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Biomedical subjects

J Bílek

Publications and source records attributed to J Bílek.

At least 19 recordsLinked to original sources

[Arterial injuries of the upper extremities].

At the Department of Surgery in Pilsen in 1982-1991 a total of 26 patients with upper extremity vascular injuries was treated. Brachial artery was injured most commonly (50%). The direct trauma was responsible for 88.5% injuries, indirect injury was recorded in 11.5% cases only. The incidence of concomitant injuries of the vein, nerve or bone was 73.1%. Approximately one third of arterial injuries was caused by criminal offences. The vascular reconstruction was performed in all 26 patients. The overall patency rate was 84.6%, the amputation rate was 3.8%. One patient with polytrauma died of sepsis (3.8%). The authors give a comprehensive review of the causes, diagnosis and treatment of vascular injuries of the upper extremities.

Adolescent

[Extra-anatomic bypasses in reconstructive vascular surgery in the lower extremities].

Extra-anatomic Bypass was used in 36 patients for limb salvage at the Department of Surgery, University Hospital in Pilsen in a period of almost eleven years (1th January 1981-1th November 1991) constituting 8.2% of all vascular reconstructions. Amputation rate was 22.2% and mortality rate 8.3% (without direct connection with reconstruction). Extra-anatomic reconstruction was used in such cases only where the anatomic bypass was excluded for general or local causes.

Adult

[Aneurysms of the peripheral arteries].

The authors discuss the problem of the right peripheral arterial aneurysm. In 1985-1989, five patients with peripheral arterial aneurysm were operated on at the surgical department, teaching hospital. Plzen. The paper gives an account of each case pointing to the specific features of this particular part of vascular surgery. Further, the authors describe the etiology, diagnostics and treatment of the disease.

Aged

[Secondary access routes for hemodialysis].

During the period of 1970-1985 375 arteriovenous fistulae were constructed in 248 dialyzed patients. The number of fistulae needed for long-term dialysis was significantly higher in women. Five-year cumulative patency rates were significantly better in the first fistulae than in the second, third or following fistulae. The best long-term patency rates were achieved in radiocephalic fistulae. Of all secondary vascular access procedures saphenous vein grafts proved to be the most reliable.

Adolescent

[Symptomatic aneurysms of the abdominal aorta].

In the years 1981-1985 21 patients were operated upon for symptomatic abdominal aortic aneurysms. Atypical symptoms such as acute pancreatitis, weight loss, blood in the stool or urine, incorrect interpretation of abdominal pain and physical examination findings caused erroneous initial diagnosis and delay in referring the patient to surgical treatment in nine cases. Long history prior to admission was noted even in patients with ruptured aneurysms; mortality in these patients was high, 66%. Best results were achieved with aneurysm resection; indirect aneurysm occlusion in combination with axillofemoral bypass attempted in two patients was not successful.

Aged

Effect of progesterone, triiodothyronine and metabolic inhibitors on prolactin stimulated lipid synthesis in goat mammary explants.

The effect of progesterone, 3,3',5-triiodo-L-thyronine (L-T3) and of inhibitors of DNA, RNA and protein synthesis on prolactin stimulated total lipid synthesis in goat mammary explants were studied. Prolactin stimulated lipid synthesis was not affected by the addition of progesterone. The synthesis of lipids in the presence of insulin, cortisol and prolactin was not stimulated by L-T3 (10(-9) mol 1(-1)) added at start of culture. However, when the addition of L-T3 was delayed by 48 h following culture with insulin, cortisol and prolactin, the synthesis of lipids was increased between 96--99 h of culture by 48%. This effect of L-T3 was blocked by the inhibition of RNA synthesis with actinomycin D. The inhibition of DNA synthesis by hydroxyurea or cytosine-arabinofuranoside had no effect on prolactin stimulated lipid synthesis in goat mammary explants. Actinomycin D, cycloheximide and puromycin completely blocked prolactin stimulated lipid synthesis when added to culture medium simultaneously with prolactin.

Animals

Artificial induction of lactation in dry cows.

Oestradiol, progesterone, cortisol and reserpine were utilized in treatment regimes for hormonal induction of lactation in dry nonpregnant cows with previous reproductive failures. Lactations were successfully induced in 44 out of 55 cows. The udders of cows in which lactation had been induced successfully were visibly enlarged after 7 days of oestradiol-progesterone treatment on experimental day 8-14 and hence before the administration of cortisol (day 18, 19 and 20). It was concluded that addition of cortisol to oestradiol-progesterone treatment does not improve the success rate of hormonal induction of lactation. The addition of reserpine to oestradiol-progesterone treatment improved the success rate of hormonal induction of lactation. The reduction of oestradiol-17 beta dosage from 60 mg to 30-40 mg day-1 with progesterone at 150 or 200 mg day-1 for the initial 7 days increased both milk yield and the success rate of the hormonal induction of lactation and eliminated pelvic fractures and excessive oestrous activity in treated cows.

Animals

Induction of lipid synthesis in mammary organ cultures from mature virgin and pregnant goats.

The hormones needed to induce lipogenesis in mammary organ cultures from mature virgin and pregnant goats were studied. In tissues from both mature virgin goats and goats at week 10 of pregnancy, cultivated in Waymouth medium without hormones, the rate of the incorporation of (1-(14C))-acetate into the lipids was low and decreased throughout culture. In the presence of insulin, the rate of acetate incorporation was maintained at a higher level. Cortisol acted synergistically with insulin, to produce a rate of lipid synthesis higher than that using insulin alone. The further addition of prolactin had little effect on the incorporation of acetate into the lipids of mammary explants from mature virgin goats, but markedly stimulated it in tissue from animals at weeks 9--10 of pregnancy. The maximum increase in the rate of lipid synthesis was achieved in the presence of 0.5 microgram prolactin/ml, whereas with growth hormone 50 microgram/ml was needed for the maximum effect. The initial rate of acetate incorporation into mammary explants from goats at weeks 13 and 18 of pregnancy was high. It was not stimulated by the hormones during culture, however, and decreased more rapidly in the absence of hormones than in their presence. The rate of acetate incorporation into the lipids was in agreement with the histological evaluation of the secretory response of the mammary explants after cultivation. The secretory response to prolactin and the rate of the incorporation of acetate into the lipids were highest in goats at weeks 9--10 of pregnancy while in tissues from goats at weeks 13 and 18 were not stimulated and decreased during culture.

Animals

Changes in insulin and prolactin responsiveness of goat mammary tissue during ontogenesis and pregnancy.

Mammary tissue of goats in different stages of ontogenesis and pregnancy were organ cultured and their insulin and prolactin responsiveness was studied. Based on the synthesis of DNA in the presence of insulin and tissue secretory responses to prolactin, the responsive tissues were found in young goats up to 3 month of age (prolactin responsive only up to 24 days of age), in mature virgin goats at the end of breeding season, mature virgin goats with precocious lactation and in nulliparous goats from the 8th week of pregnancy. Unresponsive tissues were found in goats from 4.5 month of age to the maturity. The high number of antral follicles in goat ovaries was found to be coincident with high mammary insulin and prolactin responsiveness during ontogenesis. It appears that ovarian and placental steroids and placental lactogen render the goat mammary tissue responsive to insulin and prolactin in organ culture.

Animals

Some properties of the goat placental lactogen.

Goat placental lactogen was partially purified from a medium collected after placental tissue incubation. The data obtained by disc electrophoresis and isoelectric focusing experiments, as well as by means of radioreceptor assay methods, provide evidence of the similarity between the goat and ovine placental lactogen.

Animals

Studies on DNA synthesis in goat mammary organ culture under the influence of various hormones.

A study has been made of the hormones required for stimulation of DNA synthesis in organ culture of mammary tissue of goats. On culture in Waymouth's medium without added hormones the incorporation of 6-3H-thymidine into DNA was low. The addition of insulin caused a high stimulation of thymidine incorporation. However, the addition of cortisol, prolactin, growth hormone, 17beta-estradiol, progesterone alone or in combination had no effect on DNA synthesis. The minimal effective concentration of insulin was 0.1 mug ml-1. The addition of calf serum caused slight stimulation of DNA synthesis. When the mammary explants were exposed to a combination of serum and insulin, the rate of thymidine incorporation was always additive suggesting that DNA synthesis was affected independently by serum and insulin.

Animals

Effect of estradiol and progesterone on udder growth in goats in vivo and lipid synthesis in goat mammary tissue in vitro.

The effect of estradiol-17beta (E) and progesterone (P) and E, P and deprenon (D; an inhibitor of prolactin secretion) treatment on udder growth, colostrum-like formation and on the induction of lipid synthesis in mammary organ culture were studied. Administration of E and P for 8-14 days induced udder growth and colostrum formation. Intensive mammary growth and udder distention with secretion occurred following hormone treatment. Simultaneous administration of D prevented both udder growth and colostrum formation. In mammary explants from E, P and D treated goats the rate of incorporation 14C-acetate into lipids was increased by insulin (I), cortisol (F) and prolactin (M) as compared with the effect of I or I plus F. The tissue from placebo treated goats and goats treated with E and P responded to M either slightly or not at all. The high sensitivity of mammary tissue from goats treated with E, P and D to M was demonstrated immediately following the administration of E and P for 8 days and also 10 days after the treatment, but not 23 days following hormone administration.

Acetates