Surgical repair of patent ductus arteriosus, aortic stenosis, and aortic regurgitation in a dog.
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Biomedical subjects
Publications and source records attributed to M Zimmer.
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Growing rats received either a protein-free experimental diet or a diet containing 15% crude protein (whole egg). The crude fibre content of the diet was adjusted to 5%, 10%, or 20% by adding various proportions of what straw meal. Following a preliminary 7-day period of feeding the animals received L-14C-Leucine administered by stomach tube or by subcutaneous injection. In a 72-hour post-experimental period analyses were made to investigate the urinary and faecal excretion of radioactivity. About 50% of the amount of radioactivity excreted with the feaces were of endogenic origin. In general, higher percentages of straw meal in the diet produced higher levels of faecal 14C excretion. It was only in the animals placed on the whole egg diet that the TCA soluble portion of radioactivity was found to rise with the increasing straw content of the diet. The experimental results substantiate the assumption that native crude fibre influences the process of intestinal sloughing and, additionally, it is capable of abosrbing or adsorbing amino acids, peptides or protein, due to its spatial configuration. Similarly, it affects the digestion and resorption of proteins.
Male Albino rats (90-100 g) were fed ad libitum (with limited periods of feeding) for 14 days. The diets were adjusted to a crude protein content of 10%. Powdered whole egg, fish meal, yeast and gelatine were used as protein sources. Additionally, one group of rats was fed a protein-free diet. On the 15th day of experiment the rats were fed a test diet at a level of 2 g per 100 g of body weight. 2 hrs after that the rats received 25 muCi of 3H glycine and 5 muCi of 14C-L-Leucine per 100 g of body weight administered by way of intragastric infusion. It was found that a large proportion of the radioactive amino acids were absorbed as early as after 0.5 hr. The highest rate of absorption was observed in animals fed dietary proteins of poor quality or a protein free diet, so that in animals receiving a gelatine diet or a protein-free diet only 68.4% or 56.4% of the administered amount of 14C activity were detected inside the gastro intestinal tract after 0.5 hr. Analogous data for the 3H activity were 52.4% and 25.3%. Maximum absorption occurred after 3-7 hrs. Following this the level of radioactivity in the intestinal contents again increased reaching a peak value after 14-24 hrs; in the case of 14C activity this peak value amounted to 25.4% of the administered dose in animals fed the gelatine diet and 32.8% in the group receiving the protein-free diet. It was established that the major proportion of the resecreted amount of 14C activity was present in leucine. Until 72 hrs after the intake of 14C activity the level of radioactivity was again found to decline, a processes which was induced by processes occurring in the large intestines. Moreover, evidence was obtained in confirmation of previous findings, indicating that the composition of faecal amino acids was constant and unaffected by dietary proteins.
Male Albino rats (weighing 90-100 gms) were fed ad libitum for 14 days with limited periods of access to food. Powdered whole egg (V), fish meal (F), yeats (H), and gelatine (10% protein in dry matter) used as protein sources. Additionally, one group of rats received a protein-free (e). Radioactive tracers were administered by intragastric infusion of 25 mu Ci 3H glycine and 5 mu Ci 14C L-leucine per 100 gm of body weight 2 hrs after the feeding of 2 gm of the experimental diet per 100 gms of body weight. The level of uptake of radioactive tracers from the different sections of the gastro-intestinal tract was measurels of 3H and 14C labelling in intestinal tissues were observed 3 hrs and 7 hrs after infusion. The level of 14C labelling was found to be negatively correlated and the level of 3H labelling was positively correlated with the biological value of the diet. Intestinal tissues are capable of storing considerable amounts of 14C radioactivity. So, 72 hrs after infusion, the following levels of 14C radioactivity (expressed as percentage of the total dose of radioactivity) were found in tissues of the gastro-intestinal tract: whole egg: 8.4%, fish meal: 9.6%, yeast: 13.1%, gelatine: 14.9%; protein-free diet; 14.2%. The quotients correlating the levels of radioactivity from the intestinal contents with that found in the intestinal wall suggest that the walls of the small intestine possess a high capacity for absorption. At all times of radioactive measurements the walls of the small intestine were found to contain higher levels of both 14C and 3H radioactivity than the contents of small intestine.
Growing male rats received diets of varying biological value (protein sources: powdered whole egg (V); fish meal (F); yeast (H); gelatine (G); protein-free diet (e)) for a 14-day feeding period. Subsequently, 14C leucine and 3H glycine were administered intragastrically. The level of uptake of 14C and 3H radioactivity into blood plasma, liver and muscular tissue and the rate of incorporation of the radioactive tracers into the proteins of these tissues was examined. A negative correlation was found to exist between the incorporation of radioactivity into liver proteins and the biological value of dietary proteins, the former being mainly dependent on the level of incorporation into the liver. For muscular proteins the rate of incorporation decreases with the decreasing biological value of the dietary proteins. This may be attributed to the fact that with poor protein nutrition the rate of protein synthesis in the skeletal muscles is also reduced. Comparative studies on the specific 14C radioactivity from free leucine made in the group on the protein-free diet and in the group receiving the whole egg diet showed that the leucine pool of the skeletal muscles was markedly redueced in animals fed a protein-deficient diet while the leucine pool in the liver remained comparatively constant.
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The pathophysiological chain of events occurring during cerebral ischemia is still poorly understood on a molecular level. Therefore, an in vitro model to study glial swelling mechanisms, using C6 glial cells under controlled extracellular conditions, has been established. Flow cytometry serves to determine even small cell volume changes. In this report, the effects of anoxia and acidosis on glial swelling are summarized. Anoxia alone, or in combination with iodoacetate to inhibit anaerobic glycolysis, did not cause an increase of glial volume for up to 2 h. Acidification of the incubation medium below pH 6.8, on the other hand, was immediately followed by cell swelling to 115% of normal. Amiloride or the absence of bicarbonate and Na+ in the medium significantly reduced glial swelling. The data support the contention that swelling results from an activation of the Na+/H+-antiporter to control intracellular pH. It is suggested that swelling in an ischemic penumbra is promoted by this mechanism. Therapeutic approaches to control cerebral pH might be useful to protect brain tissue in cerebral ischemia.
In a group of normally developed children and adolescents the age dependent distribution of forces at the proximal end of the femur was to be described. The results should explain why the shape of the proximal end of the femur changes significantly during the time of growth and why the neck shaft angle decreases. The method applied was the biomechanical computation analyzing in the coronal plane according to Pauwels' biomechanical hip model. The necessary age relevant data was derived from 675 anteroposterior pelvis radiographs of healthy children of both sexes and of varying age. The following can be put down as a result: 1. The proximal end of the femur is stressed by two resultant forces: the hip resultant force R controls the growth of the capital growth plate, the trochanteric resultant force RT regulates the growth of the greater trochanter growth plate. 2. During the growing period the hip resultant force R adjusts itself less vertically: during the second year of life it inclines at an average of 11,6 degrees towards the vertical, towards the end of the growing period it is incident with an inclination angle of 20 degrees. With the older child the magnitude of the hip resultant force R decreases in relation to the exerting body weight. 3. During the time of growth the trochanteric resultant force RT maintains its direction stability with inclination angles of 50-52 degrees towards the vertical. Its magnitude increases significantly (in relation to the exerting body weight). 4. From age 2 to 10 the projected neck shaft angle decreases from an average of 148.2 degrees to 133.7 degrees and usually remains stable. It can be concluded that the shape of the proximal end of the femur is determined by the muscle forces stimulating the greater trochanter apophysis and by gravity. With increasing age the growth of the greater trochanter apophysis shifts the insertions of abductor muscles laterally. As a result the directions of the hip abductors and the hip resultant force R incline. The neck shaft angle decreases consecutively.
Upon implantation of a cement-canal prosthesis in the proximal femur in total hip replacement, the bone cement is injected through the prosthesis via a system of drill holes. A second system of drill holes is used in this endoprosthesis to drain the distal femoral space as well as the cavities within the cement layer which form when the cement is being injected. Since the cement pressure is sustained until the cement has cured, substantial penetration of the cement into the cancellous bone can be achieved by using low intra-medullary cement pressures. Using cadaveric human femurs, the initial stability in the trabecular intertrochanteric region was determined in pull-out experiments for three different curing cement pressures (0.5 bar, 1.0 bar and 1.5 bar). The results were compared to corresponding controls in which a conventional cementation technique was used. With respect to the contact area of the bone/bone-cement interface, the initial stability increased by the factor 2.8 (cement-curing pressure 0.5 bar), 3.7 (cement-curing pressure 1.0 bar) and 2.9 (cement-curing pressure 1.5 bar) compared to the control group.
The surface of the proximal part of a PCA endoprosthesis stem in total hip replacement is structured with small beads to provide good conditions for bone ingrowth. The distal part of the stem has a smooth surface. For the mechanical fixation concept, this means anchorage of the proximal part and free axial mobility of the distal part of the prosthesis. We present a clinical case in which bone remodeling processes finally led to complete loosening of the prosthesis. The described mechanism of loosening could be reconstructed by radiological findings, bone scan, two digital subtraction arthrographies of the hip and by evaluation of the fibrous tissue formation around the stem after explanation. In this case, after an initial period of no measureable bone reactions, distal endosteal bone and proximal radiolucent space developed without loss of contact with the prosthesis. Later, a mechanical interruption between the proximal part of the prosthesis and bone occurred. There was no loosening of the distal part of the prosthesis at this time. Despite remarkable hypertrophy of the distal femoral bone, eventually the distal part of the prosthesis loosened so that a revision arthroplasty had to be performed. The described mechanism of loosening has not be proven to pertain to all such prostheses.