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Biomedical subjects

M H Stern

Publications and source records attributed to M H Stern.

At least 55 records · Page 3Linked to original sources

The role of biliary scintigraphy and ultrasonography in the diagnosis of cholecystitis.

The scintigraphic and sonographic findings in 70 patients with pathologically confirmed gallbladder disease are described. Fifty-two patients were found to have had acute cholecystitis. All 52 patients (100%) had non-visualized of the gallbladder on scintigraphy. Of these patients, 71% had abnormal ultrasound examinations and 29% had normal ultrasound examination. Eighteen patients were proven to have chronic cholecystitis. All 18 (100%) had an abnormal ultrasound examination. Four patients (22%) had non-visualization of the gallbladder on scintigraphy producing a false-positive incidence of approximately 6% for acute cholecystitis. The predictive value of scintigraphy in the patient with suspected acute cholecystitis was 94%. A combination of ultrasound and scintigraphy yielded a sensitivity of 100% in the detection of gallbladder disease in the 70 patients.

Cholecystitis↗

Suppression by lithium of voluntary alcohol intake in the rat: mechanism of action.

Subjects were 70 Wistar rats showing either low preference for aversive alcohol solutions or a high preference induced by hypothalamic stimulation. Experiments 1 and 2 showed that a large lithium chloride injection.(3 meq/kg) suppressed alcohol intake only if alcohol was tasted. Pairing lithium contiguously with water or intubed alcohol failed to reduce subsequent alcohol intake despite the concurrent presence of high serum lithium levels. In Experiments 3 and 4 a series of seven lithium injections increased rather than decreased alcohol intake if lithium was allowed to accumulate in the blood and brain during alcohol exposure while the transitory sickness associated with each injection was prevented from association with the taste of alcohol. When sickness was allowed to occur during alcohol exposure a suppression of intake resulted after two injections. Contrary to current interpretations these results suggest that the suppression of voluntary alcohol intake by acute and chronic lithium administration is due to a learned taste aversion rather than to a pharmacological mechanism specific to alcohol;

Alcohol Drinking↗

Diet-induced arteriopathies in the rabbit aorta and oral vasculature.

Advanced atherosclerosis in the form of fibro-fatty intimal plaques has been produced in the rabbit aorta and oral vasculature (labial, lingual, gingival, palatal, periodontal and alveolar arteries) by dietary means. The animals were fed a hypercholesteremic diet and a normocholesteremic diet on alternate months for two years. In the aorta and in many of the oral vessels, the formation of the intimal atheromas was paralleled by a degeneration of the tunica media. The lingual arteries rivaled the aorta and coronary arteries in vulnerability to the diet-induced arteriopathies.

Animals↗

Clinico-pathologic correlation of liver damage in patients treated with 6-mercaptopurine and Adriamycin.

Eleven adults with refractory leukemia treated with a combination of 6-mercaptopurine and Adriamycin developed hepatic dysfunction manifested by elevations of serum total bilirubin, alkaline phosphatase, and glutamic oxaloacetic transaminase. Liver tissue obtained at necropsy showed intrahepatic cholestasis (eight cases), hepatocellular necrosis (ten cases), leukemic infiltration (two cases), and fatty change (nine cases). Neither this frequency nor severity of hepatocellular destruction has hitherto been associated with 6-mercaptopurine at the dose levels used in this study, nor has Adriamycin previously been found to be hepatotoxic. It is postulated that Adriamycin potentiated the hepatotoxicity of 6-mercaptopurine in these patients.

Adult↗

Electron microscopic changes in rat parotid and submandibular glands subsequent total body irradiation with fast neutrons.

Female Sprague-Dawley rats wre irradiated with fast neutrons to study the radiobiologic effect on the parotid and submandibular salivary glands. Cytologic alternations were seen in the parotid tissues as early as 3 hours after exposure and peaked in both parotid and submandibular glands by the fourth postradiation day. The injury was manifest as damaged and sequestered intracytoplasmic organelles appearing as pleomorphic inclusions. The two types of glandular tissue showed similar morphologic alterations. No injury to blood vessels or other radiosensitive cells could be found.

Animals↗