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At least 955 records · Page 53Linked to original sources
PubMed2004

Spontaneous, late, in-the-bag intraocular lens subluxation in a patient with a previous acute angle-closure glaucoma attack.

Cataract surgery was performed in a 49-year-old woman 16 months after an acute angle-closure glaucoma attack. Zonular dialysis was observed during surgery, but the intraocular lens (IOL) was implanted in the capsular bag uneventfully. At 4 1/2 months, 1 IOL loop wrapped in the bag herniated into the anterior chamber. The patient had no history of trauma. The IOL loop remained in the anterior chamber for 9 months, until the subluxated IOL spontaneously returned to its original position. Six months later, the IOL again dislocated into the anterior chamber.

Acute Disease↗
PubMed2005

Chemokine receptor CCR7 guides T cell exit from peripheral tissues and entry into afferent lymphatics.

T cell circulation between peripheral tissues and the lymphoid compartment is critical for immunosurveillance and host defense. However, the factors that determine whether T cells remain in peripheral tissue or return to the circulation are undefined. Here we demonstrate that the chemokine receptor CCR7 is a critical signal that determines T cell exit from peripheral tissue. Both CCR7(-) and CCR7(+) effector T cells entered mouse asthmatic lung and while CCR7(-) T cells accumulated, CCR7(+) T cells continued to migrate into afferent lymph. Delivery of both CCR7(+) and CCR7(-) T cells directly into the airways showed that only CCR7(+) T cells exited the lung and entered draining lymph nodes. Our study establishes a molecular basis for T cell exit from peripheral tissues.

Animals↗
PubMed2002

[The healthy migrant effect: role of selection and late entry bias].

BACKGROUND: First-generation immigrants frequently have a lower mortality than the host population, in spite of a low socio-economic status. This is usually explained by (self-) selection into migration. If this were the case, the immigrants' mortality risk would increase with time under observation. A persistently low mortality could be due to a late entry bias: if migrants are enrolled in a study years after immigration, sick or socio-economically unsuccessful individuals may already have returned to their countries of origin. Mortality risk would then be inversely associated with length of stay in the host country before enrollment. METHODS: We assessed the mortality risk of immigrants from Mediterranean countries to Germany in the German Socio-economic Panel, in relation to time under observation (1-15 years) and length of stay in Germany before enrollment (0-34 years), using the Cox regression. RESULTS: In 1984-98, 2624 immigrants aged 16-83 years accrued 21,858 person years; 59 died. The hazard ratio, adjusted for age, sex and marital status, for each additional year under observation was 0.93 (95 % CI: 0.87-0.99); and for each additional 10 years in Germany before enrollment 0.49 (95 % CI: 0.27-0.89) in the age group >/= 50 years. CONCLUSIONS: We found no evidence for a mortality increase with time under observation, suggesting that the healthy migrant effect is not primarily due to (self-)selection. The initial mortality advantage could be due to international differences in mortality patterns. A late entry bias does contribute to the persisting mortality advantage of older immigrants.

Adolescent↗
PubMed2003

Intestinal nitric oxide output during reduced mucosal blood flow in healthy volunteers.

OBJECTIVE: Nitric oxide regulates epithelial permeability and other properties of the intestinal mucosal barrier. It previously has been shown in animals that intestinal mucosal nitric oxide production is impaired during gut hypoperfusion. The study was performed to confirm the presence of intestinal mucosal nitric oxide production in humans and to investigate the effect of gut hypoperfusion due to moderate arterial hypotension on intestinal nitric oxide concentrations. DESIGN: Open study where each subject served as his own control. SETTING: Clinical research laboratory. SUBJECTS: Nine healthy volunteers were intubated with a nasogastrointestinal tube for recordings in the distal duodenum. Intestinal nitric oxide output and motility were assessed by tonometry and manometry, respectively. Laser Doppler flowmetry and plasma angiotensin II concentration were used to investigate mucosal perfusion and a vasoregulatory response. INTERVENTIONS: Moderate hypotension was induced with lower body negative pressure over 1 hr. MEASUREMENTS AND MAIN RESULTS: Intestinal nitric oxide production varied in parallel with the migrating motor complex. Low values were obtained during phase I and peak values during phase III. Lower body negative pressure was initiated at a well-defined point in the migrating motor complex cycle. It was followed by a 40 +/- 6% reduction of laser Doppler flow signal, a 778 +/- 138% increase in angiotensin II, and a reduction in intestinal mucosal nitric oxide production by 48 +/- 8%. After lower body negative pressure, laser Doppler signal and angiotensin II concentrations returned to baseline levels within 1 hr, whereas intestinal nitric oxide output remained decreased. CONCLUSIONS: Intestinal tonometry in humans exhibits a considerable mucosal nitric oxide formation that varies in relation to intestinal motility. Intestinal nitric oxide production is depressed during conditions with lowered mucosal blood perfusion.

Adult↗
PubMed1982

Hepatic damage in experimental and clinical paragonimiasis.

The hepatic damage induced by Paragonimus skrjabini, and the migration route of this species and that of P. westermani, were investigated in a series of animal experiments and in 34 clinical and four autopsy cases of paragonimiasis. The major symptoms and signs of an unique case reported from Sichuan Province included hepatic tenderness, disturbance of hepatic functions, remittent fever, and cough with bloody sputum. Laparotomy revealed marked adhesions surrounding the liver, spleen and duodenum. Diagnosis was made by finding P. skrjabini in a bulla on the abdominal wall about 5 months after the onset of illness. After specific treatment with bithional, body temperature and liver functions returned to normal. Twenty-three of 33 cases independently studied from Fujian Province also showed similar hepatic function disturbance. Autopsy cases showed hepatic chronic eosinophilic abscesses with Charcot-Leyden crystals. Experimentally, P. skrjabini infection caused hepatic damage in all laboratory animals used. The main pathologic changes were initially acute eosinophilic abscesses in the liver, worms being found sometimes in the necrotic cavities of the abscesses; hepatomagaly also occurred. Some cysts containing mature worms were found in the liver of dogs 3-9 months after infection. Numerous eggs were deposited in the cyst walls. The migration route of P. skrjabini was studied in young dogs. Worms appeared in the liver initially on day 3 and reached their highest level on day 14. P. westermani also migrated into liver, but their numbers were less than those of P. skrjabini.

Acute Disease↗
PubMed1998

Augmented inflammatory responses and altered wound healing in cathepsin G-deficient mice.

BACKGROUND: Cathepsin G is a neutral serine proteinase that exists primarily in azurophilic granules of neutrophils, but also as a proteolytically active membrane-bound form. While the specificity and many in vitro biological activities have been described for cathepsin G, little is known about the role of this enzyme in neutrophil function in vivo, particularly as it applies to the wound-healing process. OBJECTIVE: To determine the role of cathepsin G in cutaneous tissue repair by examination of full-thickness incisional wound healing in mice with a null mutation for cathepsin G. METHODS: Paired, full-thickness linear incisions were made on the backs of cathepsin G +/+ and cathepsin G -/- mice, and wound tissue was harvested at days 1, 2, 3, 5, 7, 10, and 14 after wounding. Neutrophil influx, myeloperoxidase activity, and migration were examined using light microscopy, the myeloperoxidase assay, and modified Boyden chamber technique, respectively. Wound-breaking strength was measured using tensiometry. RESULTS: The absence of cathepsin G led to a 42% decrease in wound-breaking strength at day 7 after wounding (n=28; P<.002), which returned to the level of control mice by day 10 after wounding. Wound tissue sections in mice lacking cathepsin G also showed a 26% increase in neutrophil myeloperoxidase activity (n=12; P=.001) and an 18% increase in neutrophil influx (n=14; P=.002) at day 3 after wounding. Wound fluid collected on day 5 after wounding from cathepsin G-deficient mice attracted 58% more neutrophils than wound fluid collected from control mice (n=4; P<.05). CONCLUSIONS: Neutrophil cathepsin G is important during the early inflammatory stage of wound healing. Cathepsin G may be involved in processing 1 (or more) soluble mediator(s) in the wound milieu that is responsible for neutrophil chemotaxis. Our findings suggest that tight regulation of inflammation is necessary to prevent impaired healing during early tissue repair.

Animals↗
PubMed1976

Studies on the lymphocytes of sheep. I. Recirculation of lymphocytes through peripheral lymph nodes and tissues.

Recirculating lymphocytes were collected from the efferent ducts of peripheral somatic nodes and incubated in vitro with 51Cr. After washing, the labeled cells were returned to the sheep by i.v. injection. The partitioning of the labeled cells between blood and efferent (intermediate) lymph, or between efferent and afferent (peripheral) lymph was monitored for the next 24 h by assaying the radioactivity in appropriate samples of cells. The labeled lymphocytes took several hours to migrate through the nodes so that they equilibrated between blood and lymph in about 10 h. This pattern was not altered grossly during the inductive phase of an immune response. The small numbers of lymphocytes which migrated through peripheral tissues entered the lymph at least quickly as those that migrated through lymph nodes.

Animals↗
PubMed2003

Palliative therapy of colorectal carcinoma: stent or surgery?

"Surgical" palliation of obstructing colorectal carcinomas may involve resection with or without stoma formation, formation of a stoma alone, a colonic bypass procedure, or no procedure at all. Palliative surgical procedures confer a significant morbidity and mortality. Factors associated with increased mortality for colorectal cancer include advancing age of patient, advancing stage of the disease and the necessity for an emergency procedure. Advanced obstructing malignant lesions pose a clinical dilemma as the risks and time of recovery from surgery have to be balanced against providing a dignified quality of remaining life. Self expanding metal stents (SEMS) for acutely obstructing advanced colorectal carcinomas provide a cost effective option that avoids surgery in a usually frail group of patients. They can be inserted under sedation, rapidly decompress the colon and lead to an early return of colonic function. The procedure is carried out endoscopically with radiological assistance to determine a lumen and to confirm adequate stent placement. SEMS are not suitable for low rectal lesions and are more difficult to place in those that traverse colonic flexures. Complications from successful SEMS placement include migration and stent occlusion. The morbidity associated with SEMS is associated with migration or perforation of the colon during placement, pain and less commonly haemorrhage. Despite these problems most patients can be successfully decompressed without further endoscopic or surgical reintervention and allow satisfactory palliation.

Colorectal Neoplasms↗
PubMed1989

The effect of Strongylus vulgaris larvae on equine intestinal myoelectrical activity.

The myoelectrical activity of the ileum, caecum and large colon was monitored from Ag-AgCl bipolar recording electrodes in four conscious 'parasite-naive' weanling foals. All foals were inoculated with 1000 infective 3rd-stage Strongylus vulgaris larvae and alterations to the myoelectrical activity observed. The frequencies of caecal and colonic spike bursts increased significantly in all post infection periods coinciding with assumed larval penetration into the intestinal mucosa and migration through the vasculature. Peaks in caecal and colonic activity occurred at Days 1 to 5 post infection. In the caecum, peaks occurred again at Days 15 and 31 post infection, preceding similar rises in colonic spike burst frequency at Days 19 and 35. Longer term changes indicated a return towards pre-infection levels of activity suggesting smooth muscle adaptation to decreased blood flow. The analysis of caecal and colonic spike burst propagation indicated that the increases in burst frequency were not attributable to an increase in the propagation of spike bursts in any particular direction, but rather to proportional increases in all directions of activity. There was a slight decrease in the simple ileal spike burst frequency immediately post-infection. None of the experimental animals exhibited signs of abdominal pain during the trial, and there was no evidence of bowel infarction at post mortem examination despite the presence of severe parasite-induced arterial lesions. The results suggest that increased caecal and colonic motility is an important host response in susceptible foals exposed to S. vulgaris larvae.

Animals↗
PubMed1995

Detection of truncated virus particles in a persistent RNA virus infection in vivo.

Infectious hematopoietic necrosis virus (IHNV) is a rhabdovirus which causes devastating epizootics of trout and salmon fry in hatcheries around the world. In laboratory and field studies, epizootic survivors are negative for infectious virus by plaque assay at about 50 days postexposure. Survivors are considered virus free with no sequelae and, thus, are subsequently released into the wild. When adults return to spawn, infectious virus can again be isolated. Two hypotheses have been proposed to account for the source of virus in these adults. One hypothesis contends that virus in the epizootic survivors is cleared and that the adults are reinfected with IHNV from a secondary source during their migration upstream. The second hypothesis contends that IHNV persists in a subclinical or latent form and the virus is reactivated during the stress of spawning. Numerous studies have been carried out to test these hypotheses and, after 20 years, questions still remain regarding the maintenance of IHNV in salmonid fish populations. In the study reported here, IHNV-specific lesions in the hematopoietic tissues of rainbow trout survivors, reared in specific-pathogen-free water, were detected 1 year after the epizootic. The fish did not produce infectious virus. The presence of viral protein detected by immunohistochemistry, in viral RNA by PCR amplification, and in IHNV-truncated particles by immunogold electron microscopy confirmed the presence of IHNV in the survivors and provided the first evidence for subclinical persistence of virus in the tissues of IHNV survivors.

Animals↗
PubMed1996

Pinpointing 'Isla Meta': the case of sea turtles and albatrosses

Satellite tracking has recently shown that the very long open-sea journeys of sea turtles and albatrosses share several features, in spite of the different physiological and environmental constraints to which turtles and birds are subjected. The reviews of data obtained by tracking migration and feeding routes show that both sea turtles and albatrosses are able (i) to pinpoint small, isolated targets by following straight courses, (ii) to continue on a bearing at night even when the moon is not visible, (iii) to compensate for wind or current drift and (iv) to return home after experimental, long-distance displacements. Sea turtles and albatrosses seem to rely on a position-fixing capacity which cannot be explained by known navigational mechanisms but might be shared by other animals that display similar feats of open-sea guidance. Future research will further benefit from satellite telemetry and other new techniques applied to experimental investigations.

Journal Article↗
PubMed1988

Platelet-activating factor in the rabbit uterus during early pregnancy.

Platelet-activating factor (PAF) concentrations were low in the non-pregnant, oestrous uterus (mean +/- s.e.m.: 2.2 +/- 1.2 pmol/g, n = 3). However, uterine PAF increased dramatically during pregnancy to a maximum of 37.8 +/- 4.90 pmol/g (n = 7) on Day 5. By Day 7, PAF concentrations in the uteri of pregnant rabbits had returned to levels similar to those found at oestrus. In contrast, uterine PAF in pseudopregnant rabbits peaked at 30.6 +/- 2.8 pmol/g (n = 8) on Day 4, declined to 20.5 +/- 2.4 pmol/g (n = 8) on Day 5 and then remained at that concentration through Day 7. Uterine PAF co-migrated with synthetic PAF (1-O-hexadecyl-2-acetyl-sn-glycero-phosphocholine) in both thin-layer and normal-phase high-performance liquid chromatography. PAF activity in the uterus during pregnancy and pseudopregnancy was found almost exclusively in the endometrium; little or no PAF was found in myometrium, uterine flushings or blastocysts. While no PAF was detected in blastocysts on Days 5 and 6 of pregnancy, the presence of the embryo appears to modulate biosynthesis and/or degradation of PAF by the uterus, since PAF decreased significantly in uterine tissue apposed to the implanting embryo (but not in similar areas between such attachment sites). Increased concentrations of PAF in the preimplantation rabbit uterus followed by a dramatic decrease on the day of blastocyst attachment suggest that this potent inflammatory autacoid may play a vital role in implantation.

Animals↗
PubMed1992

An electron microscopic and nuclear magnetic resonance spectroscopic evaluation of rabbit corneal epithelial wound healing.

Phosphorus-31 (31P) nuclear magnetic resonance (NMR) spectroscopy is a powerful method that can be used to measure levels of phosphorus metabolites in living tissue. To determine whether NMR measurements adequately describe and quantify the wound-healing process in corneal epithelium, 31P NMR spectroscopic and electron microscopic results were correlated. Dutch belted rabbit corneal epithelium was removed with a limbus-to-limbus scrape wound and sampled from 0-30 days postwounding. Four corneas were pooled for each NMR determination of corneal adenosine triphosphate (ATP). A minimum of three animals from each time point were processed for transmission and scanning electron microscopy (EM). Similar to previous studies, migrating cells completely closed the defect by 4 days postwounding. The epithelium continued to increase in thickness and hemidesmosome density was similar qualitatively to that in control animals by 10 days postwounding. The 31P NMR ATP values showed an increase toward control values after an initial 70-75% decrease, returned to within 90-95% of nonwounded values by 10 days, and returned to control values by 30 days. After these experimental values were obtained, the predictive value of the model was tested using platelet-derived growth factor (PDGF)-treated corneas. The PDGF-treated corneas showed NMR and EM results similar to day-10 untreated corneas by 5 days after wounding. These results demonstrated the feasibility of using 31P NMR spectroscopic measurements of ATP levels as a nondestructive technique for quantifying corneal epithelial wound healing.

Adenosine Triphosphate↗
PubMedDate not supplied

Case report. Immunological studies in a case of hepatitis following methyldopa administration.

Jaundice with evidence of hepatocellular damage of moderate severity was observed in a patient who received methyldopa. The diffuse mononuclear infiltration of the liver tissue was found to consist of 90% E-rosette-forming cells. Peripheral lymphocytes gave a markedly positive macrophage migration inhibition (MIF) test against methyldopa. The number of T lymphocytes in the peripheral blood was at the lower limit of normal but they proved to be functionally inactive, as demonstrated by the results of a local xenogeneic graft-vs-host reaction test. The liver disease was associated with hyperglobulinemia, a decrease of the third and fourth components of complement and the presence of incomplete erythrocytic antibodies, leukoagglutinins, antinuclear factor, and smooth muscle antibody. Follow-up after discontinuation of the drug revealed a gradual return to normal of liver function and MIF tests, normalization of cellular immunity, and disappearance of the humoral antibodies. It is assumed that sensitization by methyldopa triggered the autoaggressive phenomena and their ultimate manifestation in the liver.

Biopsy, Needle↗
PubMed2005

[Potentials of elderly migrants].

Re-migration and immigration are the causes for the continual fluctuation within the migrant population. It is, however, currently foreseeable that the elderly migrant population living in Germany will steadily increase. Because of the large degree of heterogeneity among the elderly migrant population in Germany, the following report will be limited to a discussion of those groups of migrant workers, who originate from former recruiting countries. These groups will constitute the majority of elderly migrants in the coming years. Among the first generation of migrants, some groups have extensive ethnic social networks. This is mostly the case with respect to the migrants from Turkey. These have access to their own ethnic infrastructure, and, due to this fact, there is little need for the initiation of social contacts outside their own ethnic context. Generally, they prefer, as do other elderly foreign workers, to remain in their cultural niches with their own religious institutions and migrant organizations. In comparison to the German population, the families of the first generation of migrants have more children and live more often in multigenerational households. Under the conditions of migration and in a foreign cultural context, the family fulfills a function of social-emotional support. Migrants possess a high potential for mobility. They commute between their homeland and the land of immigration. For some, this is a transitional strategy in order to reach a final decision, either to return to their homeland or to stay in Germany. For others, it is a long-term solution that enables them to make use of each country's respective advantages.

Age Distribution↗
PubMed1986

Profiles of plasma sex steroids and gonadotropin in coho salmon, Oncorhynchus kisutch, during final maturation.

The plasma concentrations of estradiol-17 alpha (E2), 17 mu-hydroxy-20 beta-dihydroprogesterone (DHP), progesterone, 11-ketotestosterone (11-KT), testosterone (T), and gonadotropin (GtH) were measured in adult coho salmon (Oncorhynchus kisutch) concomitantly with advancing maturation of the gonads during the spawning season. Concentrations of E2 were higher in females with eggs showing central (premigrating) germinal vesicles, migrating germinal vesicles, or peripheral germinal vesicles than in fish in which the eggs had undergone germinal vesicle breakdown or ovulation. Conversely, plasma levels of DHP were low at central, migrating, and peripheral germinal vesicle stages and then increased dramatically at germinal vesicle breakdown and ovulation. Levels of 11-KT, T, and GtH generally increased with advancing maturity of the eggs. When time rather than degree of maturation was used as a variable, plasma E2 was high in females first returning from the ocean but then dropped off precipitously in fish sampled at the end of the run. Plasma DHP followed the opposite pattern, being low in fish sampled early in the run and high in fish sampled late in the run. No easily discernible patterns emerged from the profiles of the other steroids and GtH, although some significant variation in the concentrations occurred. Even though sampling was initiated at the time when the salmon first returned from the ocean, most of the hormones were not variable in males when viewed according to sampling date or predominant cell type in the testes, which indicates that the males were extremely close to final maturity during the sampling period. Plasma levels of DHP were higher in males that were producing milt than in any other group of males. Concentrations of 11-KT were higher than those of T in all males, but no patterns in the levels of either steroid emerged.

Animals↗
PubMed1993

Response of plasma cortisol to environmental cadmium in the eel, Anguilla rostrata LeSueur.

1. Long-term exposure (16 weeks) of the American eel, Anguilla rostrata, to an environmentally realistic concentration of cadmium (150 micrograms/l) causes a chronic elevation of plasma cortisol. During this time span, the eels retain the ability to respond to a weak additional stress (CO2 bubbles for 1 min) with a further increase in plasma cortisol. 2. Plasma glucose levels are significantly lowered after two weeks of exposure to cadmium (75 and 150 micrograms/l). However, subsequently they return close to control levels. 3. It is concluded that (a) a moderate cadmium pollution of the eel's habitat suffices to cause chronic stimulation of the eel's adrenocortical axis, and (b) the resulting continued hypercortisolemia must seriously affect the eel's metabolism, immunosystem, gonadal maturation, and ability to migrate to its spawning grounds.

Analysis of Variance↗