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Biomedical subjects

D Laky

Publications and source records attributed to D Laky.

At least 37 records · Page 2Linked to original sources
PubMedDate not supplied

[Radioclinical and morphological comparisons in non-lithiasic gallbladder diseases].

Confrontation of the clinical, radiologic and morphologic data in a lot of 274 patients operated for non-lithiasic cholecystopathies during the 1966-1972 period, led to the following conclusions: - the painful choleic syndrome whose duration and frequency increase progressively, refractory to the conservative treatment, is a basic criterion in establishing the surgical treatment; - any change in the radiologic image of the gallbladder, especially those evoking a partial or totally inefficient contractile effort are of diagnostic value, suggesting the necessity of the operation, when confirmed by a similar clinical context; - the morphologic substrate consists in inflammatory lesions (infiltrations, atrophy of the mucosa, sclerosis), or degenerative lesions (cholecystoses) due to the reaction of the gallbladder walls to the irritative-chemical action of the bile hyperconcentrated by intermittent stasis caused by an incomplete cystic obstacle; - both types of lesions may determine with time obstruction of the cystic duct (acute cholecystitis), changes in the choledochoduodenal confluence (odditis), co-affection of the pancreas and liver (cholecystopancreatitis, chronic reactive hepatitis); - the late results lend support to the surgical treatment in such circumstances.

Adult↗
PubMedDate not supplied

Kawasaki disease in an infant with cystic fibrosis.

The authors report a case of a 3-month-old infant with a very rare association: cystic fibrosis and Kawasaki disease. The clinical picture is atypical but cardiovascular signs consist of cardiomegaly, sick sinus syndrome and Q waves in D II, D III and AVF. The diagnosis is confirmed by the pathological changes found at the postmortem examination. The patient is the first case of Kawasaki disease reported in Romania.

Anti-Bacterial Agents↗
PubMedDate not supplied

Up-to-date aspects of meningoencephalitis. Anatomo-clinical researches.

The anatomo-clinical study of the deaths caused by meningoencephalitis at the Infectious Diseases Clinics in Bucharest in 1986 and 1987 showed the increase of morbidity, 194 lethal cases being registered. The most affected age group was up to 1 year, followed by older persons, then by children between 1 and 10 years, the male sex prevailing. The most incriminated pathogenic agents were meningococcus, pneumococcus, as well as negative Gram germs, Escherichia coli, whereas the favouring factors were especially malnutrition, premature birth, dystrophies, focal infections. The lesional pictures are described, underlying the frequency of vascular lesions, ventriculitis cerebral abscesses, as well as the role of demyelinizations and of the glial reactions in pathogenesis.

Adolescent↗
PubMedDate not supplied

Morphophysiopathological correlations in pulmonary hypertension of cardiac origin.

100 patients with congenital malformation and acquired cardiac diseases were studied on preoperatory pulmonary biopsies to estimate the pulmonary hypertension by correlating the data obtained by modern multidisciplinary investigation: histological, histoenzymological, ultrastructural, physiological and clinical techniques. The morphological pictures show a range of vascular lesions similar to those found in Heath and Edwards' classification and they are especially thickenings of the intima, hypertrophies of the media, narrowings of vascular lumen and later some plexiform lesions and hemosiderosis. Progressive fibrosis processes as well as immune pulmonary reactions were made evident. The electron microscopical examinations provided new data regarding the thickening of the capillary and alveolary basal lamina, the activity of pneumocytes and macrophages that were also certified from the histoenzymological point of view by increase of peroxidases and acid phosphatases activity. The investigation carried out proved the importance of the cardiac preoperatory catheterism in order to establish the grade of the pulmonary hypertension while the concordance index is more increased than in the cases that were investigated only by non-bleeding techniques.

Capillaries↗
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Histochemical and ultrastructural alterations of lysosomes and acid phosphatase reaction in human chronic hypoxic myocardium.

Histochemical and ultrastructural alterations of lysosomes and acid phosphatase reaction were assayed in myocardial human specimens from patients with some acquired and congenital cardiac affections and cardiac failure class II-IV (after NYHA classification). The optic and electron microscopic study of the acid phosphatase (the main lysosomal marker) activity reveals that the intensity and the distribution of the reaction were correlated with the degree of heart failure, being maximum at the IVth degree. The electron microscopic analysis of the lysosomal vacuolar apparatus emphasizes various changes also correlated with the intensity of hypoxia.

Acid Phosphatase↗
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Jejunoileal alveolar rhabdomyosarcoma. A case report.

Intestinal localization of rhabdomyosarcoma is exceptional, this case is the first to be published in the world literature. A 35-year-old patient with abdominal pain, fever, was found to have an infiltrative white-grey tumour, involving 20 cm the jejunoileal wall and also the surrounding mesenterium up to the origin of upper mesenterical vessels and lymph nodes. Histologic examination showed an alveolar type of rhabdomyosarcoma intricated with solid undifferentiated tumoral cells. The presence of multinucleated giant cells and the positivity of protein S 100 reaction was important for differential diagnosis, given the alveolar soft part sarcoma, malignant mesothelioma, malignant melanoma or papillary carcinoma.

Adult↗
PubMedDate not supplied

Renal pathomorphologic aspects in cirrhogenic diseases of the liver.

The pathomorphogenesis of renal lesions in the course of cirrhogenic diseases of the liver was studied on a human and experimental material. The development of membranoproliferative glomerulopathy, of tubular lesions, interstitial reactive infiltrates and sclerosis processes in the advanced stages of cirrhosis were observed. An important role in the determining of these lesions was played by immunologic perturbations in the entire organism.

Adolescent↗
PubMedDate not supplied

Anorectal melanoma. Problems of histopathologic diagnosis.

The present study discusses, in the light of the comparatively restricted data in the speciality literature, two cases of anorectal melanoma emphasizing the histologic diagnostic difficulties linked to appraisal of the limits of the benign naevus formations, predominance of the achromatous zones, alternation of the benign and sarcomatous fascicular proliferations and those of the anaplastic carcinoma type. Stress is laid on the importance for the diagnosis of the histologic examination and of serial sections, in all pedunculate formations in the anorectal region as well as of the tests applied for detecting melanin.

Anal Canal↗
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Hodgkin's disease with predominant epitheloid cells.

The present paper reports on a 38-year-old patient with left supraclavicular adenopathy, clinically suspect of tuberculosis. Histologic examination showed disappearance of the lymph node structure due to diffuse, nodular hyperplasia of epithelioid and Sternberg-Reed cells. The particularities of this rare form of Hodgkin's disease, described by Lennert, are discussed, as well as problems of differential diagnosis.

Adult↗
PubMedDate not supplied

Thymus quantitative morphological changes during CCl4-induced liver cirrhosis.

The dynamics of the thymus cell densities was studied during CCl4-induced cirrhogenic hepatopathy. The results show that all thymus compartments take part in immune phenomena occurring in the whole lymphatic system. The maximal intensity of thymus participation is attained in precirrhosis and evolutive cirrhosis. Within the cortical zone, the cell density pyroninophilia and blast-transformed cells increase during the first two months. After two months, there is a decrease of the pyroninophilic elements within the cortical zone, concomitantly with their increase at the medullary level, thus suggesting a migration process of the cells, which change the cortical-medullary ratio.

Animals↗
PubMedDate not supplied

Experimental investigations in acute myocardial ischaemia. Note II. Studies concerning morphophysiologie alterations of the ischaemic myocardium under vascularization conditions.

The biology of the myocardial fiber was studied under experimental conditions similar to angina and the premonitory syndrome of myocardial infarction. The morphophysiologic data obtained particularly concerning the mitochondria demonstrated that affection of the myocardium by progressive ischaemia induced less severe lesions than the abrupt onset of ischaemia, also lowering the frequency of ventricular fibrillations.

Animals↗