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Biomedical subjects

J Sode

Publications and source records attributed to J Sode.

At least 19 recordsLinked to original sources
PubMed1982

Malignant pheochromocytoma. Severe clinical exacerbation and release of stored catecholamines during lymphoma chemotherapy.

The association of malignant pheochromocytoma and poorly differentiated lymphocytic lymphoma has not previously been reported. A case is presented of a 58-year old man with a 20-year history of malignant pheochromocytoma well controlled on Dibenzyline who was found to have poorly differentiated lymphocytic lymphoma. During lymphoma chemotherapy with cyclophosphamide, vincristine and prednisone (VCP) he developed tachycardia and syncope accompanied by severe hypertension. During the next course of chemotherapy one month later, 24-hour urinary VMA, metanephrine and catecholamine values were determined before, during and after the chemotherapy and were found to have increased two- to ten-fold. This suggests that VCP caused tumor lysis with release of catecholamines into the circulation.

Adrenal Gland Neoplasms↗
PubMed1980

Is the weight loss of hyperbaric habitation a disorder of osmoregulation?

To examine the weight loss of hyperbaric helium-oxygen habitation, we measured the exchange of liquids and calories in six men who lived in this atmosphere for 32 d. The maximum pressure was 49.5 ATA. The men lost 3.7-10.1 kg, in spite of warm ambient (31-32 degrees C) temperatures and adequate calories (2,737 kcal/d) provided for the sedentary ways of chamber living. Weight loss and a calculated fluid deficit were accompanied by significant hemoconcentration, shown by increases in serum proteins. These changes were followed by a rise in urinary aldosterone and vasopressin, but not thirst. Weight loss in hyperbaric atmospheres is probably multifactorial, but our data suggests an uncoupling of normal osmoregulation may have occurred in the present set of subjects. This may have been due to altered lung mechanics, increased catecholamines, or effects of high pressure on cellular responses to vasopressin.

Aldosterone↗
PubMed1979

Clinical resistance to vasopressin. Detection of antibody by hemagglutination.

We describe a patient with hypothalamic diabetes insipidus who after 20 years became refractory to the effect of commercial vasopressin injection. Vasopressin antibodies were measured using a sensitive hemagglutination technique. Resistance was associated with a high titer of antibodies that disappeared once vasopressin therapy was withdrawn and the diabetes insipidus was controlled with chlorpropamide. Antibodies were also measured in four additional patients with diabetes insipidus while they were or were not receiving vasopressin. A patient who had received the drug for only two years already had a substantial titer of antibodies to vasopressin, but in this case the response to the hormone was not impaired.

Adolescent↗
PubMed1977

Blood-to-cerebrospinal fluid barrier for cyclic adenosine monophosphate in man.

A definite blood to lumbar CSF barrier for cyclic adenosine monophosphate (cAMP) exists in man under physiologic conditions. Lumbar CSF cAMP level remained unchanged, while the CSF glucose level rose significantly after a glucagon hydrochloride infusion that caused a 40-fold increase in the plasma cAMP level.

Blood-Brain Barrier↗
PubMed1977

Cyclic adenosine monophosphate and human gastric acid secretion.

This report concerns gastric juice, plasma, and urinary levels of adenosine 3',5'-monophosphate (cAMP) in 27 subjects undergoing routine gastric analysis under maximum stimulation with betazole or pentagastrin. Cyclic AMP was measured by sensitive and specific radioimmunoassay. No increase in concentration of cAMP was noted in gastric juice, plasma, or urine following either betazole or pentagastrin stimulation. Betazole-stimulated human gastric acid secretion was associated with an increased cAMP output into the gastric juice (P less than 0.05). There was no change in cAMP output following pentagastrin stimulation. The peak acid output produced by pentagastrin and betazole was similar. The lack of increase in cAMP concentration lends support to the concept that cyclic AMP is not a primary mediator in the stimulation of gastric acid secretion by betazole or pentagastrin in the human. The physiologic significance of the increase in cAMP output following betazole stimulation remains unresolved.

Betazole↗
PubMed1977

Cerebrospinal fluid norepinephrine alterations during electrical stimulation of cerebellar, cerebral surfaces in epileptic patients.

Lumbar cerebrospinal fluid norepinephrine concentrations were determined by radioenzymatic assay in five epileptic patients receiving double-blind cerebellar stimulation and in three epileptic patients with subdural cerebral surface electrodes. Mean CSF norepinephrine levels were significantly elevated by chronic cerebellar stimulation and significantly depressed after intermittent cerebral cortical stimulation. Lumbar CSF cyclic adenosine monophosphate levels determined by radioimmunoassay were not significantly altered by either cerebellar or cerebral surface stimulation. Our study suggests that (1) electrical stimulation of the anterodorsal cerebellum in man evokes alterations in noradrenergic metabolism. Cerebellar stimulation-induced elevations in norepinephrine may inhibit cerebellar, cerebral, and spinal neuronal activity. In addition, (2) noradrenergic responses to brain surface stimulation may exhibit regional specificity, and (3) noradrenergic alterations evoked by cerebral surface stimulation may not mimic those induced in isolated brain preparations.

Adolescent↗
PubMed1977

Cerebrospinal fluid GABA reductions in seizure patients evoked by cerebellar surface stimulation.

Lumbar cerebrospinal fluid (CSF) gamma-aminobutyric acid (GABA) levels determined by fluorometric assay in four seizure patients were found to be significantly lower during bilateral, continuous cerebellar stimulation than those determined after a 7-day period without stimulation. The CSF GABA concentrations during chronic unilateral, alternating cerebellar stimulation were reduced in three seizure patients but unchanged in a fourth patient. The percentage decrease in CSF GABA appeared to be independent of cerebellar stimulation frequency. These findings suggest that GABA-mediated neuronal transmission is depressed during cerebellar surface stimulation and this evoked reduction in GABA activity may compromise the efficacy of cerebellar stimulation in the treatment of epilepsy. Lumbar CSF cyclic guanosine monophosphate levels determined by radioimmunoassay were not significantly altered by either mode or frequency of cerebellar stimulation.

Aminobutyrates↗
PubMed1976

Physiological responses of men working in 25.5 degrees C water, breathing air or helium tri-mix.

Fourteen scuba divers in swim trunks did ergometer work while breathing air at 3 m in 25.5 degrees C water. They were stressed by work and cold. Exercise produced increases in heart rate, minute ventilation (VE), oxygen consumption (VO2), and catecholamine excretion. Cold lowered rectal temperature (Tre) despite exercise, and contributed to the increase in VO2 and catecholamine excretion. Immersion, cutaneous vasoconstriction, work, and scuba breathing contributed to a brisk diuresis, probably by centralizing blood volume and thus stimulating central vascular volume receptors. Similar exercise in 25.5 degrees C water, breathing helium tri-mix (gas density less than air), produced higher VE but lower VO2 when compared to air breathing. Tri-mix scuba breathing resulted in a smaller diuresis, perhaps because its lower density leads to lesser atrial distension during work. The fall in Tre during work in 25.5 degrees C water was identical whether air or helium tri-mix was respired, since helium does not accentuate respiratory convective heat transfer.

Adult↗
PubMed1976

Nephrogenous cyclic AMP levels in primary hyperparathyroidism.

The clinical utility of urinary cyclic adenosine-3',5'-monophosphate (cAMP) determinations has been limited by the overlap between hyperparathyroid and normal patients. We evaluated the potential of the parathyroid hormone (PTH)-dependent, nephrogenous cAMP in the diagnosis of hyperparathyroidism. Twenty-three patients with primary hyperparathyroidism and 19 control subjects had two-hour urine collections and blood sampling at midpoint. Nephrogenous cAMP level was calculated as total urinary cAMP excretion minus the amount filtered. The total urinary cAMP excretion (micromols per gram of creatinine) was higher in hyperparathyroid patients (6.8 +/- .5 SE), but overlapped with values obtained in controls (2.9 +/- .15). The level of nephrogenous cAMP (percent of total) was also higher in hyperparathyroid patients (72.5 +/- 1.8) than controls (26.3 +/- 4.1) and clearly separated the groups. Determination of nephrogenous cAMP levels may be useful in the diagnosis of hyperparathyroidism.

Cyclic AMP↗
PubMed1975

Significance of non-steady-state serum digoxin concentrations.

In order better to define the optimal time for sample collection, the authors examined the serial concentrations of digoxin in serum and urine of six hospitalized patients during the first 8 hours after administration of their maintenance doses of digoxin. Expressed as % of baseline value, mean serum digoxin concentrations 1/2, 1, 1 1/2, 2,4, 6, and 8 hours after administration of the drug were 167, 185, 228, 256, 175, 145, and 134%, respectively. Steady-state serum concentrations were not established until 6-8 hours after administration of the drug, and high serum values during the first 6 hours did not correlate with clinical and/or electrocardiographic evidence of digoxin toxicity. It is concluded that when serum digoxin levels are utilized as an index of digitalization or toxicity in patients on maintenance therapy, the blood samples should be drawn just prior to the daily dose and no sooner than 6 hours after administration of the drug.

Digoxin↗