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Biomedical subjects

D Miceli

Publications and source records attributed to D Miceli.

At least 91 records · Page 5Linked to original sources
PubMed1979

Hemodynamic response to exercise after propranolol in patients with mitral stenosis.

Hemodynamic response to exercise before and 10 minutes after propranolol (5 mg intravenously) was studied in 10 young patients with pure mitral stenosis who had normal sinus rhythm and no cardiac failure. After propranolol the mean heart rate and cardiac index at rest were lower than during the control state (respectively, 95 +/- 4 versus 82 +/- 3 beats/min, P less than 0.005; 3.4 +/- 0.2 versus 2.8 +/- 0.1 liters/min per m2, P less than 0.025). As a result, the mean pulmonary wedge pressure and mean mitral valve gradient at rest were lower (respectively, 22 +/- 2 versus 18 +/- 2 mm Hg, P less than 0.005; 24 +/- 2 versus 17 +/- 2 mm Hg, P less than 0.001). During exercise after propranolol the values of pulmonary wedge pressure and mitral valve gradient were lower than control values during exercise (respectively, 39 +/- 3 versus 30 +/- 2 mm Hg, P less than 0.005; 44 +/- 3 versus 32 +/- 3 mm Hg, P less than 0.005), again because of the lower heart rate and cardiac index (130 +/- 6 versus 104 +/- 6 beats/min, P less than 0.001; 4.6 +/- 3 versus 3.7 +/- 2 liters/min per m2, P less than 0.01). Left ventricular end-diastolic pressure and stroke index showed no significant changes. Thus, propranolol may benefit patients with pure mitral stenosis with sinus rhythm and no cardiac failure whose symptoms occur during those reversible conditions characterized by an increase in heart rate or cardiac output, or both.

Adult↗
PubMed1979

Non-specific enhancement of ethanol-induced taste aversion by naloxone.

The conditioned taste aversion paradigm (CTA) was used to examine the effects of naloxone on ethanol-induced aversion towards a saccharine solution (3 conditioning and 11 extinction trials). Six groups of rats received conditioning trials consisting of two IP injections after saccharine presentation of different combinations of either ethanol (E: 1.75 g/kg), LiCl (L: 12 mEq/kg, 0.1 M), naloxone (N: 10 mg/kg) or saline (S); S-S, S-N, E-S, E-N, L-S and L-N. Naloxone by itself produced no aversion to the saccharin flavor. Based on the onset and extinction of aversion, naloxone significantly enhanced ethanol but also LiCl-induced CTA. The comparative data argues in favor of different mechanisms of action (1) between the aversive central effects of ethanol and morphine and (2) between ethanol's acute behavioral effects and negatively reinforcing properties. Enhancement of ethanol and LiCl-induced CTA by naloxone is compatible with hypernociceptive action of the opiate-antagonist and with the pain-modulating role of opiates in the CNS.

Animals↗
PubMed1979

[Stenosis of the common trunk of the left coronary artery. Personal experience with 17 patients].

The Authors have presented the clinical, hemodynamic, coronary arteriographic and left ventriculographic findings, and the results of medical and surgical treatment in 17 patients with main left coronary artery disease (MLCA). Clinically MLCA disease can only be suspected, in the AA's experience, if a patient presents with markedly positive exercise stress test and/or unstable angina. Coronary arteriography and left ventriculography confirmed the high incidence of associated 2-3 vessel coronary artery disease and of severe left ventricular segmental wall motion abnormalities. Surgical results and clinical follow up have indicated a better prognosis and quality of life in operated, compared with medically treated patients. Our experience confirms that MLCA disease is a dangerous clinical entity, which, when suspected, must be managed with proper indication to coronary arteriography and aorto-coronary bypass surgery, both associated, in our experience, with acceptable morbidity and mortality and good long term results.

Aged↗
PubMed1979

[Iatrogenic ostial stenosis of the left coronary artery. Report of a case with Starr-Edwards aortic prosthesis (author's transl)].

A case of a 41 years-old-man, who had undergone surgical intervention ten years previously for aortic valve replacement in ECC with the coronary perfusion technique, is reported. This patient was studied because of the appearance of angina pectoris three months after the intervention and its progressive development. Selective left coronary angiography showed an ostial subocclusive stenosis; the run-off from the right coronary artery provided distal blood supply to the left coronary artery. A venous bypass was implanted between the aorta and the left anterior descending branch; the prosthesis was substituted because it was altered and caused hemolysis' problems. In accordance with most Authors late ostial coronary stenosis is a complication of the coronary perfusion technique, which is adopted for myocardial protection during surgical interventions for aortic valve replacement.

Adult↗
PubMed1978

A radioautographic study of retinal projections in type I and type II lizards.

The retinofugal projections of 5 species (Acanthodactylus boskianus, Scincus scincus, Tarentola mauritanica, Uromastix acanthinurus and Zonosaurus ornatus) belonging to 5 different families of Type I and Type II lizards have been examined by means of the radioautographic method. In the 5 species the retinal ganglion cells project to the contralateral hypothalamus (nucleus suprachiasmaticus), thalamus (nucleus geniculatus lateralis pars ventralis, nucleus geniculatus lateralis pars dorsalis), pretectum (nuclei lentiformis mesencephali, geniculatus pretectalis, postero-dorsalis griseus tectalis), tectum opticum (layer 2 to layer 6 of the stratum griseum et fibrosum superficiale) and tegmentum mesencephali (nucleus opticus tegmenti). Ipsilateral optic fibers were never observed in Uromastix acanthinurus, whereas an uncrossed quota was visible in both nucleus geniculatus lateralis pars dorsalis and nucleus postero-dorsalis in the other species. An ipsilateral retinotectal projection was observed only in Tarentola mauritanica. With the exception of the nucleus griseus tectalis the contralateral optic centers identified in this material have to a large extent been observed in other reptiles belonging to the different orders. The presence in reptiles of a general pattern of contralateral visual projections indicates that these were established very clearly in the course of evolution. Similarities become apparent when this plan is compared with that observed in birds. In marked contrast the ipsilateral component in reptiles is unstable and mutable in nature. This ipsilateral retinotectal projections do not appear to be a feature restricted to Type I lizards. On the other hand, the presence of this optic component cannot be linked solely to nocturnal habits.

Animals↗
PubMed1977

[Autoradiographic analysis of the primary visual projections of a diurnal predator (Buteo buteo L.)].

Radioautographic analysis of the optic system of a Common Buzzard (Buteo buteo L.) show hypothalamic (Meier's areas 1, 2 and 3), thalamic (nuclei lateralis anterior, geniculatus lateralis ventralis, dorsolateralis anterior), pretactal (nuclei geniculatus lateralis pretectalis--or Kuhlenbeck's geniculatus lateralis dorsalis--superficialis synencephali, griseus tectalis and area pretectalis), tegmental (nucleus ectomammillaris) and tectal visual projections. A general survey of Common Buzzard optic structures suggest a certain preponderancy of tectofugal system on thalamofugal system. Centrifugal visual system is reduced.

Animals↗
PubMedDate not supplied

The serotoninergic system of the brain of the viper, Vipera aspis. An immunohistochemical study.

Serotoninergic cell bodies and fibers in the brain of the viper, Vipera aspis, were visualized by immunohistochemistry. Immunoreactive cell bodies were observed in the diencephalic hypothalamic periventricular organ and in the dorsal wall of the infundibular recess, in the nuclei raphe superior and inferior of the midbrain and hindbrain, and to a lesser extent in the nuclei reticularis superior, reticularis inferior and reticularis lateralis. In contrast to other reptilian species, serotoninergic cells were also observed in the central gray matter of the midbrain in the neighbourhood of the nucleus of the trochlear nerve. Immunoreactive fibers are widely distributed throughout the brain of the viper. In the olfactory bulb, fibers were observed in the internal plexiform layer and mitral cell layer. The cerebral cortex contains the highest density of fibers in the dorsal region. The distribution of immunoreactive fibers in the dorsal ventricular ridge is extremely heterogeneous, and five subcomponents of this structure can be distinguished. The majority of diencephalic and mesencephalic structures that contain immunoreactive fibers are also primary visual centres: the nuclei geniculatus lateralis pars dorsalis, the n. posterodorsalis and n. opticus tegmenti, and the optic tectum. Serotoninergic fibers in the nuclei of the oculomotor and motor cranial nerves (III, IV, V, VII, X) are disposed in a tightly woven basket around the non-immunoreactive cell bodies of the motoneurons. These findings, together with the available literature, suggest that the serotoninergic system in snakes is comparable to that in lizards, with a massive ascending projection of fibers from the n. raphe superior to mesencephalic and prosencephalic structures, and a descending projection from the n. raphe inferior to the spinal cord.

Animals↗