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Biomedical subjects

M Hansen

Publications and source records attributed to M Hansen.

At least 37 records · Page 2Linked to original sources
PubMed2003

[Mortality, morbidity and functional outcome after open book and lateral compression lesions of the pelvic ring. A retrospective analysis of 100 type B pelvic ring lesions according to Tile's classification].

A retrospective study was made of 100 Tile type B and 122 type C pelvic ring lesions. Type B1-open book lesions occurred in 52 patients while 48 had lateral compression lesions of type B2 or B3. Only 13.1% of the patients showed no associated lesions. The frequency of associated neurological lesions in the B1 group with 21% was higher than in the B2/B3 group with 12%. The frequency of urologic lesions in group B1 was 9.6% but in B2/B3 patients it was only 2.1%. A total of 66% of B-lesion patients were stabilized with an external fixator. The frequency of secondary operative procedures was 23% in B1-patients and 6.25% in the B2/B3 group. Overall mortality was 10.4%: 5% in the B-group and 14.8% in the C-group. Outcome for patients with B2/B3 lesions was, with 92% excellent and good end results,much better than in patients with B1 lesions (74%). The inverse was true for radiologic results: 93% of the B1- but only 75% of the B2/B3-patients had an anatomical reduction. Open book lesions, lateral compression lesions and combined vertical stable lesions should be differentiated. We suggest that lateral compression lesions be characterized as B1 and open book lesions as B2 type injuries in the classification system of AO.

Adolescent↗
PubMed2003

[Prevention of thromboembolism in trauma surgery by dose adjustment of low molecular weight heparin depending on levels of TAT and D-dimer].

Deep vein thrombosis (DVT) is reported in up to 40% of trauma patients. The individual risk is nearly unpredictable. A daily single dose of a low molecular weight heparin (LMWH) was administered as prophylaxis to 518 trauma patients who were examined preoperatively and up to 10 days postoperatively in a prospective study. They were divided into two groups: group I comprised surgery of the hip and femur as well as total knee replacement and group II knee and lower leg surgery. Thrombin-antithrombin complex and D-dimer were analyzed. A second daily dose of LMWH was added if D-dimer exceeded the cutoff. If ultrasound was suspicious for DVT venography was added. Deep vein thrombosis was seen in five cases (group I=4, group II=1), without pulmonary embolism. TAT and D-dimer were significantly higher in group I than in group II ( p<0.005). One hundred patients, 79 of them belonging to group I, were treated with a second dose of LMWH. The daily cutoff had the highest sensitivity and specificity for day 4. Due to individual monitoring of coagulation markers, the risk for thromboembolism compared to actual data in the literature seems to be reduced.

Anticoagulants↗
PubMed2003

Development of Cuscuta species on a partially incompatible host: induction of xylem transfer cells.

The growth of dodders, Cuscuta reflexa and Cuscuta japonica, on the partially incompatible host poinsettia ( Euphorbia pulcherrima) is studied. Poinsettia responds by bark growths to the formation of the dodder haustoria and prevents dodder from obtaining normal growth. The growth instead becomes extremely branched, coral-like, and dodder lacks the ability to form haustoria. After a period of coral-like growth, long shoots sprout, resembling the normal growth. These long shoots mark an ending phase for dodder, which dies shortly after without having flowered. During the coral-like growth phase, dodder develops transfer cells in the parenchyma cells bordering the vessels of the xylem in the shoot. The transfer cells have not been observed when dodder is grown on the compatible host Pelargonium zonale. A coral-like growth phase has also been observed at the establishing phase when dodder is grown in vitro on agar; later a more normal growth form takes over. In this coral phase, xylem transfer cells are also developed. The fluorochromes carboxyfluorescein and Texas Red were loaded into the host in the phloem and xylem, respectively, and detection of these fluorochromes in the dodder stem indicated that a functional haustorial contact developed for both vascular systems. The results show that Cuscutaspp. have the genetic ability to develop xylem transfer cells and use this in response to developmental stress.

Cuscuta↗
PubMed2003

Zuclopenthixol-acetate treatment in catatonic patients: the implication of iron metabolism.

There is some evidence of ferropenia correlating with neuroleptic malignant syndrome and catatonic symptoms. The aim of this prospective and naturalistic study was to investigate the implications of ferremia in patients undergoing an intramuscular injection treatment of Zuclopenthixol-acetate in Visceolo. We recruited 59 catatonic patients (33 females). Age, sex, psychiatric and somatic diagnoses, body mass index (BMI), dosage and duration of Zuclopenthixol-acetate medication and the timing of the changeover from intramuscular to oral prescription, the single dosage of Clopenthixol if initially coadministered, incidence, onset and duration of transient benign hyperthermia, iron, ferritin, transferrin and saturation values, and white and red blood cell counts as well as liver function and electrolytes were registered. A transient and benign hyperthermic reaction (mean degrees: 37.5 + 0.3 degrees C) lasting for an average of 3.0 + 1.9 d was shown by 72.9% patients (N = 43, 22 females), during a mean treatment period of 5.8 + 3.1 d. These patients were medicated with significant different mean doses of Zuclopenthixol-acetate and compared to the patients with normal body temperature (ANOVA P < 0.01). The duration of Zuclopenthixol-acetate application did not vary between these patients groups. Furthermore, significant differences of iron (59.5 + 30.6 micromol/dl vs. 87.8 + 40.8 micromol/dl; ANOVA P < 0.006) and transferrin saturation values (18.3 + 10.4% vs. 27.2 + 17.0%; ANOVA P < 0.02) were found. Ferritin and transferrin were not implicated in the episode of hyperthermia. Diagnoses, sex, white and red blood cell counts also did not vary between these groups. Our findings indicate a possible involvement of ferropenia in catatonic patients, regardless of the diagnoses, and in the development of benign transient hyperthermia, also known as drug fever.

Administration, Oral↗
PubMed2003

A comparative map of interstitial bovine chromosome 5 with human chromosomes 12 and 22.

We have constructed a high-density comparative radiation hybrid map of the interstitial region of bovine chromosome 5 (BTA5) using a recently constructed 12,000-rad, whole-genome, cattle-hamster radiation hybrid (WGRH) panel. Sixty-two bovine EST markers were selected which have orthologous sequences on human chromosomes 12 and 22 (HSA12 and HSA22). Sixty markers were included in the multi-point framework map at LOD 3.0. Our comprehensive RH map contains more than twice as many markers (88) than previous generation maps. Because of a higher marker density and increased resolution of the RH(12,000) panel, all markers were placed into a single linkage group based on two-point analysis at a LOD score 6.0. As a result, this new comparative map reveals new blocks of synteny and extensive gene order alterations between species. Breakpoints of synteny are located with high accuracy. Overall, this work reveals widespread chromosomal rearrangements between bovine, human and mouse genomes.

Animals↗
PubMed2003

[Biomechanical investigations of different osteosynthesis procedures in the proximal tibia-introduction of a new measuring system].

In this article a new measuring system for biomechanical studies of various osteosynthesis procedures on the tibia is described. The paired tibias are osteotomized and embedded in PMMA in accordance with a randomization protocol. Testing is then carried out under nonaxial loading at 350 N, 600 N and 900 N, uniaxial bending applying a force of 12 Nm, and torsion at a force of 5 Nm in a universal pneumatic testing machine. Ultrasonic sensors pick up movement at the fracture gap under external loading. Testing of the measuring setup has been successful, and relevant results were obtained.

Bone Density↗
PubMed2003

Genetic parameters of postnatal mortality in Danish Holstein calves.

The objective of this study was to estimate genetic parameters of postnatal mortality (PM) in dairy cattle. Data originated from 841,921 Danish Holstein calves. Four binary traits of mortality were considered: D1-14, D15-60, D61-180, and D1-180 with numbers indicating the period of risk in days after birth. The unadjusted frequency of D1-14, D15-60, D61-180, and D1-180 were 0.027, 0.018, 0.020, and 0.066, respectively. A linear sire-model was fitted to the data, and average information-REML was used to estimate (co)variance components. Estimates of direct heritabilities for the four mortality traits ranged from 0.001 to 0.008 but were all significant. D61-180 and D1-180 had the highest direct heritabilities. Maternal heritabilities were very low, ranging from 0.0002 to 0.0015 and significant for D1-14 and D1-180 only. The direct genetic correlation between D1-14 and D15-60, between D15-60 and D61-180, and between D1-14 and D61-180 was 0.73, 0.54, and 0.34, respectively. It indicates that different genes are responsible for early PM (D1-14) and late PM (D61-180). When D61-180 was treated as a different trait for females, males not transferred, and transferred males, the direct heritability was 0.004, 0.008, and 0.034, respectively, but the direct genetic correlations between these three traits were very high. If transfers of calves are getting more common, the importance of including PM in a breeding program will increase, as the genetic variation of PM was considerably higher for transferred calves than for calves that were not transferred.

Aging↗
PubMed2003

Genetic relationship between body condition score, dairy character, mastitis, and diseases other than mastitis in first-parity Danish Holstein cows.

The aim of this study was to explore the possibilities of using body condition score (BCS) or dairy character (DC) as indicators of mastitis and diseases other than mastitis in first-parity Danish Holsteins. The dataset included 28,948 observations on conformation scores and 365,136 disease observations. The analysis was performed using a multitrait linear sire model. Heritability estimates for BCS and DC were moderate (0.25 and 0.22), and heritability estimates for mastitis and diseases other than mastitis were low (0.038 and 0.022). Between BCS and diseases other than mastitis, the genetic correlation was -0.22, whereas the genetic correlation was -0.16 between BCS and mastitis. The genetic correlation between DC and diseases other than mastitis was 0.43, and between DC and mastitis it was 0.27. The genetic correlation between BCS and DC was -0.61. Residual correlations were close to 0, except between BCS and DC (-0.37). Including DC as an indicator of diseases other than mastitis will increase the accuracy of the predicted breeding value for diseases, especially when the progeny group is small. Using BCS as an additional indicator of diseases did not increase the accuracy. Breeding for less DC will increase resistance to diseases.

Animals↗
PubMed2003

Genetic analysis of body condition score in first-parity Danish Holstein cows.

The aim of this study was to test whether genetic components for body condition score (BCS) changed during lactation in first-parity Danish Holsteins. Data were extracted from the national conformation scoring system and consisted of 28,948 records from 3894 herds. Cows were scored once during lactation for BCS on a scale from 1 to 9 with increments of 1. The majority of records were made from d 30 to 150 of lactation. Mean BCS was 4.28 +/- 0.98. Body condition score was lowest in wk 8 to 10 from calving. A multivariate sire model with BCS recordings in six lactation stages treated as different traits was used to analyze the data. In addition, a random regression sire model was used to evaluate the changes in BCS as continuous functions of lactation stage. Estimates of heritability from the multivariate approach ranged from 0.14 to 0.29, and the estimated genetic correlations between BCS at different lactation stages were all higher than 0.82. The random regression model was based on Legendre polynomials (LP) specified on days in milk at scoring. To evaluate the change in mean BCS during lactation, the fixed part of the model included a fifth-order LP on the effect of days in milk at scoring. The highest order of fit used for the sire effect was a third-order LP, but based on likelihood ratio tests this could be reduced to a 0 order, i.e., a model with only the intercept term for the sire effect. This means that the genetic variation is constant over the investigated part of the lactation. Therefore, BCS can be considered the same trait during lactation, and a simple sire model can be used for prediction of breeding values.

Adipose Tissue↗
PubMed2002

[Adenomas of Vater's ampulla and of the duodenum. Presentation of diagnosis and therapy by endoscopic interventional and surgical methods].

BACKGROUND: Adenoma of the ampulla of Vater and the duodenum are rare tumors. The leading symptoms are unspecific; sometimes they are due to the disturbances of the passage or erosion of the tumor. Early and correct diagnosis and the appropriate therapy are of decisive importance because these tumors are precancerous. PATIENTS AND METHODS: We report the cases of seven patients with periampullary adenoma of the duodenum, in one case with incorporation of the the distal bile duct. The diagnostic steps and the surgical treatment are reported and discussed. In achieving a definitive diagnosis, endoscopic retrograde cholangiopancreatography is of paramount importance. Three patients subsequently underwent partial pancreatoduodenectomy (Whipple's procedure); in three patients transduodenal local tumor excision was performed. Postoperative course was without complications in each case and no operative mortality occurred. One patient was treated by argon-coagulation. RESULTS: The histopathological examination showed a tubular villous adenoma in six cases and in one case a villous adenoma (ranging from low to high grade dysplasia). Because there is evidence of an adenoma-carcinoma-sequence, radical surgical treatment is recommended, even in adenoma with low grade dysplasia, in spite of the absence of malignancy.

Adenoma↗
PubMed2002

[The extraarticular proximal tibial fractures].

Operative stabilization of proximal tibial fractures by use of conventional osteosynthesis is still problematic. The choice of the osteosynthetic treatment is strongly influenced by the situation of the surrounding soft tissue. Additional problems in this particular location may occur with malalignment in the fracture site after operation. Primary intraoperative malalignment may occur due to dislocating muscle forces or to the operative approach itself. Secondary dislocation is mainly due to the unstable fixation of the proximal fragment by the implant. Today many different implants with specific biomechanical properties are available. Each system requires a particular operative technique and can lead to individual implant-related problems. The new angle stable implant systems (e. g. LISS = "less invasive stabilization system"), offer significant advantages over conventional plate osteosyntheses and external fixation systems. Improvement of the geometry of standard intramedullary osteosyntheses and introduction of angle stability in the proximal interlocking screws (PTN = "proximal tibial nail") seemingly make this system the optimal solution, concerning biomechanics. On the background of our own clinical experiences and biomechanical investigations, the article discusses solutions for this particular problem.

Adult↗
PubMed2002

Magnetic resonance imaging of nude mice with heterotransplanted high-grade squamous cell carcinomas: use of a low-loaded, covalently bound Gd-Hsa conjugate as contrast agent with high tumor affinity.

RATIONALE: Malignant tumors often show an increased uptake and metabolism of plasma proteins, especially albumin. OBJECTIVES: Determine whether the accumulation of low loaded Gd-albumin improves visualization of malignant tumors by MRI. METHODS: Twelve nude mice with heterotransplanted squamous cell carcinomas were studied. The signal intensity of tumor, blood, liver, kidney and muscle tissue was studied in MR images after application of Gd-albumin during a period of 144 hours. MRI results were histologically correlated after simultaneously injection of Gd- and fluorescein-labeled albumins in 9 nude mice. RESULTS: Although liver and kidney had a maximum increase in signal intensity within 30 minutes, tumors showed a delayed 51% increase in the 24 hours after application. Histologic and fluorescence evaluation demonstrated albumin localization in tumors predominantly in stroma and necroses. CONCLUSIONS: Gd-albumin is efficiently accumulated in SCC transplants. MRI with low loaded Gd-albumin may offer relevant opportunities for recognizing tumors sensitive to a therapy with cyostic drug-labeled albumins.

Albumins↗
PubMed2002

Genetic parameters of dairy character, protein yield, clinical mastitis, and other diseases in the Danish Holstein cattle.

The primary aim of this study was to estimate genetic correlations between dairy character, protein yield, clinical mastitis, and other diseases. Data consisted of first lactation records of Danish Holstein cows calving from 1990 to 1999. After editing, the data included records on 934,639 cows, of which 101,853 were assessed for dairy character, 472,421 for diseases, and 834,993 for protein yield. The disease traits were defined as binary traits in the period from 10 d before to 50 d after calving for clinical mastitis, and from 10 d before to 100 d after calving for diseases other than mastitis. Data were analyzed with a linear sire model using the method of AI-REML. Heritabilities were estimated to be 0.265 for protein yield, 0.261 for dairy character, 0.035 for clinical mastitis, and 0.020 for diseases other than mastitis. Estimates of genetic correlations between protein yield and dairy character, protein yield and clinical mastitis, and protein yield and diseases other than mastitis were 0.38, 0.33, and 0.14. Between the two disease traits, the genetic correlation was 0.24. The genetic correlation between dairy character and clinical mastitis was 0.24. Between dairy character and diseases other than mastitis the genetic correlation was 0.41. Thus, cows with high score for dairy character were more prone to diseases. The genetic correlation between dairy character and the disease traits, when both traits were adjusted for protein yield, was 0.13 for clinical mastitis and 0.39 for diseases other than mastitis. These findings suggest that, dairy character should be given a negative rather than a positive weight in the breeding goal.

Animals↗
PubMed2001

A simplified method for determination of radioactive iron in whole-blood samples.

For studies on iron absorption in man radioisotopes represent an easy and simple tool However, measurement of the orbital electron emitting radioiron, 55Fe, in blood is difficult and insufficiently described in the literature. The present study describes a relatively simple method for simultaneous determination of 55Fe and 59Fe in blood, using a dry-ashing procedure and recrystallization of the remaining iron. The detection limit of the method permits measurements of 0.1 Bq/ml blood thus allowing detection of less than 1% absorption from a 40 kBq dose, which is ethically acceptable in humans. The overall recovery of radioiron from blood is more than 90%, and the coefficient of variation, as judged by the variation in the ratio 55Fe/59Fe is in the order of 4%. Combined with whole-body counting of 59Fe and direct gamma-counting of 59Fe on blood samples, this method represents a sensitive method for studying the intestinal absorption of 55Fe and 59Fe in man and at the same time allows estimation of the amount of radioiron located in the vascular compartment.

Beta Particles↗
PubMed2001

Linkage disequilibrium mapping of the bolting gene in sea beet using AFLP markers.

The possibility of using linkage disequilibrium mapping in natural plant populations was assessed. In studying linkage disequilibrium among 137 mapped AFLP markers in four populations of sea beet (Beta vulgaris ssp. maritima (L.) Arcang.) it was shown that tightly linked loci could be detected by screening for associations. It was hypothesized that the short distances spanned by linkage disequilibrium enable markers that are very tightly linked to a target gene to be identified. The hypothesis was tested by whole-genome screening of AFLP markers for association with the gene for the annual growth habit, the B gene, in a sample of 106 sea beets. Despite the dominant nature of AFLP, two markers showing significant linkage disequilibrium with the B gene were detected. The results indicate the potential use of linkage disequilibrium for gene mapping in natural plant populations.

Alleles↗
PubMed2001

Gentamicin dosing in critically ill patients.

Gentamicin is used worldwide in the treatment of serious infections in critically ill patients. The therapeutic efficacy of gentamicin is correlated to the peak serum concentration and the adverse effects to the trough concentrations. Information concerning the pharmacodynamics in critically ill patients is scarce, but pharmacokinetic data are available. A once-daily dosage regimen has replaced multiple dosing of gentamicin in most intensive care units. No studies evaluating the superiority of either of these dosage recommendations in critically ill patients have ever been conducted. Based on 8 meta-analyses performed addressing this issue on a wide range of patients and theoretical considerations, we consider a once-daily dosage regimen feasible in critically ill patients. In septic patients the volume of distribution is significantly increased compared to normal patients, implying that the initial dose should be increased in this patient population. Additionally a general trend towards using higher loading doses (5-7 mg/kg) has been observed in USA, and the appropriateness of this dosing strategy is based on a large descriptive American study. We recommend that the initial dosage of gentamicin in critically ill hyperdynamic septic patients should be 7 mg/kg. Optimal and appropriate monitoring of the treatment with gentamicin in the critically ill patient is still an issue for further investigation. The treatment period with gentamicin should be short (3-5 days), bearing the pharmacological properties of aminoglycosides (small volume of distribution and poor tissue penetration) in mind. In patients with reduced renal function the initial dose of gentamicin should also be increased and maintenance dose reduced preferentially by prolonging the dosing intervals. However, the use of aminoglycosides in a high dose regimen in oliguric or anuric patients or patients who present with a rapidly decreasing renal function needs further consideration.

Anti-Bacterial Agents↗