| direct bilirubin | Conjugated bilirubin = Direct bilirubin. Bilirubin that has been chemically attached to a glucuronide in the liver. The bilirubin that is excreted into the bile by the liver and stored in the gallbladder or transferred to the duodenum. Normal direct bilirubin is 0 to 0.3 mg/dl. Greater than normal values can be seen in bile duct obstruction, cirrhosis, Crigler-Najjar syndrome, Dubin-Johnson syndrome and hepatitis. (27 Sep 1997) |
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| direct bone impression | An impression of denuded bone, used in the construction of subperiosteal denture implants. (05 Mar 2000) |
| direct composite resin restoration | A direct restoration made by inserting a plastic mix of auto or light-polymerised resins in a cavity prepared in a tooth. Synonym: direct composite resin restoration. (05 Mar 2000) |
| direct contamination | <dentistry> Direct contact with impurities or germs. (for example by a patient sneezing on the assistant.) (08 Jan 1998) |
| direct Coombs' test | A test for detecting sensitised erythrocytes in erythroblastosis foetalis and in cases of acquired immune haemolytic anaemia: the patient's erythrocytes are washed with saline to remove serum and unattached antibody protein, then incubated with Coombs' anti-human globulin (usually serum from a rabbit or goat previously immunised with human globulin); after incubation, the system is centrifuged and examined for agglutination, which indicates the presence of so-called incomplete or univalent antibodies on the surface of the erythrocytes. (05 Mar 2000) |
| direct current | (DC) Electric current which travels continuously in the same direction over a sustained period of time, contrast with AC (Alternating Current) which oscillates as a function of time. (09 Oct 1997) |
| direct diuretic | A diuretic whose primary effect is on renal tubular function. (05 Mar 2000) |
| direct drive | <radiobiology> An approach to inertial-confinement fusion in which the energy of the driver (laser or particle beam) is directly incident on the (usually spherical) target, causing compression heating via ablation of the target surface. (09 Oct 1997) |
| direct embolism | Embolism occurring in the direction of the blood current. (05 Mar 2000) |
| direct filling resin | An autopolymerizing resin especially designed as a dental restorative material. (05 Mar 2000) |
| direct flap | A flap raised completely and transferred at the same stage. Synonym: immediate flap. (05 Mar 2000) |
| direct fluorescent antibody | The straightforward detection of antigens using fluorescent labelled antigen-specific antibody. Because detection of the antigen in a substrate of patient sample (cellular smear, fluid or patient-inoculated culture medium) is the goal, direct fluorescent antibody is seldom quantitative. (05 Mar 2000) |
| direct fluorescent antibody test | Test for tissue antigen using either a direct method, by conjugation of antibody with fluorescent dye (fluorescent antibody technique, direct) or an indirect method, by formation of antigen-antibody complex which is then labelled with fluorescein-conjugated anti-immunoglobulin antibody (fluorescent antibody technique, indirect). The tissue is then examined by fluorescence microscopy. (12 Dec 1998) |
| direct fracture | A fracture, especially of the skull, occurring at the point of injury. (05 Mar 2000) |
| direct illumination | An illumination in which the rays of light are directed downward, almost perpendicularly onto the upper surface of the object, which reflects the rays upward into the optical system. Synonym: erect illumination, vertical illumination. (05 Mar 2000) |