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Biomedical subjects

H Kramer

Publications and source records attributed to H Kramer.

51 records · Page 3Linked to original sources
PubMed1976

[Possibilities of the immunological in vitro-diagnostic in nonspecific lung diseases (author's transl)].

Immunological in vitro-methods can be used in the improved diagnostic of nonspecific lung diseases. A short review is given about the recommended tests in the diagnostic of the four types of immunological reactions responsible for allergic disorders of the lungs (IgE-mediated immediate-reaction, cytotoxic-reaction, Arthus-reaction and cell-mediated hypersensitivity), the alpha1-antitrypsin deficiency and the immunological defence in the bronchial mucosa.

Bronchi↗
PubMed1976

[The influence of rifampicin on the lymphocyte stimulation (author's transl)].

In 7 PHA--and PPD stimulated lymphocyte cultures from healthy human donors the maintained immunosuppressive effect of Rifampicin was investigated. Concentrations of 5-200 mug RMP/ml culture medium were used. A significant decrease in the transformation rate was found at 20 mug/ml and higher concentrations. A vitality examination (trypan blue staining) on lymphocytes after 72 hours cultivation in a RMP-containing medium with the same concentrations showed no increase of stained cells as compared with the controls. It is suggested that the observed inhibition of lymphocyte reactivity is to be attributed to an immunosuppressive effect of RMP and not to a toxic influence.

Cells, Cultured↗
PubMed1975

[Hemodynamics, left ventricular volumes and compliance in 167 patients with congenital and acquired heart disease (author's transl)].

In 167 patients with congenital and acquired heart disease (ventricular septum defect (VSD), atrial septum defect (ASD), mitral stenosis (MS), mitral insufficiency (MI), combined mitral stenosis and insufficiency (MV) aortic stenosis (AS), aortic insufficiency (AI), combined aortic stenosis and insufficiency (AV), idiopathic hypertrophic subaortic stenosis (HOK) hemodynamic measures (arterial pressure, right and left heart pressures, cardiac output, cardiac index, stroke volume, cardiac work), left ventricular volumes (endiastolic volume, endsystolic volume, ejection fraction, regurgitant flow) and diastolic pressure-volume relationships (on the basis of diastolic pressure-volume changes) were determined during routine right and left heart catheterization and left ventriculography. 1...

Adolescent↗
PubMed1975

[The relationships between left ventricular volumes and ejection fraction in mitral and aortic regurgitation (author's transl)].

In 2 groups of patients with mitral valvular incompetence (MI, n equals 20) and aortic valvular incompetence (AI, n equals 22) intracardiac pressures as well as left ventricular volumes (enddiastolic volume, endsystolic volume, stroke volume, ejection fraction, regurgitant volume) were determined during routine left heart catheterization and left ventriculography. Data obtained were compared with a normal group (N, n equals 20). 1. Enddiastolic volume was increased by 32 per cent (MI) and 180 per cent (AI) respectively in comparison to normal. Endsystolic volume was increased by 85 per cent (MI) and 113 per cent (AI). Total stroke volume exhibited increases by 11 per cent (MI) and 86 per cent (AI) respectively. Regurgitant volume averaged 64 per cent (AI) of total stroke volume, and 47 per cent in MI. Left ventricular ejection fraction was reduced in both groups by about 12-14 per cent. 2. enddiastolic volume was significantly dependent on the amount of regurgitant volume in both groups (MI, AI). Likewise total stroke volume increased with increments in enddiastolic volume. This increase was far mor pronounced (up to 250 per cent of normal) in AI in comparison to MI and may be referred to an effective contribution of the Frank-Starling-Straub-mechanism, induced by increased preload following regurgitation. There existed no correlation between enddiastolic volume or regurgitant volume and the effective forward stroke volume and other parameters of forward pump function (effective cardiac output, cardiac index, external cardiac work). Left ventricular compliance, as determined by diastolic pressure-volume relationships, was nearly the same in the 3 groups (N, MI, AI). 3. Left ventricular ejection fraction was nearly unchanged with increments in enddiastolic volume over a range of enddiastolic volumes up to 400 ml. At higher enddiastolic volume (is greater than 400 ml) decreases were found. In the failing heart with AI left ventricular ejection fraction was reduced even at low enddiastolic volume, exerted by decreases of fibre shortening and contractility. In contrast, in MI ejection fraction decreased with increments of enddiastolic volume over the whole range investigated. The increase in total stroke volume in both groups therefore was produced by increases of enddiastolic volume and to a very small extent by an increase of the ejection fraction. 4. The large contractility reserve in compensated AI may be referred to the altered contraction mechanism in aortic valvular regurgitation associated with i) decrese of isovolumic pressure development and increase of isotonic contraction, ii) increase of diastolic fibre stretch (preload) and iii) decrease of mean wall tension. Contractility reserve was essentially influenced by myocardial contractility. With decreases of contractility consecutively decreases of the total and the effective pump function of the left ventricle may occur despite unchanged contraction form and left ventricular dimensions.

Animals↗
PubMed1975

Nephropathy associated with sickle cell anemia: an autologous immune complex nephritis. II. Clinicopathologic study of seven patients.

A variety of renal structural and functional abnormalities have been associated with sickle cell disease. To define the relationship between the hemoglobinopathy and glomerular disease, clinicopathologic correlations, renal morphologic, ultrastructural immunohistologic and functional studies were performed on seven patients with clinical and laboratory evidence of glomerular disease. In addition, immunologic studies including isolation and characterization of cryoprecipitable immune complexes, and determination of immunoglobulin, total complement and complement component levels, and antibody titers to several antigens were performed in an attempt to define the etiologic and pathogenic mechanisms of the renal disease and its relationship to sickle cell anemia. Proteinuria was presnet in all patients. The nephrotic syndrome, hypertension, hematuria and renal insufficiency were found in more than one half the patients. All patients had membranoproliferative glomerulonephritis of varying degree; glomerular basement membrane splitting, electron dense deposits in the glomerulus; interstitial fibrosis, tubular atrophy and hemosiderin deposits were frequent. Immunoglobulin complement components (classif complement pathway) and renal tubular epithelial antigen were distributed in a granular pattern along the glomerular basement membranes of all patients studied by these methods. Cyroprecipitable complexes of renal tubular epithelial antigen-antibody to renal tubular epithelial antigen as well as antibody to renal epithelial antigen were detected in the circulation of some patients. There was no serologic evidence of activation of the alternate complement pathway. These studies demonstrated an immune deposit normocomplementemic nephritis associated with sickle cell anemia; they further support our hypothesis that the relationship is more then coincidental, and is mediated by glomerular deposition of immune complexes of renal tubular epithelial antigen-antibody to renal tubular epithelial antigen, the antigen possibly released after tubular damage secondary to oxygenation and hemodynamic alterations related to sickle cell disease.

Adolescent↗
PubMed1975

Transrectal needle method for biopsy of the prostate: review of 90 cases.

Eighty-three patients undergoing a total of 90 transrectal procedures for obtaining prostatic tissue for biopsy were reported. All were done without preparation or later use of retention catheter. Tetracycline was administered for two or three days before the procedure and continued for a total of five days after. Most patients were hospitalized for this procedure, but we do not think this is necessary or ideal. A complication rate of 9.3 per cent-5.4 per cent for sepsis and 3.9 per cent hematuria-was encountered. Only four false negative results were obtained. We believe that the transrectal procedure is a safe and accurate method for diagnosis carcinoma of the prostate. We would also recommend use of a broad-spectrum antibiotic, preferably before and after operation, but at least after for a minimum of five days.

Biopsy, Needle↗
PubMed1975

[The spectrum analysis of the electromyogram: the adaptation of autoregressive models to the interference electromyogram].

Power-density spectra of interference electromyograms of M. biceps brach. and triceps brach. from two subjects were estimated by the Tukey spectral window and by autoregressive series. By fitting autoregressive models parametric represeentations of spectra are obtained. The models for the electromyograms obtained from biceps (agonist) and triceps (antagonist) differed in the length of the autoregressive series. The intra-individual variation of the spectra from three time intervals of the same contraction was relatively small.

Adaptation, Physiological↗
PubMed1975

[Interindividual variability and intraindividual reaction stability of bioelectric muscular tension of the long finger flexor in model exercise].

Twelve untrained subjects had to perform opening and closing movements of the hand (2 mm-sec(-1) on a hand ergometer. The load was 2kp for woman and 5 kp for man. Two sequences of the test were carried out, one after the other. The EMG was derived unipolarly from the belly of the Mm. flex. digit, and the mean bioelectrical muscle activity was measured. The following factors were tested in each subject by means of an analysis of variance. Factor A -- phase of exercise, Factor B --repetition of exercise and Factor C -- type of sequence. The analysis of the stability of individual reactions was made through serial correlations. Factor A influenced the mean bioelectrical muscle activity in all subjects while Factors B and C had an influence only in some cases. A significant interaction effect between pairs of factors occurred only in a few subjects. The serial correlation coefficients for Factor A of the same composition is between 0.40 and 0.80. The values of the mean correlation functions for the two sequences of Factor C, C(I) and C(II), are 0.69 and 0.68 respectively. In each subject the range of the cross correlation coefficients of the sequences C(I) and C(II) was between 0.70 and 0.92. Possible causes for the varying experimental results were discussed.

Adult↗
PubMed1975

Experimental results to immunomesenchymal suppression.

Wet weight of cotton-pellet granuloma and 35SO4-uptake in the acid mucopolysaccharides (AMPS) of granulation tissue of rats and the number of plaque forming cells (PFC) of mice were investigated after the treatment with antilymphocyte globulin, prednisolone, cyclophosphamide and azathioprine. In this way, the effect of these substances could be observed in a mesenchymal reaction and in an immune reaction. The substances are mesenchymosuppressive as well as immunosuppressive, but the present results show that the effective dosage is higher for mesenchymal suppression than for immunosuppression. Antilymphocyte globulin did not cause an alteration of the 35SO4-uptake in AMPS. These experimental findings confirm the clinical experience in the treatment of the so-called autoimmunological diseases which are primary localized in connective tissue. These diseases need a higher dosage of cytostatic substances, glucocorticoids and antilymphocyte globulin in times of acute inflammatory exacerbation than in the chronic phase.

Animals↗