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Biomedical subjects

J Still

Publications and source records attributed to J Still.

35 records · Page 2Linked to original sources

A clinical study of auriculotherapy in canine thoracolumbar disc disease.

Auriculotherapy (ear-point acupuncture) was used in dogs (n = 30) suffering from thoracolumbar disc disease, Types I-IV, with a duration of 1 to (47 means = 8) d. During auriculotherapy treatment, no analgaesics or antiinflammatory medications were used. Pressure-sensitive and electrically detectable points on the concave aspect of the external auricle were stimulated by insertion of stainless steel acupuncture needles for 20 min. One to 6 needles were used on each occasion in a maximum of 3 treatments. Fifty per cent of dogs recovered completely and 23% improved. Dogs with backpain only (Type I) and dogs with paresis (Type II) responded best with mean recovery times of 1.7 and 3.2 d respectively. The analgaesic effects were especially impressive. Auriculotherapy failed in 3 (50%) paralysed dogs (Types III and IV) in which post-mortem examinations confirmed focal myelitis and myelomalacia. Four of 12 dogs (33%) recorded relapsed in 1.4 to 26 weeks after successful treatment.

Acupuncture Therapy↗

[Comparison of the diagnostic possibilities of palpation of the abdominal cavity and ear acupuncture in diseases of the gastrointestinal tract in dogs].

The diagnostic possibilities of the use of palpation and auriculodiagnosis were compared in 89 and 78 dogs with clinical signs of gastritis acuta, gastroenteritis acuta, and gastroenteritis acuta haemorrhagica. A significant difference in the success of diagnosis in favour of auriculodiagnosis was confirmed by the statistical evaluation of the results. The best results were obtained when gastritis acuta was diagnosed: auriculodiagnosis was successful in 100% of the cases, in contrast to palpation which was successful in 33.3% of the cases. The objectivity of detection painfulness and the decrease of relative skin resistance were secured by the use of an atraumatic electrode. The results which are of primary importance in veterinary medicine agree with similar findings in human clinical acupuncture.

Abdomen↗

[Use of acupuncture in the resuscitation of animals].

In the present work fundamental experience is summed up regarding the acupuncture resuscitation of animals. The results are based on examination of 243 cases of 17 different species of domestic and exotic animals and birds. The apnoea condition, or only deep narcosis, has been induced with the use of different kinds of narcotics, above all Thiopental. A review of four most effective acupuncture points and the proper way of resuscitation are given. The acupuncture resuscitation has shown up to 100% results in clinically healthy dogs, whereas in animals affected with different diseases the success of intervention showed to be smaller (77.47%). In zoo animals in narcosis induced by medicines, the resuscitation effectiveness achieved 92.6%. The resuscitation effect is based not only on strictly determined points but also on diffusive irritation of respective point and its surroundings by acupressure. Discussion deals with the factors on which the acupuncture resuscitation and its success are dependent.

Acupuncture Therapy↗

[The effect of acupuncture on hematologic and biochemical values in dogs with endoparasitic infections].

Selected hematological and biochemical indicators in blood were studied in seven dogs for 57 days. Six dogs were exposed to long-term, pre-experimental, natural invasion of the endoparasite Trichuris vulpis, one dog to Toxascaris leonina. In both cases the invasion of parasites was only weak, without any clinical symptoms. Acupuncture was performed on the first to fourth experimental days by steel acupuncture needles used in human medicine by introducing them into Gv-14, ST-36 and SP-6 points for twenty minutes. The results were evaluated statistically and compared with the samples taken from individual animals prior to acupuncture application. The changes in blood serum protein fractions in six dogs suffering from trichuriasis were compared with the control group of animals invaded in a similar way and with physiological standard. The results confirmed a statistically highly significant difference in the values of blood sedimentation (increase at four samplings from the 9th to 38th experimental days). At two samplings performed on the 35th and 57th experimental days a statistically highly significant difference was observed in the dogs suffering from trichuriasis as compared with the control group: in the relative values of globulin beta-fraction (increase), globulin gamma-fraction (decrease) and albumin (decrease) of the blood serum. In these dogs the A/G quotient decreased statistically highly significantly. There were no substantial changes in the level of total protein during the experiment, however, there was a trend of eosinophilia. These findings suggest the activation of the immunity system, but the invasion of Trichuris vulpis was not markedly influenced. The above-mentioned changes in blood values were not observed in the dog invaded with Toxascaris leonina, the parasite invasion remained at the pre-experimental level. No marked changes of the long-term duration were observed in the values of the other hematological and biochemical tests in any of the experimental animals. The control group consisting of four dogs without endoparasitic invasion, clinically in good condition, was also subjected to acupuncture at Gv-14, ST-36, SP-6 points. In the course of this study, the originally lower values of hemoglobin, hematocrit, erythrocyte number, leucocyte number and number of the segmented neutrophilic granulocytes increased and reached the physiological standard. Towards the end of this experiment all values of hematological and biochemical blood examinations were similar like those of the experimental group.

Acid-Base Equilibrium↗

Mode of action of the lipid-lowering agents, clofibrate and BM 15075, on cholesterol biosynthesis in rat liver.

When rats were fed a diet containing 0.3% clofibrate or a derivative of this drug, BM 15075, serum cholesterol was lowered within 3-7 days by 26-38%. Both drugs diminished the activity of hydroxymethylglutaryl CoA reductase, the regulatory enzyme of hepatic cholesterol biosynthesis, in rat liver microsomes by about 60% under the same conditions. The decrease in the activity of the enzyme obviously is due to changes in the amount of enzyme protein. Under in vitro conditions microsomal hydroxymethylglutaryl CoA reductase was inhibited competitively by (1.35 mM) clofibric acid (sodium salt) and by BM 15075 (1 mM) with respect to its substrate. These results give evidence that these drugs can affect both, the rate of synthesis and the substrate affinity of hydroxymethylglutaryl CoA reductase.

Animals↗

Activation of 3-hydroxy-3-methylglutaryl-coenzyme A reductase in vitro.

Hydroxymethylglutaryl coenzyme A reductase, the regulatory enzyme of cholesterol biosynthesis, was activated by in-vitro incubation of mouse liver microsomes with an artificial system consisting of Na2SO3, MgCl2 and EDTA. The extent and the time course of the activation were very similar to those observed with a 105 000 x g liver supernatant. Throughout its diurnal rhythm hydroxymethylglutaryl-CoA reductase was activated about threefold, while after cholesterol feeding the extent of activation was diminished but was not abolished. The activation could be inhibited by 0.1M fluoride, indicating that a phosphatase might be involved in the activation process.

Alcohol Oxidoreductases↗

Sterol biosynthesis in yeast. 3-Hydorxy-3-methylglutaryl-Coenzyme A reductase as a regulatory enzyme.

Anaerobically and aerobically grown yeast contains 3-hydroxy-3-methylglutaryl-CoA reductase, which is located in the mitochondrial fraction of the cell. Anaerobically grown yeast has a low specific activity of 3-hydroxy-3-methylglutaryl-CoA reductase and a low sterol content. Aeration of this yeast in buffer, without growth, results in an increase in the specific activity of the enzyme, which is paralleled by an increase in the sterol content. This induction has an oscillatory profile with yeast grown anaerobically for 24 h and a linear pattern with cells grown anaerobically for 72 h. With the latter type of yeast, glucose is necessary for an induction, whereas with the other yeast an induction occurs with and without glucose. By an anaerobic incubation in buffer of the yeast grown anaerobically for 24 h, the oscillatory profile can be transformed into a linear one. The extent of induction of the reductase is strictly dependent on the concentration of glucose present. Sterols increase in whole cells, but they do not increase in the mitochondrial fraction. The induction of 3-hydroxy-3-methylglutaryl-CoA reductase is strongly inhibited by cycloheximide, but is not affected by chloramphenicol. The induction of the enzyme is closely connected with the glucose metabolism of the cell; fructose, mannose, and ethanol can also induce the reductase.

Aerobiosis↗

Electrocution due to contact of industrial equipment with power lines.

Electrocution due to contact of construction equipment with power lines is not uncommon as a source of industrial injury. We report seven such cases. Two patients sustained cardiac arrest and were successfully resuscitated at the scene. Four patients lost consciousness and in two cases, amnesia for the event was encountered. No long-term cardiac or neurologic effects were noted. Surgery including amputation was sometimes required. In all cases, the patient was on the ground touching the machinery or touching cables connected to the machinery at the time of injury. The importance of exercising due care in industrial safety measures is stressed. Prompt CPR was life saving in two cases.

Accidents, Occupational↗

Ranitidine interference with the monoclonal EMIT d.a.u. amphetamine/methamphetamine immunoassay.

The interference of ranitidine with the monoclonal EMIT d.a.u. amphetamine/methamphetamine immunoassay (ME) was investigated. Urine specimens collected from 23 patients receiving 150-300 mg of ranitidine daily were found to contain 7-271 mg/L of the drug when analyzed by Remedi automated high pressure liquid chromatography. Only patient specimens and urine samples with ranitidine added at concentrations greater than 91 mg/L gave false positive ME results. Of the 63 patient urine samples analyzed by ME, 12 gave false positive results. All false positive results occurred in the first or second void after ingestion. No false positive results occurred with the polyclonal EMIT d.a.u. amphetamine or TDx amphetamine/methamphetamine II assays.

Amphetamine↗

Acute cholecystectomy performed through cultured epithelial autografts in a patient with burn injuries: a case report.

A teenaged white male, admitted with a 58% total body surface burn, was treated with extensive debridement and grafting. Cadaver skin was applied in preparation for grafting with cultured epithelial autograft (CEA). The abdomen and upper arms were then grafted with CEA applied over 6:1 meshed autograft with satisfactory take. The patient was discharged with his wounds healed on postburn day 67. Six months after this, he was readmitted with acute abdominal pain. A perforated gallbladder, diagnosed as acalculous cholecystitis, was found at exploratory laparotomy and removed. The laparotomy incision was made through the burned area grafted with CEA. The patient's recovery from his cholecystectomy and the healing of the postoperative cutaneous wound made through CEA were uneventful.

Acute Disease↗

Burns of children caused by electric stoves.

During a 2-year period, eight patients sustained burns caused by the tipping over of electric stoves. In seven of these cases, children aged 2 to 4 years stood up on the open oven door of a stove. The stove then tipped forward, and a pot of boiling liquid on the stove spilled onto the child, who fell forward across the oven door. The general area of involvement was back and buttocks, with spattered areas elsewhere on the body. In one other case, an older child, aged 8, sat on the open oven door and was burned when a pot fell on him. The weight of the children ranged from 12.7 to 20 kilograms, with a mean of 15.2 kilograms. The 8-year old weighed 14.9 kilos. Burn size ranged from 3% to 30%, with a mean of 16.75%. All burns were second-degree and were treated by debridement and coverage with either porcine grafts or Biobrane (Dow Hickman Pharmaceuticals, Inc.). Healing was satisfactory in all cases. Hospital stay ranged from 2 to 20 days. The increase in the use of electric stove has led to a situation in which children, usually toddlers, can overbalance the stove and bring down the pots sitting on the heating elements. This represents another mechanism by which young children can be injured in the kitchen; the awareness of this should be disseminated.

Bandages↗

Lawn mower-related burns.

Lawn mower-related injuries are fairly common and are usually caused by the mower blades. Burns may also be associated with the use of power lawn mowers. We describe 27 lawn mower-related burn injuries of 24 male patients and 3 female patients. Three of the patients with burn injuries were children. Burn sizes ranged from 1% to 99% of the total body surface area (mean, 18.1%). Two of the patients died. The hospital stay ranged from 1 day to 45 days. Twenty-six injuries involved gasoline, which is frequently associated with refueling accidents. Safety measures should involve keeping children away from lawn mowers that are being used. The proper use and storage of gasoline is stressed.

Accidents↗

The inhibitory effects of polyoxyethylene detergents on human erythrocyte acetylcholinesterase and Ca2+ + Mg2+ ATPase.

The activities of acetylcholinesterase and Ca2+ + Mg2+ ATPase were measured following treatment of human erythrocyte membranes with nonsolubilizing and solubilizing concentrations of Triton X-100. A concentration of 0.1% (v/v) Triton X-100 caused a significant inhibition of both enzymes. The inhibition appears to be caused by perturbations in the membrane induced by Triton X-100 incorporation. No acetylcholinesterase activity and little Ca2+ + Mg2+ ATPase activity were detected in the supernatant at 0.05% Triton X-100 although this same detergent concentration induced changes in the turbidity of the membrane suspension. Also, no inhibition of soluble acetylcholinesterase was observed over the entire detergent concentration range. The inhibition of these enzymes at 0.1% Triton X-100 was present over an eightfold range of membrane protein in the assay indicating an independence of the protein/detergent ratio. The losses in activities of these two enzymes could be prevented by either including phosphatidylserine in the Triton X-100 suspension or using Brij 96 which has the same polyoxyethylene polar head group but an oleyl hydrophobic tail instead of the p-tert-octylphenol group of Triton X-100. The results are discussed in regard to the differential recovery of enzyme activities over the entire detergent concentration range.

Acetylcholinesterase↗