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Biomedical subjects

M Kim

Publications and source records attributed to M Kim.

At least 415 records · Page 23Linked to original sources
PubMed1985

[Aortocaval fistulas. Apropos of 5 cases].

UNLABELLED: 5 cases of aorto-iliac aneurysms which fistulised into the inferior vena cava are described. They illustrate the problems encountered in this condition. - DIAGNOSIS: although a classical diagnosis, it is only recognised in 27 p. 100 of cases because the clinical presentation can be very variable. A pulsating, expansive, abdominal mass very suggestive of an aneurysm of the abdominal aorta should alert to the possibility of a fistula within the inferior vena cava when the patient has unexplained cardiac failure, shock, lower limb deep vein thrombosis, urinary or psychological problems. In the absence of a continuous abdominal murmur, the diagnosis may be confirmed by complementary investigations; the investigations of choice are non-invasive. Abdominal ultrasonography showing an aneurysm of the abdominal aorta associated with dilatation of the inferior vena cava is very suggestive of the diagnosis. - The only treatment is surgery. The operative risk depends on the presence of absence of associated retroperitoneal rupture of the aneurysm, the respective mortalities being 83 p. 100 and 15 p. 100. - The principal causes of death are pulmonary embolism and renal failure which necessitate special prophylactic measures (surgical and anaesthetic).

Aged↗
PubMed1985

[Pulsatile echography (ultrasonic cerebral tomosphygmography) in carotid and vertebral pathology. Surgical applications].

Ultrasonographic cerebral tomosphygmography (U.C.T.S.) is a method for determining cerebral pulsatility by centimeter-thick sections. The prototype uses a 2 MHz ultrasound wave emitted in the direction of cerebral structures. The reflected wave is captured by centimeter-thick sections, the mean determined and a pulsatile index defined. This index varies according to the regions studied (cortico-subcortical, superficial sylvian, deep sylvian and vertebrobasilar). Physiologic pulsatility was determined from a series of 150 healthy subjects. This technique was used to evaluate effects of carotid and vertebral circulation revascularization in 21 patients. Findings showed lack of relation between anatomic lesion and cerebral pulsatility, absence of significant modification of the index after release of carotid occlusion except when postoperative thrombosis occurred, and heterogeneous individual behavior after revascularization distinguishing subgroups of indifferent (40%), improved (27%), hyperpulsatile (27%) and worsened (13%) subjects. Two patients presented worsening on the contralateral side compatible with a steal syndrome. Results suggest that U.C.T.S. is a promising method of preoperative investigation and postoperative surveillance of carotid artery stenosis.

Aged↗
PubMed1985

[Clinico pathological study on prognostic factors of sarcoma].

A clinicopathologic study of 48 patients of sarcoma was performed. This malignant neoplasm principally of middle and late adults occurred most often in the body surface (58%). Forty-six patients were treated by surgery with wide or marginal or palliative resection. In two only biopsy was done. Adjuvant chemotherapy was added in 27 patients. Histological grading of surgical specimens was Stage I in 9, II in 16, III in 18 and IV in 5. The evaluation of prognosis showed that wide resection with lymph node dissection was most excellent procedure as the operative methods. Regarding histological grading, significant difference between Stage I + II and III + IV could be detected in the survival rates (p less than 0.05). The adjuvant chemotherapy used did not affect the prognosis.

Adolescent↗
PubMed1984

Studies on myelin basic protein-specific protein methylase I in various dysmyelinating mutant mice.

Jimpy mice are dysmyelinating mutants characterized by producing near normal levels of myelin basic protein (MBP) in the brain but failing to incorporate these proteins into the myelin sheath. In this study, the activity of MBP-specific protein-arginine N-methyltransferase (protein methylase I) was studied in the brains of normal and jimpy mice of different ages. The enzyme activity varied little with age in normal mice but in 18 and 21 days-old homozygous jimpy mice the activity was reduced by 50% and 75% respectively from the level of their normal littermates. Interestingly, however, heterozygous jimpy mice who are phenotypically normal and quaking mice (a similar dysmyelinating mutant) showed unaltered enzyme levels.

Age Factors↗
PubMed1984

Heterogeneity of Igh-linked allotypic determinants expressed on functional T cell subsets as detected by monoclonal antibodies.

Hybridomas producing monoclonal antibodies (mAb) specific for immunoglobulin heavy chain (Igh) allotype-linked gene products expressed only on functional T cells but not on B cells and macrophages were established by fusion of allotype congenic SJL (Igh-1b) and SJA /9 (Igh-1a) B cells immunized reciprocally with partner spleen cells with a myeloma P3-X63-Ag8-653 of BALB/c origin. Nine mAb have been selected on the criteria that they can specifically block various antigen-dependent functions of known T cell subsets in in vitro immune responses of mouse strains having the corresponding Igh allotype, but not the other one. These included (a) four mAb that augment the in vitro secondary antibody response of either Igh-1a or Igh-1b strains and thus are considered to react with the Igh-linked allotypic determinant expressed on suppressor T cells, (b) one mAb that inhibits the helper T cell activity of Igh-1b but not of Igh-1a strains, (c) two mAb that inhibit the antigen-induced proliferative response of Igh-1a but not Igh-1b strains, and (d) two mAb that block the cytotoxicity of alloreactive cytotoxic T cells of Igh-1a strains. The linkage to Igh-1 allotype of the T cell products was established by testing with Igh-1-congenic strains with different backgrounds including the H-2 complex. Some of the mAb were able to react with cloned hybridomas and a continuous cell line of the given allotype and functions. Each mAb was able to block one of the known functions of T cell subsets, but not others, indicating the existence of the heterogeneity and multiplicity of the Igh allotype-linked products on T cells.

Animals↗
PubMed1984

Kinetics of administered aggregated IgG in rats with passive Heymann's nephritis.

The kinetics of radiolabeled heat-aggregated human IgG (AHIgG125I) were studied in rats with passive Heymann's nephritis (PHN) induced 72 hr previously with decomplemented rabbit antiserum to rat FX1A. Control rats were injected with decomplemented normal rabbit serum (NRS). Following administration of AHIgG125I (40 mg per 100 g of body wt) control and FX1A animals were sacrificed in groups of five each at 2, 4, 8, 16, and 24 hr and kidney, liver, spleen, lung, plasma, and blood cells obtained. 131I-Labeled human serum albumin (HSA131I) was administered prior to sacrifice as a plasma marker. In FX1A rats the following observations were made in comparison with control rats: (1) A decrease in the concentration of AHIgG125I in glomeruli was observed at 2, 4, and 8 hr after administration; (2) a significant increase in clearance reflected by a decrease in the concentration of plasma trichloroacetic acid (TCA)-precipitable radioactivity, and AHIgG125I (greater than 7 S) was present; (3) a significant increase in non-TCA-precipitable radioactivity in plasma and blood cells at most time periods; and (4) decreased concentrations of AHIgG125I in liver and spleen but not lung. The specificity of these observations was supported in separate experiments by the lack of any difference in the plasma levels of TCA-precipitable radioactivity after administration of radiolabeled albumin to FX1A and control rats. Studies in FX1A and control rats revealed no differences in body weight, kidney weight, hematocrit, blood volume, urine output, glomerular filtration rate, renal blood flow, or renal vascular resistance. A slight increase in urinary rat albumin excretion was observed in FX1A rats. The lower values of AHIgG125I observed in plasma, liver, and spleen associated with increased levels of non-TCA-precipitable radioactivity in plasma and blood cells suggest enhanced catabolism of AHIgG125I in FX1A rats, leading to decreased localization within the mesangium.

Animals↗
PubMed1984

The glomerular mesangium: kinetics using radiolabeled ferritin and the effects of aggregated IgG.

A quantitative method for studying glomerular mesangial kinetics using radiolabeled native ferritin (125I-NF) is described. Groups of Sprague-Dawley rats were given injections of monomeric 125I-NF in a dose of 10 mg/100 g and sacrificed at 4, 16, and 36 hr. Radioactivity was measured in preparations of isolated glomeruli, spleen, and liver, and in blood. After initial uptake, a progressive decrease in the concentration of 125I-NF was observed in the mesangium and other organs. To examine the effect of one macromolecule on the mesangial kinetics of NF a separate group of animals was given aggregated human IgG (AHIgG) (40 mg/100 g) 4 hr prior to administration of 125I-NF. The administration of AHIgG did not alter the kinetics of 125I-NF in the mesangium, plasma, or spleen but the disappearance of 125I-NF from the liver was accelerated. Although the cellular mechanisms for uptake of NF and AHIgG are different, the presence of one macromolecule (AHIgG) within the mesangium did not affect the uptake and disappearance of another (NF). Thus, the glomerular mesangium has a relatively high capacity under normal circumstances.

Animals↗
PubMed1984

Establishment and functional analysis of a cloned, antigen-specific suppressor effector T cell line.

A long-term cultured suppressor T cell line (3D10) was established from the spleen cells of KLH hyperimmunized C3H mice. The cells of 3D10 suppressed the secondary antibody response against dinitrophenylated KLH both in vitro and in vivo. The 3D10 cells were capable of directly suppressing the antibody response mounted by B cells and Lyt-1+2-helper T cells without participation of Lyt-1+2+ cells, which indicates that 3D10 is an effector rather than an inducer-type suppressor T cell. The cell line was unable to suppress the response against DNP-FGG even in the presence of free KLH. By analysis with a fluorescence-activated cell sorter, 3D10 was found to bear determinants detectable by conventional anti-Ia as well as rabbit anti-VH. The Ia locus was mapped in the I-J subregion and was detected by either conventional or monoclonal anti-I-J antibodies. The I-J determinants detected by monoclonal antibodies were different from those expressed on inducer-type suppressor T cells. The cell line also bears an antigenic determinant detected by a monoclonal SJL anti-SJA/9 antibody (HA16) that recognizes an allotypic determinant on T cells linked to the immunoglobulin heavy chain locus. The results indicate that the cell line 3D10 represents a suppressor effector T cell that acts directly on carrier-specific helper T cells.

Animals↗
PubMed1983

[Must acute carotid thrombosis be surgically treated? 1962-1973: long-term results].

A study of long-term results (mean follow-up: 10.6 years) in 22 patients operated on for acute carotid thrombosis between 1962 and 1973 is reported. In most instances, surgery was performed at the acute phase of a massive cerebrovascular occlusion, usually more than 8 hours after onset (10 cases). Five of these patients (22%) died in the postoperative period. Eight (35%) recovered without residual disease. In six, the condition improved, while it remained unchanged or worsened in three (14%). There were ten delayed deaths, including two from a recurrent cerebrovascular episode and four from cardiac disease. The actuarial survival curve does not differ from that of patients treated conservatively, with rates being 60% at five years, 36% at ten years and 28% at thirteen years. The quality of certain postoperative results suggests that surgical indications at the acute stage of carotid occlusion be reviewed. The study of thirty series from the literature (1 046 cases) shows a 17% mortality rate, while 50% of patients recover or improve. This mortality is significantly lower in recent statistics, under 10%: this improvement may be ascribable to more rigid surgical indications (delay under 6 hours, operation in variable neurologic deficiencies, early diagnosis by the Doppler procedure, better postoperative management). The authors conclude that surgical management of acute carotid thrombosis should no longer be systematically dismissed.

Acute Disease↗
PubMed1983

[Continuous Döppler and aortic dissection. Apropos of 2 cases of protosystolic Döppler velocity wave anomalies in type I aortic dissections].

The diagnosis of dissection of the aorta is based on clinical examination, echocardiography and angiography of the aortic arch. Continuous Döppler ultrasonography may also be useful as a very suggestive abnormality of the wave form can be recorded from the dissected vessels, comprising a deep early mid systolic notch which gives the wave a double hump appearance. This phenomenon, observed in two type I dissections, was recorded from the right subclavian and vertebral arteries in the first case in which the initial components of the systolic wave of the right carotid artery were also amputated. In the second case, the phenomenon was recorded from all vessels arising from the aortic arch. The underlying mechanism could be herniation of the false into the true arterial lumen leading to temporary obstruction of systolic ejection. Another possibility is the successive recording of blood flow first in the true and then in the false lumen. Midsystolic Döppler abnormalities have also been described in aortic regurgitation, hypertrophic obstructive cardiomyopathy, atheromatous plaques causing a valve effect; however, the timing, morphology and extension of these abnormalities are quite different. In practice, the finding of this abnormality is an additional argument in favour of the diagnosis of dissection of the aorta. Continuous Döppler ultrasonography is also a good method of assessing the peripheral consequences of the dissection.

Aged↗
PubMed1983

[Was it necessary to treat acute carotid thromboses surgically? 1962-1973: long-term results].

A 13 years study of 22 patients with surgical treatment of acute occlusion of the internal carotid artery is reported. Mortality rate was 22% (5 patients). 35% had a complete recovery of the stroke without any sequelae. 6 were better after intervention, 3 worsened. Long term mortality is 10 patients with 2 strokes and 4 myocardial infarction. No significant difference can be observed on life table of the survivors with reference to recent medical series, 60% at five years, 36% at ten years, 28% 13 at years. A review of 30 studies of the literature (1,046 cases of acute stroke or transient ischemic attacks) shows a 17% global mortality, with 50% of good results. Mortality of surgical treatment of acute carotid occlusion is lower in recent papers (inferior 10%). This progression seems to be related to the selection of the indications of surgery in stroke (shorter delay, early diagnosis with non-invasive procedures, post-operative management). The conclusion is that a surgical therapy of acute thrombosis of the internal carotid artery cannot be systemically rejected.

Acute Disease↗