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Biomedical subjects

M J Klein

Publications and source records attributed to M J Klein.

At least 127 records · Page 7Linked to original sources

Neural and glandular localisation of substance P in Echinostoma caproni (Trematoda-Digenea).

Immunocytochemical studies using antibodies against various peptides were performed on Echinostoma caproni. Only the presence of substance P or a related peptide was clearly demonstrated in this digenetic trematode. In the central nervous system, substance P-immunoreactive neurons were few and constituted two populations according to their size. Labelled axons were observed in the ventral and dorsal nerve cords. Scarce, small neurons and fibres were detected in the peripheral nervous system. The comparative study of 6- and 14-day-old worms showed an overall increase in substance P-immunoreactive nerve structures in the latter. Strong immunoreactivity for substance P was found in prostate cells from 14-day-old worms, whereas none was observed in 6-day-old worms. Thus, positive immunoreactivity seemed to be related to sexual maturity.

Animals↗

Osteosarcoma. Clinical and pathological considerations.

The current local recurrence rate following limb sparing surgery for osteosarcoma is on the order of 5 per cent. Major advances in both reconstructive surgery and adjuvant chemotherapy have dramatically improved the disease-free survival rate and the quality of life in patients with osteosarcoma.

Bone Neoplasms↗

Giant cell tumor of the ischium. A report of two cases and review of the literature.

The ischium represents one of the rarest sites of giant cell tumor of bone. Two additional cases are presented here. The unusual site, aggressive appearance and occurrence in older individuals are suggestive of other primary and secondary malignancies. Characteristic features of giant cell tumor and current treatment options are reviewed.

Bone Neoplasms↗

Acute effects of amitriptyline on human performance and interactions with diazepam.

The effects of psychomotor performance and attention of amitriptyline 75 mg administered without and with diazepam 10 mg have been investigated in 12 healthy subjects. The effects of the compounds were evaluated by objective tests (measurement of body sway, critical flicker fusion, visual reaction time, tachistoscopy, short term visual memory, tapping test, arithmetical calculation and Clement's code) and subjective measurements (visual analogue scales and side effects questionnaire). Measurements were taken before treatment and after 1, 3, 6, 8 and 24 h. Placebo did not affect either the objective or the subjective measurements. Diazepam caused a reduction in attention and performance after 1 h which had disappeared at 3 h. Amitriptyline caused a marked reduction in attention and performance, reaching a peak 3 hours after drug administration and persisting until 8 h. the deterioration in vigilance induced by amitriptyline was potentiated by concomitant diazepam.

Adult↗

Granulomatous Pneumocystis carinii pneumonia in three patients with the acquired immune deficiency syndrome.

Pneumocystis carinii pneumonia is a frequent manifestation of the acquired immune deficiency syndrome (AIDS). It usually presents radiologically as diffuse bilateral infiltrates and histologically as a foamy, eosinophilic intra-alveolar exudate containing the organisms' cysts. We recently studied two rare cases of P carinii pneumonia presenting as pulmonary nodules on chest x-ray films in two patients with AIDS. The corresponding histologies were a combination of the usual intra-alveolar pattern, with an alveolar and interstitial granulomatous appearance. Pneumocystis carinii was present in both areas and was the only organism found in the tissues examined. A third case presented with the more common radiographic appearance but also had a granulomatous histology. We conclude that P carinii pneumonia should be considered in the differential diagnosis of pulmonary nodules in immunocompromised patients and that pathologists should be aware of the possibility of a granulomatous reaction to this organism.

Acquired Immunodeficiency Syndrome↗

Expression of Ia and monocyte-macrophage lineage antigens in giant cell tumor of bone and related lesions.

An immunohistochemical study of six giant cell tumors of bone and eight related lesions (aneurysmal bone cyst, fibrous histiocytoma, and giant cell tumor of tendon sheath) was performed using a panel of monoclonal antibodies directed to the Ia and monocyte-macrophage lineage antigens. In all types of lesion, osteoclastlike multinucleate giant cells were negative for both types of antigen, but a proportion of mononuclear cells gave positive reactions. While the possibility that these cells are reactive cannot be excluded, in giant cell tumor and malignant fibrous histiocytoma, their frequency and their morphologic similarity to the rest of the tissue suggest that they may be an intrinsic part of the neoplasm. This finding is consistent with the presumed fibrohistiocytic nature of these tumors.

Acid Phosphatase↗

An unusual case of cystic chondroblastoma of the calcaneus: a case report.

A rare case of chondroblastoma of the calcaneus with a significant cystic component is presented. The difference in cure rate and clinical behavior between this lesion and others that would be considered in the differential diagnosis makes awareness of its existence and an accurate histologic diagnosis essential.

Adult↗

Treatment of adult lower extremity lymphedema with the Wright linear pump: statistical analysis of a clinical trial.

Seventy-three adult lymphedema patients with 78 affected lower extremities were treated with the Wright Linear Pump. All patients were admitted for a 48-hour clinical trial. Comparison of circumferential limb measurements before and after a 48-hour treatment period using a repeated measures analysis of variance showed statistically significant improvement (p less than 0.00005). Although the improvement appeared to be somewhat more pronounced for men than for women, both sexes experienced an important reduction in leg circumference after therapy. Other factors such as age, etiology, previous use of the Jobst pump, or duration of lymphedema did not appear to influence the extent of improvement. These data clearly indicate that the Wright Linear Pump is an effective treatment for lower extremity lymphedema in adults.

Adolescent↗

Acute effects on psychomotor performance of binedaline alone and with alcohol.

The effects of single oral doses of binedaline (100 mg), imipramine (50 mg) and placebo administered without and with alcohol (0.8 g/kg) were compared on performance tasks (posturographic recordings, i.e., body sway to study alertness, squares test to explore attention and concentration) and subjective assessments in 12 healthy volunteers. The tasks were completed 1.4 and 8 h after drug administration. Blood samples were collected at the same times. Binedaline had no significant effects on any of the task parameters and did not interact with alcohol. Imipramine alone impaired performance at 4 h as shown on posturographic parameters. These disturbances were potentiated by the intake of alcohol. No pharmacokinetic interaction was noted.

Adult↗