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Biomedical subjects

E Segal

Publications and source records attributed to E Segal.

At least 73 records · Page 4Linked to original sources
PubMed1996

Survival after left ventricular rupture following blunt chest injury.

Blunt traumatic rupture of the left ventricle of the heart is rarely diagnosed preoperatively and is usually fatal, with only a few survivors reported in the literature. This report describes a case of a 54-year-old woman who survived a left ventricular rupture from a motor vehicle accident. Her cardiac injury was not suspected because she was not hypotensive and had no signs of pericardial tamponade. She developed circulatory arrest 2 hours after her injury, during induction of anesthesia.

Accidents, Traffic↗
PubMed1996

Positive end-expiratory pressure-induced hemodynamic changes are reflected in the arterial pressure waveform.

OBJECTIVE: To examine whether the hemodynamic changes due to mechanical ventilation with positive end-expiratory pressure (PEEP) can be assessed by the respiratory-induced variations in the arterial pressure waveform during normovolemia and experimental acute ventricular failure. DESIGN: Prospective, controlled experimental study. SETTING: Institutional experimental laboratory. SUBJECTS: Adult mongrel dogs. INTERVENTIONS: Experimental acute ventricular failure was induced by the infusion of pentobarbital (a cardiodepressant) and methoxamine (a vasoconstrictor), combined with volume loading. Both the control and acute ventricular failure groups were subjected to ventilation with incremental levels of PEEP up to 20 cm H2O. MEASUREMENTS AND MAIN RESULTS: Cardiac function was evaluated by cardiac output and left and right ventricular change in pressure over time (dP/dt) measurements. Arterial pressure waveform analysis was performed by measuring the systolic pressure variation, which is the difference between the maximal and minimal systolic blood pressure values during one mechanical breath. The components of the systolic pressure variation, namely, dUp and dDown, which are the increase and decrease in the systolic pressure during the mechanical breath relative to the systolic pressure during apnea, were also measured at each PEEP level. PEEP caused significant reduction of cardiac output in normovolemic dogs, and was associated with significant increases in systolic pressure variation and dDown. Acute ventricular failure decreased the variations in the systolic pressure and caused the dDown component to disappear. The application of PEEP did not affect cardiac output in dogs with acute ventricular failure, nor did it change systolic pressure variation and the dDown. CONCLUSIONS: Analysis of arterial pressure waveforms during mechanical ventilation reflected the decrease in cardiac output in dogs with normal cardiac function subjected to incremental PEEP. In dogs with acute ventricular failure in which PEEP did not affect cardiac output, the systolic pressure variation was similarly unaffected by PEEP. In the absence of cardiac output measurement during mechanical ventilation with PEEP, the analysis of the respiratory variations in the arterial pressure waveform may be useful in assessing changes in cardiac output.

Animals↗
PubMed1996

Ventricular fibrillation in the patient with blunt trauma: not always exsanguination.

Three cases of successful prehospital resuscitation of blunt trauma patients sustaining cardiac arrest resulting from ventricular fibrillation are reported. Although probably uncommon, ventricular fibrillation not caused by severe hypovolemia, exsanguination, or severe hypoxia in the setting of blunt trauma might be a treatable cause of cardiac arrest. Early electrocardiographic monitoring of patients with blunt trauma, including those with cardiac arrest, can detect this small, yet easily salvageable group of patients.

Adolescent↗
PubMed1995

Immunogenicity in calves of a crude ribosomal fraction of Trichophyton verrucosum: a field trial.

This paper describes a field trial involving 13 calves raised on a farm known to be endemic for Trichophyton verrucosum infection. Seven calves were immunized by subcutaneous inoculations with a crude ribosomal fraction (CRF) of T. verrucosum suspended in aluminium hydroxide as adjuvant. Six animals were sham-immunized with buffer suspended in the adjuvant and served as controls. Two injections were given: one at the age of 2 weeks and a second 2 weeks later. CRF was prepared from T. verrucosum cultures grown in a vitamin-enriched liquid medium. The fungal mat was disrupted mechanically and CRF was separated from the cell-free extract by differential ultracentrifugation. The CRF was characterized biochemically (RNA and protein content) and physically (electron microscopy). The protection induced by vaccination was assessed through a clinical follow-up of the animals to determine the presence and duration of dermatophyte infection following their exposure to a T. verrucosum-contaminated environment. Vaccination with the CRF resulted in a statistically significant decrease in the period during which clinical signs of dermatophytosis were observed (from a mean of 9.5 weeks to 3.7 weeks). To assess the humoral response, serum samples were taken before each vaccination and 2 weeks after the second inoculation. For the cell-mediated immune (CMI) response assessment, whole-blood samples were taken 2 weeks after the second vaccination. The presence of anti-T. verrucosum antibodies in the sera was determined by ELISA and the CMI response was assessed in vitro by the lymphocyte stimulation test.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1994

Immunogenicity in guinea-pigs of a crude ribosomal fraction from Microsporum canis.

The immunogenicity of a crude ribosomal fraction (CRF) extracted from Microsporum canis was tested by assessing protection of vaccinated guinea-pigs (GP) against a challenge with the dermatophyte. Stimulation of the humoral as well as the cellular immune systems of these animals was evaluated by ELISA and the lymphocyte stimulation tests, respectively. In addition, the immune response elicited by the M. canis CRF was examined for cross-reactivity towards Trichophyton verrucosum antigen. The duration of the infection induced by M. canis in GP was reduced to 8 days in vaccinated animals versus 37 days in the control GP. Both humoral and cellular immune systems were stimulated by the CRF. Sera of GP vaccinated with M. canis CRF revealed presence of anti-T. verrucosum antibodies, albeit at titres significantly lower than against M. canis.

Animals↗
PubMed1993

D1 and D2 receptors and circling behavior in rats with unilateral lesion of the entopeduncular nucleus.

The role of D1 and D2 striatal dopamine receptors on circling behavior was studied in a normosensitive model obtained by unilateral kainic acid lesion of the entopeduncular nucleus. In this model, the sensitivity of striatal dopamine receptors was preserved, because kainic acid destroyed the neurons of the entopeduncular nucleus and left undamage the fibers of passage and axon terminals. Systemic administration of SKF 38393 to these animals fails to induce circling activity. In contrast, administration of quinpirole elicited rotation toward the lesioned side, which was increased by concurrent injection of SKF 38393. This behavior was inhibited by pretreatment with either a specific D1 (SCH 23390) or D2 (-sulpiride) antagonist. The apomorphine also induced ipsilateral circling that was abolished by pretreatment with D1 or D2 antagonists. The above results suggest that coactivation of both D1 and D2 striatal dopamine receptors are necessary to induce rotation in this normosensitive model.

2,3,4,5-Tetrahydro-7,8-dihydroxy-1-phenyl-1H-3-ben↗