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Biomedical subjects

E Nilsson

Publications and source records attributed to E Nilsson.

At least 199 records · Page 11Linked to original sources
PubMed1980

Subpopulations of T lymphocytes in patients with ankylosing spondylitis.

Subpopulations of human blood T lymphocytes were determined in 20 patients with ankylosing spondylitis and in 20 healthy individuals. The proportion of T lymphocytes with receptors for the Fc portion of IgG (TG cells) was increased in 9 patients. The proportion of T lymphocytes bearing receptors for the fc portion of IgM (TM cells) was within the range found in healthy controls in all but 4 patients, who had a decreased level of TM cells.

Adult↗
PubMed1980

Demonstration of antibodies to double-stranded DNA by the Crithidia luciliae immunofluorescence test.

All of 627 sera positive for antinuclear antibodies (ANA) among 1,862 sera received during a three-month-period for routine examination of ANA were tested for antibodies to native double stranded (ds) DNA by the Crithidia luciliae kinetoplast immunofluorescence test. Eighty-seven (14%) of the ANA-positive sera had antibodies to dsDNA. These sera were derived from 73 patients. Forty out of 73 patients with dsDNA antibodies in their sera had the clinical diagnosis SLE. Among the other 33 patients there were eight cases diagnosed as rheumatoid arthritis, one case of psoriatic arthritis, four cases of unclassified arthritis, one case of polymyalgia rheumatica, five cases of chronic hepatitis, three cases of chronic glomerulonephritis and 11 cases with various other disorders. Antibodies to dsDNA, even at high titre, were demonstrated both in patients with clinically active and in patients with clinically inactive SLE.

Animals↗
PubMed1980

Is albumin therapy worthwhile in surgery for colorectal cancer?

Patients with colorectal cancer undergoing elective surgery with resection of the tumour and primary anastomosis were randomly allocated into two groups. 29 patients received a total of 60-75 g of albumin postoperatively, 30 patients received no albumin and served as controls. The two groups were comparable with respect to age and sex of the patients and stage of growth of the tumour. The patients who received albumin had a significantly lower preoperative serum albumin concentration. On day 4 after the operation the serum albumin concentrations of the control patients and the patients who received albumin were 20% and 5% lower, respectively, than the preoperative value. Eight patients of the albumin group and 5 of the control group developed postoperative complications. There was no significant difference in the postoperative clinical course between the two groups. Preoperative serum albumin levels did not differ between patients who developed postoperative complications and those who had an uneventful postoperative course whether or not they received albumin postoperatively. The present study does not confirm earlier results indicating that serum albumin alone is of prognostic value for the postoperative course following colorectal surgery. Furthermore, the postoperative course is not improved by addition of albumin postoperatively and hence albumin should be given in this situation only when its specific oncotic effect is required.

Adult↗
PubMed1979

T lymphocyte subpopulations in synovial fluid of patients with rheumatic disease.

The proportion of T lymphocytes with receptors for the Fc portion of IgG (TG cells) of IgM (TM cells) was determined in synovial fluid and blood of 16 patients with various rheumatic diseases including rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis. The percentage of TG cells was low in all synovial fluid samples, whereas in the patients' blood the percentage was higher than or equal to the level found in the blood of healthy subjects. Eight patients also had a lower level of TM cells in synovial fluid as compared to the percentage found in the blood of healthy donors. In the patients' blood the percentage of TM cells was usually within the normal range. Thus the proportion of T cells lacking either receptor (Tnull cells) was higher in synovial fluid than in blood. This pattern of low TG cell and high Tnull cell percentages was found in the synovial fluid of patients with various rheumatic diseases and thus seems to be a general feature of chronic inflammatory joint exudates.

Arthritis, Rheumatoid↗
PubMed1979

Leg temperature profiles with a simplified thermographic technique in the diagnosis of acute venous thromboses.

A simplified thermographic technique has been developed to provide continuous leg temperature profiles by manual scanning with a noncontactile infrared radiation transducer connected to a linera potentiometer for determination of the transducer position. The clinical value of the technique in the diagnosis of acute venous thromboses has been estimated in seventy patients and thirty controls, using plethysmography and phlebography as methods of reference. The thermographic diagnosis was based on side differences in temperature levels within different segments of the limbs, as calculated from the temperature profiles by means of planimetric technique. Standardized temperature profiles from the medial side of the limbs were found to demonstrate a side difference above the reference level in fifty-seven of fity-nine patients with acute venous thromboses, which means a diagnostic sensitivity corresponding to that of conventional thermography. Skin temperature profiles were superior to plethysmography, particularly in the diagnosis of thromboses located distally. Falsely positive results were obtained, as expected, in some cases of varicose veins or acute arthritis and skin infections. The presented type of thermography has obvious qualifications as a screening method in the early diagnosis of acute venous thromboses, being far less expensive but never the less more suited for objective numerical analyses and evaluation than conventional thermography with scanning cameras.

Acute Disease↗
PubMed1979

Physico-chemical modification of lidocaine uptake in rat lung tissue.

The uptake of lidocaine, methyllidocaine, bupivacaine, etidocaine was studied in rat lung slices at different pH-values. The accumulation of the quaternary analogue, methyllidocaine, was not changed in the pH interval 7.0--8.0. The uptake of the three other substances was about 3--4 times lower at pH 7.0 than at pH 8.0. The rank order of distribution at a fixed cation/base ratio was bupivacaine greater than etidocaine greater than lidocaine. Interactions between lidocaine and other substances were studied in lung slices and in isolated perfused lungs. Bupivacaine and nortriptyline counteracted the accumulation of 14C-lidocaine in lung slices in a dose-dependent manner. Nortriptyline was more effective than bupivacaine. In isolated perfused lung, bolus injections of nortriptyline and lidocaine rapidly displaced 14C-lidocaine from the tissue. In this study we suggest that the base form of local anaesthetics accumulate in the lung tissue, while the cationic form binds to accessible binding sites in the cell membranes.

Animals↗
PubMed1978

Transport and binding of lidocaine by lung slices and perfused lung of rats.

The accumulation of radioisotopically labelled lidocaine was investigated in lung slices and perfused lungs of rats. Lidocaine was taken up by rat lung slices incubated in an oxygenated physiological solution (pH 7.4) at 37 degrees. 14C-lidocaine accumulated in lung slices to a much greater extent than did 3H-sucrose, and the lidocaine space was approximately 7 times that of the extracellular space. No metabolism of lidocaine took place during the incubation period. The accumulation of lidocaine was inhibited by low temperature, while anaerobic conditions had no inhibitor effect. The uptake of lidocaine (0.028 mM) was slightly antagonized by high concentrations of Ca2+ (10 mM). The isolated perfused lung model was used for studying the pulmonary absorption of lidocaine from the vascular bed. Lidocaine was rapidly extracted from the perfusion solution and the drug appeared to accumulate in at least two compartments. It seems that in the rat lung a portion of the lidocaine taken up had accumulated within the cells, while some of it may be fixed to the cell surfaces.

Animals↗
PubMed1978

Mitogenicity of Mycoplasma fermentans for human lymphocytes.

The in vitro stimulation response of human lymphocytes to Mycoplasma fermentans was examined. M. fermentans stimulated DNA synthesis in blood lymphocytes from all of 20 healthy subjects examined. Only one of these subjects had complement-fixing antibodies to M. fermentans. Lymphocytes from 21 of 22 adenoids and from 1 spleen were also stimulated to DNA synthesis by M. fermentans. The organism induced DNA synthesis in both B and T lymphocytes from adenoids and spleen and preferentially in T lymphocytes from blood. M. fermentans was shown to activate adenoid lymphocytes to non-amtogem-specific antibody secretion demonstrable by a hemolytic plaque assay. It is concluded that M. fermentans can have a mitogenic effect on both B and T lymphocytes.

Antibodies, Bacterial↗
PubMed1976

The influence of temperature on the time course of the mechanical activity in rabbit papillary muscle.

The influence of temperature on the time course of the mechanical activity was investigated in isolated papillary muscles of the rabbit. By using the "damped release" technique activity curves were determined in terms of velocity of shortening of the contractile unit at a constant length. At any of the temperatures studied, the time course of the mechanical activity exhibited a slow onset and did not form a distinct plateau. At low contraction frequencies and normal (2 mM) calcium concentration lowering the temperature from 32.5 to 26.5 degrees C did not markedly affect the rate of development of the activity but increased the peak amplitude and the total duration of the activity as well as the time from the stimulus to 90% of the maximum. It also resulted in a slower decay phase. At higher contraction frequencies and/or increased calcium concentration the rate of development of the activity was reduced by decreasing the temperature from 32.5 degrees C to 26.5 degrees C, whereas the maximal activity reached similar levels at the two temperatures. It is concluded that an alteration in temperature affects several different steps in myocardial excitation-contraction coupling, the net change in maximum amplitude of the mechanical activity being influenced by both extracellular calcium concentration and contraction frequency.

Animals↗
PubMed1976

Chloroquine retinopathy in patients with rheumatoid arthritis.

270 consecutive patients with rheumatoid arthritis who had received chloroquine therapy were examined ophthalmologically for toxic retinal lesions. The total annual dose of chloroquine was 70-75 g. The maximum total dose given was 1330 g. The duration of treatment ranged up to 15 years. The primary material was divided into four groups according to total chloroquine dose received: greater than 100 g, 101-300 g, 301-600 g, and less than 600 g. Each dose group was arbitrarily split into two age groups, one with patients under 63 years of age and the other with patients over 63, in order to analyse the effect of age upon the ocular findings. In the present study, slight macular changes were included in the concept of maculopathy and were not thought to contra-indicate chloroquine therapy. Macular changes were found in about 25% of the patients, regardless of age in the lowest dosage group. The frequency of maculopathy increased with increasing total dose only in the older age group. It was also shown that the frequency of maculopathies and other eye diseases also increased with increasing age. This was evident even from the age of 50. The only patient with chloroquine retinopathy was an inadequately controlled 74-year-old woman. Chloroquine treatment of rheumatoid arthritis in the absence of any other disease which may cause retinopathy implies negligible risks in adult patients under 50 years of age. These patients could be less frequently checked. Older patients require regular ophthalmological checks. It is important to use the smallest effective dose possible, and never higher than 4 mg of chloroquine phosphate/kg body weight and day for 10 months annually; in elderly patients, preferably even lower doses.

Age Factors↗