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Biomedical subjects

S Tan

Publications and source records attributed to S Tan.

229 records · Page 13Linked to original sources

Anti-hypertriglyceridaemic activity of some phenylethylamine anorectic compounds.

In rats allowed access to food, and in food-deprived rats, fenfluramine (20 and 100 mg kg-1) and amphetamine (10 and 20 mg kg-1) provoked a hypotriglyceridaemic effect. No changes in plasma cholesterol concentration were observed. The time course of the absorption of a lipid load differed according to the nutritional status of the animals; being bellshaped under fed, and curvilinear under fasted, conditions. However, absorption under both nutritional conditions was inhibited by amphetmine and fenfluramine. When rats which had received the test compounds were administered glycerol trioleate containing a tracer dose of glycerol [1-14C]-trioleate or [2-3H]-glycerol trioleate, there was an inhibition in the increase of plasma radioactivity only in the case when the fatty acid contained the radioactive label. The net effect of lipid absorption was a transfer of dietary lipid from the gut to adipose tissue stores. There was never more than 5 per cent of the administered load in the liver. These observations indicate that amphetamine and fenfluramine may have acute effects in reducing circulating triglycerides, separate from the effects on lipid absorption from the gut. In this latter, the palmitoyl-CoA monooleinacyltransferase enzyme probalby plays a key role and appears a major target of the overall anti-obesity of fenfluramine.

Animals↗

Permissive effects on adipose tissue lipolysis of a plasmatic factor which inhibits prostaglandin biosynthesis.

Plasma obtained from fasted rats provoked a dose-dependent stimulation of fat cell glycerol release and was able to inhibit also generation of prostaglandins E2 and F2 alpha from arachidonate, in vitro, over a very similar range of doses. It is proposed, therefore, that a plasmatic fat-mobilizing factor may act as an endogenous inhibitor of adipose tissue prostaglandin biosynthesis, mediating in the acute (long-term not precluded) regulation of adipose tissue lipolysis. The proposed mechanism of permissive effects of the plasmatic factor in reducing the effects of endogenously-generated inhibitory prostaglandins may be implicated in the development of obesity by reduced availability of the factor and thus reduced ability to utilize fat stores.

Adipose Tissue↗

Salivary gland hyperglycemic factor: an extrapancreatic source of glucagon-like material.

Extracts of homogenates of rat, mouse, rabbit, and human submaxillary salivary glands contain a significant quantity of a material with glucagon-like immunoreactivity. Fractionation of this material on columns of Sephadex G-100 reveals a single peak immediately following a gamma globulin marker but in advance of a rat growth hormone marker, crystalline amylase, and isotopically labeled porcine insulin and glucagon. This material, which is urea stable, shows identical immunoassay dilution curves when measured with the highly specific K-30 glucagon antiserum. Study of paired glands in vitro shows that low concentrations of glucose stimulate and high concentrations of glucose suppress release of this material. Arginine promotes brisk release in vitro. Somatostatin does not influence arginine-stimulated secretion and insignificantly suppresses basal release in vitro. These findings lend support to previous speculations that the salivary glands may possess endocrine as well as exocrine functions. Salivary gland glucagon may also be the source of circulating glucagon recently reported in pancreatectomized and eviscerated rats.

Animals↗

Hemangiomas of the salivary glands.

Five salivary gland hemangiomas in adults are reported. The feasibility of preoperative diagnosis on clinical and radiologic grounds is emphasized. Adult hemangiomas are of the cavernous type and can be differentiated from infantile capillary hemangiomas clinically as well as histologically. Cavernous hemangiomas in the adult should be treated by surgical excision.

Adult↗

Comparison of preoperative left ventricular function with postoperative left ventricular response to exercise in patients with chronic aortic regurgitation and aortic stenosis.

The relation between preoperative left ventricular (LV) systolic function at rest and postoperative LV response to exercise was assessed in 13 patients with aortic regurgitation (AR) and nine patients with aortic stenosis (AS). Preoperative end-systolic volume index (ESVI) and ejection fraction (EF) determined by LV angiography were compared with postoperative exercise-induced changes of LV fractional shortening (delta %FS) and mean velocity of fiber shortening (delta mVcf) assessed by echocardiography. Preoperative EF and ESVI in 13 patients with AR correlated well with postoperative delta %FS and delta mVcf. Similarly, preoperative EF and ESVI in nine patients with AS correlated well with postoperative delta %FS and delta mVcf. Our study demonstrated that preoperative LV systolic function in AR and AS patients closely reflected postoperative LV response to exercise. Preoperative smaller ESVI will be warranted to expect a favorably good postoperative LV response to exercise.

Adult↗

Multivariate analysis of factors predicting outcome after laparoscopic Nissen fundoplication.

Laparoscopic Nissen fundoplication has been applied with increasing frequency in the treatment of gastroesophageal reflux disease. The aim of this study was to determine the variables that predict outcome of laparoscopic Nissen fundoplication. A multivariate analysis was performed on data from 199 consecutive patients undergoing laparoscopic Nissen fundoplication. Variables included age, sex, body mass index, primary symptoms, clinical response to acid suppression therapy, erosive esophagitis, 24-hour esophageal pH score, and the percentage of time the esophageal pH was less than 4 on 24-hour pH monitoring, lower esophageal sphincter competence, status of the esophageal body motility, hiatal hernia, carditis, intestinal metaplasia of cardiac epithelium limited to the gastroesophageal junction, and Barrett's esophagus of any length. Clinical outcome was obtained from all patients at a median follow-up of 15 months (range 6 to 74 months) after surgery. One hundred seventy-three patients had an excellent or good outcome (87%) and 26 had a fair or poor outcome. Three factors were significantly predictive of a successful outcome: an abnormal 24-hour pH score (odds ratio = 5.4; 95% confidence interval [CI] = 1. 9-15.3), a typical primary symptom (odds ratio = 5.1; 95% CI = 1. 9-13.6), and a clinical response to acid suppression therapy (odds ratio = 3.3; 95% CI = 1.3-8.7). We conclude that 24-hour pH monitoring provides the strongest outcome predictor of laparoscopic Nissen fundoplication and that outcome is based more on the correct identification of the disease than on its severity.

Adolescent↗

Hoffmann reflex from foreleg flexor nerves in cats: lateralization, picrotoxin, strychnine, crossed flexor reflex.

Hoffmann (H) reflexes from foreleg flexor nerves were studied in cats. The right and left flexor nerves were stimulated and H reflexes were recorded from the same nerves. Paw preference was assessed by a food reaching test. Stimulation of the right median nerve elicited mono- and polysynaptic reflexes from the left ulnar nerve (crossed flexor nerve). Picrotoxin depressed, and strychnine increased H reflexes from both sides without affecting the spinal motor asymmetry. H reflexes were found to be larger on the left than the right side in right-preferent cats and vice versa in left-preferent cats. The right H-reflex recovery curve was higher than left in right-preferent cats. The inhibitory period of the recovery cycle disappeared after picrotoxin and changed to facilitation for the nonpreferred side. Strychinine caused bilateral, nearly-synchronous motoneuronal discharges from the right and left flexor nerves; the discharges originating from the left side preceded those from the right side in a right-preferent cat. These results indicate that spinal motor activity predominates on the nonpreferred side, which would be a prerequisite for postural adjustments during paw use in cats. This asymmetric motor organization in the forelegs of cats having quadrpedal locomotion seems to be similar to asymmetric motor organization in legs in humans.

Animals↗

Effects of skin temperature on skin-electrode impedance: measurements at high direct current density.

Skin-electrode impedance was determined between two disposable electrodes 5 cm apart on the volar skin of the forearm in 20 patients during cooling on cardiopulmonary bypass. Measurements were made using a constant direct current pulse of 200 microseconds duration, at a current density of 25.6 mA cm-2. The mean inter-electrode resistance was 1.11 k omega, and the mean inter-electrode capacitance was 33.3 nF. In 19 patients there was no change in the inter-electrode resistance or the inter-electrode capacitance with changes in skin temperature from 27.5 to 36.0 degrees C. In one patient the inter-electrode resistance increased from 1.71 k omega at 35 degrees C to 1.94 k omega at 31.0 degrees C, while the inter-electrode capacitance increased from 19.6 to 26.6 nF. We conclude that temperature effects on the impedance of the stimulus electrodes are not responsible for the observed failure of evoked electromyography during clinical monitoring of neuromuscular function.

Body Temperature↗

The effect of severe caries on the quality of life in young children.

PURPOSE: This pilot study assessed the possible effects of extensive dental caries on the quality of life in young children. METHODS: Information was collected for 77 children (age 35-66 months, mean = 44 months) with severe caries in the primary dentition. Parents or guardians were asked questions concerning pain, eating habits, and social behavior of the children before and after oral rehabilitation. RESULTS: Dental disease was found to have an impact on children's well being. There was a significant change in complaint of pain, eating preferences, quantity of food eaten, and sleep habits before and after treatment of dental caries. CONCLUSION: This study demonstrated the effect of severe caries on quality of life in young children.

Acute Disease↗

Residual bone cysts after Ilizarov treatment of relapsed clubfeet.

The Ilizarov technique is well established as an effective method of treating clubfoot deformities. A complication of this method is the development of cysts in the bones of the foot. The purpose of this study was to clarify the incidence, presentation, and etiology of these cysts. The radiographs of 17 feet that had undergone Ilizarov treatment for a clubfoot deformity were reviewed. In nine of the feet, discrete, well demarcated lucencies of bone were detected. They occurred in both tarsal and metatarsal bones, but most commonly in the base of the fifth metatarsal. Magnetic resonance imaging examination of two feet demonstrated a normal marrow signal. suggesting that the cysts are due to localized trabecular resorption with the space being filled with marrow fat.

Bone Cysts↗