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Biomedical subjects

H Bader

Publications and source records attributed to H Bader.

At least 91 records · Page 5Linked to original sources

Renal insufficiency in nephrosclerosis (benign nephrosclerosis resp. transition from benign to secondary malignant nephrosclerosis) correlations between morphological and functional parameters.

62 tissue specimens with the only diagnosis benign nephrosclerosis (or benign nephrosclerosis with transition to secondary malignant nephrosclerosis) were investigated attempting to correlate morphological findings (relative interstitial volume of the renal cortex, types of hyalinisation and kinds of periglomerular changes, vessel index) with each other and with the serum creatinine concentration as a parameter of renal function. There are significant correlations in form of exponential and parabolic functions between relative interstitial volume of the renal cortex and the serum creatinine concentration at the time of biopsy. Furthermore 5 types of glomerular and periglomerular changes, which could be discriminated, seem to influence renal function in a different way and at different stages of the disease. An additional factor are the arteriolar changes. There are positive rank correlations between vessel index and serum creatinine concentration as well as between vessel index and relative interstitial volume. In cases with a higher percentage of hyalinized glomeruli more pronounced arteriolar lesions (partly alterations which can be found in secondary malignant nephrosclerosis) were observed. No connections seem to exist between mean blood pressure and the mentioned morphological and functional parameters. The reduction of renal function seems to be caused by tubular and interstitial factors: the often observed atrophy of tubules in fibrotic areas possibly impairs resorptional capacity. The mechanisms of the glomerular-tubular-balance may lead to a diminished glomerular filtration. On the other hand alterations of the capillaries may induce perivascular edema, which, if not reabsorbed, leads to interstitial fibrosis. The produced collagen fibres may reduce the cross sectional area of the postglomerular vessel network. This may lead to a slowing of the renal cortical and glomerular blood flow, thus inducing an increase of the serum creatinine concentration. Weighing all factors, the interstitial fibrosis seems to be the most important.

Arterioles↗

Effect of intravesicular monovalent cations on the steady state of the phosphoenzyme of adenosine triphosphatase dependent on sodium and potassium ions in inside-out plasma-membrane vesicles.

Phosphorylation of the ATPase dependent on Na+ and K+ is promoted through the synergistic action of cations on both sides of the membrane. This phenomenon has been observed in plasma membrane vesicles isolated from sheep-kidney outer medulla which accept ATP from the outside surface (inside-out) and which are tight for sodium ions. In these inside-out vesicles phosphorylating capacity is low even in the presence of 100 mM extravesicular sodium chloride as is turnover of the enzyme. The level of the phosphoenzyme and the transient release of inorganic phosphate from the phosphoenzyme increases several-fold when sodium chloride is allowed to equilibrate over the membrane, 25 mM intravesicular NaCl is necessary to obtain the half-maximum level of the phosphoenzyme. This result shows that intravesicular (= extracellular) low affinity sites are involved in the phosphorylation. Intravesicular potassium ions modify the activating action of Na+ on the phosphorylation by increasing the steady state of the phosphoenzyme at low intravesicular sodium ion concentrations. This suggests that Na+ and K+ compete with each other for the intravesicular cation-binding site.

Adenosine Triphosphatases↗

[Determination of glycoside concentrations in human tissue by means of radioimmunoassay (author's transl)].

After extraction of myocardial and skeletal muscle biopsy and autopsy specimens tissue glycoside concentrations can be determined by radioimmunoassay. Total tissue extraction of digoxin and beta-methyl-digoxin varies between 87 and 95%, the variation coefficient for repeated determinations is 10.2%. Glycoside concentrations of left ventricular papillary muscle obtained after mitral valve replacement were 69.0 +/- 25.05 ng/g with a tissue to serum relation of 46.6 +/- 8.96:1 and a correlation coefficient of r = 0.8442. In autopsy left ventricular papillary muscle glycoside concentrations were 105.2 +/- 27.35 ng/g with an almost identical tissue to serum relation of 46.2 +/- 9.57:1 and a corresponding serum concentration of 2.3 +/- 0.63 ng/ml. In adults glycoside concentrations of autopsy specimens of the right ventricle were significantly lower by 28 to 30% than those of the left ventricle. Glycoside concentrations of skeletal muscle specimens (m. pectorialis major) were 14.7 +/- 10.35 ng/g with a tissue to serum relation of 9.7 +/- 3.00:1 (r = 0.8377), which corresponds to approximately 1/5 to 1/4 of the concentrations of the left ventricular myocardium.

Aged↗

Left atrial metastasis of chorion carcinoma, presenting as mitral stenosis.

A 35-year-old women developed symptoms of multiple system disease. Three months later she was admitted to hospital and died six days after admission, with signs suggestive of mitral stenosis. Postmortem examination indicated primary chorion carcinoma of the right ovary with metastases to the left atrium, lungs, brain, kidneys, pancreas, mesenteric arteries, and spleen. The signs and symptoms, and the morphological and histological findings at necroscopy, are discussed.

Adult↗

The size of the juxtaglomerular apparatus in diabetic glomerulosclerosis and its correlation with arteriolosclerosis and arterial hypertension: a morphometric light microscopic study on human renal biopsies.

The surface areas of the juxtaglomerular cell complexes and the index of arteriolar sclerosis were evaluated in renal biopsies from 50 patients with diabetic glomerulosclerosis. The mean surface areas of the JGC's were significantly enlarged compared to that of normal renal tissue, whereas no significant difference could be found between kidneys from hypertensive and the normotensive diabetics. A positive linear correlation was found between mean JGC-size and the index of sclerosis of the afferent arterioles. This was interpreted as the result of faulty coordination between the activity of the juxtaglomerular apparatus and the systemic arterial blood pressure. This is caused by stenoses of the preglomerular afferent arterioles in diabetic arteriosclerosis.

Adolescent↗

The structure of the juxtaglomerular apparatus in Addison's disease, Bartter's syndrome, and in Conn's syndrome: a comparative, morphometric, light microscopic study on serial secions.

Continuing and supplementing previous morphometric studies on the juxtaglomerular apparatus (JGA) of normal kidneys we have now investigated semi-thin serial sections of each 10 hyperplastic and hypertrophied JGAs in Addison's disease and in Bartter's syndrome, as well as 8 atrophic JGAs in Conn's syndrome. With the exception of Bartter's syndrome, where in only two out of ten JGAs the efferent arteriole, and in none of them the afferent arteriole touches immediately the macula densa, there is an almost regular direct contact between the hilar arterioles and the macula densa like in normal kidneys. The Goormaghtigh cell field invariably touches the macula densa. In Bartter's syndrome, but not in Addison's disease, a considerable enlargement of the macula densa was measured, associated with an exceptional enlargement of the Goormaghtigh cell field. In all cases examined here about 40-60% of the basal area of the macula densa do not have any direct contact with other structures forming the JGA.

Addison Disease↗

Results of long-term storage of stallion semen frozen by the pellet method.

Stallion semen frozen by the pellet method showed no significant loss of sperm motility and fertility over long periods of storage in liquid nitrogen. Eighteen of thirty mares conceived after insemination with semen recovered in nine ejaculates from seven stallions and stored for 18 months to 7 years.

Animals↗