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Biomedical subjects

E Holm

Publications and source records attributed to E Holm.

At least 91 records · Page 5Linked to original sources

Biophysical aspects of Am-241 and Pu-241 in the environment.

Most of plutonium released by nuclear explosions is Pu-241 which decays to Am-241. We have studied the deposition of Pu-241 and Am-241 in lichens collected since 1958 in the central part of Sweden (62.3 degrees N, 12. 4 degrees E). Comparative studies with Pu-isotopes, Pu-239 + 240 and Pu-238 were also performed. In 1972 the total accumulated deposition of Pu-241 was 8 mCi/km2 of Pu-239 + 240 1 mCi/km2 and of Am-241 0.2 mCi/km2. About 80% of the Am-241 activity has been formed in situ from decay of Pu-241. The biological mean-residence time for all Pu-isotopes were about 6 years and for Am-241 4 years. The spatial distribution of Am-241 in the lichen carpet is quite different from that of Pu-241. The activity concentrations of Am-241 and Pu-241 have been studied in reindeer liver and bone. The average concentrations found were in liver 0.6 and 40 pCi/kg, in bone 0.2 and 6 pCi per kg for Am-241 and Pu-241 respectively. The activity content of Am-241 and Pu-241 in the Lapps due to their reindeer diet was estimated to be in liver 1.0 E-4 and 1.0 E-2 pCi/kg, in bone (3-9) E-5 and 1.0 E-2 pCi/kg for Am-241 and Pu-241 respectively. The estimated values for the fractions of ingested activity retained were in liver 7 E-6 and 14 E-6, in bone 20 E-6 for Am-241 and Pu-241 respectively. The fraction of ingested activity of Pu retained in reindeer liver is about 2-3 times higher than that of Am.

Americium↗

Secondary hyperparathyroidism combined with uremia and giant cell containing tumor of the cervical spine. A case report.

A 47-year-old woman with chronic pyelonephritis since 1950 was prepared for hemodialysis or kidney transplantation. Investigation disclosed secondary hyperparathyroidism and an osteolytic lesion in C VII and Th I causing a subluxation. There were minor neurological symptoms and apparent risk of luxation of the cervical spine with resulting injury to the spinal cord. Operation was performed with total parathyroidectomy and excision of the bone tumor, followed by fixation of the cervical spine with bone graft. There were no major complications during the postoperative period and the patient was mobilized four months after the operation.

Cervical Vertebrae↗

[Pathogenesis of hepatic encephalopathy (author's transl)].

This contribution presents data from the literature as well as our own results concerning the mechanisms of hepatic encephalopathy (HE). 1. Blood chemistry: In patients with liver cirrhosis, the plasma levels of ammonia, phenylalanine, tyrosine, phenolic acids, and octopamine correlated with the stages of HE. Methionine and free tryptophan concentrations were increased only in stages 2-4. Further, branched chain amino acids were below the normal range. Experimental findings in animals elucidated some mechanisms of these changes. 2. Effects of administered substances: With ammonia, methionine, methanethiol, tryptophan, phenolic substances, and fatty acids central nervous disturbances were observed. 3. Interactions: Anemia, methanethiol, and fatty acids favored ammonia toxicity. Alkalosis diminished cerebral symptoms. 4. Neurotransmitters: HE was accompanied by an enhanced turnover of serotonin and by increased amounts of false neurotransmitters (like octopamine) in the brain. 5. Oxydative brain metabolism: Disorders of cerebral oxygen and glucose utilization were mainly documented in cases of long term HE with EEG alterations. 6. Structural changes of the brain: Most of them are irreversible.

Alkalosis↗

Delayed post-traumatic subdural empyema.

A case of subdural empyema is reported, treated through a frontal bone flap, with exenteration of the infected frontal sinus at operation, and subdural instillation of antibiotics for 48 hours postoperatively. Diagnostic findings are reviewed, and the likelihood of anaerobic infection this case and similar cases discussed.

Adult↗