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Biomedical subjects

J Charpin

Publications and source records attributed to J Charpin.

At least 145 records · Page 8Linked to original sources
PubMed1975

[Exercise test in the asthmatic patient. Study of 75 patients].

Frequency of exercise-induced asthma has been studied in 75 unselected asthmatic patients (adults and children) by measuring the forced expiratory volume at one second (FEV1) and the vital capacity (VC) before and after a treadmill exercise, continued until heart rate was at least equal to 80 p.cent-85 p.cent of maximum heart rate. In 19 subjects (25 p.cent), a more than 20 p.cent decrease from control value of FEV1 was recorded ten minutes after exercise ended. Exercise-induced bronchial obstruction was relieved by a beta adrenergic bronchodilator aerosol inhalation. In the group of 19 subjects having exercise-induced asthma, a significant positive correlation was found between pre-exercise FEV1 values and post-exercise FEV1 decreases. In the whole group of 75 subjects exercise-induced asthma was related to the severity of asthma and not to other clinical or physical characteristics of the subjects. From the data of other authors it appears that frequency of exercise-induced asthma is variable. The reasons of those differences are discussed.

Adolescent↗
PubMed1975

[Specific desensitization of respiratory pollen allergies].

Under the influences of the pollen season and of specific desensitization, the serum IgE concentrations undergo modifications. During the pollen season, the antigenic stimulation induces a rapid synthesis of IgE antibodies which manifest themselves by a post-seasonal pic. The immunotherapy causes an increase of the total and specific IgE during the first few months of treatment. Afterwards the serum levels decrease progressively and after two years of treatment are inferior to the initial values. The same evolution is found in all the subjects, but with variable intensities. Forming parallely are specific blocking antibodies belonging to the IgG class which play, without a doubt, a role in the clinical amelioration obtained during the firsttwo years of treatment.

Adolescent↗
PubMed1975

Effect of maximal respiratory manoeuvres on bronchial sensitivity of asthmatic patients as compared to normal people.

Cumulative dose-response curves to carbachol given by aerosol were established using plethysmographic measurements of specific airways resistance (SRaw) in 10 patients with asthma and five healthy subjects. Two experiments were performed--a control test and one in which maximal respiratory manoeuvres (MRM) (two maximal inspirations and two maximal expirations) were made before each carbachol inhalation. MRM did not modify the dose-response curves in the normal subjects. In the patients these manoeuvres enhanced the bronchoconstrictor effect of carbachol: curves were shifted to the left and the mean dose of carbachol producing a twofold increase in initial SRaw was decreased from 0.373 mg to 0.189 mg (P less than 0.001). Bronchial provocation tests using methods which require MRM--for example, forced expiratory volume at one second--could overestimate the bronchial sensitivity of patients with asthma.

Adolescent↗
PubMed1975

Effect of beta adrenergic blockage on bronchial sensitivity to inhaled acetylcholine in normal subjects.

Dose-responses curves were established in 10 normal subjects by measuring, with a body plethysmograph, the changes of specific airway conductance (SGaw) produced by aerosolized acetylcholine. Doses of acetylcholine producing a 50 per cent decrease of control SGaw (ED50) were found to be largely variable among individuals. Beta-adrenergic blockade with intravenous propranolol (0.2 mg per kilogram) resulted in a mean potentiation of the acetycholine effect (mean ED50 after propranolol was significantly lower than mean ED50 before). This potentiating effect of propranolol, however, was also subjected to individual variations, suggesting individual variability of the sympathetic system. The range of variation in acetylcholine sensitivity was not narrowed by propranolol treatment and no correlation was found between initial acetylcholine sensitivity and propranolol potentiation. This suggests that variability of the sympathetic system is not the main factor in determining individual variation in acetylcholine sensitivity. Even when propranolol was very effective in increasing airway sensitivity, this sensitivity was still less marked than usually encountered in asthmatic patients. This suggests that beta-adrenergic blockade cannot create, if alone, the bronchial hypersensitivity characteristic of asthma.

Acetylcholine↗
PubMed1975

Methods of destroying house dust pyroglyphid mites.

Attempts to reduce the growth of house dust pyroglyphid mites by vacuum cleaning, and modifications of temperature and humidity are useful but not sufficient. Their absence in dust from hospital beds which are disinfected led the authors to test PARAGERM AK, a non toxic bactericidal and fungicidal spray. This proved highly effective as an acaricide, killing off cultures of Dermatophagoides spp. and other mites with acceptable and easily produced concentrations, thus providing a new way of combating the house dust allergy mite.

Dust↗
PubMed1975

Beta-adrenergic function in airways of healthy and asthmatic subjects.

We measured the short-term effects of beta-adrenergic blockade with propranolol (0.2 mg/kg iv), followed by stimulation with salbutamol (200 mug inhaled), on specific airway conductance (SGaw) heart rate, and systemic blood pressure (BP) in 11 healthy subjects, and 11 symptom-free asthmatics with normal lung function values. Propranolol induced a significant bronchoconstrictor effect in both groups, stronger in asthmatics than in normals: mean SGaw decreased 34.6 +/- 25% against 9.4 +/- 9% (p less than 0.01). Six of the 11 asthmatics exhibited a more pronounced bronchoconstriction than the most responsive healthy subject. Large individual variations were seen in both groups although they were greater in the asthmatics. A similar rise in SGaw was produced by salbutamol in both groups. The decrease of heart rate provoked by propranolol was similar in the two groups, averaging 18.6%, with no further change after salbutamol. The blood pressure was slightly decreased by propranolol in both groups. The results indicate that normal subjects have a weak and variable bronchodilator beta-adrenergic activity. In most asthmatics beta-adrenergic tone appeared more pronounced. The individual differences in response to propranolol observed in both groups suggest that asthmatic patients differ quantitatively rather than qualitatively from healthy subjects with respect to beta-adrenergic receptor function. There was no association between clinical findings and the degree of bronchomotor effect of propranolol in the patients with asthma. This study does not support the view that airways of asthmatic patients have a decreased beta-adrengeric receptor function.

Adult↗
PubMed1975

[Induced beta-adrenergic stimulation and blockade in asthma bronchomotor effects (author's transl)].

Patients with asthma, exhibiting spontaneous bronchial obstruction, from mild to medium severity, were examined by body plethysmography. Results were expressed as specific airway resistance (SRaw) in preference to specific conductance, the latter leading to errors, in particular in cases with dissimilar baseline values. After the inhalation of a beta-stimulating drug (salbutamol), the decreases in SRaw was directly related to initial SRaw, either in a group (n equal 30) or in individual cases. After the injection of a beta-blocking drug (propranolol), the increase in SRaw, found abnormal in 60% of the subjects, could be related to initial SRaw neither in a group (n equal 40) nor in individual cases. These findings indicate that submaximal bronchial obstruction in patients with asthma is mainly due to a bronchoconstriction, whatever the degree of the obstruction may be. On the opposite, there is an increased bronchodilator adrenergic influence in a majority of patients, not predictable after the degree of initial airway obstruction.

Adrenergic beta-Agonists↗
PubMed1975

[Pulmonary biopsy with Steel's needle. Practical value].

Eighty-seven biopsies were performed on 76 patients with the pneumatic trephine of Steel: -- 87% of biopsies were interpretable; -- 22% of fragments revealed only unspecific lesions or normal lung tissue; -- 65% of samples gave a credible histological diagnosis. Occurring incidents were mostly pneumothorax (41%) usually minor ones. In only 2 patients was drainage necessary. The superiority of the Steel method over the others arises from its usefulness in diffuse pneumopathies and its being better tolerated.

Biopsy, Needle↗