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Biomedical subjects

J Schmidt

Publications and source records attributed to J Schmidt.

At least 325 records · Page 18Linked to original sources

[Salivary gland tumor in authors' material].

The aim this work was to analyze the operated salivary gland tumors, taking into consideration the age and the sex of the patients. From 1980 to 1996 74 patients were operated including 40 women and 34 men, aged 21-78. Out of those 74 salivary gland tumors which were operated, conservative operation was carried out in 62 patients (85.2%) while in 11 patients (14.8%) it was radical operation. Most of the patients who underwent the operation were at the age between 31 and 60 (77.1%). In most cases--77.2% we had to do with mixed tumor of parotid gland and in 4% of submaxillary gland. Postsurgery complications in the from of complete facial paralysis were shown in 14.8% of the patients.

Adult↗

[Zinnat in ambulatory treatment of acute pharyngitis and otitis media in adult patients].

The aim of this work was the assessment of therapeutic efficacy of antibiotic Zinnat (Cefuroksym Aksetyl) in ambulatory treatment of acute pharyngitis and otitis media in 20 adult patients, aged 21-36. The efficacy of Zinnat was assessed on the basis of the smear from the throat and external auditory meatus to examine the culture and antibiogram, fever chart and self-assessment chart of symptoms which were assessed from 0 to 4. It was shown that Zinnat is an effective antibiotic in ambulatory treatment of acute pharyngitis and otitis media. It shows a wide range of antibacterial effect comprising most often occurring pathogens bringing about acute pharyngitis and otitis media.

Acute Disease↗

[Selected immunological studies of chronic purulent and hypertrophic otolaryngological diseases].

The aim of this work was the comparison of selected immunological parameters in patients with chronic purulent and hypertrophic otorhinolaryngological diseases who were to be operated on. The patients were divided into two groups: 1-31 patients aged 17-58 with chronic purulent otorhinolaryngological diseases. The following immunological parameters were carried out: rheumatoid factor (RF), immunoglobulins IgG, IgM, IgA, proteinogram including the level of albumin, globulin alpha1, alpha2, beta and gamma. In chronic purulent otorhinolaryngological diseases the characteristic features are the reduction of the level of globulin alpha1 (67.7%) and gamma (35.5%), while in hypertrophic cases globulin alpha1, and beta--91.7% each.

Abscess↗

Convergent pathways for lipochitooligosaccharide and auxin signaling in tobacco cells.

Lipochitooligosaccharides (LCOs) are a novel class of plant growth regulators that activate in tobacco protoplasts the expression of AXI1, a gene implicated in auxin signaling. Transient assays with a chimeric P(AXI)-GUS expression plasmid revealed that the N-octadecenoylated monosaccharide GlcN has all structural requirements for a biological active glycolipid, whereas the inactive N-acylated GalN epimer inhibits LCO action. Specific inhibition of LCO and auxin action shows that both signals are transduced within the tobacco cell via separate pathways that converge at or before AXI1 transcription. Cytokinin is suggested to be a common effector of LCO and auxin signaling. We also show that activation of AXI1 correlates with growth factor-induced cell division.

Arabidopsis Proteins↗

Molecular and pathogenic characterization of the RFB osteoma virus: lack of oncogene and induction of osteoma, osteopetrosis, and lymphoma.

RFB virus is an ecotropic C-type retrovirus isolated from CF-1 mice, in which it is associated with induction of osteomas. Sequence analysis of the RFB provirus revealed no evidence for presence of an oncogene or a recombined env gene. RFB virus is a member of the murine leukemia virus (MuLV) group (RFB MuLV), sharing 97% nucleotide identity with the endogenous ecotropic provirus of AKR mice (Akv). Like Akv, expression of RFB MuLV mRNAs is inducible by dexamethasone treatment, indicating that FRB MuLV also shares transcriptional control signals with Akv. We assessed the pathogenic potential of RFB MuLV in NMRI mice, which, in contrast to CF-1 mice, do not contain endogenous ecotropic retroviruses. RFB MuLV induced osteomas, osteopetrosis, and lymphomas in newborn NMRI mice. Another CF-1 mouse-derived leukemia virus, FBJ MuLV, the helper virus of the FBJ osteosarcoma virus stock, as well as Akv, also induced osteomas, osteopetrosis, and lymphomas in NMRI mice similar to RFB MuLV. These findings indicate that endogenous retroviruses carry a pathogenic potential in hematopoietic tissues and in the skeleton.

Animals↗

Segmental demyelination induced by cerebrospinal fluid of progressive spastic paraparesis: correlation with altered proteolytic parameters.

Progressive spastic paraparesis (PSP) is a demyelinating disease of the central nervous system. We studied the ability of the cerebrospinal fluid (CSF) of patients to induce alterations in rat peroneal nerves, and to modify the proteolytic activity of trypsin in vitro. Subperineurial injection of native or heated CSF of patients induced segmental demyelination and other cytological alterations 5-7 days later, in the infiltrated zone, while proximal and distal regions were normal. The CSF of normal subjects did not induce demyelination, but upon heating, it did so. Trypsin was strongly inhibited by the normal CSF but upon heating, its inhibitory activity was replaced by a strong potentiation. In contrast, native and heated CSF of patients potentiated trypsin. Our findings indicate that (1) the normal CSF contains a thermostable factor that potentiates trypsin whose function is overruled by thermolabile protease inhibitors; (2) the CSF of PSP patients has a reduced inhibitory activity and a conserved ability to potentiate trypsin; and (3) the CSF is endowed with a pathogenic power that correlates with an unchecked potentiating activity. We propose that the imbalance of a protease system may play a role in the pathogenesis of PSP lesions.

Animals↗

[Physical complaints, stress and quality of life of oncologic patients. Effects and patient assessment in inpatient rehabilitation].

AIM: To what extent do cancer patients use an inpatient aftercare programme and how is its effect been estimated by them? How is the progress of "general physical complaints", "psychosocial stress" and "satisfaction with life" in some cases over a period of up to eight months? PATIENTS AND METHODS: To 201 patients with breast or intestinal cancer respectively, who were going to be or had already been admitted to an inpatient aftercare, standardised and unstandardized questionnaire were presented to be filled out at 4 or 5 different dates before and during the programme as well as 3 and 6 months later. RESULTS: Many patients tried to take part in the aftercare programme actively. Even 6 months later 95.6% estimated it as being "successful" and 70% said that there had been a lasting positive effect after the treatment. The "general physical complaints" and "psychosocial stress" grew significantly less during the inpatient aftercare programme and "satisfaction with life" improved. After the treatment these effects were declining again. CONCLUSIONS: The results indicate that many patients, who participate in an inpatient aftercare programme, profit by it directly. As the positive effects partially get lost during the following months, the patients should be prepared more intensely for the time after dismission with its higher level of strain and should get an especially attentive ambulant care at home.

Adaptation, Psychological↗

Modification of phytohormone response by a peptide encoded by ENOD40 of legumes and a nonlegume.

The gene ENOD40 is expressed during early stages of legume nodule development. A homolog was isolated from tobacco, which, as does ENOD40 from legumes, encodes an oligopeptide of about 10 amino acids. In tobacco protoplasts, these peptides change the response to auxin at concentrations as low as 10(-12) to 10(-16)M. The peptides encoded by ENOD40 appear to act as plant growth regulators.

Amino Acid Sequence↗

Characterization of multiple nicotinic acetylcholine receptor-binding proteins and phospholipases A2 from the venom of the coral snake Micrurus nigrocinctus.

The presence of multiple nicotinic acetylcholine receptor (AchR)-binding proteins and phospholipases A2 was detected in the venom of a member of the Elapinae subfamily, Micrurus nigrocinctus nigrocinctus. Multi-step chromatographies were used to isolate four AchR-binding proteins (Mnn-9, Mnn-4, Mnn-3C and Mnn-1A) and five basic PLA2s (nigroxins A, B, C1, C2 and C3). The Micrurus AchR-binding proteins are antigenically and structurally related to short- and long-chain alpha-neurotoxins from Naja. The nigroxins are antigenically similar and constitute a new antigenic subclass of PLA(2)s. Nigroxins A and B are class I PLA(2)s, structurally more related to enzymes from Bungarinae than to those from Hydrophinae/Laticaudinae. These data contribute to clarify the relationships between Micrurus venom proteins and other elapid toxins and may be useful to improve the neutralizing efficiency of antivenoms.

Amino Acid Sequence↗

A new classification for heterotopic ossifications in total hip arthroplasty considering the surgical approach.

We would like to introduce a new classification for heterotopic ossifications (HO) after total hip arthroplasty which also considers ossifications within the region of the surgical approach. Furthermore, we will point out the influence of the surgical approach on the rate of HO. We analyzed 75 cementless hip arthroplasties with consecutive HO in a prospective study. The operations were performed by three experienced orthopaedic surgeons using an identical stem and a standardized lateral approach. All patients followed an identical rehabilitation procedure. Clinical and radiological data were documented in a standardized way. We found a total of 40 HO. Only 24 could be exactly classified by the known methods. Our classification considers 3 regions and 4 grades and is relevant for all 40 HO. Electrocauterisation to dissect the muscles in the lateral approach reduced the rate of HO: overall 64.3% to 39.4%; clinically relevant ossifications were reduced to 3.0% from 16.7%. Our new classification considers all HO concerned with total hip arthroplasty, especially those localized in the intertrochanteric region. The rate of HO can be reduced by using electrocauterisation for muscle dissection in the lateral approach.

Electrocoagulation↗

Is instillation drainage for the treatment of infected joints, bones and soft tissues still up to date?

For the treatment of infected joints, bones and soft tissues, either an instillation drainage therapy or the use of gentamicin-polymethyl-methacrylate (PMMA) chains (Septopal) in addition to surgical revision and systemically given antibiotics is currently in clinical use. We investigated 102 patients treated in our clinic by means of instillation drainage and compared the results with those obtained with gentamicin-PMMA chains by other authors. The overall long-term success with non-recurrence of the infection is nearly comparable (80% instillation drainage, 84% gentamicin-PMMA chains); however, with instillation drainage the duration of hospitalisation is significantly longer (mean 42.26 days vs 15.3 - 33 days). Additionally, there was a high rate of germ shifts with instillation drainage (33.3%) and a disappointing result in 20 infected endoprostheses (9 recurrences with 11 revisions). Regarding the intensive nursing care required and the necessary isolation from other patients, instillation drainage can only be recommended for the therapy of infected joints, bones and soft tissues if the results are better in comparison with gentamicin-PMMA chains. An improvement may be achieved with the closed instillation drainage system.

Adolescent↗

Advantage of the transprosthetic drainage system (TDS) for application in cemented hip arthroplasty--a standardized experimental comparison with other cementing techniques.

We constructed a computer-assisted implantation device to compare different cementing techniques of stem implantation in total hip arthroplasty, thus avoiding any manual influence during implantation. We used an intramedullary plug in each case. Conventional cementing techniques, employing an additional lateral drain for the femoral canal or applying the cement by hand, did not lead to a satisfyingly reproducible quality of the cement mantle. With the vacuum cementing technique, in which an additional cannulated screw is inserted into the plug from the lateral side of the femur for the application of the vacuum, the cement mantle improved in quality, but there was still a relatively high number of bubbles incorporated in the cement. We think that, even under improved experimental circumstances, it is not always possible to place the cannulated screw correctly into the plug in order to achieve a satisfying drainage of the femoral canal with this procedure. The transprosthetic drainage system showed the best results due to the optimized position and working capacity of the drain.

Biomechanical Phenomena↗

Benefits of various dextrans after delayed therapy in necrotizing pancreatitis of the rat.

OBJECTIVE: Ultrahigh-molecular dextran (500,000 Da) has been shown to prevent pancreatic necrosis when given 30 min after induction of pancreatitis. This study should clarify the following: (a) are dextrans still effective after prolongation of the therapy-free interval? (b) what is the impact of the molecular weight of the dextrans? and (c) is their effect influenced by the dextran concentration or by the addition of hypertonic saline? ANIMALS AND INTERVENTIONS: Acute pancreatitis was induced in 70 male dextran-tolerant Wistar rats using intraductal bile-salt infusion and intravenous hyperstimulation. After 3 h, animals were assigned to one of seven groups (n = 10 per group) receiving either Ringer solution or different dextrans (10%) including 70,000 Da (DEX-70), 160,000 Da (DEX-160), 300,000 Da (DEX-300) or 500,000 Da (DEX-500). Additional groups included DEX-70 (6%) and DEX-70 (10%) in combination with hypertonic NaCl (7.5%) (HHS-70). Ringer solution was given at 24 ml/kg and all dextrans at 8 ml/kg. MEASUREMENTS AND RESULTS: Trypsinogen activation peptides (TAP) were quantified in ascites and acinar necrosis after death or sacrifice at 9 h. As an index of less pathological trypsinogen activation, the mean TAP levels in ascites were significantly lower in DEX-70 and DEX-160 compared to Ringer controls (p < 0.05, t-test). Furthermore, the amount of acinar necrosis was significantly lower in all dextran groups except the HHS-70 in comparison with Ringer controls (p < 0.01, t-test). Finally, mortality was significantly reduced from 60% in Ringer controls to 10 and 0%, respectively, in the groups treated with DEX-70 and DEX-160 (p < 0.03, Fisher's Exact test). There was a similar trend in all other groups except the HHS-70. CONCLUSIONS: Despite a therapy-free interval of 3 h, dextrans reduce trypsinogen activation, prevent acinar necrosis, and improve survival in necrotizing rodent pancreatitis. The molecular weight and concentration of dextran are of secondary importance for these beneficial effects.

Animals↗

Complex carbohydrates in shell precursor globules of the vitellarium and at the eggshell of Hymenolepis microstoma (Cestoda).

The vitellocytes of Hymenolepis microstoma contain protein globules as building material for the shell of egg cocoons. Complex carbohydrates were detected as an additive component, dispersed in the matrix of the shell globules. Similar glycans were found at newly formed shells, suggesting that these molecules are provided by the vitellocytes. The glycans remained associated with the surface of mature eggs. Carbohydrate residues, characterized using gold-labeled lectins, were N-acetylglucosamine, galactose, or the N-acetyllactosamine sequence of these residues and N-acetylgalactosamine, whereas glucose, mannose, and fucose were not demonstrable. The glycans scarcely stained with periodic acid-Schiff and, thus, seem to have few diols, and they did not bind cationic dye, indicating that they are not glycosaminoglycans. Since they occur in significant amounts, the glycans may have fundamental, as yet undetermined function(s) in the formation of the shells and/or interactions of the cocoons with the host.

Animals↗

High-frequency endonuclease (REA) typing: results from the WHO collaborative study group on subtyping of Listeria monocytogenes.

Eighty isolates of Listeria monocytogenes were typed by high-frequency restriction endonuclease analysis. Two laboratories participated in the study with two restriction enzymes each. The enzymes used were EcoRI, Hae1II, HhaI. and its isoschizomer Cfo1. EcoRI was less discriminatory than the other enzymes. The profiles generated by Hha1 and CfoI were not fully stable for some closely related isolates. The size and the number of restriction bands generated by Hha1 in one laboratory and its isoschizomer Cfo1 in another laboratory were directly comparable. This indicates that REA-typing may be used as a definitive typing method for Listeria monocytogenes if the typing procedure is standardized. The stability of the REA-types needs further elucidation in order to establish firm differentiation criteria for comparison of isolates.

Bacterial Typing Techniques↗