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Biomedical subjects

M Wolter

Publications and source records attributed to M Wolter.

At least 91 records · Page 5Linked to original sources

[Simultaneous study of ocular vascular reactions of the anterior and posterior segments following clonidine and propranolol in normotensive and hypertensive experimental animals].

The influence of clonidine and propranolol on the vessels of the anterior segment and of the fundus, as well as on mean arterial pressure and heart rate, was investigated in normal rabbits, minipigs, and minipigs with experimentally induced hypertension. The vessel reactions were monitored by photography or fluorescein angiography. Following injection of clonidine, constrictions of episcleral and conjunctival vessels occurred in all the animals, but the fundus vessels of the rabbits were not affected. Difficulties were encountered in assessing the condition of the iris vessels. In minipigs, after administering 6-20 micrograms/kg, an average delay of 2 seconds in the inflow into the retinal vessels was recorded, due possibly to a (transitory?) vessel constriction upstream. Mean arterial pressure increased initially in all animals, but to a different extent in the two species. There was less uniformity as regards heart rate. The vessel reactions of the two species to propranolol were different: in rabbits, a reaction was only observed after administering 2.46 mg/kg bodyweight in episcleral and conjunctival vessels, though not in fundus vessels. Minipigs were given doses of 0.16, 0.5, and 0.8 mg/kg; after 0.5 mg/kg a vessel constriction took place in the episclera and the conjunctiva, becoming manifest after 20 minutes and attaining a maximum after 60 minutes. However, there appeared to be no reaction in the fundus vessels. After an abrupt decrease in mean arterial pressure, both this and the heart rate showed an almost identically slow decrease until the 50th minute, followed by a slight increase up to the 60th minute. The comparison of the circulation parameters reveals some interesting parallels, though also some contrasts. The mechanisms of action and characteristics of these two substances are discussed.

Animals↗

Prognostic indicators in multiple sclerosis.

The influence of sex, age at onset, course of the disease and initial symptomatology on the mortality of patients with multiple sclerosis is analysed. A sample of 1926 patients was followed up prospectively over 4.9 years. Both, the mortality ratio (number of observed to expected deaths) and the excess death rate are calculated. Whereas the mortality ratio as a parameter of overall mortality is influenced by a variety of factors, such as age and sex; the excess death rate represents the number of extra deaths per 1000 exposed to risk in an indicated year and is, therefore, a parameter of the mortality which is attributed to MS. The excess death rate was comparable for the sexes, it was slightly higher for patients with a higher age at onset and it was clearly higher for the progressive course. Patients with initial diplopia and sensory signs and symptoms had the lowest excess death rate, whereas patients with pareses, cerebral and sphincter disturbances at onset showed the highest excess death rate.

Adult↗

[Simultaneous photography or angiography of anterior and posterior eye segments in experimental animals].

Simultaneous photographic or angiographic studies of the anterior and posterior segments requires a considerable reduction in the respective parts of the negatives; this can be avoided by simultaneous study of the one segment ipsilaterally and the other contralaterally (this can also be performed vice versa). Differences and common properties of the eyes of rabbits and miniature pigs and the human eye are described. Apart from the monkey eye, the pig eye is most readily comparable with the human eye as regards vasotopographic and vasomorphologic conditions. In addition, the courses of angiographies in the eyes of experimental animals were observed; measurements of fluorescein inflow and circulation times in the anterior and posterior segments in miniature pigs are presented. These were subjected to significance tests: only the difference in the inflow and outflow of the dye in retinal vessels was found to be statistically highly significant. The difference in inflow between choroidal and retinal vessels was not significant, though this may have been due to an error of measurement. The techniques and measurements described represent the basis of observation in miniature pigs with experimentally induced hypertension.

Animals↗

[Neuromyotonia syndrome (author's transl)].

In addition to the 19 cases of neuromytonia syndrome previously published, one further observation by the author is presented. The symptoms for neuromyotonia are an involuntary tensing of the musculature with impairment of movement, fasciculation and myokymia as well as specific electromyographic criteria. These symptoms are causes by a functional disturbance in the peripheral nervous system. They can be considerably improved by administering phenytoin and carbamazepine.

Aged↗