Search PubMed⌕ Search

Biomedical subjects

S Huber

Publications and source records attributed to S Huber.

At least 19 recordsLinked to original sources

[The clinical significance of cosmic radiation in aviation].

UNLABELLED: The possible adverse health effects of cosmic radiation remains an important topic in the consultation of aviators and frequent flyers. A good number of articles, dealing with this questions have been published recently but produced controversial results. METHODS: We performed a Medline database search and identified 20 relevant articles that were published between 1990 and 2003. There were one retro-/prospective, 13 retrospective, 3 prospective cohort studies and 3 metaanalysis reviewed. Sixteen studies were set in the civil aviation environment, two studies in the military aviation environment and two studies were set in both environments. RESULTS: Seven out of nine studies found an identical or decreased over-all-risk for aviators to develop cancer of any kind compared to the general population. In re- gards to skin cancer, seven out of eight studies found an increased risk for aviators to develop malignant melanoma, basalioma or other kinds of skin cancer. Three studies found an increased risk for the development of prostate cancer and two studies were able to demonstrate a higher risk for the appearance of leukaemia. CONCLUSIONS: Although our review found some studies, that identified higher risks for pilots to develop cancer of the skin, prostate cancer or leukaemia, there is not enough scientific evidence to support the hypothesis, that cosmic radiation is the cause for these findings. It shows to be important to include other factors in the interpretation of the results, since some of the findings may be well explained by life-style factors of the aviation community.

Aerospace Medicine↗

[DRG and OPS-301: effects on the acquisition performance in radiology].

Reimbursement for inpatient services rendered based on comparable daily care rates, case-based flat rates, and special fees as practiced until now has been replaced by the system of diagnosis-related groups. Up until 2004, operation and procedure system (OPS 301) codes could be processed completely automatically by appropriate adaptation of the radiology information system (RIS). Because of further differentiation of OPS codes in the 2005 version, it is no longer possible to unambiguously determine OPS codes automatically. Our goal was to fulfill these additional requirements with as little extra effort as possible. In 36 of 2138 procedures during an observation period of 12 days, i.e., 4/day, manual input on the part of the radiology technical assistant and quality assurance by the diagnosing physician were necessary. This is only needed in complicated procedures for which the minor added effort is negligible in comparison to the entire effort expended for the procedure. We were thus able to achieve the goal of near automation of ascertaining OPS codes.

Databases, Factual↗

Myocarditis susceptibility in female mice depends upon ovarian cycle phase at infection.

Female BALB/c mice were infected with coxsackievirus B3 in the diestrus, proestrus, estrus, or metestrus phases of the ovarian cycle. Cycle stage was determined by vaginal smear. All mice were killed 7 days after infection. Females infected in the diestrus and especially the proestrus phases developed myocarditis. CD4+ T cells expressing interferon-gamma (IFNgamma) infiltrate the myocardium in these two phases, whereas CD4+ T cells expressing IL-4 are more frequent during estrus. Cardiac virus titers were determined 15 h and 7 days after infection. No differences in virus titer were seen at 7 days. These studies show that natural hormone variations can have substantial effects on viral pathogenicity presumably due to hormone effects on the immune system.

Animals↗

Effects of season of birth on reproduction in contemporary humans: brief communication.

BACKGROUND: At high latitudes the external environment varies with season, and therefore the season of birth may contribute to the developmental processes during the perinatal period. METHODS: We investigated the association between birth season and measures of reproductive performance (offspring count, percentage childless individuals) in a contemporary sample of women and men. RESULTS: In the male sample (n = 2342), men born in autumn had fewer offspring (mean 1.4 versus 1.62; P < 0.01) and a higher probability of remaining childless (32.6% versus 25.6%; P = 0.01) than men born in spring. The photoperiod at a male's birth was significantly positively correlated with his subsequent offspring count (P = 0.023). In the female sample, an association between birth season and reproduction was not found. CONCLUSIONS: We assume that in men, among other seasonal factors, pre- or perinatal photoperiod might be involved in the underlying physiological mechanism.

Family Characteristics↗

Brief communication: birth month influences reproductive performance in contemporary women.

BACKGROUND: Season of birth has been reported to affect later reproduction in samples of pre-modern women and contemporary men. METHODS: To examine whether the effect of birth date is also valid in contemporary women, we investigated the association between birth month and measures of reproductive performance (number of live-born children, % childless individuals) in a representative sample of contemporary Austrian women. RESULTS: Among reproducing women, birth month is significantly associated with the number of live-born children (n = 2839, P = 0.032). On average, women born in summer months have fewer children than women born during the remainder of the year. No association between birth month and the percentage of childless individuals was found. CONCLUSIONS: As has been reported in pre-modern women, month of birth also appears to affect later reproduction in contemporary women.

Austria↗

Effects of season, sex, and sample collection on concentrations of fecal cortisol metabolites in red deer (Cervus elaphus).

Seasonal variation, sex differences, and invasive sample collection may confound glucocorticoid measures as indices of stress. We investigated the effects of sex and season on glucocorticoid production on a non-invasive basis by measuring concentrations of cortisol metabolites in feces of undisturbed red deer (Cervus elaphus). Although feces can be collected easily, assignment to individuals is difficult. Anonymous fecal samples may cause overrepresentation of particular individuals thus introducing a source of error when estimating mean hormone levels within a population. We therefore examined the effects of collecting anonymous fecal samples on mean fecal cortisol metabolite levels. Neither sex nor sample collection mode significantly affected mean fecal cortisol metabolite concentrations in the studied population of red deer. Fecal glucocorticoid excretion varied seasonally with a peak during December and January. Out of several potential predictor variables investigated, minimum ambient temperature and snow proved to be the only factors exerting a significant effect on fecal glucocorticoid excretion. We suggest that high winter glucocorticoid levels may act via catabolic function during adaptation of deer to cold winter month when resources are limited.

Animals↗

Oral subchronic toxicity of aqueous crude extract of Plantago australis leaves.

The toxic effects of chronic oral administration (60 days) of aqueous crude extract (AE) of Plantago australis Lam. (Plantaginaceae) in rats at doses of 850 and 1700 mg/kg on biochemical (ALT, AST, creatinine, urea, glucose, alkaline phosphatase, total proteins and albumin), hematological (complete hemogram), and histopathological (heart, lung, liver, kidney, esophagus, stomach and gut) parameters were studied. All biochemical and hematological parameters were found to be in the normal range, but ALT in animals that received AE of 850 mg/kg was higher. Histopathological analysis of organs, especially the liver did not present alterations.

Administration, Oral↗

Cardiac MR in robotic heart surgery for preoperative identification of the target vessel and precise port placement--a theoretical model.

BACKGROUND: The identification of the ideal anastomosis site and the proper port placement are critical for the success of closed-chest robotic surgery. We investigated a new systematic procedure for precise port placement for TECABs. METHODS: We used trigonometry and a human thoracic model to determine the optimal working angles between anastomotic plane, instruments, and endoscope. We then applied the results to seven human subjects as follows: 1. A navigation grid was located extrathoracically before cardiac MR examination. 2. The ideal anastomosis site was defined with the MR. Intrathoracic distances and angles were computed with cardiac MR software and projected onto the thorax. 3. The ideal port placement points were marked on the thorax. RESULTS: The optimal working angle between endoscope and instruments was 35 degrees. 0 degrees and 90 degrees angles were associated with a significant reduction in visualization, technical ease, quality and anastomosis time. The course of the LAD was identified in all seven volunteers with MR. Mean deviation of the endoscope port from the medioclavicular line was 4.3+/-2.1 cm and of the instrument ports from the anterior axillary line 8.4+/-2.4 cm. CONCLUSIONS: Cardiac MR in combination with the navigation grid proved suitable for the visualization of coronary vessels for individually calculating port placement points on the thorax.

Adult↗

Low-grade mucosa-associated lymphoma of the breast: radiological-pathological correlation.

Primary breast lymphoma generally is a rare disease. We present a case of a low-grade mucosa-associated (MALT) lymphoma of the breast in a 32-year-old woman, a distinctive type of localized non-Hodgkin's lymphoma (NHL), which is very seldom located in the breast. We performed differential diagnosis and radiological-pathological correlation with regard to typical microscopic criteria and clinical relevance that apply for that special entity.

Adult↗

Evaluation of pollution-related stress factors for forest ecosystems in central Europe.

Since the early eighties air pollution by SO2 and Pb and, to a lesser degree by NOx and NH3, have been significantly reduced in Europe. This was done in part for the protection of forest ecosystems. The reductions are reflected in the pollutant impacts and inputs and have been verified through the bioindicator Norway spruce. In contrast, ozone concentrations increased at most of the evaluated measuring locations and trends were calculated based on the results of about 100 stations in Austria and Germany. Despite reduced emissions, large parts of the forest ecosystems are still affected by air-pollution impacts. Negative effects can be assessed using different legal standards and Critical Levels and Critical Loads, respectively: The legal standard for the evaluation of SO2 impact, as used in Austria, is well suited. The provisional European Critical Level for ozone, the AOT40 must, in order to be a meaningful criterion for field applications, be further refined. Continuing the Critical Load concept, the spatial risk of acid depositions in areas of high geomorphic variability were evaluated using the new parameter of 'critical soil depth'. With the help of the newly defined 'lead accumulation index', the accumulation of Pb from air pollution could be evaluated. Air-pollution inputs and the spatial acidification risk is directly related to altitude. Up to altitudes of 1000 m and 1100 m, SO2 impact and acid depositions, respectively were indicated and elevated ozone doses and Pb inputs were observed in the sensitive sub-alpine areas. These results underline the necessity for increased protection of mountain forest ecosystems, among others through a further reduction of emissions or forest-related strategies.

Air Pollutants↗

Characterisation of five technical mixtures of brominated flame retardants.

The main components of five technical mixtures of brominated flame retardants were identified by mass spectroscopy, H-NMR, IR spectroscopy, elementary analysis, and HRGC-MS, respectively. The mixtures have been identified as: phosphoric acid bromopropylates: Bromcal P 67-6 HP; C18-alkylated bromophenols: Bromcal P 40-3; dibromopropyl-2,4,6-tribromophenyl ether: Bromcal 73-5 PE; brominated diphenyl ethers (PBrDE): Bromcal 70-5 DE; decabromodiphenyl ether: Bromcal 82-0. Gas chromatographic retention data of the various constituents were measured on standard GC columns. The data prove the interference of some of the brominated compounds with PCBs and other halogenated pesticides in HRGC using the electron capture detector.

Journal Article↗

Fibroadenomas: computer-assisted quantitative evaluation of contrast-enhanced power Doppler features and correlation with histopathology.

We aimed to evaluate whether the histopathologic variability of fibroadenomas accounts for their varied appearance in contrast enhanced power Doppler (PD). Forty patients with fibroadenomas (aged 19 to 61 years) underwent power Doppler ultrasound (US) prior to and following IV bolus injection of a microbubble contrast agent. A 3-min computer-assisted assessment of the color pixel density (CPD) was used for objective evaluation of the increase in color Doppler signals. Enhancement characteristics were correlated to histopathologic features of microvessel density and epithelial hyperplasia, patient's age, tumor size, use of exogenous hormones and menopausal status. Epithelial hyperplasia was diagnosed in 19 patients. Compared to baseline values, patients with epithelial hyperplasia showed a significant increase in mean CPD following contrast media administration (p < 0.01). There was a significant correlation to patient's age (p < 0.0001) and tumor size (p < 0.0001), but not to the use of exogenous hormones and menopausal status. Microvessel counts did not show a significant correlation to CPD at baseline (p = 0.07) or with CPD on contrast enhanced PD (p = 0.13), or with patient age (p = 0.43) or tumor size (p = 0.34). Intratumoral epithelial hyperplasia, primarily occurring in young patients, may contribute to the differential diagnostic overlap in some fibroadenomas and thus limit the ability of PD to distinguish between benign and malignant masses on the basis of enhancement characteristics.

Adult↗

Analysis of the factor V Leiden mutation using the READIT Assay.

BACKGROUND: A variety of methods exist for the detection of single-nucleotide polymorphisms (SNPs) present in amplified segments of genomic DNA. We show the application of a novel SNP scoring tool for analysis of the factor V Leiden mutation. METHODS AND RESULTS: We have developed a novel method for analyzing SNPs. The luciferase-based technique, known as the READIT Technology (Promega Corp, Madison, WI), was used to analyze 510 residual human samples sent for factor V Leiden testing from three independent testing laboratories. A blinded retrospective analysis of the factor V Leiden mutation was used to determine the accuracy and throughput capabilities of the technology. One hundred percent concordance was observed between the READIT Assay and genotype assignments made in the testing laboratories. In addition, greater than 6 SDs of separation were observed between the means of wild-type and heterozygote sample populations. Repetitive sample measurements with representative wild-type, heterozygote, and mutant samples showed that greater than 9 SDs separated the means of heterozygote and homozygote sample populations. Confidence intervals based on the means of wild-type, heterozygote, and mutant sample populations were determined. CONCLUSION: Perfect concordance using the READIT Assay showed its effectiveness as a SNP scoring tool. The design of the factor V READIT Assay was straightforward, requiring the design of two unmodified oligonucleotides that differ at the 3' penultimate position to form perfect hybrids with the wild-type or Leiden form of the factor V sequence. The use of previously published amplification primers and conditions minimized the time needed to optimize and validate the assay. The READIT Calculator supplied with the assay allowed automated genotype assignments and statistical analysis from the READIT Assay data. Confidence-interval analysis validated the ability to distinguish between wild-type, heterozygote, and mutant samples using the READIT Assay.

DNA↗

The influence of medical information on the perioperative course of stress in cardiac surgery patients.

UNLABELLED: Cardiac surgery correlates with increased perioperative stress and anxiety. We tested whether preoperative extensive oral information in combination with more personal attention by the surgeon is associated with any effect on patients' perioperative stress, anxiety, and well-being. Sixty patients awaiting open heart surgery were divided into two groups. Group I consisted of 30 patients who received routine medical information through an informative pamphlet. In Group II (n = 30 patients), additional, extensive oral medical information and more personal attention by the surgeon was provided before surgery. Salivary cortisol, plasma cortisol, state anxiety, and patients' well-being were measured perioperatively. Extensive preoperative oral information in combination with more personal attention by the physician did not have any significant influence on the perioperative psychoendocrinologic course of stress. During transport to the operating room, salivary cortisol increased significantly (P < 0.001) in both groups (ranges are 95% confidence intervals) (Group I, 23.2 nmol/L [17.1-31.5]; Group II, 14.6 nmol/L [9.9-21.3]) versus the first day in the hospital (Group I, 8.4 nmol/L [6.2-11.4]; Group II, 6.7 nmol/L [5.3-8.6]). After the induction of anesthesia, plasma cortisol decreased significantly (P < 0.001) in both groups (Group I, 170.1 nmol/L [143.6-201.4]; Group II, 172.0 nmol/L [142.2-208.1]) versus preoperative levels. After surgery, well-being decreased (P = 0.003) in all patients, and patients' state anxiety was reduced (P = 0.001) after surgery. Our data demonstrate a lack of effect of extensive oral medical information that was presented as part of clinical routine on the perioperative psychoendocrinologic course of stress. High levels of stress during transport to the operating room were detected. IMPLICATIONS: The quantity of stress during transport to the operating room and the perioperative psychoendocrinologic course of stress in combination with two different methods of preoperative medical information are described in 60 consecutive patients awaiting cardiac surgery.

Aged↗

MR imaging characterization of microvessels in experimental breast tumors by using a particulate contrast agent with histopathologic correlation.

PURPOSE: To define the diagnostic potential of magnetic resonance (MR) imaging enhanced with ultrasmall superparamagnetic iron oxide (USPIO) particles for the quantitative characterization of tumor microvasculature. MATERIALS AND METHODS: NC100150 injection, a USPIO in clinical trials, and albumin-(Gd-DTPA)(30) were compared at MR imaging on sequential days in the same 19 rats with mammary tumors. Kinetic analysis of dynamic T1-weighted three-dimensional spoiled gradient-recalled imaging data with a two-compartment bidirectional model yielded MR imaging estimates of microvascular permeability (K(PS)) and fractional plasma volume (fPV) for each contrast medium. RESULTS: Strongly positive and significant correlations were observed between MR imaging-derived K(PS )estimates and histologic tumor grade with either the soluble albumin-(Gd-DTPA)(30) (r = 0.88; P <.001) or larger particulate USPIO (r = 0.82; P <.001). A significant correlation (P <.05) was observed with each contrast medium between K(PS) and the histologic microvascular density (MVD), an angiogenesis indicator. Despite the considerable difference in molecule and particle sizes, no significant difference was observed in the MR imaging-derived mean permeability values generated with the two contrast media. CONCLUSION: USPIO, a macromolecular particulate MR imaging contrast agent, can be applied successfully to characterize tumor microvessels in animals. USPIO-derived K(PS) correlated strongly with histopathologic tumor grade, MVD, and K(PS) values derived by using albumin-(Gd-DTPA)(30) in the same tumors.

Animals↗

Quantitative gadopentetate-enhanced MRI of breast tumors: testing of different analytic methods.

This study assessed several proposed imaging strategies and analytic methods based on gadopentetate-enhanced MRI to differentiate benign from malignant breast tumors in a blinded experimental animal study. Steady-state dynamic MRI and first-pass imaging, performed with either T(1)- or T*(2)- weighted sequences, were compared. Semiquantitative and quantitative analysis methods, based on empirical measures of the data or physiological models, were subsequently applied to the imaging datasets. Comparative measures provided pathologic distinction of benign from malignant tumors, tumor grading, and histologic determination of microvascular density. Of the eight tested methods, only one, an estimate of first-pass perfusion using T *(2)-weighted imaging, showed an almost significant (P = 0.05) difference between benign and malignant tumors and correlated almost significantly (r =.3, P = 0.06) with the tumor grade. All other tests, performed either with steady-state imaging or with T(1)-weighted first-pass imaging, failed to differentiate benign from malignant tumors. In addition, they yielded poor correlations with tumor grade and microvascular density.

Alkylating Agents↗