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Biomedical subjects

J Bing

Publications and source records attributed to J Bing.

At least 19 recordsLinked to original sources
PubMed2000

[Tracheobronchial foreign bodies].

Forty cases of children with an inhaled foreign body (FB) are reviewed over a three-year period. Clinical data, radiologic findings and complications are detailed. The nature and size of FBs are also reported. Diagnosis and management are discussed according to the most recent studies in the literature. Diagnostic flexible bronchoscopy is a useful first step when the diagnosis is unclear (i.e., choking history, unexplained respiratory symptoms), but FB removal is usually not possible during this procedure. Extraction is performed via the rigid bronchoscope under general anesthesia. However, FB could be removed with the flexible bronchoscope in five children in our study. Diagnosis and removal of an inhaled FB are required as quickly as possible in order to prevent respiratory sequelae (bronchiectasis). Prevention is based upon information to be given to families, but to the medical community as well, which often minimizes the seriousness of inhalation hazards.

Bronchi↗
PubMed1994

Comparison between sodium cromoglycate (MDI: metered-dose inhaler) and beclomethasone dipropionate (MDI) in treatment of adult patients with mild to moderate bronchial asthma. A double-blind, double-dummy randomized, parallel-group study.

This study compared the efficacy and tolerability of sodium cromoglycate (SC) and beclomethasone dipropionate (BDP) in adult patients with bronchial asthma inadequately treated with bronchodilators alone. The study was a double-blind, randomized, double-dummy, parallel-group study. Patients with mild to moderate symptomatic asthma, inadequately treated with bronchodilators only, were, after a 2-week run-in (base-line) period, randomized to 8 weeks of treatment with either SC 10 mg four times daily or BDP 100 micrograms four times daily. Salbutamol metered-dose inhaler was given as relief medication. A total of 37 patients were randomized for treatment, 19 patients in the SC group and 18 patients in the BD group. Efficacy and safety were determined by daily record card data: morning and evening peak-expiratory-flow rates (PEFR), daytime and nighttime asthma symptom scores, and rescue salbutamol use. At clinic visits, FEV1 and FVC were measured, as were the physician's and the patient's assessment of the medication at the end of the study. The safety and tolerability of the trial medication were assessed by monitoring adverse events throughout the study. A clinically and statistically significant improvement of the asthma in FEV1, symptom scores, rescue medication, and global opinion of efficacy was observed, and both groups provided equivalent efficacy. The morning PEFR as well as the evening PEFR for both groups improved, but was statistically significant only for the BDP group (M-PEFR). Both drugs were well tolerated with only a few minor adverse events. This trial shows that SC and BDP are equally effective anti-inflammatory treatments for mild to moderate bronchial asthma in adults.

Adult↗
PubMed1992

[The laryngeal mask].

The laryngeal mask (LM) is a new concept developed by Brain. Easily inserted, the LM allows appropriate ventilation without the disadvantages of either the facial mask or the endotracheal intubation with its own complications. The limits of its use concern all the cases of reduction of thoracopulmonary compliance and full stomach. The LM offers no protection against regurgitation and aspiration. Airway obstruction may occur following laryngospasm (light anaesthesia) or down folding of the epiglottis. Trauma to the uvula and the posterior pharyngeal wall have been reported. The LM may be useful in all cases of surgery in which intubation is not absolutely required. Moreover, the LM is widely used for ENT and ophthalmic surgeries, in paediatric and adult procedures. Many cases of foreseeable or unforeseeable difficult intubation have been resolved by the insertion of a LM, allowing secondary intubation through the mask. Further investigations are required in order to evaluate the real limits and indications for its extended use.

Anesthesiology↗
PubMed1984

[Emergency translaryngeal ventilation with a Tuohy needle. Use in case of an inability to intubate and ventilate a curarized patient].

Intermittent translaryngeal insufflations of oxygen at high pressure by a needle could be a life-saving procedure, especially in a patient whose trachea the anesthesiologist was unable to intubate or ventilate. This study was designed to evaluate the quality of translaryngeal ventilation performed with a 16-gauge Tuohy needle and an oxygen pressure of 3 bar (300 kPa) in comparison with an usual plastic cannula of the same calibre. The studies carried out in the laboratory have shown a distinct advantage over the conventional cannula. Whereas an O2 jet delivered by a straight cannula impinged on the posterior wall of the larynx and trachea, the curved tip of the Tuohy needle deflected the axis of the O2 flow emerging from it, which then lay parallel to the longitudinal axis of the trachea. Consequently, gas flow through a simulated trachea was increased (2610 ml X s-1 vs 1240 ml X s-1), the inflation pressure being higher and the tidal volume larger. Moreover, the likelihood of injury to the posterior wall of the airway was reduced; the Tuohy needle held with a clamp close to the skin was more stable in position. Blood gases and clinical data obtained in 10 anesthetized and curarized patients without airway obstruction made it clear that translaryngeal insufflations with a 16-gauge Tuohy needle provided adequate ventilation (PaO2 values between 174 and 851 mmHg, PaCO2 between 38 and 64 mmHg). It was concluded that this technique was an efficient alternative in case of an inability to intubate a patient in apnea.

Blood Gas Analysis↗
PubMed1981

Aggressive behavior in mice provokes a marked increase in both plasma epidermal growth factor and renin.

The plasma concentration of epidermal growth factor (EGF) in normal, nephrectomized and sialectomized mice is about 0.5 nmol/l. Aggressive behaviour results in a parallel increase in both plasma EGF and plasma renin for both normal and nephrectomized mice. The plasma concentration of EGF increases around 300- and 150-fold respectively; no increase is observed in sialectomized mice, suggesting that the submaxillary gland is an important source of liberated EGF. Virtually all the EGF is found in plasma as a low molecular species that behaves as pure EGF, when examined by radioimmuno- and radioreceptor assays.

Aggression↗
PubMed1979

An EM radiation safety controller.

A safety control system has been developed for use in high power RF/microwave radiation exposure facilities. The system features Fail-Safe RF detectors, visible "RF ON" indicators, door-status sensors and digital logic to maintain safe operating conditions in spite of human errors or unsafe equipment malfunctions.

Electromagnetic Phenomena↗
PubMed1979

Structural changes and ability to release renin in auto- and allo-transplants of mouse submaxillary glands.

In mice having a high renin content in the submaxillary glands allo- and autotransplantation of the gland showed identical histological changes of the tissue, comprising disappearance of acini and intercalated ducts as well as a reduction in the number and size of granules in the granulated ducts. No structural signs of rejection were found. Adenomas, possibly originating in the granulated ducts, were frequently present in the transplanted glands. The renin content of autotransplanted glands was invariably much higher than in allotransplants, and after noradrenaline injection renin was released only from autotransplants, never from allotransplants. Blockade of the renin system was accordingly followed by a decrease in blood pressure only in mice with autotransplants.

Animals↗
PubMed1979

Differences in renal and submaxillary renin release after stimulation with isoprenaline and noradrenaline.

It is confirmed that while noradrenaline stimulates release of submaxillary as well as renal renin, isoprenaline only stimulates renal renin release. The effects of these two adrenergic agonists differ in several other ways. The kidneys respond to isoprenaline with a dose dependant renin release. As a contrast the submaxillary glands respond to noradrenaline by no or by non-dose-dependant release. After single doses of the agonists the isoprenaline induced renin release is of short duration, contrasting with a prolonged renin release after injection of noradrenaline. The kidneys are able to respond to repeated doses of both agonists, while the submaxillary glands most often only respond to the first dose. While the effect of noradrenaline is blocked by pretreatment with phenoxybenzamine, this blocker is without effect when given after noradrenaline. The two agonists do not provoke any increase in plasma renin in mice which have been both sialoadenectomized and nephrectomized.

Animals↗
PubMed1979

In mice aggressive behavior provokes vast increase in plasma renin concentration, causing only slight, if any, increase in blood pressure.

In mice aggressive behaviour causes a vast release of renin, which can result in about 600-fold increase in plasma renin concentration, reaching 6 Goldblatt Units, corresponding to 15 microgram renin per ml. This increase is mainly due to release of submaxillary renin, but there is also a significantly increased renal renin release. The degree of renin release is influenced by the duration of the aggression and by previous contact with other mice. Contrasting with the vast increase in plasma renin the blood pressure is normal or only moderately increased. This disproportion is not due to the depletion of renin substrate, caused by the increased renin, as shown by the increased calculated renin activity, as well as by decrease in blood pressure elicited by blockade of the renin system. Nor is the disproportion due to change in the sensitivity of the vessels to angiotensin II, the cause of this lack of tachyphylaxis being unknown. By way of exclusion the lack of pronounced increase in blood pressure can be explained by homeostatic function of the cardiovascular reflexes, which may also account for the fact that the pressor response after injection of pure submaxillary renin is only short, contrasting with a prolonged marked increase in plasma renin concentration.

Aggression↗
PubMed1979

Aggression-provoked renin release from extrarenal and extrasubmaxillary sources in mice.

In submaxillary sialoadenectomized and nephrectomized mice aggressive behaviour provoked 5 to 40-fold increases in plasma renin concentration. The changes in renin concentration with time were different in different groups of confronted mice with only partial correlation between the pattern and the observable degree of fight. The changes were similar in sialoadenectomized mice with untouched kidneys as in sialoadenectomized and nephrectomized, indicating that aggression causes no measurable, if any, renal renin release. Repeated aggression with 2 hourly intervals provoked repeated renin release from extrarenal and extrasubmaxillary sources. The renin concentrations of different organs showed the same mutual relationship as in other mammals, but were about 10-fold higher. Splenectomy was without effect on the aggression-provoked renin release. Antibodies against pure mouse renin neutralized the renin in plasma and organs, which contained only insignificant, if any, pepsin activatable inactive renin. Adrenaline, apomorphine, carbachol and dihydralazine were as isoprenaline and noradrenaline without effect on renin release in sialoadenectomized and nephrectomized mice.

Aggression↗
PubMed1977

Cause of the disproportion between the vast increase in plasma renin and the only small (if any) increase in blood pressure after manipulation of the submaxillary gland.

The cause of the disproportion between the vast increase in plasma renin concentration and the small, if any increase in blood pressure after manipulation of the submaxillary glands in mice is complex. The increase in plasma renin was found to cause a marked depletion of renin substrate, which however, was relatively so much less than the increase in renin that the (calculated) renin activity was markedly increased. The sensitivity of the vessels to angiotensin had only decreased in about half the animals studied, and even here the tachyphylaxis could not cope with the pronounced increase in plasma renin activity, as shown by a marked decrease in the blood pressure after blockade of the renin system. The finding that blockade of the renin system lowered the blood pressure below the pre-manipulation level made it probable that the vast release of submaxillary renin is followed by release of a depressor substance. The glands are known to contain kallikrein, but with the methods used it was neither proved nor disproved that the manipulation causes a release of kallikrein. Besides the factors studied, compensatory cardiovascular reflexes can play a role for the disproportion between plasma renin and blood pressure.

Angiotensin II↗