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M M Zaremba

Publications and source records attributed to M M Zaremba.

3 recordsLinked to original sources

Interdependence of Na+ and Cl- transport in dog tracheal epithelium.

Previous studies showed active transport of Cl- toward and of Na+ away from the luminal surface of dog tracheal epithelium. The possible interdependence of Cl- and Na+ fluxes has not been explored fully in this preparation. The purpose of the present study is to investigate the relationship between these fluxes. Substituting choline for Na+ in the media bathing dogs tracheal epithelium reduced net Cl- transport toward the lumen from 1.86 +/- SE 0.27 to 0.49 +/- SE 0.20 mueq.cm-2.h-1. Substituting SO4(2-) For Cl- decreased net Na+ flux toward the lumen from -1.05 +/- SE 0.20 to -1.78 +/- SE 0.36 mueq.cm-2.h-1. Acetylcholine (5 x 10(-4) M) and terbutaline (10(-5) M) increased and furosemide (10(-3) M) decreased net Cl- transport toward the lumen in control, but not in Na+ free bathing media. Acetylcholine increased net Na+ flux toward the lumen in control, but not in Cl- free bathing media. Thus this study showed that 1) in media lacking Na+, net Cl- flux toward the lumen is decreased, and vice versa, 2) the increases in Cl- transport toward the lumen due to acetylcholine and terbutaline and the decrease due to furosemide required Na+ and 3) in the increase in Na+ flux toward the lumen due to acetylcholine required Cl-. These findings indicate that there is an interdependence of Cl- and Na+ fluxes in dog tracheal epithelium.

Acetylcholine

Effect of calcium on ion transport and electrical properties of tracheal epithelium.

Active transport of Cl- toward the tracheal lumen and Na+ away from the lumen creates an electrical potential difference across dog tracheal epithelium. This study examined in vitro the effect of varying calcium concentration in the bathing media on the ion transport and electrical properties of dog tracheal epithelium. In six pairs of epithelia, changing calcium concentration from 1.9 to 0 mM resulted in a significant decrease in electrical resistance, from 318 +/- 36 to 214 +/- 24 omega.cm2. Short-circuit current and net Cl- and Na+ fluxes measured under short-circuit conditions were not changed significantly. Changing calcium concentration from 1.9 to 10 mM resulted in no significant change from control in the electrical properties nor in net Cl- and Na+ fluxes (short-circuit conditions). Histamine (10(-4) M) produced a significantly smaller increase in short-circuit current in 0 than in 1.9 mM Ca2+ (+5 +/- 2 vs. +12 +/- 2 microamperemeter/cm2). However, electrical changes were not significantly different in 1 or 10 mM Ca2+. These results indicate that calcium lack increased permeability of tracheal epithelium and that the increase in short-circuit current due to histamine depended in part on calcium.

Animals

Self-reported data: reliability and role in determining program effectiveness.

This study was conducted to assess the reliability of self-reported hospitalization data, as well as the appropriateness of using self-reported data in evaluating the effectiveness of the Maine Ambulatory Diabetes Education and Follow-Up (ADEF) program. A Maine Blue Cross/Blue Shield (BC/BS) inpatient claims file was used as the reference source to verify self-reported hospitalization data. For a sample of 99 BC/BS subscribers who attended the ADEF program, 77% of the study participants accurately self-reported hospitalization patterns over a 12-mo time period before attending the education program, and 81% of the participants accurately self-reported hospitalization patterns during a posteducation follow-up time period. The reference BC/BS claims data documented a reduction in hospitalizations for the study participants similar to that reported using the ADEF self-reported hospitalization data. The Maine Diabetes Control Project used the self-reported hospitalization data in combination with selected reference claims data to secure third-party reimbursement for the Maine ADEF Program.

Adult