Search PubMed⌕ Search

Biomedical subjects

S Wendel

Publications and source records attributed to S Wendel.

At least 19 recordsLinked to original sources
PubMed2002

Section 1B: Rh flow cytometry. Coordinator's report. Rhesus index and antigen density: an analysis of the reproducibility of flow cytometric determination.

Fifty-seven IgG monoclonal anti-D antibodies were evaluated in the Rh flow cytometry section, in which 12 laboratories participated. Staining protocols and a fluorescein (FITC)-conjugated Fab fragment goat anti-human IgG (H + L) as a secondary antibody were recommended but not mandatory. A CcDEe red blood cell (RBC) sample that was shown to be homozygous for RHD by molecular methods was supplied and used as internal 'standard RBC' throughout all experiments. An RBC panel comprising two partial D and four weak D types was supplied as well. The use of standard RBC reduced the variability of the data among the laboratories and allowed the conversion of fluorescence data into epitope densities, which were compounded in an antigen density (antigen D per RBC). The highest antigen density was determined for DVI type III, followed by DVII and weak D type 3; the lowest antigen density were determined for weak D type 1 and type 2. Nine of the 12 participating laboratories discriminated three groups of aberrant RhD that had similar Rhesus indices (RI): D category VI with RI = 0; weak D type 2 and type 3 with an high RI; and D category VII and weak D type 1 with an intermediate RI. The antigen densities and the Rhesus indices obtained correlated well among the laboratories of this Workshop section despite different staining protocols, secondary antibodies and instrumentation.

Algorithms↗
PubMed2000

Serologic testing for Trypanosoma cruzi: comparison of radioimmunoprecipitation assay with commercially available indirect immunofluorescence assay, indirect hemagglutination assay, and enzyme-linked immunosorbent assay kits.

The radioimmunoprecipitation assay (RIPA) has been used as a confirmatory test in several ongoing and published studies of Trypanosoma cruzi in blood donors in the United States. Despite its use as a confirmatory test, few studies are available comparing RIPA to commercially available serologic test methods. Thus, we compared RIPA with two indirect hemagglutination assays (Biolab Diagnostica SA, São Paulo, Brazil; Hemagen Diagnostics, Inc., Waltham, Mass.) and four different enzyme-linked immunosorbent assays (Abbott Laboratories, Abbott Park, Ill.; Embrabio, São Paulo, Brazil; Organon Teknika, São Paulo, Brazil; and Gull Laboratories, Salt Lake City, Utah) using a panel of 220 serum specimens from Brazilian blood donors with a range of T. cruzi antibody titers as determined by indirect immunofluorescence assay (IFA). A titer of 1:20 was used as the baseline for seropositivity. All IFA-negative serum specimens (n = 19) were nonreactive on all tests. At a titer of 1:20 (n = 9), reactivity rates varied considerably among the tests, with only the RIPA and the Organon and Gull assays identifying reactive specimens. For specimens at a 1:40 titer (n = 35), most assays identified at least 32 of 35 (91%) specimens as reactive, but the Biolab assay only identified 24 (69%). At higher titers (1:80, n = 56; 1:160, n = 101) the assays were comparable, with the exception of the Biolab assay, demonstrating rates of agreement with IFA of >/=98%. Overall, when compared with several other test formats, RIPA demonstrated equivalent or superior rates of agreement with IFA-positive specimens across all titers examined. In particular, at titers of >1:40, the RIPA compared favorably with other test methods currently in use, supporting its application as a confirmatory test, particularly in a research setting.

Animals↗
PubMed2000

Medical errors.

Explore the source record for details and available documents.

Capital Expenditures↗
PubMed1999

The absolute number of circulating CD34+ cells as the best predictor of peripheral hematopoietic stem cell yield.

Many controversies still exist about the timing of leukapheresis procedures for PBSC transplantation. Thirty-nine patients were followed daily by monitoring the absolute PB WBC count and CD34+ cell enumeration prior to apheresis. These determinations were compared with the apheresis cell content (nucleated cells and CD34+ cells yield). There was a highly significant correlation between PB CD34+ cells and apheresis CD34+ cell yield (r = 0.921, p < 0.001). A small but significant correlation was found between the PB WBC count and the apheresis nucleated cell content (r = 0.383, p < 0.001), but no correlation was found between PB WBC count and apheresis CD34+ cell yield (r = -0.065, p = 0.460). A target value of 20 x 10(6) CD34+ cells/L was determined to be the most reliable predictor to collect at least 1.0 x 10(6) CD34+ cells/kg in a single apheresis. Of the 39 patients, 20 could be followed after transplantation, and a good correlation was found for total number of CD34+ cells reinfused and platelet and neutrophil engraftment. No correlation was found for nucleated cells infused and engraftment. CD34+ cell determination is a better predictor than WBC count for timing leukapheresis and is thus recommended for monitoring the quality of the product.

Adolescent↗
PubMed1998

Transfusion-transmitted Chagas' disease.

Transfusion-transmitted Chagas' disease has been recognized since 1952. Until recently, no cases were reported outside of Latin America. However, emigration during the past 20 years expanded its transfusional geographic borders to North America. Trypanosoma cruzi-infected donors usually are asymptomatic, often for a lifetime. This situation complicates donor screening, particularly in regions where blood bank personnel are not familiar with the risk factors and natural history of this transfusion-transmitted infection. This review addresses the main aspects of epidemiology, risks of infection, clinical symptoms in donors and recipients, preventive measures, and blood donor screening to prevent transfusion-transmitted Chagas' disease.

Blood Donors↗
PubMed1998

Overeating, reversal theory, and weight cycling.

America's overweight problem is universally recognized and escalating, despite billions of dollars spent to combat it. For the past century, a unidimensional paradigm was predominantly used to correct the overweight problem by reducing calories through dieting. As a result of the profound failure of traditional diet programs, a phenomenon known as weight cycling was born. In this article, a multidimensional paradigm is emphasized to address weight cycling. Reversal theory extends a new theoretical basis that can account for unpleasant feelings, or tension stress, as a trigger of overeating in women who weight cycle. A case example demonstrates how reversal theory explains overeating as a response to high-tension stress. Results of two studies are presented, describing overweight and normal-weight women's reversal theory states during self-reported episodes of overeating and resisting overeating. The multidimensional paradigm calls for emotional overeating behaviors to be addressed in weight management.

Adult↗
PubMed1996

Evaluation of Rh monoclonal antibodies for flow cytometry tests.

As participants of the "III International Workshop on Monoclonal Antibodies against Human Red Blood Cells and Related Antigens", we tested 43 RH monoclonal antibodies by the flow cytometry technique. Besides the anti-D antibodies (not included in this paper), we tested the following antibodies: three (3) anti-C; one (1) anti-Cw; six (6) anti-c; eight (8) anti-E; three (3) anti-e; two (2) anti-G; one (1) anti-CcEe (total = 24 antibodies). These antibodies (from different lab sources) were tested against antigen positive cells (homozygous or heterozygous) and antigen negative cells. When available, some of them were tested against "rare" phenotypes like ryr, r' 'Gr, rGr, R2Rz. All the three anti-C tested, showed poor discrimination between positive and negative cells; from the six anti-c tested, only three had good results (Workshop n degree 18, 20, 21) with a superior performance of one of them (Workshop n degree 18). From the eight anti-E tested, we found two (Workshop n degree 139 and 153) with good performance; all the three anti-e were non reactive; the two anti-G failed to react with r'r red cells; the anti-Cw reacted better with R1wr cells than R1wR1; and the anti-CcEe antibody showed good results with all the phenotypes tested. From the 24 antibodies tested, we found six (25%) antibodies with a good performance.

Antibodies, Monoclonal↗
PubMed1995

Akv murine leukemia virus enhances bone tumorigenesis in hMT-c-fos-LTR transgenic mice.

hMt-c-fos-LTR transgenic mice (U. Rüther, D. Komitowski, F. R. Schubert, and E. F. Wagner. Oncogene 4, 861-865, 1989) developed bone sarcomas in 20% (3/15) of females at 448 +/- 25 days and in 8% (1/12) of males at 523 days. After infection of newborns with Akv, an infectious retrovirus derived from the ecotropic provirus of the AKR mouse, 69% (20/28) of female animals and 83% (24/29) of males developed malignant fibrous-osseous tumors. The tumors in infected transgenics developed with higher frequency and a 200-days shorter mean tumor latency period. The hMt-c-fos-LTR transgene was expressed in all the fibrous-osseous tumors. They also showed newly integrated Akv proviruses, but in most tumors Akv was detected and expressed in only a small number of the tumor cells. Wild-type C3H mice infected with Akv developed benign osteomas with an incidence of 33% and a latency period of 474 days. The data indicate that Akv exerts distinct pathogenic effects on the skeleton. In hMt-c-fos-LTR transgenic mice, predisposed to bone sarcomagenesis, Akv acts synergistically with the fos transgene, resulting in the development of fibrous-osseous tumors.

AKR murine leukemia virus↗
PubMed1995

Akv murine leukemia virus enhances lymphomagenesis in myc-kappa transgenic and in wild-type mice.

The contribution of endogenous retroviruses to the multistep process of lymphomagenesis was investigated in wild-type mice and in two different myc-kappa transgenic mouse lines by infection with Akv. This retrovirus is derived from the endogenous ecotropic provirus of the AKR mouse and was previously considered to be nonlymphomagenic. The mice of the two myc-k transgenic lines are predisposed to B-cell lymphomagenesis and were therefore considered to be more susceptible to Akv. For comparison, the same mouse strains were also infected with the exogenous Moloney murine leukemia virus (MoMuLV). Both MoMuLV and Akv increased the tumor incidence and shortened the tumor latency period in wild-type mice and in the transgenic mouse lines. The differences in pathogenicity, number of provirus integrations, and level of virus expression between MoMuLV and Akv indicate different mechanisms of lymphomagenesis: while MoMuLV induced tumors apparently by insertional mutagenesis involving common integration sites similar to previous reports, the enhancement of lymphomagenesis by Akv seems to be directed by other mechanisms.

AKR murine leukemia virus↗
PubMed1995

Absence of serological surrogate markers for Trypanosoma-cruzi-infected blood donors.

Specific serological screening tests for Trypanosoma-cruzi-infected donors are not yet available and thus not routinely performed in North America. With the recent increase of Latin-American immigration to North America and Europe, there is a risk of transmission by blood products. In this study, we evaluated the possibility whether any of the serological screening tests currently recommended by the AABB could be used as a surrogate marker for this protozoarium. A group of 26,365 blood donors (male = 21,053 and female = 5,312) was analysed for the correlation of T. cruzi antibodies (TcAb) with other serological markers (HIV, HBsAg, ALT, HTLV-I/II, HCV, Anti-HBc, syphilis and unexpected hemoglobins other than A1, A2 and F). Association could be demonstrated only between syphilis and TcAb in the female group (p = 0.005), but the low number of donors found with this association (n = 4) renders the effect of this correlation very small. A higher prevalence of TcAb was found in older age groups, with even gender distribution (p < 0.05), however, donors aged more than 54 years also represent a minority of the donor pool (4.83%) and the detection of positive donors in this age group also has a minor preventive effect on transfusion-transmitted Chagas disease. We conclude that when infected blood donors must be detected, specific serological screening for TcAb is essential and that currently no surrogate marker can be considered for detecting T. cruzi-infected blood donors.

Animals↗