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At least 19 recordsLinked to original sources

[Iatrogenic disorders in the active respiratory systems (respiratory center and its performance].

Amongst the undesirable effects of medical intervention which touch on the respiratory apparatus one can distinguish schematically those disorders which affect the "passive respiratory system" (lungs, pleura, bronchi and vessels) and those which concern the "active respiratory system (SRA)" (nerve centres, respiratory muscles) which are less often described. After a brief reminder of the principles and limits of the available methods of investigation, this chapter reviews the different iatrogenic disorders of SRA according to their level and their aetiology. Peripheral disorders are touched on such as alterations of phrenic conduction (with particular mention of satellite lesions from cardiac surgery), those of neuromuscular transmission (most often induced by medication) and of intrinsic muscular properties (mainly steroid induced myopathies). Central disorders are described principally as the respiratory effects of neurotropic and non-neurotropic medications and the harmful effects of different substances on the sleep/respiration interaction. The secondary effects of therapy on SRA are all the more marked if there are underlying respiratory or neuromuscular disturbances which allow a large place for preventive measures. The diagnosis is made difficult by the complexity of the structures and functions involved and it is clear that the development of pathophysiological studies, which are still too scarce, should enable better understanding of their clinical significance.

Diagnosis, Differential↗

[The functional characteristics of the cardiovascular and respiratory systems in respiratory failure in patients with disseminated fibrous-cavernous pulmonary tuberculosis].

Resulting from complex preoperative clinico-functional examination of the 50 patients with generalized fibro-cavernous pulmonary tuberculosis, it was established that inclusion of compensatory mechanisms of the cardiovascular and respiratory systems was due to the development of chronic failure. Direction, pronouncement and interrelation of the main parameters of external respiration, oxygen transport and hemodynamics are determined by a degree of hypoxia.

Cardiovascular System↗

Effects of dietary linoleic acid on beta-adrenergic responsiveness of the guinea pig respiratory system.

Respiratory autonomic beta-adrenergic receptor function was investigated in isolated tracheal spirals of guinea pigs receiving different diets. Comparison was made between control and Haemophilus influenzae treated animals; this latter group serving as animal model for atopy. The different semi-synthetic diets (35 energy%) varying in their linoleic acid contents (5.85, 11.25 and 22.05 en%), exerted profound effects on membrane fatty acid composition. No influence of these diets on either food intake or growth could be detected. Isoprenaline induced relaxation of guinea pig tracheal spirals was maximal in the dietary group receiving moderate linoleic acid (11.25 en%). Both the addition and the withdrawal of linoleic acid to this diet resulted in a significant impairment of beta-adrenergic receptor function, to the same extent as can be induced by Haemophilus influenzae. The results are discussed in view of current concepts for atopy.

Animals↗

[Diffusion of helminth parasites of the digestive system and respiratory system in deer (Cervus elaphus) of the La Mandria Regional Park (Piedmont)].

A study was carried out on the diffusion of helminth parasites of liver, gastrointestinal system and bronchial system in 68 red deer (Cervus elaphus) from Regional Park "La Mandria" (Piedmont, Italy). The following species of nematodes were identified: Trichostrongylus axei, Spiculopteragia spiculoptera, Rinadia mathevossiani, Cooperia oncophora, Cooperia pectinata, Cooperia punctata, Cooperia zurnabada, Oesophagostomum venulosum, Dictyocaulus eckerti, Varestrongylus sagittatus. Studies on some nematodes, belonging to the genera Spiculopteragia and Ostertagia, are still in progress. A large diffusion of Fascioloides magna was also present (only two young specimens resulted negative).

Animals↗

Determination of resonance frequency of the respiratory system in respiratory distress syndrome.

AIM: To measure tidal volume delivery produced by high frequency oscillation (HFO) at a range of frequencies including the resonance frequency. METHODS: Eighteen infants with respiratory distress syndrome were recruited (median gestation 28.7 weeks). Each was ventilated at frequencies between 8 and 30 Hertz. Phase analysis was performed at various points of the respiratory cycle. HFO was provided by a variable speed piston device. Resonance frequency was determined from the phase relation between the cyclical movements of the piston and pressure changes at the airway opening. Tidal volume was measured using a jacket plethysmograph. RESULTS: The results were most reproducible when analysis was performed at the end of inspiration (within 1 Hz in nine out of 10 cases). Comparison between tidal volume delivery at 10 Hz and resonance frequency was made in 10 subjects. Delivery was significantly higher at resonance than at 10 Hertz (mean percentage increase 92%, range 9-222%). CONCLUSIONS: These preliminary findings suggest that there is improved volume delivery at resonance frequency.

Airway Resistance↗

Effects of loading and unloading the respiratory system on respiratory control and muscle function.

To determine the effects of internal respiratory loading and unloading on respiratory neuromuscular function, ventilatory (Vi), occlusion pressure (P0.15), transdiaphragmatic pressure (Pdi) and diaphragmatic electromyogram (EMGdi) responses to CO2 rebreathing were assessed in 6 normal volunteers rebreathing gas mixtures denser (63% SF6, 30% O2, 7% CO2) and less dense (63% He, 30% O2, 7% CO2) than air (63% N2, 30% O2, 7% CO2). Loading with SF6 decreased the Vi response to CO2 rebreathing and increased P0.15 and Pdi for a given EMGdi, while the greater the increase in pressure response the less was the decrease in Vi. Unloading with He had the opposite effect. The pattern of breathing was altered with SF6, with Ti and Te increasing and frequency decreasing, while there was no change in timing with He. Internal loading of inspiration and expiration with SF6 elicits compensatory responses that depend on changes of respiratory timing and enhanced diaphragm efficiency. Adjustments to unloading are generally opposite to that observed with loading.

Adult↗

[Deficiency of conditioning function of the respiratory system in some respiratory and circulatory diseases].

AIM: To compare quantitative characteristics of the lack of conditioning function of the respiratory system (CFRS) and to reveal basic etiopathogenetic factors affecting its severity in patients with various pulmonary and cardiac diseases. MATERIALS AND METHODS: Lack of CFRS was assessed pneumocalorimetrically in 423 patients with chronic nonspecific pulmonary diseases (CNPD) and 322 patients with cardiovascular diseases. RESULTS: Factors determining the severity of CFRS lack are: nosological unity, disease stage, occupational hazards, severity of respiratory and circulatory insufficiency. CONCLUSION: Pneumocalorimetry is useful in diagnosis, for objective evaluation of treatment efficacy and rehabilitation.

Adult↗

Pressure-volume curve of total respiratory system in acute respiratory failure. Computed tomographic scan study.

To investigate the relationship between lung anatomy and pulmonary mechanics in acute respiratory failure (ARF), 20 patients with ARF underwent computerized tomography (CT) at 3 levels of positive end-expiratory pressure (PEEP) (5, 10, and 15 cm H2O). The static pressure-volume curve of the total respiratory system and the lung volumes (helium dilution method) were also measured. By knowing the lung volumes and analyzing the CT number frequency distribution, a quantitative estimate of normally aerated, poorly aerated, and nonaerated lung tissue was obtained at each level of PEEP. The recruitment was defined as the percent increase of normally aerated tissue from 5 to 15 cm H2O. We found that the different compliances (starting compliance, inflation compliance, and deflation compliance) were correlated only with the amount of normally aerated tissue present in the range of pressures explored by a given compliance (5 cm H2O for starting compliance and 15 cm H2O for inflation and deflation compliances). No relationship was found between the compliances and the poorly aerated and nonaerated tissue. The specific compliance was in the normal range, whereas the amount of recruitment was related to the ratio of inflation compliance to starting compliance. Our data suggest that (1) the pressure-volume curve parameters in ARF investigate only the residual healthy zones of the lung and do not directly estimate the "amount" of disease (poorly or nonaerated tissue), (2) the pressure-volume curve may allow an estimate of the anatomic recruitment, and (3) the residual normally aerated zones of the ARF lung seem to maintain a normal intrinsic elasticity.

Adult↗

Role of menaquinone in inactivation and activation of the Bacillus cereus forespore respiratory system.

The respiratory systems of the Bacillus cereus mother cell, forespore, and dormant and germinated spore were studied. The results indicated that the electron transfer capacity during sporulation, dormancy, and germination is related to the menaquinone levels in the membrane. During the maturation stages of sporulation (stages III to VI), forespore NADH oxidase activity underwent inactivation concomitant with a sevenfold decrease in the content of menaquinone and without major changes in the content of cytochromes and segment transfer activities. During the same period, NADH oxidase and menaquinone levels in the mother cell compartment steadily decreased to about 50% at the end of stage VI. Dormant spore membranes contained high levels of NADH dehydrogenase and cytochromes, but in the presence of NADH, they exhibited very low levels of O2 uptake and cytochrome reduction. Addition of menadione to dormant spore membranes restored NADH-dependent respiration and cytochrome reduction. During early germination, NADH-dependent respiration and cytochrome reduction were restored simultaneously with a fourfold increase in the menaquinone content; during germination, no significant changes in cytochrome levels or segment electron transfer activities of the respiratory system took place.

Bacillus cereus↗

Studies on the respiratory system of Aspergillus oryzae. V. Some properties of the respiratory system of mitochondria from mycelia grown in the presence of chloramphenicol.

Presence of chloramphenicol in the growth medium for mycelia of Aspergillus oryzae was without effect on the oxidative activity, respiratory control, or P/O ratio of isolated mitochondria. The mitochondria oxidized Krebs cycle intermediates even in the presence of cyanide at the concentration markedly inhibiting the normal mitochondrial oxidation. However, the P/O ratio during the mitochondrial oxidation decreased by about 1.0 on addition of cyanide. The c-type cytochromes, shown to occur in large amounts than in normal mitochondria (Wakiyama and Ogura, 1972), were suggested to act as electron carriers in this cyanide-resistant oxidation. A novel pigment, demonstrated only in the mitochondria prepared from chloramphenicol-treated mycelia by a CO-difference spectrum, was presumed to be the terminal oxidase of the respiration in the presence of cyanide.

Antimycin A↗