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Biomedical subjects

W Fischer

Publications and source records attributed to W Fischer.

At least 217 records · Page 12Linked to original sources

[Modification of hemorheologic parameters by beta-receptor blockers with special reference to propranolol and talinolol].

There are no systematic and complex investigations regarding the hemorheologic action of the betablockers propranolol and talinolol. The results on the other ones are contradictory. On the basis of a critical survey of the literature, in-vitro-experiments and studies in animals (rats) and humans may conclude that there are no remarkable deteriorations of rheological parameters in the therapeutic dose range. This is valid for diseases only where the haemodynamic regulation doesn't prevail.

Adrenergic beta-Antagonists↗

Connectivity of striatal grafts implanted into the ibotenic acid-lesioned striatum--I. Subcortical afferents.

Subcortical afferents to transplants of fetal striatal tissue, implanted into the excitotoxically lesioned striatum of adult recipient rats, were studied with retrograde and anterograde axonal tracers and immunohistochemistry. One week after a striatal ibotenic acid lesion, involving most of the head of the caudate-putamen, a suspension of fetal striatal tissue (embryonic day 14-15) was injected into the lesioned area. In one group of rats, the ibotenic acid lesion was preceded (10 days) by large intrastriatal injections of True Blue, with injection sites matching the area to be lesioned. This was done to retrogradely pre-label the host brain afferents to the area of the striatum later to be lesioned and grafted. At 3 or 6 months post-transplantation, small injections (50 nl) of rhodamine-labelled latex beads were made into the striatal grafts. In animals where the injections were confined to the graft, retrogradely labelled host brain neurons were found in the thalamus, the substantia nigra, amygdala and dorsal raphe nucleus. Double-labelling analysis revealed that the vast majority of the rhodamine bead-labelled neurons also contained True Blue, which indicates that the host afferents to the graft, to a large extent, were derived from the neurons which normally project to the area of the caudate-putamen which was lesioned by the ibotenic acid injection. To further substantiate these observations a second group of lesioned and grafted animals received unilateral wheatgerm agglutinin-horseradish peroxidase injections into the ipsilateral host thalamus at 4 months post-transplantation in order to anterogradely label the host thalamostriatal axons. In a third group of animals serotonin immunocytochemistry was performed in order to detect possible afferents from the raphe nuclei. In contrast to the serotonin-containing fibers, which were fairly evenly distributed throughout the graft tissue, the peroxidase-labelled thalamic afferents were most prominent in the peripheral zones of the grafts and they were densely aggregated at the graft-host interface. The combined results provide evidence that the intrastriatal grafts receive afferents from the host substantia nigra, thalamus, amygdala and dorsal raphe nucleus, but with different distributions. The afferents from the substantia nigra, amygdala and raphe nuclei seem to distribute throughout the grafted tissue, although they are most dense in the peripheral parts, whereas the thalamic afferents are largely confined to the peripheral areas of the transplants and to the graft-host interface.

Animals↗

The serodiagnosis of tuberculosis: a comparison of an enzyme-linked immunosorbent assay and a solid-phase radioimmunoassay.

Antibodies to a cytosolic fraction of Mycobacterium tuberculosis in sera from 104 patients with pulmonary tuberculosis and 141 age-matched healthy control subjects were quantitated by solid-phase radioimmunoassay (SPRIA) and an enzyme-linked immunosorbent assay (ELISA) technique. The SPRIA gave a greater discrimination than ELISA: in the former test 92% of patients had antibody levels in excess of those occurring in 97% of controls, while the corresponding figure with the latter was only 73%.

Adult↗

[Calcium current effects in the presence and absence of propranolol on cloned neuroblastoma and glioma hybrid cells].

The action of the (-)- and (+)-enantiomers of the beta-adrenoceptor blocking drug propranolol on the inward calcium current (ICa) was studied in single mouse neuroblastoma x rat glioma hybrid cells of clone 108CC5 by suction pipette technique for intracellular perfusion and voltage clamp. ICa was recorded after internal cell perfusion with Tris phosphate buffer and suppression of sodium and potassium currents in Na+-free external solution. Extracellularly applied (-)- and (+)-propranolol (10(-7) to 10(-3) M) inhibited ICa in a similar dose-dependent manner. The IC50 values for both substances were approximately 5 . 10(-6) to 10(-5) M. Two other beta-blockers, alprenolol and talinolol, investigated as reference compounds, also depressed the ICa, but in a significantly higher dose-range of 10(-4) to 10(-3) M. The results provide further evidence that propranolol, besides its known effect on sodium inward current, also possesses marked inhibitory actions on the ICa in mammalian nerve cell membranes at relatively low concentrations.

Alprenolol↗

Pharmacological modulation of central monoaminergic systems and influence on the anticonvulsant effectiveness of standard antiepileptics in maximal electroshock seizure.

The influence of various substances modulating the activity of central noradrenergic, serotonergic or dopaminergic neurotransmission systems on the anticonvulsant effectiveness of phenobarbital (phenytoin, carbamazepine) was investigated in mice using the maximal electroshock seizure test (MES). The results demonstrated that especially the noradrenergic system might play a predominant role in modulating the efficiency of the standard antiepileptics tested. In general, pharmacological stimulation with different sympathomimetic drugs (e.g. methamphetamine, maprotiline, tranylcypromine, yohimbine) increased the anticonvulsant activity significantly. Conversely, pharmacological suppression of the noradrenergic system (e.g. 6-OHDA, phenoxybenzamine) reduced the activity of the antiepileptics. In contrast, some beta-receptor blockers with local anesthetic properties (e.g. propranolol, alprenolol, pindolol) were also able to enhance the protective effect of phenobarbital in higher concentrations. The influence of manipulations of serotonergic mechanisms was not so pronounced. However, substances such as 5-HTP, clomipramine, citalopram, zimelidine, showed also additive anticonvulsive effects. On the other hand, the dopaminergic system seemed to exert no significant influence in this respect. These findings give further support to the view that the noradrenergic system may play a remarkable role via the inhibitory function of noradrenaline in the CNS in suppression of epileptic activity and reveal also interesting aspects for a possible comedication in convulsive disorders.

Animals↗

[Assessment of urination before and following operations for stress incontinence].

Micturition studies, using uroflowmetry (electronic weighting), and calendar evaluation were repetitively applied in a prospective scheme to 55 women with stress incontinence under standardised conditions preoperatively as well as two to four weeks and again two to six months after surgery. Investigations of the same kind were made for comparison on 22 women with clinically intact urinary tract. The mean values of micturition volumes, maximum and average urine flow rates and rates of increase in flow (angle alpha) of the 55-group differed with significance from the controls, even before surgery. Those differences were even larger in the early postoperative phase, when significant rises were recordable also from voiding time and flow time. In later follow-up checks, however, mean values returned to points closer to preoperative original figures (but not to normal comparative values). When different surgical techniques were separately evaluated (18 cases of simple vaginal repair, 14 cases of pubococcygeal repair, 14 sling operations, and nine colposuspensions), the significance of early postoperative differences between mean values continued to apply only to maximum and average urine flow after sling operations and to average flow rate after simple vaginal repair. Mean voiding, flow, and waiting time were preoperatively increased only in cases of severe descensus. The dependence of maximum and average flow rate on voided volume was duly considered in the uroflow index. There were again significant preoperative and postoperative differences from the control group, but on balance the index stayed within normal or boundary limits.(ABSTRACT TRUNCATED AT 250 WORDS)

Female↗

[Are operations for urinary incontinence using colposuspension contraindicated in low urethral closing pressure?].

In a retrospective study the influence of maximum resting urethral closure pressure (CP) and body weight on the results of 33 fascial colposuspension operations were analyzed. The success rate of incontinence surgery was most inferior in cases in which the preoperative CP was lower than 50% of the age-related normal value. Incomplete success or even failure were also attributable mostly to patients with overweight. On the other side, also patients with considerable overweight and/or very low CP were treated successfully. It was unimportant whether fascial colposuspension was performed as primary or secondary operation or in combination with or after hysterectomy. The need to bladder neck elevation and the presence of optimal vaginal condition proved to be the decisive prerequisites for this approach.

Fasciotomy↗

[Electronic medical history: utopia or reality?].

With the advent of computers in medicine, the patient's chart has a more varied function. The basic use has been as the physician's instrument to provide information about diseases and their evolution. In order to link the physician with the capacity of a computer, a common language was elaborated based on the patient's chart. Computerized charting now makes possible not only improved communication and administration but also serves as a statistical databank. Important applications of a medical databank are statistical analysis of the chart, quality control of medical practice and facilitation of scientific studies. The patient's chart becomes a powerful multifunctional instrument in the clinic, the practice, and in research.

Electronic Data Processing↗