[Lactate acidosis in biguanide therapy of diabetes mellitus].
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Biomedical subjects
Publications and source records attributed to W Klein.
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[14C]Aldrin was applied to soils (about 3kg/ha) in outdoor boxes at various locations (Germany, England, and United States), and crops were cultivated (maize, wheat, sugar beets, and potatoes). In the following year, crop rotation experiments were carried out in the same soils without retreatment; in addition, wheat was grown in soils retreated with [14C]aldrin (3.5 kg/ha). After the harvest of both years, the distribution of aldrin and major metabolites (dieldrin; photodieldrin; hydrophilic metabolites including dihydrochlordene dicarboxylic acid; an unidentified nonpolar compound X; and unextractable metabolites) was determined in plants, soils, and leaching water. Two further conversion products, photoaldrin and aldrin-trans-diol, occurred in trace amounts only in a few samples. Metabolic pathways for aldrin under outdoor conditions are presented. The distribution of radioactive residues in soils and plants as well as their quantitative chemical composition are discussed, and comparisons are made between the different experimental sites, the crops, the first and second year, and retreated and nonretreated samples. The quantitative results are compared to those of field trials.
The mononuclear cells of newborn infants compared to those of normal adults contain diminished activity of pyruvate kinase (PK) (14.9 +/- 1.2 vs. 22.3 +/- 1.3 mumol/10(10) cells/min) and phosphoglycerate kinase (PGK) (195 +/- 10 vs. 415 +/- 19). These deficiencies are accentuated in the cells of premature infants (4.9 +/- 0,5 and 71 +/- 15, respectively) and are accompanied by reduced activity of adenylate kinase (AK) (14.8 +/- 1.9 vs. 33.6 +/- 2.6). The activities of AK and PGK in adult and neonatal mononuclear cells are stimulated by phytohemagglutinin (PHA). Although the PK activity of adult cells is stimulated by PHA, the PK activity of neonatal cells is not. Mononuclear cell glycolysis is stimulated by PHA in both adults and neonates. The mean lactate production of neonatal cells is slightly lower than it is in adult cells (93 vs. 110 mumol/10(10) cells/hr, unstimulated, and 151 vs. 181, stimulated), but the differences are not statistically significant. The ATP content of neonatal cells (3.8 +/- 0.4 mumol/ 10(10) cells) is reduced compared to adult values (6.0 +/- 0.3). Lactate production is directly correlated with PK activity in adult and neonatal mononuclear cells. Neonatal mononuclear cell PK activity increases to adult levels during the first year of life.
Relations between the time of manifestation of the disease and the course of the rheumatoid arthritis were found from the clinic frequently. Patients with later first manifestation of rheumatoid arthritis show clear differences against patients with earlier manifestation of the disease at which the late first manifestation a high activity of the process of the disease exhibit. In males first manifestation of rheumatoid arthritis in middle age of 54,5 years was observed, while in a first manifestation of rheumatoid arthritis in middle age of 47 years a normal course of the disease was found. The difference between the both courses was proved as significantly. In former investigations we could prove that in patients with rheumatoid arthritis the 3H-Thymidin-build in the course of not programmed DNA-synthesis in the DNA of lymphocytes after damage with ionizing was retarded. The rate of not programmed DNA synthesis seems to be in old persons equal. The ligase reaction is possibly diminished because the number of DNA-strand breakes with the age is strong increasing.
In a randomised double-blind comparative study 40 mg 3-amino-1-(3,4-dichloro-alpha-methyl-benzyl)-2-pyrazolin-5-one (BAY g 2821), a novel diuretic agent, were tested against 50 mg etacrynic acid in patients with cardiac decompensation. BAY g 2821 has a rapid onset of action which slowly decreases until 12 h after administration. Within a period between the second and the fourth hour after administration, the efficacy of BAY g 2821 is superior to that of etacrynic acid. The difference is statistically significant. The total elimination of BAY g 2821 is markedly more pronounced than that of etacrynic acid throughout the 5-day treatment course. Neither subjective nor objective side effects were observed.
The clinical picture in a cyanotic newborn suggests pulmonary atresia or tricuspid atresia. Angiocardiography shows a right atrial tumor, at necropsy a ping-pong-ball sized fibroma is found. Hypoxia and congestive heart failure occurred and the baby died on his eleventh day of life. Uncertain cardiac symptomatology should always raise the suspicion of a cardiac tumor. Cardiac tumors with predominant intramural growth can show pure cardiomegaly- and/or cardiac arrhythmias, congestive failure, while intracavitary growth may lead to various kinds of in- and outflow obstruction and/or embolisations.
23 patients with coronary heart disease (11 with angiographically normal and 12 with depressed left ventricular function) were studied by m-mode echocardiography before and after handgrip. The following results were obtained: 1. There were statistical significant differences in enddiastolic volume, ejection fraction, and circumferential fiber shortening between the two groups. 2. Isometric exercise (handgrip) did not alter left ventricular dimensions or contractility, if mean values were calculated in both groups. 3. The majority of patients with compromised left ventricular function at rest, however, responded to handgrip by increasing their enddiastolic volume, apparently using the diastolic volume reserves. Ejection fraction and circumferential fiber shortening remained constant. 4. The majority of patients with angiographically normal left ventricular function at rest, on the contrary, displayed augmented contractility under handgrip. Only 4 out of 11 patients with proximally located, high-degree lesions and inadequate collaterals responed to isometric exercise with a reduction of ejection fraction and circumferential fiber shortening.
291 patients with various types of hyperlipoproteinemia and 216 persons with normal serum lipid levels were examined for the frequency of angina pectoris and myocardial infarction. As a risk factor of myocardial infarction, Fredrickson's Type IIb was ranking on top, followed by simultaneous elevation of serum cholesterol and serum triglycerides regardless of the lipid-electrophoretic tappern, followed by Fredrickson's Type IV and finally by isolated hypercholesterolemia and Fredrickson's Type IIa. For angina pectoris, the order was slightly different: the highest risk factor was the simultaneous elevation of serum cholesterol and serum triglycerides, followed by hyperlipoproteinemia Type IV, hyperlipoproteinemia Type IIb, and finally by isolated hypercholesterolemia. The risk of both myocardial infarction and angina pectoris caused by isolated hypertriglycerolemia was not statistically significant, the same observation was made for the risk of angina pectoris in hyperlipoproteinemia Tye IIa. The present results confirm that an elevation of the serum triglycerides plays a minor role as a coronary risk factor in comparison to hypercholesterolemia.
Cardiac pacing may be useful in the management of supraventricular and ventricular tachycardias. Prophylactically, recurrent ectopic tachycardias may be prevented by atrial or ventricular pacing for a sustained period at a rate faster than the spontaneous rate, but slower than the rate of the tachycardia being suppressed. Moreover, the pacemaker permits the dosage of antiarrhythmic agents to be increased until the recurrent arrhythmias are completely controlled. Therapeutically, supraventricular tachycardias may be terminated by (1) overdrive suppression, (2) delivery of a single stimulus or two serial stimuli or repetitive stimulation at a rate slower than the tachycardia (competitive stimulation) and (3) orthorhythmic stimulation. Today, implantable units exist. Advantages and disadvantages as well as risks of pacing in patients with tachycardias, are discussed.
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Studies on the effect of Vinblastine on normal and tumour cell show that semi-conservative DNA synthesis correlates with the enzymatic activity of thymidine kinase. DNA repair investigations performed with Yoshida-Ascites cells indicate an inhibitory effect on the ligase system after Vinblastine treatment and gamma irradiation.
In seven successive outdoor experiments, lindane-14C was applied to lettuce or endive leaves as an aqueous formulation (about 12 mg on 20 plants for each experiment). The growing periods varied between 21 and 37 days. After this time, between 4.5% and 13.9% of the applied radiocarbon was recovered from the plants. Conversion rates to soluble metabolites as well as to unextractable residues appeared to be dependent on weather conditions. During the summer months, the radiocarbon in plants consisted of 36% soluble metabolites and of 30% unextractable residues (average of 4 experiments); in autumn, the conversion rates were much lower. The following metabolites were identified in both plant species by gas chromatography/mass spectrometry: a polar group (a free trichlorophenol, 2,3,4,6-tetrachlorophenol, pentachlorophenol, conjugates of the latter two compounds, and unidentified water-soluble products) amounting to 35% of the radioactivity in plants cultivated in summer, and a nonpolar group (a dichlorobenzene, 1,2,3-trichlorobenzene, 1,2,4-trichlorobenzene, 1,2,3,5, and/or 1,2,4,5-tetrachlorobenzene, pentachlorobenzene, hexachlorobenzene, and gamma-pentachlorocyclohexene) amounting to 1% of the radioactivity in plants cultivated in summer. The 20 cm top-soil layer had about 14% of the total radioactivity applied to all plants. Six % of the radioactivity recovered from the soil was soluble metabolites and about 50% was not extractable. The soluble metabolites comprised a polar group (free and conjugated 2,3,4,6-tetrachlorophenol, pentachlorophenol, and unidentified water soluble products) amounting to 5% of the radioactivity in the soil as well as a nonpolar group (1,2,3-trichlorobenzene, 1,2,3,4-tetrachlorobenzene, 1,2,3,5 and/or 1,2,4,5-tetrachlorobenzene, pentachlorobenzene, hexachlorobenzene, and gamma-pentachlorocyclohexene) amounting to 1% of the radioactivity in the soil.
The urea herbicide buturon (N-[p-chlorophenyl]-N'-methyl-N'-isobutinyl-urea), 14C-labeled, was sprayed on winter wheat as an aqueous formulation (2.98 kg/ha) under outdoor conditions. Upon harvest (three months after application), a total of 49.2% of the applied radiocarbon was recovered: 2.0% in the plants, 46.9% in the soil, and 0.3% in the leaching water (depth greater than 50 cm); less than 0.1% was in the grains (0.464 ppm). Only about half of the radioactivity present in plants could be recovered under mild extraction conditions; about half of this was unchanged buturon. In straw and husk extracts, the following metabolites were identified by gaschromatography/mass spectrometry:N-(p-chlorophenyl)-N-methyl-O-methyl-carbamate (metabolite I), N-phenyl-N'-formyl-urea (metabolite II), two unstable metabolites giving (p-chlorophenyl)-isocyanate upon purification (metabolites III and IV), N-(p-chlorophenyl)-N'-methyl-N'-isobutenylol-urea (metabolite V), p-chloroformanilide (metabolite VI) and biologically bound p-chloroaniline (metabolite VII). In the root and basal stem extract, the following metabolites were identified by gas chromatography/mass spectrometry: N-(p-chlorophenyl)-O-methyl-carbamate (metabolite VIII) and N-(p-chlorophenyl)-N'-methyl-urea (metabolite IX).
Each of five male and five female rats was orally dosed with 49.2 mug 2,2'-dichlorobiphenyl-14C daily for 42 days. After 36 days, the radioactivity in the body reached a plateau level, and male rats had excreted 84.5% of the applied radioactivity, females 87.9%; the residues in most organs were below 0.2 mg/kg. The daily excreted radioactivity after 50 days had decreased to 0.7% (males) and 0.5% (females) of the daily dose; the total excretion was then 86.2% (males) and 89.4% (females) of the total applied dose, and the organs contained less than 0.1 mg/kg. More than 90% of the radioactivity in the excreta was due to metabolites (one monomethoxy-, three monohydroxy-, three dihydroxy-, one trihydroxy-2, 2' -dichlorobiphenyl, conjugates, and a dechlorinated derivative).
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The results of clinical roentgenological, cytological examinations as well as the histological examination of biopsy material with electron microscopy are reported for two cases of primary idiopathic hypertrophic osteoarthropathy. In both cases, a watchglass nail was present in the hands and feet; clubbed, distended knee, ankle and wrist joints; appositional enlargement of the shaft of the long bones; the hands and the phalanges of the foot as well as arthralgia and an hyperhidrosis. The morphological examination of biopsy material confirmed the already established increased periosteal bone enlargement. In addition, a fibrosis of the synovial membrane with thickening of the fibrous tissue matrix and increased vascularization of the synovial membrane could be established. Inflammatory processes could be excluded. The reported findings could be attributed to a generalized defect in hormonal or enzymatic regulation of the mesenchym. The vascularization can be explained as a reaction to the lengthening of the transit route between vessels and joint lumen. The thickening of the connective tissue together with the lengthening of the transit route is considered to be an essential causal factor in the arthralgic complaints of strain in hypertrophic osteoarthropathy.