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Biomedical subjects

B Lundh

Publications and source records attributed to B Lundh.

At least 37 records · Page 2Linked to original sources

Non-lethal infection of aminergic reticular core neurons: age-dependent spread of ts mutant vesicular stomatitis virus from the nose.

In order to induce a non-lethal infection restricted to central aminergic neurons projecting to the olfactory bulbs a series of temperature sensitive (ts) and G-protein monoclonal antibody escape mutants of vesicular stomatitis virus (VSV) were instilled into the nasal cavity of mice. In three-week (wk)-old NMRI mice four monoclonal antibody escape mutants caused an extensive infection of the olfactory epithelium and, like a wild type strain, a lethal brain infection after spread along olfactory pathways. Three ts mutant strains showed an attenuated pathogenic potential. Strain G31 caused a lethal infection with a somewhat prolonged course while the strain G11 failed to invade the nervous system. Strain G41 showed minimal invasion of central nervous system in three-wk-old mice and caused a lethal infection in newborn and one-wk-old mice. In contrast, two-wk-old mice survived infection with this mutant, which spread along olfactory pathways and rather selectively affected aminergic reticular core neurons in the diagonal band, the locus ceruleus and the raphe nuclei in the brainstem. Thus, an age-dependent virus infection of the olfactory pathways can cause restricted lesions in the brain providing a model for studies of virus-induced changes in aminergic neurotransmission.

Aging↗

Sex- and age-related normal limits for the QRS complex in vectorcardiography.

In order to provide reference values for vectorcardiography (VCG), which are relevant with regard to sex, age and available computer technology. VCG from a normal material were studied. VCG according to Frank were recorded in 159 men and 193 women, healthy and randomly selected from a defined caucasian urban population. The technique used includes noise reduction by averaging and a spatial algorithm for QRS delineation. The results are given separately for men and women and for young and old subjects. Significant differences between these groups were found to be common and of potential importance for interpretation of VCG. Discrepancies between our results and other reports on normal ranges can be explained by both different techniques used and different composition of the material studied. On the basis of our data normal limits for a number of measurements, commonly used in diagnostic criteria for myocardial infarction and ventricular hypertrophy are reported.

Adult↗

Urine or bladder washings in the cytologic evaluation of transitional cell carcinoma of the urinary tract. A comparison made under routine conditions supplemented by flow cytometric DNA analysis.

The usefulness of urine and bladder washings for cytological purposes and routine conditions was compared in a reevaluation of 192 specimens from urothelial tumors. To supplement the cytological interpretation by more objective means urine and bladder washings from the same tumours were analyzed by flow cytometry. The cytological reevaluation demonstrated the necessity for extensive experience in this kind of material. No real difference was noted between urine and bladder washings in the cytological interpretation but bladder washings were superior to urine in displaying aneuploidy. The results illustrate the need for a precise sampling technique and for the supportive role of flow cytometry in the management of urothelial tumors.

Carcinoma in Situ↗

Effects of manganese chloride on the rat developing nervous system.

Sprague-Dawley rats were exposed to sublethal doses of manganese chloride during their postnatal development period up to 44 days of age. They showed transient clinical signs of disease and a decreased homovanillic acid (HVA) content in the striatum and hypothalamus between 15 and 22 days of age. The manganese content in the brain was increased 20-40 times during this period as determined with neutron activation analyses. In spite of this no structural damage or signs of maturation disturbances in the nervous system were found. Interruption of manganese exposure reversed the changes in HVA content.

Animals↗

Variation of body weight with age, sex and height. An index for classification of obesity.

The body weight of 472 randomly selected inhabitants of a city population was studied in relation to age, sex and height. Weight tables were constructed from multiple regression equations. The reliability of the weights obtained and the concepts of average weight and obesity are discussed. Comparisons with earlier weight standards are made and commented upon. Over- and underweight can be expressed as % of expected weight (WE), i.e. (WO-WE)/WE X 100, where WO = observed weight. WE are calculated from the formulas WE = 6 + 0.78 X (height (cm) - 100) + 0.17 X age for men and WE = 7 + 0.71 X (height (cm) - 100) + 0.17 X age for women. These formulas are the basis for the weight tables and are derived from a subsample, obtained by excluding obese subjects from the total sample.

Adult↗

Sendai virus infection in the mouse brain: virus spread and long-term effects.

Following intranasal instillation of Sendai virus in newborn mice an extensive virus infection of respiratory epithelium and olfactory mucosa was observed by immunoperoxidase technique. Viral antigen appeared in olfactory nerves and in neurons of the trigeminal ganglia. Selective labeling of neurons in trigeminal ganglia was also seen after virus injection into the snout. This shows that respiratory infections may not be restricted to the respiratory mucosa but may also spread to peripheral ganglia after uptake of virus at axonal terminals and somatopetal axonal transfer to the nerve cell bodies. Following intracerebral injection into newborn mice viral antigen persisted in scattered neurons in the thalamus and mesencephalon after 24 weeks. The majority of the mice developed hydrocephalus, for which obliteration of the aqueduct seems to have been a major cause.

Animals↗

On the normal scalar ECG. A new classification system considering age, sex and heart position.

472 randomly selected men and women from the city of Lund were examined for disease in the heart, lungs and for hypertension. 163 men and 194 women who had no symptom or sign of disease were accepted for the further study. The prevalence of various exclusion criterias, such as symptoms and signs of heart disease, lung disease and other diseases which may possibly affect the ECG are reported as well as the distribution of blood pressures in the sample. A computer-averaged standard 12-lead ECG (leads aVL, I, -aVR, II, aVF, III, V1-V6) was recorded. All measurements of ECG-deflections have been made visually using a magnifying glass (6 times). ST-segments were classified according to the Punsar code by independent visual observers as well as by the computer. The mean frontal QRS-axis shifted to the left with advancing age, but the shift was statistically significant only in men. In both men and women there was a leftward shift of the mean frontal QRS-axis with increased weight, increased chest circumference and increased obesity index. The normal range of axis was found to be 0 degrees to 90 degrees in men and +15 degrees to 90 degrees in women. The problems concerning the definition of the electrical heart position is discussed. The concept of a Q-axis is introduced as an alternative way to indicate electrical heart position. There is a statistical significant relationship between the Q-axis and the QRS-axis in the frontal plane, although this relationship is not always apparent in the individual ECG. The presence or absence of a Q-wave in an individual lead was used to denote a lead as being a left ventricular lead or not. Using the Q-wave as a marker of heart position in the individual lead is more practical than to use the QRS-axis or the transitional zone. Duration and amplitude of the Q-wave have been measured. The upper limit of normal duration exceeded 0.03 s in leads aVL and aVF in men but not in women. The R-wave amplitudes proved to vary with age and heart position in men. In women variation of the R-wave amplitude was found with heart position but not with age.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

The value of preoperative classification according to the TNM system. A critical examination of Category T2 in 96 patients with grade 3 transitional cell bladder carcinoma subjected to preparative irradiation and cystectomy.

A critical reevaluation of the preoperative classification in 96 patients with transitional cell bladder carcinomas of grade 3 (WHO) and clinical category T2 has been performed. As a result of incomplete biopsies and clinical data, it was possible to reclassify only 49 tumors (51%). 43 of these seemed to be of a lower stage than originally proposed. In addition downstaging after preoperative irradiation occurred in 77 patients (80%). In view of the uncertainties in the present series, a return to a simplified preoperative classification for clinical purposes is proposed--e.g. tumors with mucosal growth, tumors with muscle infiltration, tumors extending outside the bladder.

Aged↗

Haptoglobin concentrations in children aged 9-10 years and its correlation to indirect parameters of erythrocyte turnover.

Low serum haptoglobin values are often found in children. Nine different parameters were studied in 125 healthy children aged 9-10 years to get indirect information on erythrocyte turnover and its possible relation to the low mean plasma haptoglobin level in childhood. The mean LD activity was higher than in adults. The mean carboxyhaemoglobin per cent saturation (COHb %) and the mean serum haptoglobin concentrations were lower than in adults. No significant correlation was found between serum haptoglobin and serum iron, serum bilirubin and COHb %. Significant correlation at low r-values was found between serum iron, serum bilirubin and COHb %. The low serum haptoglobin levels often seen in children seemed not to be caused by an increase in erythrocyte turnover.

Adolescent↗

Blood carboxyhaemoglobin per cent saturation in children.

The carboxyhaemoglobin per cent saturation (COHb %) was determined in healthy non-smoking subjects, aged 5-37 years, in order to establish age-dependent reference values for COHb %. A gas chromatographic method using gaseous carbon monoxide (CO) as a standard was used to determine the CO content in blood. The mean COHb % for children below 15 years of age was significantly lower than for older children and adult men. The mean COHb % of children, aged 15-16 years, was significantly increased compared to adult men.

Adolescent↗

Intracranial myeloid metaplasia in myelofibrosis.

In a man aged 62 years with a 14-year-history of polycythaemia vera progressing into a myelofibrotic stage symptoms and signs of an intracranial tumour with increased intracranial pressure developed. CT scan as well as angiography of the right internal carotid artery revealed richly vascularized masses within the meninges. The patient died in endocarditis and progressive heart failure and at autopsy the intracranial masses were shown to be due to meningeal myeloid metaplasia. The literature is reviewed and it appears that myeloid metaplasia within the central nervous system might be more common than has been hitherto anticipated. A CT scan is to be recommended in myelofibrosis whenever symptoms and signs suggesting intracranial disease are present.

Brain Diseases↗

The clinical picture of deep vein thrombosis correlated to the frequency of pulmonary embolism.

Pain and swelling of the leg have been studied in 27 patients with deep vein thrombosis (DVT). Twenty-three of them were also examined for pulmonary embolism (PE) after one week of heparin treatment. Scoring systems were constructed to quantitate pain, size of DVT and PE. A ratio between swelling and pain (S/P ratio) was calculated for each patient. Actual size of the DVT, as estimated with venous phlebography, was correlated to swelling (rs = 0.51, p less than 0.01), S/P ratio (rs = 0.53, p less than 0.01) and PE (rs= 0.57, p less than 0.01). DVTs with not pain at all or just tenderness on palpation were more often associated with PE (p less than 0.05) and elevated blood pressure (p = 0.02) than DVTs with pain on walking. A free floating proximal end of DVT proved unreliable for predicting PE. It is concluded that the risk of developing PE depends not only on DVT size, but also on factors related to pain.

Adult↗

Influence of smoking on thyroid activity.

Serum concentrations of T4, T3, rT3 and TSH were determined before and after cessation of chronic smoking in healthy subjects. Their body weights were measured at the same intervals. Abstention from smoking was monitored through determination of CO content in blood. Cessation of smoking was accompanied by small reductions in serum T4 and rT3 and by a small rise in serum TSH. Serum T3 was not significantly altered. A minor rise in body weight was noticed. It is suggested that smoking promotes a modestly increased secretion of thyroid hormone, which is readjusted to normal following cessation of smoking. The assumed smoking-induced increase in thyroid hormone secretion is apparently not mediated by enhanced TSH secretion but by some other factor, e.g. the sympathetic nervous system. The hormonal changes might contribute to the increase in body weight frequently seen after cessation of smoking.

Adult↗

Heparin treatment of deep vein thrombosis. Effects and complications after continuous or intermittent heparin administration.

Twenty-eight patients with the diagnosis of deep vein thrombosis (DVT) were subjected to a prospective, randomized study comparing continuous and intermittent heparin treatment, utilizing the same doses and duration of therapy. The effect on pain (estimated with a scoring system) and the antithrombotic effect (assessed by the inhibition of 125I-fibrinogen accretion), followed for one week, were unrelated. Pulmonary embolism was scored and studied from lung perfusion scans and chest X-rays. A high frequency was found in both groups. The therapeutic efficacy and side-effects did not differ between the two treatment groups. Bleeding, preferentially from vein puncture (post-phlebography), was more common in women, while a heparin-induced elevation of serum aminotransferases (S-ALAT adn S-ASAT) (in 2/3 of the patients) was not related to age, sex or bleeding complications.

Adult↗

Prevention of chromosomal breakage in Fanconi's anemia by cocultivation with normal cells.

The frequency of aberrations in cultured lymphocytes from patients with Fanconi's anemia was significantly reduced when the cells were cocultivated with normal human lymphocytes. The results suggest that most of the chromosomal aberrations observed in cultured cells from Fanconi patients arise during cultivation and that the presence of normal cells prevents chromosomal damage by means of a hitherto unknown mechanism.

Anemia, Aplastic↗