Diagnosis of an intrathoracic gastrogenic cyst using 99mTc-pertechnetate.
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Biomedical subjects
Publications and source records attributed to R Mark.
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The adipose tissue of humans with known patterns of cigarette smoking was collected during 1973-74 and analyzed for DDT components and dieldrin. Although smokers are exposed to high levels of insecticides from smoke of cigarettes and some of these compounds can be stored in adipose tissue, it could not be demonstrated that a relationship exists between smoking habit and residual levels of DDT found in fat. Smokers seem able, through induction of enzymes by substances in tobacco smoke, to metabolize these insecticides at a rate approximately equal to the rate of their intake in the smoke. Dieldrin residues in black male subjects were found to be linearly related to the number of cigarettes smoked, but the factors governing this relationship were not obvious.
The ST-T segment of the surface ECG reflects cardiac repolarization, and is quite sensitive to a number of pathological conditions, particularly ischaemia. ST-T changes generally affect the entire waveshape, and are inadequately characterized by single features such as depression of the ST segment at one particular point. Metrics which represent overall waveshape should provide more sensitive indicators of ST-T wave abnormalities, particularly when they are subtle, intermittent or periodic. This study discusses a Karhunen-Loève transform (KLT) technique for the analysis of the ST-T waveform. The KL technique was used to analyse the ST-T complexes in the ESC ST-T database. KL coefficients were plotted as a function of time, and were effective in detection of transient ischaemic episodes. Twenty per cent of the records showed bursts of periodic ischaemia suggesting local vascular instability. A comparison between kl and ST depression series has shown the KL technique as more appropriate to the study of ST-T complex variations. Using the kl series, an ischaemia detector has been developed based on a resampled, filtered, and differentiated KL series. This technique demonstrates a sensitivity of 65% and a specificity of 54%. These low values can be due to shifts of the electrical axis which are detected as ischaemic changes, real ischaemic episodes that were not annotated with the protocol used at the European ST-T database, or erroneous detections. An increase in sensitivity can be obtained at the expense of a decrease in the positive predictive value and thus becomes a useful technique for previous scanning of the ECG record and subsequent review by the expert. The technique has also been used to monitor patients during a PTCA process, demonstrating that this technique allows us to monitor PTCA-induced ischaemia. A detailed analysis has shown that in some cases a repetitive oscillatory behaviour appears, lasting for a period of around 20 s, and highly related to the oscillatory behaviour of the HR. In other cases, transient changes in KL series with salves behaviour associated with the injection of contrast are shown on the ST-T waveform. We conclude that the KL-based analysis of the ST-T segment is a robust and sensitive technique, with considerable advantages over single feature measures in characterizing the subtle waveform changes which may be of importance in clinical risk detection.
In vitro cytogenetics has been established as a valid method for evaluating the genotoxic potential of chemical agents. Armstrong et al have described a simple, quantitative approach to in vitro cytotoxicity and genotoxicity testing by using Chinese hamster ovary (CHO) cells. This approach can also be sensitive and repeatable in an inter-laboratory setting, a prerequisite for routine testing of compounds suspected of having genotoxic properties. In the present study, cytotoxicity was evaluated by the parameter of mitotic index (MI). Genotoxicity is measured by the chromosome aberration (Abs) assay as described by Armstrong et al using CHO cells. The basic analytic principles proposed were extended to include human lymphocytes. Sister chromatid exchange (SCE) analysis was used to establish an additional endpoint. Mitomycin C (MMC), an established clastogen, was used as the model compound for protocol validation. Dose response curves for MI and Abs in CHO cells were found to be consistent with those reported by Armstrong et al. Results from our extended study on lymphocytes and using SCE analysis were analogous. Our experience is that this standardized approach is indeed sensitive and reliable and can serve as a basis for an inter-laboratory testing program.
A previous study has shown the utility of a graphics arts tool in deriving chromosome measurements for relative length determination. It is our hypothesis that the same approach also can be used accurately for centromere index determination. Results based on a study of 50 cells and comparisons with values cited in An International System for Human Cytogenetic Nomenclature (ISCN) are consistent with this hypothesis. Chromosome morphometry is an important adjunct to conventional cytogenetics in suboptimal banded preparations and/or inadequate specimens such as samples from cancer patients.