[Studies on the problem of sample treatment in insulin radioimmunoassay. Effect of Hemolysis on insulin level (author's transl)].
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Hemolysis↗
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Detection and characterization of differences in plasma corticoid response to treatments.
Ten experiments involving 3013 observations and 103 animals were studied to characterize variation associated with bovine plasma corticoid concentrations (ng/ml). Total corticoids, corticosterone, or cortisol were measured by competitve protein binding assay. Animals were noncystic or cystic, and measurements were made to establish basal concentrations or to estimate response to stimulation by adrenocorticotrophic hormone injection. Data were analyzed by least squares with the nested model: treatment regimen, animal in treatment, sample in animal in treatment, and sampling time to the highest order of regression (up to seventh) which was statistically significant (P less than .05). Estimates of error variances ranged from .31 for basal cortisol in cystic animals to 233.27 for total corticoids in noncystic, stimulated animals. Coefficients of variation among experiments ranged from 33 to 87% with mean 61%. In most analyses, estimates of experimental error were large indicating need for careful attention to experimental design to insure efficient least-cost experimentation. Use of the power function for nested analysis of variance to accomplish this is demonstrated.
Adrenal Cortex Hormones↗
Measurement of (15S)-15-methyl prostaglandin F2alpha by radioimmunoassay.
Antibodies against (15s)-15-methyl prostaglandin F2alpha (15-MF) were produced in rabbits immunized with a 15-MF bovine serum albumin conjugate. Tritium labeled 15-MF was prepared from (15S)-15-methyl prostaglandin E2 by reduction with tritiated sodium borohydride. Antiserum specificity and label specific activity (12 Ci/mM) were sfficient to enable development of a sensitive, accurate and relatively specific radioimmunoassay for this prostaglandin analog. The assay can detect as little as five picograms of 15-MF in 100 mul of unextracted blood plasma. Endogenous concentrations of PGF2alpha should not cause a significant blank using current assay conditions, as cross reactivity with this molecule was less than one percent. There is, however, significant affinity (45%) for the C-1 methyl ester of 15-MF. This makes the assay also applicable for measuring this molecule, although no distinction can be made between it and the free acid when neat plasma is assayed. Plasma samples from human and monkey studies were assayed for 15-MF before and after recipients were treated with pharmacologically active doses of this compound. Blank values (0 Hour) of less than 0.1 nanograms per ml were found for all pre-treatment samples while post-treatment samples contained detectable levels. Results of the human study was compared and found to be in excellent agreement with values that were obtained using a gas-liquid chromatographic - mass spectrographic assay.
Animals↗
Stimulation of growth hormone release by thyrotropin-releasing hormone in the hypophysectomized rat bearing an ectopic pituitary.
Hypophysectomized female rats which received renal grafts of anterior pituitary (AP) or weight-matched intact controls were sampled under urethane anesthesia. Plasma growth hormone (GH) in sequential samples from each rat was measured by radioimmunoassay to determine the effect of exogenous thyrotropin-releasing hormone (TRH) on GH release from ectopic or intact AP. In a first experiment, following a baseline sample, a pre-treatment sample was taken from each rat 30 min after urethane injection, after which TRH (0.3 or 0.6 mug) or isotonic saline was injected iv, and samples were taken at 10 and 30 min post-treatment. Baseline GH levels in hypophysectomized-transplanted rats were in the range of 4.0 to 8.0 ng/ml, and were not modified significantly by urethane. TRH caused a significantly greater increase in growth hormone at 10 min than did saline. Plasma GH tended to be higher at 30 min post-treatment only in the 0.6 mug TRH-treated group. In further experiments the above described protocol was followed except that four doses of TRH were used (0.15, 0.3, 0.6, and 1.2 mug) and post-TRH blood samples were taken at 5 and 10 min. TRH caused a clear-cut increase in plasma GH both at 5 and 10 min, although no dose-effect relationship was present. In intact controls, baseline GH levels were in the range 40.0 to 80.0 ng/ml and were drastically reduced by urethane. In these animals, only the 1.2 mug TRH dose induced a GH rise at 5 and 10 min. In similar experiments, iv administration of vasopressin (100, 200, or 400 mU) induced a rise in plasma GH when given to the hypohysectomized-transplanted rats, but was ineffective in intact controls; the administration of prostaglandin E2 (5.0 and 50.0 mug) increased plasma GH in both experimental conditions. The results indicate that TRH in the hypophysectomized-transplanted rat acts directly on the AP tissue to increase GH release and that the ectopic pituitary is more susceptible than the in situ pituitary to some GH-releasing stimuli.
Animals↗
Pretreatment roles and therapeutic environment as correlates of in-treatment client "success": the case of the nonopiate user.
This study examined the effect of pretreatment role-involvements and therapeutic environment on the levels of in-treatment success for a sample of 704 nonopiate users. Within this sample, treatment type was found to be of little consequence in predicting success on selected measures of performance. The results of the analysis are interpreted as a function of theoretical difficulties in the paradigm that is used to organize the treatment effort.
Adult↗
Client demographics and therapeutic approach as predictive factors in the in-treatment outcomes of opiate users.
This study examines the effect of pretreatment role involvements and therapeutic environment on the level of in-treatment client perfromance in a sample of 704 nonopiate users. Within the sample, treatment type is found to have minimal predictive utility for success on selected measures of performance.
Counseling↗
Sampling of speech pathology treatment activities: an evaluation of momentary and interval sampling procedures.
Videotaped samples of aphasia treatment sessions were coded, using the Clinical Interaction Analysis System (CIAS), a 39-category system for recording the events that occur in clinician-patient interactions during aphasia treatment sessions. These coded records were then sampled according to various schedules and procedures and the fidelity with which each sampling schedule and procedure represented the content of the entire treatment record was evaluated. In addition, trained observers coded videotaped samples of treatment, using the CIAS with a number of sampling schedules and procedures. The fidelity with which these observers' records represented the content of the treatment sessions sampled was then evaluated. The results of the analysis indicated that momentary sampling at intervals distributed throughout the session generates more accurate records of session content than single longer samples taken from the session, unless those single samples comprise a major part of the session, and that sampling representativeness remains high even when only one event in ten is sampled, if sampled events are uniformly distributed throughout the session.
Aphasia↗
Ion selective electrode for determination of chloride ion in biological materials, food products, soils and waste water.
The chloride ion selective electrode is used for a rapid, simple, and reliable determination of chloride ion in biological materials (blood serum, urine, fish, and plant tissues), food products (milk, beef extract, nutrient broth and orange, tomato, and grapefruit juices), soils, and waste water (industrial and municipal). The method consists of treating the samples with perchloric acid (pH 1) and potassium peroxydisulfate and determining the chloride content either by a calibration curve or by known addition or analyte addition, using the chloride ion selective electrode. Such sample treatment eliminates most of the interferences occurring in the samples, including iodide, complexing and reducing compounds, and macromolecular and surface-active species. The method is suitable for a wide range of chloride concentration, e.g., 5010 ppm Cl- in nutrient broth and 4890 ppm in beef extract and as low as 12 and 80 ppm in soil extracts.
Animals↗
[Value of quantitative evaluation of bacterial species in bronchitic infections (author's transl)].
A quantitative evaluation of the bacterial species in the sputum collected from 93 patients was conducted over a period of 7 months. The patients were divided into five different pathological categories, while separating those patients who had not received antibiotic therapy before samples were taken from those who had been administered this type of treatment. Samples were repeated after one week in 30 cases. The most frequently encountered germs were hemophilus (10(6)) and pneumococcus (10(7)). In simple bronchopathies, Gram-negative germs were only isolated at levels of 10(5) from patients previously treated with antibiotics, which demonstrates their low pathogenic role. In most severe bronchopathies they were isolated more frequently, but at levels which rarely exceeded 10(6). Their pathogenic role has to be evaluated as a function of the progression in clinical signs. The authors underline the frequency with which pneumococcal strains are resistant to tetracyclines.
Anti-Bacterial Agents↗
Abstinence following detoxification and methadone maintenance treatment.
During an 11 year overview of methadone treatment, 161 (72 per cent) of 225 patients who completed detoxification were followed up to eight years. Fifty-one (22.6 per cent) of those were classified as stable and narcotic free 2.9 years after detoxification. Of 89 self-selected patients who had undergone a planned, supported, "therapeutic" detoxification, 37 (42 per cent) were classified narcotic-free; whereas many fewer were so judged after other methods of detoxification. Relapse to nonprescribed opioid use, detected in 34 (38.7 per cent) of those traced, was inversely related to time since detoxification. Relapse potential was very low after three years of apparent continuous narcotic-free existence; three years should be a minimal time for successful detoxification. Some subjects had several cycles of methadone treatment and detoxification. Most patients with combined alcohol-methadone dependencies did poorly, whether or not detoxification from opioids was undertaken. Since the frequency of enduring narcotic-free state was only 9.7 per cent of 522 patients in the treatment sample, detoxification should not be a realistic goal for all patients who enter treatment.
Adolescent↗
Action imitation: the early phase of infancy.
The early phase of imitation was studied in children between 6 and 18 months by means of the presentations of 22 actions. Comparison groups were used to assess spontaneous production of actions modeled for the treatment samples. Aanalyses yielded 4 clusters of actions, with 1 cluster showing age and treatment versus comparison group effects and others failing to show both these effects. An important factor affecting imitation was the presence of objects. Actions with objects were imitated more than actions without objects. Measures of attention were found to correlate with imitation level, wheras latency was inversely related to imitation. The presence of sound as a variable that potentially influences imitation was studied, but results were inconclusive. Moreover, imitation and object concept performance were unrelated when the factor of age was controlled.
Age Factors↗
The efficacy of a filtered handheld far-ultraviolet disinfection device for decontamination of high-touch surfaces in healthcare settings: a genomic bacterial analysis.
BACKGROUND AND OBJECTIVES: Enhanced environmental disinfection is linked to reduced hospital-acquired infection rates. In this study, we aimed to evaluate the efficacy of an emerging disinfection technology, a filtered far-UV-C handheld (FFUHH) device, for reducing bacterial loads on high-touch surfaces in shared clinical workrooms, and to isolate, identify and characterize clinically significant environmental pathogens. METHODS: We compared samples from high-touch items (dictation device, mouse, armchair, desk, and keyboard) before and after FFUHH treatment. Samples were collected weekly: contact plates for colony counts and swabs before and after intervention on standardized adjacent areas for each surface, respectively. The swabs were enriched and cultured on selective media to isolate pathogens. Environmental samples, as well as clinical samples collected from patients during the study period, were validated using MALDI-TOF and whole genome sequencing. RESULTS: Among the 440 collected plates (220 before and 220 after treatment), the highest mean colony count pre-treatment was detected from armchairs, and the lowest from keyboards. The mean reduction of colony-forming units ranged 53% and 83% and was statistically significant (P < 0.05) across all surfaces except for the keyboard. We characterized multidrug-resistant Staphylococcus epidermidis ST5 and ST16 strains, a carbapenem-resistant Acinetobacter baumannii, and a Klebsiella pneumoniae genetically related to a clinical isolate with a rare sequence type not previously detected in our institution. CONCLUSION: The FFUHH effectively reduced the microbial burden on high-touch surfaces. It can offer an advantage for surface disinfection and an alternative to routinely used biocides.
Humans↗
The effects of fluoxymesterone administration on testicular function.
Long term daily administration of fluoxymesterone (9alpha-fluoro-17alpha-methyl-11beta, 17beta-dihydroxyandrost-4-en-3-one) was associated with a modest suppression of sperm production and a profound suppression of testosterone levels in the absence of significant effects on plasma gonadotropin levels. Nine normal male volunteers took either 10, 20, or 30 mg of fluoxymesterone daily for twelve weeks. Plasma samples were obtained for testosterone, estrogen, LH and FSH levels at biweekly intervals before, during and for up to 12 weeks after fluoxymesterone treatment. Samples were obtained for dehydroepiandrosterone sulfate, testosterone binding globulin and free testosterone assays at representative times before, during and after treatment. Although lower sperm counts were observed at several points during both the treatment and follow up periods, significant consistent suppression of spermatogenesis could not be demonstrated. Reduced plasma testosterone levels were seen within 24 h after beginning fluoxymesterone, and further reductions were noted throughout the treatment period. Changes in plasma estrogen levels did not correlate with fluoxymesterone administration. Neither plasma LH nor plasma FSH levels were significantly altered by fluoxymesterone. A short term study utilizing a single dose of fluoxymesterone yielded similar findings. It is proposed that fluoxymesterone has a local effect on the Leydig cell which is not mediated by gonadotropins.
Adult↗
Destruction of Salmonella on poultry meat with lysozyme, EDTA, x-ray, microwave and chlorine.
Lysozyme, ethylenediaminetetracetic acid, chlorine, x-irradiation and microwaves were used in experimental attempts to eliminate Salmonella senftenberg 775W or Salmonella typhimurium from turkey drumsticks and whole carcasses. Turkey drumsticks or whole carcasses were artificially contaminated with S. senftenberg 775W or S. typhimurium in concentrations ranging between 5 X 10(5) to 8 X 10(5) viable cells per ml. of contaminating fluid. After each treatment, samples were cultured, plated, and tested according to standard methods to determine the susceptibility of Salmonella organisms to the particular treatment. A 0.1 percent solution of lysozyme eliminated the S. senftenberg 775W at 22 degrees C. within three hours. A 0.5 percent solution of ethlenediaminetetracetic acid failed to destroy the test organism under the same conditions. Eighty thousand rads of X-ray eliminated the test organism on turkey drumsticks but failed to remove it from whole turkey carcasses. Microwaves eliminated the S. senftenberg 775W in 150 seconds from turkey drumsticks and ten minutes from broiler chicken carcasses. Aqueous solutions containing 3400 and 2125 p.p.m. chlorine failed to destroy the test organism on turkey drumsticks at 21 degrees C. in 9 and 24 hours. None of the treatments changed the appearance of the skin or meat, except microwaves produced a partially-cooked appearance. Chlorine produced off-color drumsticks.
Animals↗
Molecular Analysis of Persistent and Recurrent Barrett's Esophagus in the Setting of Endoscopic Therapy.
INTRODUCTION: Early neoplastic progression of Barrett's esophagus (BE) is often treated with endoscopic therapy. Although effective, some patients are refractory to therapy or recur after apparent eradication of the BE. The goal of this study was to determine whether genomic alterations within the treated BE may be associated with persistent or recurrent disease. METHODS: We performed DNA sequencing on pre-treatment esophageal samples from 45 patients who were successfully treated by endoscopic therapy and did not recur as well as pre-treatment and post-treatment samples from 40 patients who had persistent neoplasia and 21 patients who had recurrent neoplasia. The genomic alterations were compared between groups. RESULTS: The genomic landscape was similar between all groups. Patients with persistent disease were more likely to have pre-treatment alterations involving the receptor tyrosine kinase pathway ( P = 0.01), amplifications of oncogenes ( P = 0.01), and deletions of tumor suppressor genes ( P = 0.02). These associations were no longer significant after adjusting for patient age and BE length. More than half of patients with persistent (52.5%) or recurrent (57.2%) disease showed pre-treatment and post-treatment samples that shared at least 50% of their driver mutations. DISCUSSION: Pre-treatment samples were genomically similar between those who responded to endoscopic therapy and those who had persistent or recurrent disease, suggesting there is not a strong genomic component to treatment response. Although it was expected to find shared driver mutations in pre-treatment and post-treatment samples in patients with persistent disease, the finding that an equal number of patients with recurrent disease also showed this relation suggests that many recurrences represent undetected minimal residual disease.
Humans↗
Pre-treatment of serum samples for immunonephelometric analysis by precipitation with polyethylene glycol.
A pre-treatment schedule for plasma samples to be analysed with immunonephelometry has been worked out using polyethylene glycol 6000 for precipitating the lipoproteins. The pre-treatment conditions have been studied in detail. By decreasing the blanks in immunonephelometric analysis a greater sensitivity of the method was gained. this was shown by performing analyses of S-beta2-microglobulin to concentrations below 1 mg/l. Another advantage with such a pretreatment is that blank determinations can be omitted for S-transferrin analysis and probably other analyses since the blanks in different samples are reduced to almost the same level.
Beta-Globulins↗
The reliability of a colorimetric test in determining gingival inflammation.
This investigation was undertaken to compare the Gindex saliva test scores with the Gingival Index scores and crevicular fluid flow scores, as proposed by Löe and Holm-Pedersen. Eighty-one patients were tested using the Gindex chemical analysis kit. Crevicular fluid was collected from the six teeth advocated by Ramfjord, followed by a clinical assessment of these teeth using the G.I. Of the original 81 subjects tested, 11 were given a prophylaxis consisting of scaling, root planing, polishing, and oral hygiene instruction; and were retested 14 days later. Results of the two-sample t test show that there were no significant differences between males and females in any of the three tested parameters. The sample was pooled and tested for multiple correlations between the G.I., crevicular fluid, and Gindex scores. Nonparametric rank correlation coefficient tests indicated a statistically significant correlation between the three parameters. A pair wise "t" test for the pre- and post-treatment sample demonstrated a significant reduction in the three parameters. A pair wise rank analysis also showed a significant reduction in the G.I., crevicular fluid, and Gindex scores.
Adolescent↗
Identification of PCB's in the presence of DDT-type compounds using low temperature luminescence.
Low temperature (77 degrees K) luminescence spectra of polychlorinated biphenyls (PCB's), DDT-type compounds and mixtures suggest a simplified method for identification and quantitation of aromatic pesticides with minimal prior sample treatment. Spectral differences allow identification of PCB's in the presence of DDT and the converse. Approximate detection limits, possible interferences and suggestions for further work are discussed
Cyclohexanes↗