of achieving greater biological effect on these difficult-to-control tumors.

Adenocarcinoma↗
PubMed1983

Association of thyroid carcinoma with malignant lymphoma.

Radiation-associated thyroid carcinoma is of clinical importance in modern radiation therapy of both Hodgkin's disease (HD) and non-Hodgkin's lymphoma (NHL), because anatomically the thyroid is often in the radiation field. We have reviewed the records of HD and NHL patients seen at Roswell Park Memorial Institute (RPMI) between 1910 and 1960 to determine associated occurrence of thyroid cancer. Radiation therapy was the major therapeutic modality with the occasional use of single agent chemotherapy with nitrogen mustard, triethylene melamine (TEM), chlorambucil and prednisone. There were 519 patients with HD and 863 with NHL. The thyroid glands of 439 (84%) HD and 544 (63%) NHL patients were included in the field of radiation. The mean age of patients with HD was 39 yr while for those with NHL, it was 53 yr. The mean survival in HD was 4.2 yr and in NHL 3.8 yr. There were three cases of thyroid cancer among the HD patients occurring 31, 44 and 48 yr, respectively, after radiation therapy. When compared with the number of thyroid cancers expected to develop, the incidence was significantly greater (p less than 0.005). In contrast, three NHL patients were found to have thyroid cancer at the time of surgery or postmortem examination. This number is again greater than expected in such a population (p less than 0.005); however, in only two cases could the cancer be considered as a sequela to NHL treatment. In all three cases the cancer turned out to be subclinical thyroid carcinoma, incidentally found at surgery or autopsy. One of the patients is still alive without evidence of either disease. The reason for this difference between patients with HD and NHL treated with a similar principle is unclear. Some of the factors contributing to this difference may include: the younger age of HD patients at diagnosis; the longer survival of patients with HD as compared with those with NHL; differences in the sites of radiation and type of treatment given; and possible differences in immunological status between the two groups.

Adolescent↗
PubMed1983

Virus-specific secretory IgA antibodies as a means of rapid diagnosis of measles and mumps infection.

A highly sensitive solid-phase radioimmunoassay has been developed for the detection of virus-specific IgA antibodies in saliva obtained from infants and children. Serial saliva samples from infants and children under 3 years of age with acute measles or mumps infection, or after measles immunization, were examined for their content of virus-specific IgA antibodies. Virus-specific antibodies appeared transiently in the saliva in both illnesses and after immunization with live attenuated measles vaccine. The significance of this finding for rapid diagnosis of these infections without the necessity of drawing a blood sample is discussed.

Adolescent↗
PubMed1983

Protection of normal tissues with 2-aminoethylisothiouronium during local pelvic radiation in monkeys.

Intestinal and bladder injury are the main limiting factors to radiation therapy in patients with pelvic neoplasms. 2-Amino-ethylisothiouronium (AET) is a radiation-protective agent when given systemically but absorbs poorly from the intestines. Accordingly, it was explored for the local protection of the bowel and bladder during radiation to the pelvis. Radiation localized to the pelvis in various high fractionated doses and various schedules was applied to pairs of stumptailed monkeys (Macaca arctoides): one was always a control; and the other was treated with AET. AET was applied to the bladder through a catheter and to the rectum with a cotton tampon during the time of radiation. After radiation, AET was removed by repeated washings. Control animals developed hemorrhage, diarrhea, and emaciation and died at various times after completion of the radiation course; biopsy of rectal mucosa showed severe radiation damage. AET-treated animals had only occult blood in the stools and suffered slight weight loss; rectal biopsies showed normal tissues 2 weeks after radiation.

Animals↗
PubMed1982

Inactivation of aflatoxin B1 mutagenicity by thiols.

The mutagenicity of aflatoxin B1 to Salmonella typhimurium strain TA98 decreased rapidly upon exposure of aflatoxin B1 to various thiols in aqueous solution. Mutagenic activity was reduced to control values within 24 hr with N-acetyl-L-cysteine (NAC), N-2-mercaptopropionylglycine (MPG), mercaptoethanol, reduced glutathione or mercaptopropionic acid at pH values near 4. Mercaptoacetic acid, mercaptosuccinic acid, cysteine, acetyl-D,L-homocysteine thiolactone, cysteine methyl ester, D-penicillamine and beta-mercaptoethylamine were less effective. Relatively high thiol concentrations (greater than or equal to 0 . 25 M) were required to achieve complete inactivation within 24 hr with the thiols tested. The inactivation rate was strongly dependent on thiol concentration and pH, but was relatively independent of the aflatoxin concentration under the conditions examined. With MPG and NAC reaction rates were much slower at neutral pH values than at pH's between 3 and 4. HPLC and thin-layer chromatographic examination of aflatoxin B1 solutions partially inactivated with NAC revealed the formation of a new product at a rate that correlated with the disappearance of aflatoxin B1 and the loss of mutagenic activity. This reaction product has not yet been identified, but the evidence suggests that it is the product of an addition of the thiol at the difuran region of the aflatoxin.

Aflatoxin B1↗
PubMed1982

The recurrent coronary prevention project. Some preliminary findings.

The Recurrent Coronary Prevention Project (RCPP) was established as a 5-year clinical trial to examine two basic questions: --1. Can the recurrence rate of post-coronary subjects be substantially reduced over a 5-year period by means of a programme of behavioural change, in comparison with treatment by cardiologists focussing on medication, diet, exercise and cardiovascular issues, and with subjects who only receive regular care from their own physician? 2. Can the Type A behaviour pattern (TABP) be changed and do such changes correspond to reduced recurrences of coronary heart disease (CHD) over a 5 year period? To answer these questions, four major treatment groups are currently being compared: --1. A small group treatment programme (Section I) led by cardiologists emphasizing adherence to medication, diet and exercise, and giving cardiovascular and cardiological information. 2. A behavioural change treatment programme (Section II) based primarily on a cognitive social learning model and attempting to alter TABP. 3. A control group of subjects assessed annually and receiving private medical care from their own physicians. 4. A dropout comparison group composed of subjects voluntarily discontinuing participation in groups led by cardiologists or in behavioural change groups. Results to date show a significantly reduced rate of recurrence for subjects in the behavioural change group, compared to those in the groups led by cardiologists as well as control and dropout groups. These significantly lower recurrence rates are accompanied by data suggesting that subjects in the behavioural change programme are also altering their TABP as measured by both behavioural questionnaires and videotaped Type A structured interviews. Clinical impressions suggest that treatment programmes to alter TABP should consider the primary importance of the personal meaning of the TABP and other behaviours to the individual concerned, particularly how basic underlying beliefs set the stage for the TABP. The central role of hostility as a pervasive orientation towards self and others is emphasized, as are issues of excessive controllability related to extreme competitiveness and hyper-arousal. The multiple roles of group leaders, especially as social models for coping, and the impact of the small groups settings, is also discussed.

Behavior Therapy↗