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Biomedical subjects

D Robert

Publications and source records attributed to D Robert.

At least 271 records · Page 15Linked to original sources

[Frequency and significance of circulating immune complexes in polyradiculoneuritis (author's transl)].

Circulating immune complexes (CIC) were systematically looked for in 27 patients admitted to an intensive care unit for polyradiculoneuritis. The technique used involved precipitation by polyethylene-glycol of complexed immunoglobulins after binding with 125I-Clq. CICs were present in 21 patients. A longitudinal study was performed in 17 of these, including 6 treated by plasmapheresis. The curves obtained since the onset of clinical symptoms suggest diphasic variations in CIC levels during the course of the disease, independently of plasmapheresis. There was no significant correlation between the rise in CIC and complement activation, concomitant viral infection or severity of the neurological condition. In the present state of our knowledge, a possible role of CICs in the genesis of polyradiculoneuritic lesions can neither be confirmed nor excluded.

Adult↗

On the immunogenicity of ribosomes and ribosomal proteins isolated from Klebsiella pneumoniae and Streptococcus pneumoniae.

The two pathogenic species Streptococcus pneumoniae and Klebsiella pneumoniae were used to analyze the immunogenic role of proteins in ribosomal preparations. The protective activity of ribosomes prepared from either strain and further purified by washing with high-salt concentrations, followed or not by sucrose gradient separation of the particles, was identical to that of crude unwashed ribosomes. Similarly, no substantial alteration of the level of protection was observed after treatment with the antibiotic puromycin. Therefore, the immunizing efficacy of ribosomes does not appear to be due either to the nonribosomal proteins adsorbed at the surface of organelles or to the growing polypeptide chain. It seems rather to be attributable to the structural ribosomal proteins themselves, which were indeed shown to induce alone a significant level of protection.

Animals↗

[Investigation of orthostatic hypotension by the provoked hypercapnia test (author's transl)].

Orthostatic hypotension results from an alteration in the baroreflex at any level with subsequent disturbance in blood pressure homeostasis in response to variations. The second part of this reflex arc, from the bulbar vasopressor centre to the peripheral effector sites, can be explored directly by studying the hemodynamic response to an increase in arterial CO2 levels. Normally the response is an increase in blood pressure, but under abnormal conditions there is a reduction. Orthostatic hypotension with a normal hemodynamic response to increased CO2 levels indicates that the first part of the reflex arc is involved, an abnormal response is due to the second part being affected. The CO2 test was conducted in 8 subjects with orthostatic hypotension (bulbar lesions, medullary lesions, idiopathic orthostatic hypotension, polyradiculoneuritis, primary amylosis). Comparing the typical anatomoclinical characteristics of each of the lesions explored with the results of the hemodynamic response to CO2 test suggests that the interpretation proposed is a valid one.

Adult↗

[Importance of respiratory route in experimental salmonellosis in Balb/c mice].

Infection of Mice with S. typhimurium, was conducted by respiratory, oral and peritoneal routes. The results obtained showed that infection occurred more quickly by i. p. than by other routes. However i. n. inoculation is the more efficient concerning Bacteria concentration per Mousse to obtain the DL 100. A study of Salmonella growth in vivo was conducted in lungs, spleen, liver and blood. The results are discussed in relation to the calf respiratory Salmonellosis actually observed.

Animals↗

[Enzymatic activity of peritoneal macrophages of Balb C mice after enteral or parenteral stimulation with bacterial extracts].

A study of peritoneal macrophage activation has been conducted by simultaneous investigation in eleven enzymes in Balb/c Mice stimulated with bacterial extracts, by oral and parenteral route. The results showed important changes in Macrophage number and activity. On the other hand this activation depended upon the route of administration, antigen nature, and time interval between stimulation and peritoneal harvesting.

Animals↗

[Nutritional status in critically ill patients. Relationship with mortality (author's transl)].

Plasma proteins, triglyceridemia, body composition and delayed hypersensitivity were determined in 154 critically ill patients after admission. Plasma proteins levels were significantly increased in patients that were subsequently discharged vs. those that died: albumin: 33 +/- 6 g/l vs 28 +/- 6 g/l (p < 10(-6)); transferrin 2,18 +/- 0,65 g/l vs. 1,54 +/0 0,55 g/l (p < 10(-7)); prealbumin: 14,32 +/- 7,79 mg/100 ml vs. 7,28 +/-5,36 mg/100 ml (p < 10(-7)) and triglyceridemia was decreased: 1,07 +/- 0,38 g/l vs. 1,66 +/- 1,12 g/l (p not equal to 10(-3)). Body weight, fat weight and lead body mass were not correlated to subsequent mortality. Muscle cell mass was decreased (-17%, p < 10(-2)) and extracellular water was increased (+14%, p < 10(-4)), in patients who subsequently died. Total body water and visceral cell mass did not change. Initial anergy (tested with 3 antigens: candidin, tuberculin, varidase) did correlate with mortality: 35/62 died when delayed hypersensitivity was negative vs. 13/71 when it was positive (p < 10(-4)). Mortality was associated with decreased total lymphocyte count: 884 +/- 1025 vs. 1270 +/- 870 (p < 0,02) and serum iron: 51 +/- 40 micrograms/100 ml vs. 74 +/- 45 micrograms/100 ml (p < 10(-2)). Sepsis correlated with mortality (p < 10(-3)) and could produce these changes. These results suggest that critically ill paients have a protein-calorie malnutrition syndrom marktly different from that observed in simple starvation. Nutritional therapy must be, in this group of patients, adapted to this concept.

Adolescent↗