Pathological changes of lymph nodes in thorotrast patients: pathoanatomical, autoradiographical, and quantitative investigations.
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Biomedical subjects
Publications and source records attributed to K Wegener.
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The subjects of investigation were 13 dead thorotrast patients, 10 male, 3 female, with ages ranging from 45 to 79 years. Two thousand organ and tissue specimens were investigated by means of autopsy and by both microscopic-autoradiographic and neutron activation analysis in order to detect late effects and to determine on approximate mean concentration of 232Th (mg per g of tissue). A comparison between late effects and concentrations of the dye medium led to the following conclusions: 1. 232Th is, after intravascular injection, deposited in all organs and tissues of the human body. 2. The highest mean concentrations are shown in the spleen, liver, bone marrow, and lymph nodes. 3. The distribution of 232Th is inhomogeneous in all organs and tissues. The variations of maximum and minimum concentration lie around factor 2.2 X 10(0)-2.4 X 10(5). 4. Late effects occur only in spleen, liver, lymph nodes, and bone marrow, but not in organs and tissues that show a mean concentration of 232Th under 10(-1) mg per g tissue. 5. It is highly probable that tumors of thorotrast patients in organs other than spleen, liver lymph nodes, and bone marrow are not caused by deposition of 232Th or ThO2.
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The time course of the heart rate (15-sec-periods) during active orthostasis (10 min) was investigated according to types found by Drischel et al. under different climatic conditions in 51 female and 50 male subjects. Constant types were observed in each subject in 3 repeated tests on different days at 20 degrees C and 55% R.H., the types remaining constant even at 25 and 90% R.H. The increase in environmental temperature from 15 to 30 and 45 degrees C showed a significant alteration from type A via different transitional types to type B. At 45 degrees C, an additional type was observed called superhigh type B, functionally being a precollapse type. The variation in typology includes the dynamics of the initial process of the active orthostasis as well as the deviation between the steady-state of the heart rate in erect and in supine position. The physiological mechanisms eliciting the changes in the dynamic behaviour and the correlations with the effective temperature are discussed.
At the Department of Plastic Surgery and Burns, Berufsgenossenschaftliche Unfalklinik Ludwigshafen-Oggersheim, a skinbank with typed skin has been established. The storage system consists of deep-freezing at -196 degrees C in liquid nitrogen. The transplantation of HL-A typed skin was evaluated from the clinical and histological point of view. Due to the effort necessary for such an undertaking this method is critically reviewed.
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