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Mercuric chloride-induced tubulonecrosis in the rat kidney: the recovery phase.

Regeneration of the renal tubules in rats, after death of the cells of the pars recta caused by a dose of 1.5 mg HgCl2/kg, was examined by histological and radioautographic methods. The tubules regenerated from surviving squamoid cells at both ends of the necrotic segments, which often appeared to arise from epithelial cells that had cast off superficial "dead cytoplasm" to leave the basal parts containing the nucleus in a rim of cytoplasm. The tubular epithelium was reconstituted between the 2nd and 5th days by proliferation and sliding extension of the squamoid cells along the tubules and predominantly from the distal end of the necrotic segments where the cell proliferation was extremely active. Inflammation in reaction to the dead cells was insignificant. Although the majority of tubules regenerated in a regular fashion some degree of anomalous epithelial proliferation occurred in patches, predominantly in the junctional area between the pars recta and the loops of Henle and perhaps most frequently in reference to those nephrons with superficial and mid-cortical glomeruli. The exuberant proliferation led to scattered epithelial growths projecting into the lumen of the tubules, and there was evidence that these obstructed the discharge of necrotic debris. Tubular collapse and atrophy leading to the formation of small scars followed, more often affecting the short looped nephrons.

Acute Kidney Injury↗

Parkinsonian-like tremors in the recovery phase of kwashiorkor.

Kwashi shakes is described in a 17-month-old Jamaican male infant. This is the first reported case seen at the Tropical Metabolism Research Unit at the University of the West Indies, Mona, Jamaica and the first documented case in the West Indian literature.

Humans↗

[Pain caused by ephaptic transmission occurring in the recovery phase of diabetic vascular mononeuropathy was effectively suppressed with L-threo-3,4-dihydroxyphenyl-serine].

A 59-year-old man with an 8-years history of diabetes mellitus had an acute onset of sharp pain in the anterior part of right lower leg. One month later, the pain changed to deep dull nature in the deeper site of the peroneal region. The pain increased, when he stood up, walked, and stayed in the cold room and decreased by rest. It was more painful in the evening than in the morning. The first sharp pain was thought to be caused by ischemia due to diabetic vascular neuropathy. The next dull pain was considered to be originated from ephaptic transmission between sympathetic efferent fibers to group IV and afferent ones from the skeletal muscle. The latter dull pain was selectively suppressed by nerve block when it became effective to the branch of deep peroneal nerve to extensor digitorum longus muscle. The hypothesis of ephaptic transmission was supported by meaningful decrease of muscle sympathetic activity detected by microneurography before and after the dosage of L-DOPS, which effectively suppressed the pain as well as other alpha-stimulant, midodrine hydrochloride. We concluded that the ephaptic pain caused by muscle sympathetic activity could be suppressed by the vasoconstrictive drugs through the mechanism of baroreflex control.

Adrenergic alpha-Agonists↗

[Integrin alpha6 beta4 and experimental allergic neuritis].

OBJECTIVE: To explore the relationship between integrins alpha6,beta4 and the process of the injury and repair of the myelin, their expressions in experimental allergic neuritis were analyzed. METHODS: Experimental allergic neuritis (EAN) models were induced in Lewis rats. The expressions of integrins alpha6 and beta 4 and their receptor laminin, both in the acute phase and recovery phase of EANs, were analyzed by in situ hybridization and immunohistochemistry. RESULTS: The expression of beta4 decreased in the acute phase P<0.05 and showed no significant changes in the recovery phase(P=0.6840). There were no significant changes of the expression of alpha6 and laminin both in the acute phase and recovery phase of EANs by immunohistochemistry (alpha6 P=0.0751;laminin P=0.2047). The similar results were obtained by in situ hybridization (beta4 in acute phase P<0.05;beta4 in recovery phase P=0.823;alpha6 P= 0.81). CONCLUSION: The expressions of integrins of Schwann cells were affected by inflammation injury, and their patterns of expression were similar to those of integrins alpha6, beta1 and beta4 during embryogenesis. It is inferred that integrin beta4 and the reformation of myelin have a more imitate relationship. The expression changes of alpha6 and beta4 correlate with the injury and repair of myelin during EAN.

Animals↗

Clinical pathway across tertiary and community care after an interventional cardiology procedure.

Many patients who receive medical interventional cardiology procedures at a tertiary hospital live outside the metropolitan area and may experience fragmentation in care, less emotional support by family members, inaccurate and delayed communication, and lack of educational follow-up on discharge from the hospital. A clinical pathway titled "Heart Health Care Patterns" was developed to link acute phase, recovery phase, rehabilitation phase, and enhancement/maintenance phase. The 12-month clinical pathway combines Gordon's Functional Health Patterns and the Omaha System developed by the Omaha Visiting Nurse Association. The rating scale for outcomes assesses the patient at different phases to provide objective data and information throughout the year.

Aftercare↗

Excess postexercise oxygen consumption and recovery rate in trained and untrained subjects.

The purpose of this study was to determine whether aerobic fitness level would influence measurements of excess postexercise oxygen consumption (EPOC) and initial rate of recovery. Twelve trained [Tr; peak oxygen consumption (VO2 peak) = 53.3 +/- 6.4 ml . kg-1 . min-1] and ten untrained (UT; VO2 peak = 37.4 +/- 3.2 ml . kg-1 . min-1) subjects completed two 30-min cycle ergometer tests on separate days in the morning, after a 12-h fast and an abstinence from vigorous activity of 24 h. Baseline metabolic rate was established during the last 10 min of a 30-min seated preexercise rest period. Exercise workloads were manipulated so that they elicited the same relative, 70% VO2 peak (W70%), or the same absolute, 1.5 l/min oxygen uptake (VO2) (W1.5), intensity for all subjects, respectively. Recovery VO2, heart rate (HR), and respiratory exchange ratio (RER) were monitored in a seated position until baseline VO2 was reestablished. Under both exercise conditions, Tr had shorter EPOC duration (W70% = 40 +/- 15 min, W1.5 = 21 +/- 9 min) than UT (W70% = 50 +/- 14 min; W1.5 = 39 +/- 14 min), but EPOC magnitude (Tr: W70% = 3.2 +/- 1.0 liters O2, W1.5 = 1.5 +/- 0.6 liters O2; UT: W70% = 3.5 +/- 0.9 liters O2, W1.5 = 2.4 +/- 0.6 liters O2) was not different between groups. The similarity of Tr and UT EPOC accumulation in the W70% trial is attributed to the parallel decline in absolute VO2 during most of the initial recovery period. Tr subjects had faster relative decline during the fast-recovery phase, however, when a correction for their higher exercise VO2 was taken. Postexercise VO2 was lower for Tr group for nearly all of the W1.5 trial and particularly during the fast phase. Recovery HR kinetics were remarkably similar for both groups in W70%, but recovery was faster for Tr during W1.5. RER values were at or below baseline throughout much of the recovery period in both groups, with UT experiencing larger changes than Tr in both trials. These findings indicate that Tr individuals have faster regulation of postexercise metabolism when exercising at either the same relative or same absolute work rate.

Adult↗

The effects of inhaled toluene, halothane, 1,1,1-trichloroethane, and ethanol on fixed-interval responding in mice.

Adult male mice were trained to lever press under a fixed-interval (FI) 60-sec schedule for milk presentation during 15-min sessions. Concentration-effect curves were then determined at the termination of 30-min inhalation exposures to various volatile agents--halothane, toluene, 1,1,1-trichloroethane (1,1,1-TCE), and ethanol. The mice were also tested after ethanol administered orally. Each compound produced both response rate increases and decreases, initially or during the recovery phase. Recovery from the response rate decreasing effects generally occurred during the 15-min sessions. The highest concentration of toluene and the high dose of oral ethanol produced the longest duration of effects. Response rates in the first 3 min of the session were used to evaluate peak effects following inhalation. Linear regression analyses of these data indicated the potency order to be toluene greater than halothane greater than 1,1,1-TCE greater than ethanol. Patterning of responding characteristics of FI performance was affected after high concentrations of all but ethanol vapor. This study provided evidence that the effects of two industrial solvents, toluene and 1,1,1-TCE, were qualitatively similar to those of two volatile CNS depressants, halothane and ethanol, as well as to those reported for other centrally-acting drugs.

Conditioning, Operant↗