[Oral treatment of hypertension using the calcium-antagonist verapamil].
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Biomedical subjects
Publications and source records attributed to F Bender.
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In 44 patients with single or multiple valvular protheses of the heart, the problem of secondary iron deficiency due to mechanical hemolysis was investigated. In 17 cases, elevated serum transferrin values were noted, compared to elevated serum iron levels in only 6 cases. Therefore, treatment should be based on the more reliable transferrin values. Severity and duration of mechanical hemolysis did not seem to be correlated with the occurrence or the degree of iron deficiency.
Investigations into the problem of mechanical hemolysis were carried out in 28 patients with one or more prosthetic heart valve replacements. Signs of compensated intravascular hemolysis were demonstrated in all cases by determination of lactic dehydrogenase activity and free hemoglobin in the serum. We found no correlation between the type and number of prosthetic heart valves and the incidence of hemolysis.
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The effect of treating rapeseed flours with hydrogen peroxide on the glucosinolate content and nutritional value of the protein was examined. Four flours were prepared from Target variety rapeseed (Brassica napus) by dehulling and defatting the seed (sample RF), by heat treating and water washing the dehulled seed prior to defatting (sample WWRF), and by treating a part of samples RF and WWRF with solutions of 7 and 3% hydrogen peroxide, respectively. Chemical analysis showed that the hydrogen peroxide treatment lowered the glucosinolate content of the flour but was not as effective as the water extraction. The hydrogen peroxide treatment also oxidized methionine to its sulfoxide and sulfone and cysteine to cysteic acid. In the first experiment, weanling rats were fed for 3 weeks diets in which casein or each of the flour preparations provided 5, 10, or 20% protein. Rats fed the high glucosinolate-containing flour (sample RF) at the 10 to 20% protein level died, while those fed 5% survived but lost weight. Those fed the hydrogen peroxide-treated flours survived, but weight gains and food consumption were low compared with the values of the caseinor WWRF-fed groups. Rats fed sample RF exhibited enlarged thyroids. Those fed the peroxide-treated samples had high plasma levels of methionine sulfoxide and sulfone. In the second experiment, additions of 0.15 or 0.30% methionine to the 10% protein diets resulted in increased weight gains of the groups fed the peroxide-treated flours. It was concluded that the hydrogen peroxide treatment was effective in reducing the glucosinolate content of the rapeseed flour. However, the production of the oxidized sulfur amino acids, in particular methionine sulfone, reduced considerably the nutritional value of the protein.
A simple device was developed allowing the storage of cooled injectate at constant temperature. Cardiac output determinations by the thermodilution technique are simplified considerably.
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In 70 patients hemodynamic controls were preformed during the first 4 days after acute myocardial infarction. A sufficient regulation of heart function and the circulation at rest was accepted with the following conditions: pulmonary artery wedge pressure less than or equal to 13mm Hg, mean right atrial pressure less than or equal to 6 mm Hg, mean systemic arterial pressure greater than 70 mm Hg, cardiac index greater than 2.51/min/m2 and stroke index greater than 25 ml/m2. In 88% of the patients with acute myocardial infarction a cardiac failure was present at rest. The pressures in the right atrium and left atrium (from wedge pressures) were elevated and cardiac output was reduced. The ratio of stroke work index/mean pulmonary artery wedge pressure allowed a more precise differentiation between a compensated and failing heart (X +/- S = 3.6 +/- 0.7 resp. 1.7 +/- 0.6 g m/m2 mm Hg). In the average, a significant improvement of the hemodynamic alterations, due or not due to therapy, occurred only at the 3rd day or later. In the individual case, this improvement points to a favorable prognosis.
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