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Biomedical subjects

C Georgescu

Publications and source records attributed to C Georgescu.

At least 19 recordsLinked to original sources

Analysis of human atrial fibrillatory waves using monophasic action potential technique.

In 29 patients with atrial fibrillation, using the monophasic action potential technique, the fibrillatory waves were recorded and analyzed by statistical methods. Concerning the characteristics of the fibrillatory waves there are no differences between patients with rheumatic heart disease and with coronary heart disease. The patients with paroxysmal forms and those without heart failure and with normal heart size, have similar statistical data with regard to their fibrillatory waves. From the data presented, it could be possible to predict the efficacy of conversion to sinus rhythm and also the sinus rhythm stability after conversion.

Action Potentials

Two varieties of the onset of atrial fibrillation studied by monophasic action potential recording.

Two types of the initiation of atrial fibrillation are demonstrated in the continuous recordings of right atrial monophasic action potentials. In the first way, more common, atrial fibrillation takes place suddenly after an an extrasystolic atrial beat, in the second one it develops gradually after atrial tachycardia. In the first type the micro reentry starts from the beginning, in the second type only after sustained focal atrial tachycardia.

Action Potentials

[Increased atrial refractoriness: an explanation for the rarity of atrial arrhythmias in chronic cor pulmonale (author's transl)].

Right atrial monophasic action potential was recorded using a suction electrode catheter in 20 patients with chronic cor pulmonale. The duration of right atrial monophasic action potential was recorded using suction electrode catheter in 20 patients with chronic corpulmonale. The duration of right atrial monophasic action potential was 397 +/- 17 msec, longer than the normal value of 325 +/- 37 msec found in 30 normal subjects. The conclusion of our work is that the long right atrial monophasic action potential duration may explain the sinus rhythm stability and the rarity of atrial arrhythmias in chronic cor pulmonale.

Action Potentials

Long-term controlled clinical trial of a new anti-inflammatory drug, diftalone, in rheumatoid arthritis.

A long-term (two years) double-blind, comparative trial of diftalone (Aladione) 500 mg versus indomethacin 75 mg per day, in rheumatoid arthritis (thirty-two patients), has shown a similar effectiveness for both anti-inflammatory agents on various clinical parameters of disease activity, some better results being obtained for diftalone as regards the capacity of reducing erythrocyte sedimentation rate. The tolerability of diftalone proved to be somewhat superior, as is shown by the lower number of patients complaining of side-effects or being dropped out for intolerance, and by the lower frequency of central nervous system disturbances.

Arthritis, Rheumatoid

Disturbances of cellular immunity in rheumatic fever.

The alteration of cellular reactivity was investigated in 20 patients with rheumatic fever at the first rheumatic attack or in relapse with confirmed heart damage. The results obtained by studying in parallel ESR, the ASLO titer, IDR to streptococci and the degree of leukocyte migration inhibition proved that the onset of rheumatic attack was preceded by a deep disturbance of the cellular immunity. The migration inhibition values were between 50 and 60% (as compared with 10% in the normal controls) in over 85% of the patients investigated. It is emphasized that the selection of cases of streptococcal angina should be made very carefully and that sometimes it is necessary to use a more specific method for the detection of rheumatic fever in its preclinical stage.

Adolescent

[Evaluation of the etiopathogenic significance of E. coli serotypes 0 1--0 25].

A study was carried out on the incidence of E. coli serogroups 01--025, under different clinical and epidemiologic conditions, with a view to evaluating their etiopathogenic significance and the efficiency of immunofluoresence as a rapid laboratory method of diagnosis. A total number of 1542 samples were collected from humans (1075 feces samples and 467 urine samples from cases of urinary infection), and 387 from animals. The samples were collected from cases of enteritis and from healthy children and adults: 285 samples from infantile enteritis cases; 200 samples from adults with enteritis; 31 samples from healthy children: and 559 samples from healthy adults. These E. coli serogroups were found in humans, in both pathologic and normal conditions. The proportion of isolations of E. coli serogroups 01--025 was greater in the feces samples from healthy subjects than in the samples from enternal or urinary infections (48.80% as against 23.21%), demonstrating the opportunist character of these germs. Positive results were obtained in 30.23% of the products of animal origin (monkeys, dogs, chickens), pointing to the wide spread of these serogroups in nature. Serogroups 04 and 025 were predominant in both the human and animal products. The rapid immunofluorescence diagnosis cannot be applied to these serogroups owing to the multiple and varied antigenic fractions. The laboratory diagnosis can only be established in pure cultures by identification of the groups, by biochemical and serolgic methods, by agglutination reactions on slides and in test tubes.

Adolescent

[Response of the body to smallpox vaccination in persons with repeated negative vaccinal antecedents].

A study was carried out on the humoral response and vaccinal reaction after repeated administration of the smallpox vaccine (1 to 3 times), at ten days interval, to 97 subjects with a past history of repeated vaccination failures. Revaccination ended in 52.6% failures. After revaccination the antibody titer increased in 97.8% of the cases of successful vaccination and in 43.5% of the negative cases. In 29.5% of the latter cases a decrease in the antibody titer by 1--3 binary dilutions was found. The results suggest that the repeated application at short intervals of an antigenic stimulus perturbs the immune response.

Adult

[Simplified diagnostic scheme for Enterobacteriaceae].

After testing 18 experimental variants against 40 reference strains belonging to different Enterovacteriaceae groups, the authors chose a multitest medium that permits concomitant testing of mobility, indol, lysinedecarboxylase and phenylalanine deaminase (MILP). In this medium, the reactions of 3734 strains belonging to the genera Escherichia, Shigella. Salmonella, Citrobacter, Klebsiella, Enterobacter, Serratia. Proteus and Providencia were concordant with the reactions in individual test media, taking as reference, in a proportion of 99.7 and 100%. The authors, associating the MILP medium to TSI agar, propose a simple scheme consisting of eight test which permits, within only 24 hours, the correct identification of the genus and sometimes of the species of cultures or isolated colonies from selective media.

Bacteriological Techniques