Biomedical subjects

P Rath

Publications and source records attributed to P Rath.

40 records · Page 3Linked to original sources

PubMed1978

Selective splenectomy in Hodgkin's disease, stages I and II. Results of treatment.

Sixty-three patients with Hodgkin's disease, in stages I or II, asymptomatic (A) or symptomatic (B), were diagnosed and followed at the Chaim Sheba Medical Center from 1969 to 1976. Only 14 were staged pathologically. Until 1971, the patients received mantle or "inverted Y" therapy only; thereafter, an extended field that included mantle, upper abdomen and spleen irradiation was given. Symptomatic patients, as well as patients with extranodal involvement, received MOPP chemotherapy (nitrogen mustard, vincristine, procarbazine and prednisone) after termination of radiotherapy. Of 51 patients who were in stage IA or IIA, six relapsed 20 to 43 months after irradiation. Three had a pelvic recurrence; two of them were surgically staged. Thus, in only 1 of 51 patients could staging laparotomy possibly have detected pelvic disease and resulted in different therapy. Our results suggest that total nodal irradiation and staging laparotomy are not mandatory in stages IA and IIA of Hodgkin's disease. The group of 12 symptomatic patients is too small to allow us to draw definite conclusions as to the role of staging laparotomy and adjuvant chemotherapy. However, in view of the high relapse rate in the upstaged symptomatic patients, it seems that chemotherapy should be given to these patients.

Adolescent↗

PubMed1969

The big brush in.

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Adolescent↗

PubMedDate not supplied

Effect of carboxyl mutations on functional properties of bovine rhodopsin.

Bovine rod rhodopsin and membrane-carboxyl group mutants are expressed using the recombinant baculovirus expression system. Biosynthesis of wild-type and the mutant D83N is normal. The mutations E122L and E134D/R affect glycosylation and translocation. After regeneration, purification and reconstitution in retina lipids a wild-type photosensitive pigment with spectral and photolytic properties identical to native bovine rod rhodopsin is generated. Only the mutations D83N and E122L affect the spectral properties and then only slightly. All mutations induce a shift in the Meta I<==>Meta II equilibrium towards Meta I (E134D/R) or Meta II (D83N, E122L). FT-IR analysis shows that the mutation E134D/R does not significantly affect the carboxyl-vibration region but, in particular in the case of E134R, affects secondary structural changes upon Meta II formation. E122L also has an effect on secondary structural changes and in addition eliminates a negative band at 1728 cm-1. The mutation D83N removes a pair of negative/positive bands from the carboxyl-vibration region, indicating that Asp83 stays protonated upon formation of Meta II but undergoes a change in hydrogen bonding.

Animals↗

PubMedDate not supplied

Neoadjuvant chemotherapy in early-stage and locally advanced small bulk squamous cell carcinoma of the oral cavity and oropharynx.

Thirty patients with Stages I, II and III squamous cell carcinoma of the oral cavity and oropharynx (6, 12 and 12 patients, respectively) were entered into a combined modality protocol using preoperative chemotherapy, followed by resection with or without radical neck dissection and radiotherapy. None of the patients received prior treatment and all had good performance status. Primary sites included alveolar ridge (in nine patients), buccal mucosa (in eight), tongue (in six), floor of mouth (in five), and hard palate and tonsillar fossa in one each. Chemotherapy was given as a neoadjuvant debulking procedure using two courses of the Price-Hill regimen (5FU, methotrexate with citrovorum rescue, vincristine, bleomycin, and hydrocortisone) followed in 10 to 14 days by local resection for Stage I-II patients and radical neck dissection plus radiotherapy for Stage III patients. Response to chemotherapy alone was observed in 70% (21 of 30), with 17% (5 of 30) complete responders. Responses were seen in 100% of Stage I, 75% of Stage II, and 50% of Stage III patients. Age greater than 80 years was a poor prognostic indicator. Both men and women responded equally well. Of the 25 patients not entering CR with chemotherapy, a further 75% (11 of 15) did so after local resection and 50% (5 of 10) after local resection, radical neck dissection, and radiotherapy. Overall salvage rate post chemotherapy was 64% (16 of 25). All five patients in CR with chemotherapy alone are alive at a median follow-up time of greater than or equal to 43 months; full survival data are discussed. Toxicity was minimal and did not affect change in treatment course in any patient. These results show that further investigations on the use of neoadjuvant chemotherapy in early-stage and locally advanced squamous cell carcinoma of the oral cavity and oropharynx are indicated.

Adult↗