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Biomedical subjects

R Müller

Publications and source records attributed to R Müller.

At least 847 records · Page 47Linked to original sources
PubMed1975

Occurrence of viral hepatitis type B and type non-B in three patients.

Acute viral hepatitis type B was observed in three patients convalescing from hepatitis B surface antigen (HBs Ag)-negative viral hepatitis. The two types of viral hepatitis were clearly differentiated by serial HBs Ag determinations with counterimmunoelectrophoresis and radioimmunoassay. These findings provide additional evidence of the lack of cross-immunity between the two types of viral hepatitis and indicate that patients with HBs Ag-positive and HBs Ag-negative acute viral hepatitis should be separated.

Acute Disease↗
PubMed1975

Detection of antibody to hepatitis Bs-antigen in patients with acute and chronic hepatitis as measured by a modified procedure of the radioimmunoassay Ausria I 125.

A simple modification of the radioimmunoassay Ausria I 125 was employed for detecting anti-HBs using the inhibition of a constant amount of HBs Ag. Anti-HBs was demonstrated in up to 82% of follow-up patients recovering from viral hepatitis B and in 79% of hemophilia patients. The antibody was found in 3.4% of healthy blood donors and in 10% of family contacts of patients with acute HBs Ag-positive viral hepatitis. The frequency of anti-HBs in 44 patients with HBs Ag-negative chronic aggressive hepatitis or cryptogenic liver cirrhosis (23%) did not differ significantly as compared with the occurrence of anti-HBs in 58 patients with chronic rheumatoid arthritis (16%). These findings give further support to the suggestion that the hepatitis B virus does not contribute to the aetiology of HBs Ag-negative chronic active hepatitis.

Acute Disease↗
PubMed1975

Transcutaneous determination of arterial oxygen tension.

Arterial oxygen tension measurements were performed simultaneously using two different techniques: (1) the conventional method of analyzing a blood sample obtained from the radial artery by means of a Clark electrode and (2) a new method of transcutaneous oxygen tension recording using a newly developed surface electrode containing a built-in heating device to ensure optimal cutaneous perfusion at the site of measurement. Two groups of newborn infants were used as subjects: (1) 70 clinically healthy babies who were tested during normoxia and hyperoxia (breathing 80% to 100% oxygen) and (2) 20 sick preterm and term infants receiving inspired oxygen concentrations of between 21% and 100% during the measurement. Our results indicate a satisfactory accuracy for the transcutaneous oxygen tension measurements in normoxia and hyperoxia (percentage coefficient of variation, 15.9% and 24.1%, respectively). In hypoxia agreement between the two methods varies depending on the degree of circulatory derangement. Overall correlation coefficients were greater than 0.85 in each group.

Blood Gas Analysis↗
PubMed1975

[Estimation of fetal weight by ultrasound (author's transl)].

In attempt to estimate birth weight in utero several dimensions of fetal head and trunk cross-sections, obtained by ultrasonic A- and B-scan techniques (Kretz-Technik), were related to postnatal weights in 108 normal and abnormal pregnancies. Abdominal parameters showed better correlation with weights than did head parameters. Evaluations derived from mean diameter, circumference or area yielded more accurate estimations than those derived from single diameter. In addition, the combination of both head and abdomen measurements increased accuracy. The best results were obtained by planimetric determination of head and trunk cross-sectional areas. Using this method the standard error of estimates was 233 gm. as compared with 423 gm. employing biparietal diameter alone.

Abdomen↗
PubMed1975

Anti-HBsAg assay using the Ausria system with standard antigen dilutions.

A simple modification of the radioimmunoassay Ausria I and Ausria II was employed for detecting anti-HGsAg using the inhibition of a constant amount of HBsAg. The highest incidence of anti-HGsAg was demonstrated in follow-up patients recovering from viral hepatitis B (82%) and in hemophilia patients (79%). Lower frequencies were observed in patients with chronic aggressive hepatitis or liver cirrhosis (23%), patients with chronic rheumatoid arthritis (16%), family contacts of patients with viral hepatitis B (10%) and blood donors (3.4%). No difference in sensitivity for the presence of anti-HBsAg was found between the Ausria I and the Ausria II test.

Antibodies↗
PubMed1975

[Liver disease in polyvinyl chloride production workers - Clinical and peritoneoscopic aspects (author's transl)].

Peculiar clinical symptoms observed in polyvinyl chloride production workers of a nearby chemical plant arose the suspicion of liver and spleen disease in these workers before first reports on vinyl chloride-induced angiosarcoma of the liver became known. Starting at the end of 1972, 44 workers were followed up by biochemical investigations, peritoneoscopy and liver biopsy. As early as 1973 it could be ascertained, that advanced vinyl chloride-induced liver damage presents as hepatic fibrosis with splenomegaly, portal hypertension, and thrombocytopenia without conspicuous deterioration of hepatic parenchyma function. Similar symptoms have been observed after chronic intoxication by arsenic and thorium dioxide (thorotrast). The clinical and peritoneoscopic aspects of the disease are described.

Chemical Industry↗
PubMed1975

[Significance of dermatoglyphics and palmar furrows for genetic and clinical problem formation in gynecology and obstetrics].

After having described the bases of dactyloscopy, the authors report on the clinical importance of this method in gynecology and obstetrics. Own results about Turner's syndrome and first experiences of the dactyloscopic examination of mothers of malformed infants are discussed. The patients with XO Turner's syndrome in our series have a ridge count of 181, comparable to the value of 178, 6 observed by Penrose. Mothers of infants with congenital malformations have no different dactyloscopic features in comparison with the controls.

Chromosome Aberrations↗
PubMed1975

[Morphological changes of the liver after chronic vinyl chloride intoxication (author's transl)].

The monomer vinyl chloride in its gaseous form is used as basic product for industrial synthesis of polyvinyl chloride; it does cause lesions of the liver depending on the dose and the time of exposure. Lesions found on histological examination are: 1. degenerative alterations of liver parenchyma; 2. focal adaptive changes in the cytoplasma of hepatocytes; 3. enlargement of liver cells and polymorphy of cell nuclei; 4. slowly progressive fibrotic and to a lesser degree cirrhotic changes of liver parenchyma, localized in part around the sinus, in part in the septal-periportal areas; 5. activation and proliferation of sinusoidal cells. Sarcoma of the liver due to a probable oncogenic effect of vinyl chloride could be diagnosed in three patients exposed to the toxic agent.

Adult↗
PubMed1975

[Systemic changes in occupational vitiligo].

In three patients with occupational vitiligo caused by paratertiary butylphenol--the first cases observed in the BRD--a functional disorder of the liver was found. In two of these patients splenomegaly was seen. The laboratory findings, the laparoscopic examination and the result of the liver-biopsy are described. It is assumed that these changes as well as the depigmentation and a functional disorder of the thyroid (described elsewhere) are caused by the systemic action of inhaled paratertiary butylphenol.

Adult↗
PubMed1975

[Nature, character, occurrence, and demonstration of hepatitis B antigens (author's transl)].

The morphological, chemical and physical properties of HBAg suggest that the 42 nm component of the antigen, the Dane particle, represents the agent of viral hepatitis B. Its core contains a circular, double stranded DNA, a DNA polymerase and carried HBc-Ag. HBc-Ag is localized on the 21 nm particle, the tubular structures and the surface of the Dane particles. At least 8 different subdeterminants of HBs-Ag could be distinguished by means of specific animal anti-sera. HBs-Ag activity was demonstrated in almost all body fluids and excreta. The results of combined histologic, fluorescent and electronmicroscopic studies suggest ath HBc-Ag is localized in the liver cell nucleus and that HBs-Ag is found in the cysterna of the smooth endoplasmatic reticulum of the hepatocytes. The demonstration of HBs-Ag and the specific DNA polymerase in the serum indicate a hepatitis b virus infection with persistent reproduction of the agent, while demonstration of anti-HBs indicates that the infection has been overcome. The clinical importance importance of anti-HBc is controversial.

Blood↗