Biomedical subjects
Publications and source records attributed to B Meyer.
In all of our cases, phonetic discrimination has been obtained without the help of lip-reading. Speech intelligibility is generally better in postlingual deafness that in prelingual deafness. We believe this method, despite the size of the external transmitter, is best for rehabilitation of totally deaf patients.
A comparative, randomized multicenter study of 259 patients with tinnitus had three objectives. First, to conduct an epidemiology survey of cases of tinnitus of less than one year duration. Second, to determine prognostic factors to establish profiles of patients with different courses of the disorder. Third, to quantify therapeutic efficacy of three medicines of the same therapeutic class but with different modes of action: Ginkgo biloba extract, almitrine-raubasine and nicergoline. Statistical analysis of findings showed prognostic significance for 3 parameters: chronicity, periodicity and uni- or bilateral nature of symptom, as well as the value of Ginkgo biloba in the treatment of tinnitus unrelated to its initial description.
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Results of several surveys of variable complexity have provided confirmation that snoring is not only an overall sleep preventer but is mainly an unrecognized asphyxia. Comparison of groups of snorers and non-snorers, and evaluation of biologic and functional improvement following surgical treatment of snoring, have shown that this chronic nocturnal hypoxia is, with the snoring as such, the essential feature of a well individualized new disease for which the term chronic rhonchopathy is proposed. This affection is composed of different clinical aspects of several syndromes, notably the Pickwickian and sleep apnea syndromes. However, a latent form also exists in which snoring is the only symptom, as well as a decompensated form with multiple signs related to the underlying condition. Improvement follows suppression of the respiratory obstacle provoking snoring. The most frequent of these signs is drowsiness, particularly when driving, and is the one with the heaviest social consequences.
Surgical treatment of snoring requires suppression both of the obstacle responsible for the nocturnal respiratory noise but also of the chronic hypoxia on which the sleep of these patients is grafted. The soft palate and its appendages (uvula and tonsillar pillars) are always involved. Precise definition of extent of palatal resection ensures success of operation and avoidance of nasal regurgitation of food or rhinolalia postoperatively. Nasal ventilation must be normal; a septoplasty is sometimes unavoidable and postoperative medical treatment of rhinitis necessary. The pharyngeal lumen must be as wide as possible and tonsillectomy is sometimes required. Indications for these three stages : palatal, nasal and pharyngeal are described, omitting details of maxillary osteotomies capable of improving certain major retrognathies since these are only exceptionally indicated. Details of anesthetic requirements are emphasized and results obtained described.
The intrapulmonary loss of heat due to hyperventilation may be considered as essential pathogenetic factor in producing exercise induced asthmatic response. The temperature dependence of smooth muscle contraction was investigated using isolated trachea and isolated lung strips of guinea pigs. The measurements of the contraction responses to cumulative dose administrations of acetylcholine (10(-9) to 10(-3) M) were made in thermostated organ baths (isotonic contraction, modified Krebs-Henseleit solution, pH 7.4, air gassing). The standardized measurement data were adjusted to a non-linear function with the aid of a computer. The reactivity of the isolated trachea remained unchanged with a change of the bath temperature (from 37 degrees C to 30 degrees C), whereas a markedly increased contraction response to acetylcholine was observed in the lung strips. The results indicate that the contraction induced by the drop in temperature is localized in the small airways. The stabilization of reactive oxygen metabolites as an asthma-inducing mechanism is discussed as a possible explanation of the temperature-dependent effects.
A method for immunodetection of individual epitopes on eukaryotic proteins synthesized in E. coli colonies is described. The system is developed using monoclonal antibodies produced against the Ha-ras protein produced in E. coli JM103. Monoclonal antibodies made against a synthetic peptide from the v-sis oncogene sequence are then used to identify bacterial colonies in which the v-sis protein is being produced. Production of the v-sis protein by these E. coli colonies was confirmed by immunoblot analysis. The assay utilizes peroxidase conjugated anti-mouse immunoglobulin and 4-chloro-1-naphthol to detect the positive colonies and can detect on the order of 200 pg antigen per E. coli colony.
During aorto-coronary bypass surgery, electromagnetic flow measurements of venous grafts were performed in 50 consecutive patients at rest and after stimulation with papaverine (2 mg) to assess whether early postoperative patency was predictable. The overall patency rate at day 9-11 was 95.4% (145/152 distal grafts; 118 proximal grafts). Flow in all bypass grafts averaged 52.5 +/- 31.4 ml/min and increased after papaverine stimulation by 46.9 +/- 32.2 ml/min (p less than 0.01). 5 of 6 grafts with a flow of less than 30 ml/min and without adequate flow increase after papaverine (less than 80%) were occluded. Grafts with a flow of greater than or equal to 30 ml/min or an increase of greater than or equal to 80% after papaverine, had a high short-time patency rate (98%). Thus, perioperative flow measurements combined with papaverine stimulation predicted early patency of single grafts with an accuracy of 95%.
Recent studies have shown that pain at rest in patients with unstable angina pectoris is often caused by transient reduction in regional myocardial perfusion. Coronary spasm has been implicated as a mechanism of this phenomenon. Recent reports have documented the occurrence of intracoronary thrombus in patients with unstable angina. Previous surveys have estimated a 6 to 12% frequency of intracoronary thrombus in this syndrome, but have not examined whether this incidence is related to how recent the angina at rest was. Angiograms of 119 patients with unstable angina who had rest pain within 14 days of angiography and 35 patients with stable angina were surveyed. Patients with unstable angina were subgrouped according to how recent angina at rest was at the time of angiography. Group I consisted of 44 patients in whom rest pain occurred within 24 hours before angiography. The 75 patients in group II had angina at rest between 1 and 14 days before angiography. Patients in group II had stable angina. The angiographic criterion for intracoronary thrombus was an intraluminal filling defect, surrounded by contrast medium on 3 sides, located just distal to or within a coronary stenosis, as assessed by each of 2 independent observers blinded to the nature of the anginal syndrome and its temporal proximity. Intracoronary thrombi were found in 44 of 119 patients with unstable angina (37%) and 0 of 35 patients with stable angina (p less than 0.00002). Intracoronary thrombi were found in 23 of 44 patients (52%) in group I and 21 of 75 (28%) in group II (p less than 0.008).(ABSTRACT TRUNCATED AT 250 WORDS)
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To obtain some speech discrimination without lip reading it is necessary to elicit different frequency sound sensations in the totally deaf cochlea. Thus, electrically proofs compartments must be created all along the cochlear keyboard. The placement of twelve intracochlear electrodes is greatly facilitated by using our electrode-bearer, which is introduced through the round window by a posterior tympanotomy approach. However, partial or complete ossification of the cochlea may sometimes necessitate the use of our first technique of placement of electrodes one by one with Silastic pieces through twelve cochlear fenestrations. The indications for implanting depend on certain immutable criteria (total deafness, auditory response to electrical stimulation of the round window, patient's motivation), but other criteria are also described and discussed (socialization level, cochlear ossification, and preoperative electrophysiologic data). Associated handicaps (autism, blindness, tetraplegia) are not contraindications and often represent supplementary reasons for implantation.
More than 90% of cases of patients suffering from acquired or congenital deafness may be provided with some sound sensation owing to the electrical stimulation of the few cochlear nerve fibers that are still present in the deaf cochlea. In order to obtain some speech discrimination without lip reading it is necessary to elicite different frequency sound sensations. Thus electrically proofs compartments must be performed all along the cochlear keyboard. The placement of 12 intra-cochlear electrodes is greatly facilitated by using an electrodes-bearer which is introduced through a very simple and classical surgical procedure. The indications for implanting depend on undiscussible criteria (total deafness, auditory response to electrical stimulation of the round window, patient's motivation). Clinical results consist of psychoaffective improvement and auditory possibilities. All patients are able to discriminate homosyllabic words in closed lists without lips reading, but the percentages of these performances greatly vary from one patient to the other. Some patients, generally suffering from acquired total deafness, are able to discriminate words or sentences without reference list and without help of lips reading. These results depend on the patient's socialization level, on the pre or post-lingual status of the deafness, on an eventual cochlear ossification, and on the value of several pre operative electro physiological data. Associated handicaps (autism, blindness, tetraplegia) are not contra indications and often represent supplementary reasons for implanting. The value of these post-operative results may be predicted owing to a series of electrical pre-operative tests and clinical data. Thus it is possible to determine the respective indications of multi and single channel cochlear implants.
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Report on 9 primary tumours of the heart as well as of pericardium (3 sarcomas, 3 myxomas, 1 rhabdomyoma as well as 1 mesothelioma and 1 lipoma). Discussion of histology, complications, diagnostics and therapy of these neoplasias on the basis of own material as well as of literature.
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We examined the chromatin structure of a Balbiani ring (secretory protein gene) in the salivary glands of Chironomus larvae in its hyperactive state after stimulation with pilocarpine. For the inactive state of the gene an established tissue culture cell line, not expressing the gene, was used. Electron microscopy showed an RNA polymerase density of approximately 38/microns. Micrococcal nuclease digestion of purified nuclei followed by DNA transfer and hybridization revealed a smear with no recognizable discrete DNA fragments. Without pilocarpine stimulation a faint nucleosomal repeat was superimposed upon the smear, and in tissue culture cells a clear nucleosomal repeat was revealed. The restriction enzyme XbaI, which has a 6-bp recognition sequence, cut the gene in the hyperactive chromatin state, but not in its inactive conformation. The combined results are best explained by the absence of most of the nucleosomes in this hyperactive RNA polymerase II transcribed gene.