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Biomedical subjects

H G Tiselius

Publications and source records attributed to H G Tiselius.

138 records · Page 8Linked to original sources

Relationship between the severity of renal stone disease and urine composition.

The biochemical findings in urine from 62 male and 20 female consecutive patients with renal stone disease were studied in relation to the size of concrements and the estimated rate of stone formation. There appeared to be good agreement between urine composition and stone history. Biochemical grouping of the patients resulted in different distributions in the different groups of stone-formers. The quotients calcium/magnesium (k1) and calcium X oxalate/magnesium X creatinine (k3) appeared to reflect the severity of stone disease and seemed to provide a rational approach to the evaluation of patients with urolithiasis.

Calcium↗

A routine method for determination of glycine and taurine distribution in bile acids.

A procedure is described in which the content of glycine and taurine in bile acids is determined. Following an alkaline hydrolysis, the amino acids are separated on a column of Dowex 50-X8 and quantitatively estimated by a ninhydrin colorimetric method. The taurine/taurine + glycine ratios in a series of samples were determined by this method and by an enzymatic bile acid analysis and a good accordance between the two methods was obtained.

Bile Acids and Salts↗

A biochemical basis for grouping of patients with urolithiasis.

The urinary excretion of calcium, magnesium, oxalate, creatinine, phosphate and urate was investigated in patients with urolithiasis and in normal subjects. The excretion of oxalate and urate per mole creatinine and the quotients calcium/magnesium, calcium X oxalate/magnesium and calcium X oxalate/(magnesium X creatinine) were significantly higher in stone formers than in normal subjects. The mean creatinine-correlated urinary excretion of calcium was higher and of magnesium lower in patients with urolithiasis, but the differences were statistically not significant. The urine investigation was supplemented with analysis of calcium, magnesium, creatinine, urate, bicarbonate and chloride in serum and a qualitative analysis of stone composition. A simple schedule for a biochemical grouping of patients with urolithiasis is presented and on the basis of the analytical findings it was possible to classify 67% of patients with so-called 'idiopathic stone disease' according to these principles.

Adult↗

The diurnal urinary excretion of oxalate and the effect of pyridoxine and ascorbate on oxalate excretion.

The diurnal urinary oxalate excretion has been determined in 11 patients with urolithiasis and in 7 normal subjects. Increased excretion following meals was observed. The variation from hour to hour was most pronounced in the stone patient group. The relation between oxalate concentration and urinary volume was found to follow a biphasic exponential course. Pyridoxine administration increased oxalate excretion in 9 out of 12 subjects and decreased the excretion in 3 subjects. Ascorbate administration increased oxalate excretion in all 7 subjects studied.

Ascorbic Acid↗

Excretion of 4-pyridoxic acid and oxalic acid in patients with urinary calculi.

Urinary excretion of 4-pyridoxic acid and oxalic acid was investigated in 75 patients with urinary calculi and in 50 normal subjects on regular diet. Mean excretion of 4-pyridoxic acid was 0.85 and 0.90 mg per day, respectively, and mean excretion of oxalic acid was 27.5 and 28.0 mg per day, respectively. Statistically there was no difference between the two groups in 4-pyridoxic acid excretion or in oxalic acid excretion. There was a weak positive correlation between the urinary excretion of 4-pyridoxic acid and oxalic acid. Patients who were on ascorbic acid supplementation during the urine collection period excreted increased amounts of oxalic acid. It was concluded from this investigation that most patients with urinary calculi had 4-pyridoxic acid excretion and oxalic acid excretion within normal limits. Low 4-pyridoxic acid values were not combined with high excretion values of oxalic acid, and the nutritional state of vitamin B6 in patients with urinary calculi was assumed to be satisfactory in order to control the endogenous oxalic acid production. The significance of high excretion values of 4-pyridoxic acid and oxalic acid is discussed.

Ascorbic Acid↗