Reflections on the value of histological examination of the cardiac conduction system in cases of natural unexpected death.
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Biomedical subjects
Publications and source records attributed to J Voigt.
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Since 1968 the number of deaths registered among narcotic addicts has increased considerably from 9 deaths in 1968 to 121 in 1979. Data concerning 215 deaths among narcotic addicts in 1978 and 1979 examined at the three Danish University Institutes of Forensic Medicine are presented. Four-fifths of the cases were males; the average age in both males and females was 26 years. In most cases a mixed abuse was present, the predominant drug being heroin. In 27% of the cases there was an abuse of alcohol. The material was divided into two groups. Group A included 181 cases in which the cause of death was poisoning by one or more drugs. In group B (34 cases) narcomania was a contributory factor to death. The place of death, gross autopsy findings and toxicological data are reported. The manner of death was in 62% of the cases stated as accident, in 19% as suicide, in 14% as accident?/suicide?, in 3% as natural death and finally in 1% as homicide. Next to traffic accidents narcotic addiction today is the greatest single cause of death in the age group 18 - 35 years. These facts call for active political steps against narcotic addiction.
In two experiments with milk cows with permanent rumen fistula it was investigated whether, apart from urea being unpalatable, further physiologic parameters are responsible for the reduced feed intake. In experiment I the cows received 2, 3 resp 4% urea orally with barley coarse meal, or an equivalent amount was given continuously from the beginning of the feeding over a period of three hours through the fistula. When 2, 3 resp. 4% urea were given orally, the consumption went down in the first 30 min to 58, 52 resp. 40%. When urea was given rumenally, no depression of the consumption could be observed. There were distinct relations with the NH3-concentration in the rumen fluid. At 20 to 35 mg per 100 ml there was no resp. a slight depressioon only and at 40 mg a significant depression. When the concentration rose to greater than 50 mg, consumption was stopped. In experiment II the rumenal application of urea began two hours before the feeding. The high NH3-level shortly after the beginning of feeding (58 mg/100 ml) caused a stop in the feed consumption. No relation could be observed between the urea concentration in veinous blood and the feed intake.
The metabolism of 15N-urea in the rations of dairy cows was investigated in dependence on the crude protein content of the rations. With energy concentration remaining unchanged, the rations contained 10.7 (I), 13.7 (II) and 17.1 (III)% plant crude protein and, after the supplementation of 150 g urea per animal and day, a total of 13.8, 16.7 and 20.2% crude protein in the dry matter. The urea was intraruminally infused during the feeding in the morning and the evening. In the morning feeding of each 1st measuring day it was labelled with 27.5 atom-% 15N-excess (15N'). The degree of labelling with 15N' of the N-fraction of rumen fluid, contents of the duodenum, faeces and milk, precipitable with trichloric acetic acid (TCA) decreased with the rising protein level of the ration. This effect was bigger than could be expected considering the low 15N'-quota in the total-N of the ration. In the sequence I ... III, 52.7, 32.2 and 30.6% of the 15N'-amount taken in passed the duodenal re-entrant cannula in TCA-precipitable form within 72 hours after the 15N-application. 33.3, 21.9 and 22.6% were apparently absorbed in the intestines as TCA-precipitable N within 120 h after the 15N'-application. In the same period 31.7, 43.1 and 72.8% of the 15N' taken in were excreted in urine. 12.3, 9.6 and 5.8% of the applied 15N' were found in milk protein. One can conclude that the utilisation of urea-N decreases with the rising level of crude protein in the ration and that, however, urea-N is still biochemically utilised when there is an excess of plant-N in the ration.
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In two experiments the influence of the treatment of samples, the sampling time and the composition of the rations on the RNA: N ratio in the rumen microbes was checked. Experiment I proved that freezing (-21 degrees C), thawing and freeze-drying of isolated bacteria and protozoa from the rumen fluid and from the duodenal content did not result in a change of the RNA content and the RNA-N: total N relation. If, however, the rumen fluid is stored deep-frozen before the isolation of the bacteria the N content in the DM of the bacteria decreases by 17% and that of RNA by 30%. This results in a change of the RNA: N relation of 16%. In conclusion, the bacteria are to be isolated immediately after rumen fluid sampling. Isolated bacteria can be stored deep-frozen before RNA determination and then freeze-dried. Experiment II showed that the RNA content of the rumen protozoa varies according to the period after feeding. The RNA: N relation was 0.50, 0.92, 0.70 and 0.58 on average 0, 3, 6 and 8 h after feeding, in which the 3rd hour after feeding can obviously be considered the time of increased microbial activity. The conclusion from this variation is that more than one isolation of microbes must be carried out in the course of the day in order to achieve representative samples. These statements apply to easily and not easily fermentable protein as N source in the feed. It could also be proved that no essential variation is to be expected in the RNA: N relation in the microbes isolated from the rumen fluid in the range of 8-21% crude protein in the DM of the ration (roughage: concentrate = 55: 45). On average the rumen microbes contained 1.7 g RNA-N/16 g N, essential differences between bacteria and protozoa could not be ascertained. From the slight variation of the RNA-N: N relation in the isolated bacteria from various cows one can conclude that there is no need to isolate the microbes of each individual animal.
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