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Biomedical subjects

R Baum

Publications and source records attributed to R Baum.

36 records · Page 2Linked to original sources

[Follow-up studies in chronic aortic insufficiency].

In order to study the course of chronic aortic regurgitation 17 patients with various degrees of aortic valve incompetence were investigated twice with a time interval of 1.5 +/- 0.4 years. The following parameters were evaluated: NYHA class; electrocardiographic sum of the largest R-wave in V4-V6 plus the largest S-wave in V1-V3 (RS index); echocardiographic left ventricular end-diastolic diameter (EDD); roentgenographic heart volume (HV); scintigraphic left ventricular end-diastolic volume (EDV), regurgitated blood volume (RBV) and ejection fraction (EF). During the period of observation functional deterioration occurred in 5 cases, all suffering from moderate to severe aortic regurgitation. While EF did not change significantly (55 +/- 12% vs. 55 +/- 11%), all other parameters showed a significant increase: RS index 5.4 +/- 1.4 mVolt to 6.0 +/- 1.7 mVolt (p less than 0.01); EDD 6.3 +/- 0.7 to 6.8 +/- 0.9 cm (p less than 0.001); HV 1017 +/- 151 ml to 1099 +/- 261 ml (p less than 0.01); EDV 371 +/- 131 ml to 441 +/- 175 ml (p less than 0.001); RBV 117 +/- 57 ml to 151 +/- 77 ml (p less than 0.001). Cases with functional deterioration showed a higher initial EDV and EDD (487 +/- 143 vs. 322 +/- 93 ml, p less than 0.05; 7.1 +/- 0.7 vs. 6.1 +/- 0.5 cm, p less than 0.01). The increase of HV, EDV and RBV during the time of observation was higher than in the remaining patients (166 +/- 137 vs. 39 +/- 95 ml, p less than 0.05; 133 +/- 75 vs. 44 +/- 29 ml, p less than 0.01; 66 +/- 22 vs. 22 +/- 31 ml, p less than 0.01). On average it was less pronounced in cases with mild initial left ventricular dilation than in those with marked dilation.(ABSTRACT TRUNCATED AT 250 WORDS)

Angina Pectoris↗

[Episodes of amnesia following whiplash injury to the cervical spine].

A so-called conscious post-traumatic twilight state ("besonnener Dämmerzustand") after a whiplash injury is described here, showing up its similarities with a classic post-traumatic conscious twilight state on the one hand and a classic transient global amnesia on the other hand. The term "conscious twilight state" is analysed and found inappropriate for the state it is meant to describe, and hence the term "post-traumatic transient global amnesia" is proposed instead. A post-traumatic transient global amnesia after whiplash injury is considered to be caused by a concussion.

Adult↗

Conformational energy analysis of melanostatin.

Conformational energy calculations were carried out on the hypothalamic hormone melanostatin, a tripeptide with the primary structure H-L-Pro-L-Leu-Gly-NH2. The calculated lowest energy conformation was a type II beta bend, very similar to that reported in an X-ray crystal study. This conformation, however, was only one of 109 low-energy structures (less than or equal to 3 kcal/mol above the global minimum), indicating that the molecule in solution exists as an ensemble of conformations and is very flexible, in agreement with relaxation data from n.m.r. measurements. A statistical analysis yielded an average end-to-end distance of 6.8 A and a bend probability of 0.62, suggesting that, in nonpolar solvents, bend structures predominate within the statistical ensemble. The statistical analysis, however, also yielded a probability of only 0.11 for the occurrence of a 4 leads to 1 hydrogen bond. Hence, the calculations show that, although bend conformations predominate, bends would be difficult to observe in solution if the experiments were designed only to detect 4 leads to 1 hydrogen bonds.

Animals↗

Association of mitochondria with intermediate filaments and of polyribosomes with cytoplasmic actin.

Anti-mitochondrial autoantibody and fluorescent derivatives of insulin stain phase-dense mitochondria in acetone fixed monolayers of fibroblasts. Double fluorochrome studies show mitochondria in close topographic association with intermediate filaments. In cells treated with vinblastine or colchicine, mitochondria are relocated in sites closely associated with coils of perinuclear intermediate filaments. In contrast, autoantibody to polyribosomes stains granules aligned in the long axis of well spread embryonic cells, in the direction of actin-containing fibrils, an arrangement that is lost in cells pretreated with the actin filament disrupting drug cytochalasin B. In more mature fibroblasts, antiribosomal antibody reacts with phase-dense rough endoplasmic reticulum and this staining pattern is not affected by cytochalasin B. The observations suggest that mitochondria are associated with intermediate filaments and that free polyribosomes, but not polyribosomes attached to rough endoplasmic reticulum, are associated with cytoplasmic actin.

Actins↗

Autoantibody to ribosomes and systemic lupus erythematosus.

Sera from a patient with systemic lupus erythematosus (SLE), tested by indirect immunofluorescence on frozen tissue sections, gave granular cytoplasmic staining of hepatocytes, gastric chief cells, exocrine cells of the pancreas and submandibular glands, and cerebellar Purkinje cells. In acetone-fixed monolayers of rat embryonic fibroblasts, 3T3 cells, mouse neuroblastoma cells, and cells from a human melanoma and colon carcinoma cell line, the sera stained perinuclear cytoplasmic granules which radiated out towards the cell periphery. More mature and differentiated fibroblasts from rat of human foetal lung showed staining of reticular cytoplasmic structures corresponding to phase-dense rough endoplasmic reticulum (RER). Nucleoli were prominently stained in all cultured cells. Serum absorption with ribosomes inhibited all antibody activity but absorption with RNA or with RNase-treated ribosomes resulted only in partial inhibition. Monolayers of RNase-treated fibroblasts gave weaker staining reactions compared to control untreated cultures. These observations suggest that the autoantibody is directed against ribosomal RNA and ribosomal protein present in cytoplasmic polyribosomes, in RER and in nucleoli.

Antibody Specificity↗

[The pneumocephalus in cranio-cerebral trauma (author's transl)].

The accident surgeon is often surprised to see unusual intracranial translucencies on X-ray films of persons with skull injuries. Inexperienced physicians are often unable to immediately identify these translucencies as air enclosures in the intracranial cavity. Physicians not acquainted with pneumoencephalography commonly employed so far in neurological examinations will find it difficult to recognize in the accumulated air the contours of the ventricular, cerebral convolution and cisternal systems. Hence, the relatively rare event of air penetrating into the intracranial space as a result of an injury, is described here on the basis of two of our patients.

Accidents, Occupational↗