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At least 145 records · Page 8Linked to original sources

Generation of retroviral packaging and producer cell lines for large-scale vector production and clinical application: improved safety and high titer.

For many applications, human clinical therapies using retroviral vectors still require many technological improvements in key areas of vector design and production. These improvements include higher unprocessed manufacturing titers, complement-resistant vectors, and minimized potential to generate replication-competent retrovirus (RCR). To address these issues, we have developed a panel of human packaging cell lines (PCLs) with reduced homology between retroviral vector and packaging components. These reduced-homology PCLs allowed for the use of a novel high multiplicity of transduction ("high m.o. t.") method to introduce multiple copies of provector within vector-producing cell lines (VPCLs), resulting in high-titer vector without the generation of RCR. In a distinct approach to increase vector yields, we integrated manufacturing parameters into screening strategies and clone selection for large-scale vector production. Collectively, these improvements have resulted in the development of diverse VPCLs with unprocessed titers exceeding 2 x 10(7) CFU/ml. Using this technology, human Factor VIII VPCLs yielding titers as high as 2 x 10(8) CFU/ml unprocessed supernatant were generated. These cell lines produce complement-resistant vector particles (N. J. DePolo et al., J. Virol. 73: 6708-6714, 1999) and provide the basis for an ongoing Factor VIII gene therapy clinical trial.

Base Sequence↗

Clinical application of proliferating cell nuclear antigen, oncoprotein p53 and tumor front grading analysis in patients operated on for laryngeal cancer.

The authors assessed proliferating cell nuclear antigen (PCNA), p-53 oncoprotein and morphologic tumor front grading (TFG) in patients with advanced squamous cell carcinoma (SCC), of the larynx and a poor prognosis and tried to find a correlation with tumor stage, the Broders grading system, local and neck lymph node metastases, as well as nodal and local recurrences. In addition, utility of the parameters investigated was evaluated in developing a prognostic factor model, using uni- and multivariate Cox regression analysis. Included in this study were 54 patients (mean age 57 years +/- 8.6). PCNA-positive staining was found in all but one patient with advanced disease, while p-53 stained positively in only 24 subjects (44.4%). The PCNA index ranged from 4.6 to 59.0% (mean, 23.4 +/- 11. 0) and the p-53 index varied from 4.0 to 42.0% (mean, 17.2 +/- 8.6). The TFG score ranged from 9 to 23 points (mean, 15.1 +/- 3.2). PCNA, p-53 and TFG were found to be the markers that provided significant additional information about the biological behavior of tumor cells. The high variability of the results (PCNA, p-53) and high percentage of negatively stained cells (p-53) reduced their application in clinical use. PCNA correlated with tumor grade, G (r = 0.38; P < 0. 01), but negatively with nodal (N) disease(r = -0.37; P < 0.01). The mean values of PCNA and p-53 index were higher in the subgroup with local recurrences. Our present attempt to develop a useful prognostic factor model failed.

Adult↗

Radionuclide evaluation of peripheral circulatory dynamics: new clinical application of blood pool scintigraphy for measuring limb venous volume, capacity, and blood flow.

A new application of clinical blood pool imaging is described for measurements of limb venous volume and blood flow. Forearm count rate changes determined using blood pool imaging of in vivo Tc-99m labelled red blood cell (RBC) were compared in the same limb to forearm volume changes measured by Whitney mercury-in-silicone rubber strain gauge in eight normal subjects. Intravascular count rate changes closely correlated with volume changes following sudden (mean r = 0.98) and stepwise (mean r = 0.96) limb venous congestion for assessment of venous compliance, as well as for measurement of limb blood flow up to 20 ml/min/100 ml (r = 0.95). These results indicate the accuracy and utility of the radionuclide technique in the study of peripheral circulatory dynamics in clinical settings. In addition, limb tissue fluid accumultion may also be quantified by simultaneous use of radionuclide-strain gauge plethysmography.

Blood Circulation↗

Heparin cofactor II: a simple assay method and results of its clinical application.

A simple assay method of heparin cofactor II (HC II) activity is described. The procedure is based on the following principle: Antithrombin III (AT III) in plasma is inactivated by addition of an IgG fraction of goat serum after immunization of the animals against human AT III. Complete inactivation of AT III could be shown by absence of an anti Xa-effect of heparinized plasma treated with this antibody. Thrombin was only partially inhibited after inactivation of AT III. The characteristics of this inhibition were typical for the action of HC II. This method was applied for an assay of HC II activity. After optimizing of the method practical application in clinical routine screening was carried out. A diminution of HC II was observed in liver cirrhosis and in DIC but not in AT III deficiency. In 15 out of 269 cases of recurrent DVT there were HC II activities below 70% of normal. In 4 out of these patients activities of HC II were repeatedly between 44% and 52%. In arterial obstructive disease there was an HC II activity of less than 60% in 18 out of 583 patients and in 11 of them the HC II levels were repeatedly between 45% and 54%.

Antithrombin III↗

Studies on fibrin network structure in human plasma. Part One: Methods for clinical application.

Methods based on turbidity and permeability, for measurement of mass-length ratio of fibrin fibres developed in pure fibrinogen solution, have been evaluated in respect of their applicability to human plasma. Theoretical assumptions made in the calculation of mass-length ratios in plasma have been critically examined. Methods of handling plasma, reproducibility of technique and the influence of age and sex have been investigated. The anticoagulant used, as well as other factors such as time, venepuncture and effects of calcium and fibrinolytic inhibitors are fully explored. With suitable standardization the methods are acceptable for application to clinical studies and are reproducible.

Adult↗

Current clinical applications of stress wall motion analysis with cardiac magnetic resonance imaging.

Over the last years the indications for cardiac magnetic resonance (CMR) imaging have rapidly broadened, in particular those dealing with the non-invasive detection of myocardial ischemia. This review describes the imaging technique, methodology and safety aspects of stress cine magnetic resonance imaging and summarizes the current knowledge with regard to its applicability in clinical routine.

Adenosine↗

Comments to the discussion group. Clinical applications of developmental propositions.

This note summarizes some of the areas of difference between the author's views, rooted as they are in the contributions of Freud, Klein, Winnicott, Bion and certain other British theorists, and those of the various American schools influenced by ego psychology, as they pertain to developmental propositions and their application in clinical work. The areas of differences in understanding touched upon relate to, inter alia, how early development of the ego is conceptualized; the role of the infant's objects, actual and phantasied; the factors that inhibit or promote such development; and the implications of these ideas for clinical work and for the aims of analytic therapy.

Group Processes↗

Panoramic transesophageal echocardiography. Clinical application of real-time, wide-angle, transesophageal two-dimensional echocardiography and color flow imaging.

Panoramic transesophageal echocardiography is a new development in transesophageal echocardiography (TEE) technology, which yields a wide-angle imaging field for real-time two-dimensional and color flow imaging. We report our early experience in patients with the use of an annular-array TEE probe that provides a wide, 270 degrees angle imaging field for two-dimensional echocardiographic imaging. The field of view can, however, be narrowed to 15 degrees . The field of view for color flow imaging can be varied from 180 degrees to 10 degrees . Pulsed-Doppler recordings of flow velocity are also possible. This TEE system provides a panoramic vision of cardiac and paracardiac structures from the esophagus and stomach. Besides cardiovascular structures, other thoracic and upper abdominal organs can be visualized. The wide field of view allows a better comprehension of the cardiac anatomy and its relationship with adjacent structures. The initial experience suggests that this method, besides providing the usually required diagnostic information, may have a number of additional applications. Its clinical potential and directions for future developments are reviewed.

Blood Vessels↗

Personal space boundaries: clinical applications in psychiatric mental health nursing.

TOPIC: Theory of personal space boundaries (PSB) and its application to clinical psychiatric nursing. PURPOSE: To provide a nursing perspective of interventions that incorporate the interactive effects of cognition, affect, behavior, and spirituality on human experience and behavior. SOURCE: Theory of PSB developed by the author. CONCLUSION: Understanding PSB allows for more effective nursing interventions.

Female↗

[Quantitative measurement of induced skin reddening using optical reflection spectroscopy--methodology and clinical application].

Optical reflection spectroscopy is a simple and quick method for the quantification of colour intensity, and is thus suitable for the determination of changes in skin reddening (erythema) due to local vasodilatation. To quantify the time course of this erythema, the oxyhaemoglobin absorption double peak with maxima at 542 and 577 nm is an appropriate parameter. A compact handheld optical spectrometer makes the technique applicable to clinical use, an example being the niacin patch test described herein. This noninvasive test provides information about the cell membrane metabolism via the skin flush induced by niacin (vitamin B3) and mediated by prostaglandin. The aim of this study was to adapt optical reflection spectroscopy to the requirements of the clinical niacin patch test. To that end, we investigated 60 healthy volunteers. Analysis of the spectroscopic data with regard to physiological covariables of niacin sensitivity revealed faster and more intense erythema in females--a gender effect that to our knowledge has not previously been reported. In the light of these results, the findings of other researchers based on semi-quantitative test methods should be reassessed, with consideration given to the gender effect.

Adolescent↗

Clinical application of pharmacogenetics in gastrointestinal diseases.

As knowledge of the human genome grows, there will be a direct impact on the management of specific diseases. Within gastroenterology and hepatology, there has been a change in the understanding of how variations or mutations in genes involved in drug metabolism or disease pathophysiology affect response to therapy. This review discusses the application of clinical pharmacogenetics to the following diseases and disorders: inflammatory bowel disease, Helicobacter pylori infections, gastroesophageal reflux disease, irritable bowel syndrome, functional dyspepsia, liver transplantation and colon cancer. Although only a few genotyping tests are regularly used in clinical practice, it is anticipated that studies will propel the routine use of many of the tests described in this review, in the future.

Adult↗

Quantification and phenotyping of serum cholinesterase by enzyme antigen immunoassay: methodological aspects and clinical applicability.

An enzyme antigen immunoassay for a specific determination of serum cholinesterase is described. Polyclonal and monoclonal antibodies against cholinesterase have been used. Hydrophobic binding of the specific antibody to a microtitre plate was followed by incubation with the samples, and the activity of the bound cholinesterase was assayed by the Ellman method. The procedure has been optimized and characterized, with respect to antigen specificity, and the applicability of the assay for cholinesterase phenotyping is demonstrated. The cholinesterase activities, dibucaine-, scoline-, fluoride- and urea numbers were comparable with established reference values. The high sensitivity and specificity of the assay has been used for determination of cholinesterase in amniotic and cerebrospinal fluids, and its applicability in clinical medicine is indicated.

Acetylcholinesterase↗

A proposed clinical application of a model of CO2 laser radiation induced damage craters.

A method for a controlled generation of primary damage craters in methacrylate ester samples (Vedril C, Montedison) induced by continuous and long-term exposure to CO2 laser radiation is proposed. The results are compared with the experimental values obtained 'in vitro' with 10 W continuous output power of a CO2 laser beam and fg = 7.5 in focal length of the laser's focusing head, and this shows that the proposed model can explain the phenomenon related to the generation of the limiting crater in typical biological tissue. It may have applications in clinical procedures where long-term exposure of the tissue to a laser beam must be considered. Also, the method may possibly be used to create and update a computer library automatically collecting data regarding different thermodynamic characteristics and values of various biological media.

Computer Systems↗

New classification of the styloid process length--clinical application on the biological base.

The aim of this study was to evaluate the mean radiographic length of styloid process in a sample of Croatian population, and based on biological basis, to suggest a classification applicable in clinical practice. Two hundred and ninety six panoramic x-rays were examined, out of which 161 from males and 135 from females. The length of the styloid process was measured and age analysis was conducted. The styloid process was observed in approximately three-quarters of the studied sample. The mean length of the styloid process was 21.6 mm for the right side and 21.2 mm for the left side. Statistical analysis of the obtained data shows the existence of three different groups of styloid processes: short (under 21 mm), normal (21-30 mm) and elongated (more than 30 mm) styloid processes. This study explains trimodal distribution as a consequence of developmental changes. This classification is both the biologically based and clinical relevant.

Adolescent↗

[Perspectives for the clinical application of the results of current neuromorphological studies of the optical nerve lesions and atrophies].

The review presents the analysis of advances in fundamental studies of the optic nerve regeneration and degeneration mechanisms. It is concluded that current experimental morphological investigations of mechanisms of pathogenesis and sanogenesis of the optic nerve atrophies are developing in several major directions. These include: 1) development of techniques for restoration of the integrity of the optic nerve stem, including those that use peripheral nerve grafts; 2) development of measures to decrease the retinal ganglionic cell (RGC) response to injury and to stimulate RGC repair processes; 3) search for the ways for axon growth stimulation in lesioned and undamaged RGC; 4) usage of RGC apoptosis inhibitors; 5) grafting of embryonic retina. Results of the experimental studies are evaluated in the context of their possible application in clinical practice.

Apoptosis↗