Search PubMed⌕ Search

Biomedical subjects

U Engel

Publications and source records attributed to U Engel.

49 records · Page 3Linked to original sources
PubMed1988

[Ultrastructural aspects of intra- and extravascular coagulopathy in lung cancer].

Four cases of lung cancer were analysed for aspects relating to optical light microscopy and ultrastructure of coagulation disorders. Criteria of intravasal coagulopathy were positively verified from all four cases and were found to have grown manifest in the form of prethrombi in veins, arterioles, and venules, masses of fibrin monomer in capillaries, and the sludge phenomenon. Extravasation of fibrin was also observed around highly differentiated cancer cells as well as in tumour stroma and in necrotic foci. Most of the fibrin was identified in the forms of monomers and their ultrastructural variants. Morphological criteria of locally delimited coagulation disorders in the microcirculation of tumours are discussed together with the role played by fibrin in growth and dissemination of neoplasms.

Arteries↗
PubMed1987

Regional variations in histomorphometric bone dynamics from the skeleton of an osteoporotic woman.

Histomorphometric evaluation of bone formation in an intravital tetracycline-labeled skeleton of a suddenly deceased osteoporotic woman is presented. The 24 skeletal sites investigated displayed substantial regional variations which, for two out of four cortical bone dynamics and all trabecular bone dynamics, were significantly higher than the intraspecimen variation. Poor agreement was found between bone formation in left- and right-sided iliac crest specimens. Furthermore, no agreement was found between trabecular bone formation and amount of hematopoietic bone marrow. With all the limitations that the study of a single patient involves it is suggested that bone biopsy in individual patients should not be the only basis for therapeutic decisions in postmenopausal osteoporosis; amount of hematopoietic marrow does not seem to influence bone formation; and bone formation in the skeleton displays large regional variations, which are larger for the fraction of labeled surfaces than for appositional rate.

Aged↗
PubMed1987

Renal oncocytoma.

Renal oncocytomas are usually regarded as benign tumors. Metastases from renal oncocytomas to regional and especially distant lymph nodes are extremely rare. This paper describes five cases of renal oncocytomas, one of which had a malignant behaviour with metastases to regional and distant lymph nodes.

Adenoma↗
PubMed1987

[Tumors of the anterior mediastinum--surgical treatment and prognosis].

This paper reports on 96 mediastinal tumors situated exclusively or mainly in the anterior mediastinum. Early surgical intervention is always indicated to establish the diagnosis and to ensure as radical a tumor resection as possible. The surgical approach depends on the tumor size and localization and is made either by sternotomy or thoracotomy. The prognosis depends on the histological classification of the tumors: out of 30 patients with lymphomas, 19 survived as compared to 10 out of 21 patients with thymoma and 15 out of 18 patients with mesenchymal tumors. Of 16 patients with endothoracic and retrosternal goiters, none died of a cause connected with the goiter and nine out of 11 patients with mesodermal tumors survived. The indication for surgery should be established extensively, since one third of the tumors is malignant and the surgical lethality (1.8%) is very low.

Combined Modality Therapy↗
PubMed1986

Characteristic and specific histological findings in rheumatoid pleurisy.

The histological findings in rheumatoid pleuritis (RP), as seen in thoracoscopical biopsies, are found to be: A slightly inflamed stroma with a wave-like surface due to vessel-containing flattened papillae. The surface is covered by layers of pseudostratified epithelioid cells and scattered multinucleated giant cells, layers that easily detach as membranes, leaving the stroma surface "naked". These findings, in combination with the absence of mesothelial cell covering, are viewed as characteristic and specific, as based on a blind review of 17 pleural biopsies from RP patients and 14 biopsies from a control group.

Adult↗
PubMed1986

Rheumatoid pleurisy. Specificity of cytological findings.

The cytological findings in pleural exudates from patients with rheumatoid arthritis are epithelioid cells, giant cells, cholesterol crystals and an amorphous granulated material. An important additional feature, we find, is lack of mesothelial cells. Based on 23 pleural fluids from 7 patients with rheumatoid arthritis and 44 pleural fluids from patients with various other diseases, a blind study showed, that these typical cytological findings in combination with lack of mesothelial cells were specific in pointing towards the determined diagnosis rheumatoid pleurisy.

Adult↗
PubMed1980

[Therapy of ventricular tachyarrhythmia with disopyramid phosphate].

A controlled multicenter study has been carried out in 46 patients with ventricular tachyarrhythmias to define the antiarrhythmic effect of disopyramide phosphate. Monitoring of cardiac rhythm was performed during the whole study period by ambulatory Holter recording. The daily dose of disopyramide was 600 mg. It was found that disopyramide caused a reduction of at least 80% in the number of premature ventricular beats in 72% of the patients. Episodes of ventricular tachycardia were effectively suppressed in 65% of the patients. In 24 patients there was a reduction in the severity of the observed ventricular arrhythmias of at least one class in the classification of Lown. Analysis of the results showed a relationship between the antiarrhythmic effect and group mean plasma concentration of disopyramide.

Adult↗
PubMed1980

[Complications in thyroid operations].

Serious postoperative complications following thyroid surgery are to be expected in approximately 3% of cases. Intraoperative blood loss, usually in the region of the superior thyroid artery, should be minimised by careful preparation. Damage to recurrent laryngeal nerves is usually indirect due to stretching. Damage to the recurrent laryngeal nerves can be minimised by thoroughly searching for them. Permanent tetany may be avoided by demonstration and sparing of the parathyroid bodies and their blood supply. Postoperative complications of the various forms of breathing disturbance, secondary bleeding, hyperthyroid crises and hypothyroidism will be discussed in detail.

Hemorrhage↗
PubMed1976

[The systolic time intervals in functional disorders of the thyroid: a simple and fast screening test].

The systolic time intervals (LVET, PEP, and ratio LVET/PEP) were determined in 53 patients presenting with signs or symptoms of thyroid dysfunction. Patients with clinical evidence of congestive heart failure, with arterial hypertension or old myocardial infarction, and patients receiving cardioactive drugs, were excluded from the study. Thyroid function was evaluated by means of T3-RIA, serum thyroxin and TRH stimulation test.

Adult↗
PubMed1976

Presence of muscarinic inhibitory and absence of nicotinic excitatory receptors at the terminal sympathetic nerves of chicken hearts.

Nicotine (2 X 10(-4) M) or acetylcholine (5.5 X 10(-4) M) in the presence of 3 X 10(-6) M atropine did not increase the rate or amplitude of contraction in isolated atria or ventricular strips of the chicken heart; both drugs also did not cause an output of noradrenaline or adrenaline and did not evoke antidromic discharges in the right sympathetic nerves of isolated perfused chicken hearts. In contrast, "high K+-solutions" evoked an output of noradrenaline and adrenaline and caused a burst of antidromic discharges. Dimethylphenylpiperazine (DMPP; 3.1 X 10(-4) M), by a tyramine-like action, elicited a small output of noradrenaline and increased rate and amplitude of contraction" but did not evoke antidromic discharges. The noradrenaline output caused by DMPP was not reduced by lowering the extracellular Ca2+ concentration from 1;8 to 0.1125 mM.-Acetyl-choline (10(-5) and 10(-4) M)inhibited the noradrenaline and adrenaline outputs evoked by electrical stimulation of the right sympathetic nerves (3 HZ, 1 ms, 30 V); the inhibition was blocked by 3 X 10(-6) M atropine.-It is concluded that the terminal parts of sympathetic nerves of the chicken heart possess muscarinic inhibitory receptors but lack nicotinic excitatory receptors. Thus prejunctional nicotinic receptors are not an integral part of the terminal sympathetic neurone otherwise they would be present at this neurone in all species.

Acetylcholine↗
PubMed1975

[Proceedings: The echocardiogram in the differential diagnosis of mitral valve insufficiency].

54 patients with mitral incompetence of varying origin have been studied by echocardiography. Echocardiography was usually not helpful in the diagnosis of pure mitral incompetence of mixed mitral valve lesions. However, it proved to be a sensitive method for recognition of the typical anomaly in "mid systolic click/late systolic murmur syndrome", which is ballooning of one or both leaflets toward the left atrium (17 out of 22 patients). The echo was equally useful for documentation of an abnormal systolic motion of the anterior mitral leaflet toward the septum, which was found in 7 of the 11 studied cases of hypertrophic obstructive cardiomyopathy.

Echocardiography↗