Cerebral malaria--diagnostic-cum-therapeutic problem.
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Biomedical subjects
Publications and source records attributed to M George.
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In two patients with severe hypogonadotrophic hypogonadism intermittent pulsatile delivery of gonadotrophin hormone (LHRH) 5 to 20 micrograms every 90 minutes by means of the Zyklomat pump promptly resulted in ovulation and pregnancy. The comparative effectiveness of the intravenous and subcutaneous routes was evaluated by radioimmuno assay of LHRH in plasma. The pulsatile patterns of LH was satisfactory with both routes, but plasma levels of LHRH were about 7 times lower with the subcutaneous route. The dosage range (5-20 micrograms) of LHRH must be adjusted to the severity of the hypothalamic deficiency and to the route of administration. The use of the pump, the monitoring of ovulation and the indications for this type of treatment are discussed.
The authors report the case of a 60-year-old man presenting with an esophagobronchial fistula. The congenital origin of the lesion was demonstrated by the history of the clinical symptomatology and by radiological, endoscopic and anatomical arguments. While it is a rare complaint in adults, it is worth considering in the diagnosis of a chronic cough, because it can be cured surgically without any problems.
Twenty three patients on class 3 or 4 NYHA were anesthetized with flunitrazepam 30 micrograms/kg. fentanyl 20 micrograms/kg, N2O for coronary bypass surgery. Hemodynamics data before and after induction reveal a 30% fall of cardiac index with stability of systolic vascular resistance. This higher value refer to literature on flunitrazepam. The clinical association with N2O and fentanyl can explain negatively inotropic effect. The bad ventricular function of this patients is probably the cause of a underestimate vascular filling.
Nutritionally variant streptococci (NVS) have been characterized by their growth as satellite colonies around colonies of staphylococci or several other gram-positive or gram-negative bacterial strains. The majority of the NVS strains were isolated from patients with subacute bacterial endocarditis. Organisms identified as NVS were subdivided into three serotypes by rocket-line electrophoresis and hemagglutination inhibition assays. Ninety-nine of 103 strains expressed one or more of the three serotype antigens; however, a group antigen was not demonstrated in the various extracts of these streptococci. Surface protein studies confirmed the NVS differentiation into serotypes. Serotype I organisms expressed surface protein(s) specific for the serotype, whereas the serotype II and III NVS demonstrated common protein(s) on their surface. Furthermore, SDS extraction released a greater amount of radioiodinatable surface protein from serotypes I and III bacteria than serotype II. Finally, there was no correlation between the serotype or the disease of the patients from which the NVS strains were isolated.
A retrospective study was conducted involving all case reports of patients treated for uterine cervix cancer, and investigated by a CT scan for suspected or follow up of a recurrence between Jan. 1981 and Nov. 1982. CT scan findings are described and the value of the method assessed; it appears to be very effective for diagnosis of recurrence in lumbar aortic lymph nodes, since it was the only examination enabling positive diagnosis in 13 out of 15 cases. Its diagnosis value is less in pelvic tumor recurrence, directly accessible to clinical examination (3 diagnoses only out of 9 cases). The CT scan is a reliable exploratory procedure since only 4 examinations were normal of the 38 completed. Possible therapeutic applications are discussed.
Twenty-five patients with endometrial cancer of body of uterus were examined by CT before and after intravenous administration of contrast medium. Hypodensity was noted before injection and was accentuated after injection in 4 cases, was observed after injection only in 9 and was totally absent in 12 cases. Comparison of findings with results of examination of frozen specimens indicated lack of correlation between size of tumor and depth to which myometrium was invaded, and results of CT imaging.
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Many reports have indicated that estrogens increase uterine guanosine 3',5'-cyclic monophosphate (cGMP) levels via increasing the activity of guanylate cyclase. In the present study, guanylate cyclase activity was studied cytochemically in the oviduct of immature rats 24 hours after one or two doses (20 micrograms/kg, subcutaneously) of diethylstilbestrol (DES), one dose per day. The reaction product indicating guanylate cyclase was localized in the plasma membrane of epithelial cells, endothelial cells, and smooth muscle cells of all DES-treated animals, but was absent from those of the vehicle control immature rats. The Golgi saccules of secretory cells and the periciliary membrane of ciliated cells were stained for the enzyme 24 hours after the first and second dose of DES, but the activity seemed diminished 24 hours after the second dose. Likewise, reaction product indicating guanylate cyclase was more prominent in the plasma membrane of epithelial cells of animals treated with one dose of DES than those animals treated with two doses of DES. However, in the endothelial and smooth muscle cells, guanylate cyclase activity increased after two doses of the estrogen. Further, pinocytotic vesicles or caveolae in these cells were also strongly stained for the enzyme after one and two doses of DES. These findings confirm the suggestion that guanylate cyclase plays a significant role in the growth, differentiation, and function (secretion and transport) of the oviduct.
Continuous exposure of chicken embryo limb bud mesenchyme cells undergoing chondrogenesis in vitro to [3H] thymidine thymidine [(3H]TdR) revealed that more than 90% of the cells synthesized DNA at least once during 120 h of culture. When cells were exposed to [3H]TdR for 24 h beginning at various times throughout the culture period, the percentage of cells which incorporated [3H]TdR during each period was approximately 92%. However, when the period for incorporation of radioisotope was limited to two hours, the number of cells which incorporated [3H]TdR was found to decline during chondrogenesis in vitro. This decline was coincident with the appearance of extracellular matrix material and occurred in those cells which had, and had not, expressed the cartilage phenotype. We conclude from these studies that (1) practically all of the cells continue to proliferate while chondrogenesis is occurring in vitro, (2) there is an increase in the length of the cell cycle during chondrogenesis in vitro, and (3) withdrawal from the cell cycle is not required for differentiation of mesenchyme into cartilage.
A randomized, double-blind controlled trial of nabilone versus chlorpromazine was performed in 20 patients with advanced gynaecological cancer who received chemotherapy including cis-platinum. Each patient served as his own control. Nabilone was administered at a dose of 3 mg given orally three times a day, starting the day before cis-platinum and ending the day after. Chlorpromazine was administered at a dose of 12.5 mg given IM, 15 minutes before the start of cis-platinum. Nabilone, in comparison with chlorpromazine did not significantly reduce the number of vomiting. Ten patients preferred nabilone, 5 preferred chlorpromazine and 3 were undecided. Predominant side effects noted by patients were similar for both agents and included somnolence, dry mouth and orthostatic hypotension. No other intervention besides reassurance of the patient was necessary to treat these adverse reactions.
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