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Biomedical subjects

E Haak

Publications and source records attributed to E Haak.

14 recordsLinked to original sources
PubMed2006

Effect of clay content and wetting-and-drying on radiocaesium behaviour in a peat and a peaty podzol.

The interaction of radiocaesium with peat under two moisture regimes was studied in laboratory experiments and by growing ryegrass in pot experiments to simulate changing field moisture conditions. A peat untreated and treated with 5% by weight of clay containing 46% illitic minerals, and a peaty podzol naturally containing 4.5% mineral matter on a dry weight basis were contaminated with (134)Cs and incubated. The soils were exposed to 8 wetting-and-drying cycles or kept constantly wet during 40 days. Extraction of the peat with 1 M CH(3)COONH(4) (pH 7) repeated after each wetting-and-drying cycle indicated increasing (134)Cs fixation with time of incubation. The peat treated with clay showed a much higher (134)Cs fixation than that without clay. The pot experiment with the incubated soils showed a (134)Cs transfer to ryegrass of the same order for the peaty podzol as for the peat treated with clay. For the peat untreated with clay the (134)Cs transfer to ryegrass was much greater. Wetting-and-drying the peat, with or without clay, increased the overall yield of grass and the concentration and uptake of (134)Cs over 5 consecutive harvests. K-fertilisation increased the yield of plant material (except for the peat with added clay), decreased the concentration of (134)Cs, but had no significant effect (p=0.05) on the resultant uptake of (134)Cs. Mixing clay with the surface layer of organic soils appears to be an effective means of decreasing radiocaesium transfer to field crops in fallout situations.

Aluminum Silicates↗
PubMed2002

Effects of pioglitazone in nondiabetic patients with arterial hypertension: a double-blind, placebo-controlled study.

Hypertension is often associated with insulin resistance, dyslipidemia and obesity, which indicate a prediabetic state and increased risk of cardiovascular disease. Pioglitazone treatment of patients with type 2 diabetes reduces insulin resistance and improves lipid profiles. The present double-blind placebo-controlled study is the first study to report effects of pioglitazone in non-diabetic patients with arterial hypertension. Following a one week run-in, 60 patients were randomized to receive either pioglitazone (45 mg/day) or placebo for 16 weeks. Insulin sensitivity (M-value) increased by 1.2 +/- 1.7 mg/min/kg with pioglitazone compared with 0.4 +/- 1.4 mg/min/kg (P = 0.022) with placebo. HOMA index was decreased (-22.5 +/- 45.8) by pioglitazone but not by placebo (+0.8 +/- 26.5; P < 0.001). Decreases in fasting insulin and glucose were significantly (P = 0.002 and P = 0.004, respectively) greater with pioglitazone than placebo. Body weight did not change significantly with either treatment. HDL-cholesterol was increased and apolipoprotein B was decreased to a significantly greater extent with pioglitazone. There was a significantly (P = 0.016) greater decrease from baseline in diastolic blood pressure with pioglitazone. These changes would suggest improved glucose metabolism and a possible reduction in risk of cardiovascular disease with pioglitazone treatment of non-diabetic patients with arterial hypertension.

Apolipoproteins B↗
PubMed2001

Fluvastatin therapy improves microcirculation in patients with hyperlipidaemia.

The purpose of this study was to investigate the effect of fluvastatin on the microcirculation of patients with hyperlipidaemia (low-density lipoprotein cholesterol > 160 mg/dL, triglycerides < 350 mg/dl) inadequately controlled by diet. After a dietary run-in of 4 weeks, patients were randomised in a double-blind study to receive fluvastatin 40 mg twice daily (n = 24) or placebo (n = 24) for 12 weeks. The effect on microcirculation was assessed using capillary microscopy and laser Doppler fluxmetry at the nailfold at baseline and at 6 and 12 weeks after initiation of therapy. Capillaroscopy showed that fluvastatin improved microcirculation, i.e. time to peak flow during postocclusive reactive hyperaemia dropped from 19.7 +/- 7.2 s at baseline to 12.3 +/- 9.5 s at week 6 (P < 0.01) and 10.6 +/- 6.5 s at week 12 (P < 0.0001). These results were confirmed using laser Doppler fluxmetry to study microcirculation in thermoregulatory capillaries at the same site. A significant decrease in total and LDL-cholesterol was achieved during fluvastatin therapy. In conclusion, fluvastatin therapy improves microcirculation in nutritive as well as thermoregulatory capillaries in hypercholesterolaemic patients within 6 weeks.

Anticholesteremic Agents↗
PubMed2000

Effects of alpha-lipoic acid on microcirculation in patients with peripheral diabetic neuropathy.

Diabetic polyneuropathy is a serious complication in patients with diabetes mellitus. In addition to the maintenance of a sufficient metabolic control, alpha-lipoic acid (ALA) (Thioctacid, Asta Medica) is known to have beneficial effects on diabetic polyneuropathy although the exact mechanism by which ALA exerts its effect is unknown. In order to study the effect of ALA on microcirculation in patients with diabetes mellitus and peripheral neuropathy one group of patients (4 female, 4 male, age 60+/-3 years, diabetes duration 19+/-4 years, BMI 24.8+/-1.3 kg/m2) received 1200 mg ALA orally per day over 6 weeks (trial 1). A second group of patients (5 female, 4 male, age 65+/-3 years, diabetes duration 14+/-4 years, BMI 23.6+/-0.7 kg/m2) was studied before and after they had received 600 mg ALA or placebo intravenously over 15 minutes in order to investigate whether ALA has an acute effect on microcirculation (trial 2). Patients were investigated by nailfold video-capillaroscopy. Capillary blood cell velocity was examined at rest and during postreactive hyperemia (occlusion of the wrist for 2 minutes, 200 mmHg) which is a parameter of the perfusion reserve on demand. The oral therapy with ALA resulted in a significant decrease in the time to peak capillary blood cell velocity (tpCBV) during postocclusive hyperemia (trial 1: 12.6+/-3.1 vs 35.4+/-10.9 s, p<0.05). The infusion of ALA also decreased the tpCBV in patients with diabetic neuropathy (trial 2: before: 20.8+/-4,5, ALA: 11.74+/-4.4, placebo: 21.9-5.0 s, p<0.05 ALA vs both placebo and before infusions) indicating that ALA has an acute effect on microcirculation. Capillary blood cell velocity at rest (rCBV), hemodynamic parameters, hemoglobinA1c and local skin temperature remained unchanged in both studies. These results demonstrate that in patients with diabetic polyneuropathy ALA improves microcirculation as indicated by an increased perfusion reserve on demand. The observed effects are apparently acute effects. With the restriction of the pilot character of this investigation the findings support the assumption that ALA might exert its beneficial effects at least partially by improving microcirculation which is likely to occur also at the level of the vasa nervorum.

Antioxidants↗
PubMed1998

Fenofibrate improves microcirculation in patients with hyperlipidemia.

In order to investigate the effect of fenofibrate on microcirculation, 16 patients (5 female, 11 male, age 58 +/- 8 years) were studied with the aid of nailfold capillaroscopy before and after treatment with 200 mg fenofibrate per day over six weeks. Fenofibrate resulted in a significant decrease in triglycerides, total and LDL-cholesterol and apolipoprotein B and an increase in apolipoprotein A. As a parameter of an improved microcirculation the time to peak capillary blood cell velocity during postreactive hyperemia (occlusion of the lower arm for 2 minutes, 200 mmHg) decreased markedly from 45 +/- 5 to 16 +/- 3 s, p < 0.0001). Fibrinogen levels were significantly decreased (p < 0.04) in contrast to other parameters with a possible impact on microvascular perfusion (hemoglobin, hematocrit, mean platelet volume, total protein) and to blood pressure and heart rate. These findings suggest that fenofibrate treatment improves microcirculation in patients with hyperlipidemia. This beneficial effect of fenofibrate may arise from two leading mechanisms. One of these might be the decrease in fibrinogen levels reducing plasma viscosity, the other mechanism might be an indirect effect on functional abnormalities of the vascular endothelium arising from hyperlipdidemia. By lowering plasma lipids fenofibrate is likely to restore the impaired formation or efficacy of the endothelium derived relaxing factor (nitric oxide, NO).

Adult↗
PubMed1998

Transfer of radiocaesium in sensitive agricultural environments after the Chernobyl fallout in Sweden: III. County of Västernorrland.

In 1986 a large number of farms in the Chernobyl-affected area in the county of Västernorrland in northern Sweden were investigated for radiocaesium transfer to grass and cereal grain. The soil surface layer (0-5 cm) in 1986 and the crop products in 1986-1996 were analysed. The aim was to study the impact of soil and crop rotation on sensitivity of 137Cs transfer in a short and long term perspective. In the fallout year 1986 the transfer to grass was usually much higher than to cereal grain. In this year the transfer to grass was usually much higher in the first cut rather than the second cut. The reduction in transfer with year was large but variable with site and with crop sequence. Ploughing was effective in decreasing the transfer of 137Cs to crops. On arable sites in 1986 the transfer to cereal straw was larger at late stem elongation (LSE) than at the maturing stage. Unexpectedly, there was no clear relationship between transfer of 137Cs to the crops and any of the soil characteristics. In 1986 the transfer of 131I to grass and cereals was also investigated on some of the farms. The results are compared with the transfer of 137Cs, 2 months after the Chernobyl fallout.

Agriculture↗
PubMed1998

Microcirculation in hyperglycemic patients with IDDM without diabetic complications--effect of low-dose angiotensin-converting enzyme inhibition.

In patients with insulin-dependent diabetes mellitus (IDDM) angiotensin-converting enzyme inhibitors (ACEI) have been demonstrated to have beneficial effects in the secondary prevention of microvascular complications. There are only few data available regarding the effect of ACEI on microcirculation in patients with IDDM without any microvascular complications. In addition, there is little knowledge about ACEI action during acute hyperglycemia. In a pilot study nine patients with IDDM without any clinical signs of diabetic complications (5 females, 4 males, aged 33.3 +/- 1.0 years, duration of diabetes 11.4 +/- 3.0 years, HbA1 7.2 +/- 0.2% [normal range 4.8-7.4%], BMI 21.4 +/- 0.5 [kg/m2]) received 1.25 mg of the ACEI ramipril (Delix, Hoechst Marion Roussel, Frankfurt) over 4 weeks. Nine healthy volunteers (4 females, 5 males, age 27.4 +/- 1.1 years, HbA1 5.9 +/- 0.2% (p < 0.01 vs patients), BMI 22.2 +/- 0.9 [kg/m2]) served as controls. Using nailfold capillaroscopy we determined capillary blood cell velocity (CapiFlow, Lawrenz Electronics, Sulzbach, Germany) before and during post-occlusive hyperemia (200 mmHg for 3 minutes) as a provocative test. Before and after treatment patients were studied during hyperglycemia (blood glucose 250-350 mg/dl). Treatment with low-dose ramipril resulted in a significant decrease in the time to peak capillary blood cell velocity during post-occlusive hyperemia (17.8 +/- 7.7 vs 57.4 +/- 12.8 s, p < 0.01) in hyperglycemic patients. This effect was absent in healthy volunteers. Hemodynamic and metabolic parameters remained unchanged throughout the study in both groups. These data demonstrate that low-dose therapy with the ACEI ramipril is able to improve microcirculation in hyperglycemic patients with type 1 diabetes mellitus also before microvascular complications are evident. Prospective studies are necessary to evaluate whether this effect might be clinically relevant in the primary prevention of diabetic microangiopathy.

Adult↗
PubMed1997

[Therapy of diabetic nephropathy. Effects of ACE inhibition on microcirculation].

The development of diabetic microangiopathies is of decisive importance for the long-term prognosis of diabetes mellitus. For example, diabetic nephropathy is one of the the most common causes of terminal kidney failure. Primary prevention of diabetic nephropathy is best achieved by establishing good metabolic control. To ensure early pharmacological intervention of incipient diabetic nephropathy, screening for microalbuminuria is recommended at least once a year. A major element in the pathogenesis of diabetic nephropathy is a disordered microcirculation characterized by abnormal hemodynamics with elevated capillary pressure and microvascular resistance. Angiotensin converting enzyme inhibitors (ACE inhibitors) effectively act on these pathophysiological events by dilation of the vasa efferentia of the glomeruli. By means of videocapillaroscopy and laser doppler imaging also distinct changes in microcirculation can be detected. Investigations with these methods provided evidence that ACE inhibitors might also be useful in the primary prevention of diabetic nephropathy. Therefore, ACE inhibitors are useful pharmaceutical agents in the treatment of diabetic nephropathy.

Angiotensin-Converting Enzyme Inhibitors↗
PubMed1997

Clinical evidence for a neuromodulator action of endothelin in the hypothalamic-pituitary-adrenal axis in man.

In order to investigate whether the ubiquitous signalling peptide endothelin might also act as a neuromodulator in the stimulation of the hypothalamic-pituitary-adrenal axis, 15 patients (4 female, 11 male, aged 35-67 years) with hypopituitarism were investigated and the results were compared to those of 8 healthy male volunteers (aged 24-31 years). Patients and controls received double-blind in random order either 0.1 IE per kg body weight regular insulin (insulin induced hypoglycemia) or 1 ml 0.9% sodium chloride (placebo) on 2 separate days. Control subjects only received on an additional day 0.1 IE per kg body weight regular insulin plus glucose 10% (euglycemic hyperinsulinemic glucose clamp). In control subjects hypoglycemia resulted in a significant increase in adrenocorticotropin (ACTH) and cortisol which was preceded by an increase in circulating endothelin levels (p < 0.01 vs placebo and euglycemic clamp) while endothelin, ACTH and cortisol remained unchanged both after placebo and in the euglycemic hyperinsulinemic clamp. In contrast, patients with hypopituitarism showed neither changes in circulating endothelin levels nor a stimulation of the hypothalamic-pituitary-adrenal axis during insulin-induced hypoglycemia. These data demonstrate that 1) endothelin levels are enhanced by metabolic stress 2) the responsiveness of endothelin levels to metabolic stress is linked to the presence of an intact pituitary gland and 3) endothelin might be involved in the stimulation of the hypothalamic-pituitary-adrenal axis.

Adrenocorticotropic Hormone↗
PubMed1996

Transfer of radiocaesium in sensitive agricultural environments after the Chernobyl fallout in Sweden. I. County of Gavleborg.

In 1986, 15 farms in the Chernobyl-affected area of the county of Gavleborg were investigated for radiocaesium transfer to grass and cereal grain. The soil surface layer (0-5 cm) in 1986 and the crop products in 1986-1994 were analysed. The aim was to study the impact of site and soil characteristics on sensitivity of 137Cs transfer in a long-term perspective. The transfer was much higher to grass than to cereal grain. For both crop products, however, there was a considerable annual reduction. For grass, and especially in the fallout year 1986, the transfer depended on interception capacity of the stubble and grass sward, on soil fertility and K-fertilization as well as on dilution by crop growth. In the following years, the annual reduction in transfer to grass was reduced by a factor of 2 to 100. Both ploughing through the surface layer and the mixing of radiocaesium with soil contributed to a decreased transfer of radiocaesium to crops. Thick stubble and grass sward on the grassland sites was the main reason for a lag period of high persistent transfer. The annual reduction was less on organic than on mineral soils. Measures to decrease the transfer to crops are discussed in relation to a new concept to evaluate the long-term behaviour of 137Cs in agricultural environments.

Agriculture↗
PubMedDate not supplied

Effects of submicronic sulfuric acid aerosol on human pulmonary function.

The effects of a 4-hr exposure in an environmental chamber to an average 108 micrograms/m3 sulfuric acid (H2SO4 (MMAD, 0.5 micrograms)] on pulmonary function were examined in healthy young men. Subjects were randomly assigned to either experimental (N = 18) or control (N = 17) groups. All subjects were exposed to clean air on the first day. On the second day, experimental subjects were exposed to H2SO4 while control subjects were re-exposed to air. Subjects exercised for 15 min at 1.5 and 3.5 hr of exposure at an intensity equivalent to 75% of predicted maximal heart rate. Ventilation was monitored during the initial 14 min of each exposure. Pulmonary function was assessed prior to, and 2 hr and 4 hr of each exposure. Exposure to H2SO4 had no significant effect on minute ventilation, respiratory frequency, or tidal volume, nor did it affect pulmonary function as assessed by measures of airway resistance, specific airway conductance, forced vital capacity (FVC), forced expiratory flow in 1 sec (FEV 1.0), FEV 1.0/FVC, mean expiratory flow rate between 25% and 75% FVC, and expiratory flow rate at 50% and 25% FVC. It was concluded that no changes in pulmonary function resulted from exposure to H2SO4 under the above conditions.

Adolescent↗
PubMedDate not supplied

The impact of contralateral cooling on skin capillary blood cell velocity in patients with diabetes mellitus.

In healthy volunteers, cooling of the contralateral hand leads to a rapid decrease in the ipsilateral capillary perfusion via a nerval reflex arc. The aim of this study was to investigate whether this reflex arc after contralateral cooling might be altered in patients with diabetes mellitus with and without peripheral neuropathy. Therefore, 12 patients with diabetic neuropathy (4 IDDM, diabetes duration 17.2 +/- 2.9 (SD) years, age 60.8 +/- 4.0 years, HbA1c 6.5 +/- 0.3%) and 12 patients with diabetes mellitus but without neuropathy (6 IDDM, diabetes duration 15.1 +/- 2.7 years, age 55.9 +/- 4.5 years, HbA1c 5.4 +/- 0.1%) were investigated by nailfold capillaroscopy. Twelve healthy volunteers (age 56.8 +/- 3.1 years, HbA1c 4.8 +/- 0.2%) served as controls. Contralateral skin capillary blood cell velocity was determined at rest and during the following 20 min after cooling of the hand (3 min at 15 degreesC). Blood pressure, heart rate and local skin temperature were examined regularly during the investigation. Resting capillary blood cell velocity did not differ between patients and controls. While contralateral cooling resulted in a decrease in capillary blood cell velocity (CBV) in controls (0.29 +/- 0.05 vs. 0.42 +/- 0.05 mm/s, p < 0.03), CBV remained unchanged or was delayed in patients. These results demonstrate that in diabetic patients nerval reflex arcs are impaired. A long-term follow-up in a larger number of patients is required to evaluate whether these findings might serve as a very early diagnostic tool for the diagnosis of developing diabetic neuropathy.

Blood Cells↗