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Biomedical subjects

A Wirth

Publications and source records attributed to A Wirth.

At least 127 records · Page 7Linked to original sources

Rapid development of immunoprecipitins in agarose gel.

A procedure for the rapid development of immunoprecipitins in agarose gels has been developed using polyanion precipitation after immunoelectrophoretical separations. Excellent results are obtained for serum apolipoproteins, immunoglobulins and other proteins. It is shown that quantitative determination of apolipoprotein B in hyperlipemic serum and isolated lipoproteins is affected by immunoprecipitated complexes when rocket immunoelectrophoresis is used. This effect can be avoided by addition of polyvinylpyrrolidone.

Apolipoproteins↗

Metabolic adaptation to prolonged exercise.

A study was undertaken to evaluate and to examine the role of substrate supply in 50 healthy subjects after long distance events, such as 10 km, 25 km, and marathon races. The metabolic, variables of carbohydrate metabolism were greatest in 10-km runners, with the highest increase in glucose, lactate, and pyruvate, while in marathon runners only moderate changes were observed. Marathon competitors gave the greatest decrease in insulin concentration whereas glucagon and cortisol showed a contrary tendency. As for lipid concentrations, the most remarkable point was that after the marathon competition the best runners had the highest increase in free fatty acids; the longer the race, the higher were the beta-hydroxybutyrate and acetoacetate levels after the competition. It is important to emphasize that the limiting factor up to 90 min duration is the competitor's ability to deplete the stores of glycogen. Beyond 90 min (or 25 km) the decrease in insulin, the rise in cortisol and the higher concentration of ketnne bodies found indicate a change in metabnlic response.

Adaptation, Physiological↗

Metabolic response to heavy physical exercise before and after a 3-month training period.

Twenty healthy athletes performed a heavy physical exercise before and after a controlled training period of 3 months. As a result of physical training there was a reduction in lactate concentration during and after exercise. Plasma free fatty acids and triglyceride levels were lower at rest as well as during and after exercise. Insulin concentrations decreased during exercise before the training period whereas they remained constant afterwards. The composition of individual free fatty acids changed in the same way during exercise before and after training: fatty acids with shorter hydrocarbon chains increased, those with longer chains decreased. Comparing the pattern of individual free fatty acids before and after training a higher percentage of saturated and a lower percentage of mono-unsaturated fatty acids was observed. It is concluded that changes in the plasma free fatty acid profile during heavy exercise reflect a preferential uptake and oxidation of certain individual free fatty acids. The significance of training-induced changes in the plasma free fatty acid pattern is discussed.

Adult↗

Electroretinogram in general medicine.

The interest of the usage of the electroretinogram in various fields of general medicine is discussed, with particular regard to endocrinology, ionic changes and neurology. A review from the relevant literature and original contributions from the author's laboratory are reported in detail.

Adolescent↗

Cardiopulmonary adjustment and metabolic response to maximal and submaximal physical exercise of boys and girls at different stages of maturity.

Cardiopulmonary and metabolic variables were investigated at maximal and submaximal bicycle ergometer exercises in 41 swimmers of both sexes, 8--18 years old. VO2 max and VO2 max . HR-1 were higher in boys than in girls and increased with maturity, while VO2 max. kg-1 and HVE were not influenced by this. The HV increased clearly during this growth period, the pubertal and postpubertal subjects showing 16 and 17% higher values for HV and HV . kg-1 than those reported in normal schoolchildren populations. During the submaximal exercise at 70% VO2 max the highest HR values were found in the prepubertal group, whilst the lowest were observed in the postpubertal subjects. These findings suggest that a given percentage of VO2 max as a reference unit, is more reliable than a certain HR to obtain comparable results in subjects with different ages. Blood samples were collected before, during, and after the submaximal exercise. Blood glucose and FFA did not differ in relation to the stages of maturity. During exercise, insulin decreased in prepubertal children, did not alter in pubertal adolescents, and increased in postpubertal subjects. The lactate concentration, during exercise, increased in relation to maturity. The same results were found for HGH, but no differences were found with regard to sex. Since the pattern of HGH secretion during exercise is similar to that found after arginine and insulin administration it is assumed that the same mechanism (i.e., sex hormones) triggers the HGH release.

Adolescent↗

Hyperlipoproteinemia in experimental chronic renal insufficiency in the rat.

Lipid metabolism was studied in experimental uremia. Uremic (U) rats were compared with sham-operated, pair-fed (PF) controls and with ad-lib-fed (AL) controls. In U animals, fasting glucose concentrations were normal, immunoreactive serum insulin (IRI) levels were decreased, and immunoreactive glucagon levels were increased. A significant increase in the serum concentration of all lipid classes was observed: triglycerides were elevated 10-fold above the values in PF and AL controls; phospholipids, twofold; total cholesterol, threefold; and free cholesterol, sixfold. Cholesterol concentration was increased in beta- and pre-beta-lipoproteins and even more so in alpha- and pre-alpha-lipoproteins. There was an increase in the ratio of free cholesterol/total cholesterol. The fatty acid composition of serum lipoproteins was unchanged. Concomitantly, in liver tissue, there was no change in lipid content (triglyceride, cholesterol) and fatty acid composition. These findings argue against glucose- or insulin-mediated changes in hepatic de novo fatty acid synthesis, chain elongation, or poly-desaturation. In U animals, the HMG-CoA-reductase activity of liver microsomes was slightly, but not significantly, reduced as was tritiated water incorporation into cholesterol in isolated perfused liver preparations. In adipose tissue, there was a decrease in triglyceride content. The results provide evidence against insulin-mediated hepatic overproduction as a major cause of hyperlipoproteinemia in this model of experimental renal insufficiency and point to peripheral under-utilization of lipoproteins.

Animals↗

Effect of prolonged glucose infusion on total serum fatty acids and free fatty acids in the rat.

This investigation evaluates the effect of prolonged glucose infusion on triglycerides and the composition in total serum fatty acids and free fatty acids in the rat. Glucose infusion over a period of 4 days leads to the following changes: serum triglyceride concentrations are two to three times elevated and serum insulin levels rise 10 times after 12 hours, followed by a steady decrease. Chain elongation is depressed in serum free fatty acids and even more in total serum fatty acids. In serum free fatty acids monodesaturation is unaltered whereas it is highly stimulated in total serum fatty acids. These alterations correlate with the changes of hepatic total fatty acids and do not correlate with changes of fatty acids from epididymal fat pads. The alterations reflect a specific carbohydrate-induced effect on hepatic fatty acid desaturation and chain elongation. They do not support the idea that serum free fatty acids are mainly secreted from the storage pool of adipose tissue; yet, they may have been newly synthesized in fat cells or even in the liver.

Animals↗

[Simultaneous determination of free cholesterol and total cholesteron on an AA I Technicon autoanalyzer (authors transl)].

A procedure for the simultaneous enzymatic determination of free cholesterol and total cholesterol on a 2 channel AA I Technicon autoanalyzer system is described. The quantitation of free cholesterol is compared with the determination by gas chromatography. The investigation reveals a high correlation between both methods. In contrast to classical procedures the proposed quantitation of free cholesterol can be performed easily and quickly for routine analyses.

Autoanalysis↗

Automatic potentiometric titration and gas-liquid chromatography of underivatised free fatty acids.

A rapid and precise method is described for the determination of total free fatty acids (FFA) in the serum followed by the separation of individual FFA by gas-liquid chromatography (GLC). After the extraction the FFA are directly injected into the gas-liquid chromatograph without esterification. DEGS-PS serves as stationary phase. The esterified fatty acids such as cholesterol esters, phospholipids or triglycerides do not interfere with the FFA determined by the GLC method. This method is compared to other commonly used titrimetric and gas-chromatographic procedures. The changes of the composition of individual FFA during and after ergometer work is reported.

Autoanalysis↗

[Copper-7 intrauterine device (Gravigard). Report of experience].

Within 2 years 258 women aged 16 to 42 years were fitted with a copper-7-IUD (Gravigard, Searle). 45% of these patients were nulliparous women. Follow-up studies were provided in 236 cases in a total of 2717 women-months according to an average time of observation of 11.5 women-months per patient. Altogether there occurred 5 unwanted pregnancies with a Pearl-Index of 2.3. Partial or total expulsion occurred in 27 cases (11%). Fourteen out of 27 expulsions were noticed within the first 2 months after insertion. Removals for medical reasons were requested in 36 cases-in the majority (26 cases) because of bleeding and pain. Thirteen women desired removal of the IUD in order to get either pregnant or sterilized. The continuation rate after 2 years was 73%. The highest number of drop-outs occurred within the first year after insertion (60 cases = 23%) whereas only 4% drop-outs occurred in the 2nd year. It was suggested that the low continuation rate might be partially due to the high number of physicians (19) participating in this study. The most important side effects of the copper-7-IUD in situ were irregular bleeding, intermenstrual pain and discharge. Irregular bleeding and pain decreased markedly after the first year, while slightly prolonged periods persisted in 30 to 50% of all patients. Compared with oral contraceptives copper IUDs hav less severe side effects but less safety at the same time-especially for the younger fertile age group. Therefore they should be offered to young nulliparous women only for a limited period of time.

Abortion, Spontaneous↗