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Biomedical subjects

P Schiffman

Publications and source records attributed to P Schiffman.

5 recordsLinked to original sources
PubMed1994

Enterolithiasis in two zebras.

Enterolithiasis, as a cause of colic, was diagnosed and treated during surgical intervention in 2 Grant's zebras (Equus burchelli bohmi). The zebras were part of a wild herd in a zoo in the western United States. The clinical signs of enterolithiasis in both zebras were similar to those reported for horses. Analysis of the enterolith from 1 zebra revealed a composition identical to enteroliths that have been analyzed from horses. Three other zebras from this herd had enteroliths at necropsy. Enterolithiasis should be considered as a differential diagnosis for zebras with low-grade obstructive colic.

Animals↗
PubMed1994

Ultrastructure and mineral composition of urinary calculi from horses.

Urinary calculi from 17 horses with urolithiasis were examined to study their mineral content and ultrastructure. Among the analytic methods used were X-ray diffractometry, scanning electron microscopy, and electron microprobe analysis. The calculi initially were observed by use of a stereoscopic dissecting microscope and generally were found to have nodular surfaces surrounding a banded or granular-to-chalky interior. Observation by scanning electron microscopy revealed an intricate pattern of irregularly concentric, fine bands and spherules. These had a round, finely banded, globular texture formed by precipitation of ultrafine-grained radiating crystals. The original pore spaces (ie, between spherules, between bands and spherules, or between crystal generations) could be observed as primary porosity. Precipitation and dissolution of these urinary calculi were observed to be spontaneous processes, which can occur simultaneously within an individual calculus. Another prominent feature of the ultrastructure was secondary porosity (spontaneous dissolution) which, in its incipient stages, appeared to be site-selective (ie, some bands appeared to be more susceptible to development of pinpoint porosity). Textures indicative of dissolution were observed not only on the calculus surface, but within the calculus interior as well. Areas that had more advanced stages of dissolution, resulting in increased secondary porosity, also were observed. All 17 samples of the study were found to be composed of calcium carbonate in the form of the mineral calcite, although minor quantities of 2 other polymorphs of calcium carbonate, minerals vaterite and aragonite, also were encountered. Vaterite was observed in 5 of the samples, whereas aragonite was found in 1 sample. Strontium and sulfur were observed as trace elements in 3 of the calculi, whereas magnesium was present in all calculi. Magnesium was observed to substitute for calcium within the calcite crystal lattice in larger quantities than those of strontium or sulfur. Magnesium K alpha X-ray dot maps generated by use of an electron microprobe analyzer indicated that the distribution pattern of magnesium appeared to closely follow layer-by-layer growth of the calculus. Magnesium distribution also appeared to be related to porosity development. In samples where preferential dissolution was observed, the more porous areas had higher magnesium content. Quantitative chemical analyses, using the electron microprobe analyzer, confirmed these observations. Association of the magnesium distribution pattern to the primary growth texture of the calculus indicated that magnesium content of the calculus varied during the formation process. This also indicated that changes in urine chemical analytes may be reflected in composition of the calculi formed.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1979

P pulmonale in status asthmaticus.

We studied 129 patients during acute, severe asthmatic attacks. Electrocardiograms showed P pulmonale in 49% of patients who had an arterial carbon dioxide tension (PaCo2) greater than or equal to 45 mm Hg and an arterial pH less than or equal to 7.37, whereas P pulmonale was present in only 2.5% of asthmatics who had a PaCO2 less than or equal to 44 mm Hg and a pH greater than or equal to 7.38 (p less than 0.001). P wave and QRS axes were 79 +/- 8 degrees and 80 +/- 20 degrees, respectively, in the presence of P pulmonale. When P pulmonale disappeared, the P wave and QRS axes shifted significantly to the left (p less than 0.001). Electrocardiographic P pulmonale persisted 12 to 60 hr after correction of hypoxemia, hypercapnia, and acidosis. In 7 patients with P pulmonale and respiratory acidosis, cardiac catheterization demonstrated normal artery pressures (PAPs) measured relative to atmospheric pressure. In 12 of these peak inspiratory pulmonary artery transmural pressures (PATPs) were increased. Since increased right heart transumural pressures could result in chamber distention, these data are consistent with the hypothesis that reversible P pulmonale in status asthmaticus is explainable on the basis of markedly negative tidal pleural pressures and increased right heart transmural pressures.

Adolescent↗
PubMed1977

Ventilatory response and drive in acute and chronic obstructive pulmonary disease.

We measured hypercapnic ventilatory responses using the rebreathing technique and ventilatory drive using mouth occlusion pressure in 15 normal subjects (6 with added external inspiratory resistance), 11 asthmatics, and 17 patients with chronic obstructive pulmonary disease (9 with chronic CO2 retention and 8 with normal values for arterial pco2). normal subjects, obstructed normal subjects, asthmatics, and patients with chronic obstructive pulmonary disease without CO2 retention had overlapping ventilatory responses. Ventilatory drive was increased in asthmatics and obstructed normal subject. Patients with chronic obstructive pulmonary disease without CO2 retention maintained a ventilatory drive similar to that of normal subjects, whereas patients with chronic obstructive pulmonary disease with chronic CO2 retention demonstrated blunted ventilatory drives as a group, even though 5 of 9 had normal drives. Patients with CO2 retention also had the greatest obstruction when compared to other groups. In some patients, chronic CO2 retention is primarily a consequence of mechanical end-organ limitation rather than a blunted neurorespiratory center output. Acute airway obstruction is associated with an increased drive, which may become reduced with chronic obstruction.

Acute Disease↗