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Biomedical subjects

J Werner

Publications and source records attributed to J Werner.

At least 19 recordsLinked to original sources

Thermographic studies on patterns of skin temperature after exercise.

In six subjects thermograms of the thighs and the forearms were taken before, during and after 10 min ergometer exercise at 100 W at an ambient temperature of 23 degrees C. During exercise, an intra-individually constant and reproducible skin temperature pattern with local temperature differences exceeding 3 degrees C evolved. Reactions after external local cooling or after occlusion of blood flow and measurements with a laser Doppler-flowmeter showed dispersed convective heat transport to be the source of this irregular pattern. Temperature differences of 3.6 degrees C and deviations of blood flow in the skin microcirculation of 300% within a distance of a few centimetres reduce the value of single-spot measurements of skin temperature with reference to the whole extremity.

Adult

[Animal nutrition for the veterinarian--recent cases. Unsatisfactory development of piglets after disintegration of a piglet breeding feed].

Insufficient performance and health problems of reared piglets in individual boxes gave rise to sent 2 samples of the diet to the institute. Due to a demixing process on the transport (winding) the composition of the diet changed markedly. The crude ash content increased (62.7 g----96.2 g/kg feed), on the other hand the protein content decreased significantly (181----126 g/kg feed). Obviously the variable mineral content in the diet impaired the palatability and consequently the performance of reared piglets due to increased disposition for diarrhea.

Animal Feed

Loss and restoration of preoptic thermoreactiveness after lesions of the rostral raphe nuclei.

Preoptic neurons, extracellularly recorded in the rat's brain, were tested for their responses to thermal stimulation of the scrotal and abdominal skin before and after electrolytic lesions of about 1 mm3 in the area of the rostral raphe nuclei, nucleus raphe dorsalis and centralis (NRD/NRC). All analyzed neurons were of the switching type, i.e. they changed their firing rates to a higher or lower level when a threshold of the peripheral stimulation temperature was exceeded. When major parts of NRD or NRC were destroyed, the preoptic neurons no longer changed their firing rates after thermal stimulation, whereas transmission of noxious information in most cases was not impeded. Smaller lesions in NRD or NRC did not abolish the responses, but brought about essentially modified responses compared to those before the lesions. Lesions lateral to NRD or NRC had no effect. If the lesions were effective and the neurons could be observed for a longer period after the lesions, the response was restored in many cases. As the noxious response had often not been abolished and the lateral lesions were without any effect, it might be that the lesion effects and the restoration of responses involve short-term plasticity. However, temporary block of input to the neurons by unspecific effects cannot be excluded.

Action Potentials

Consequences of partial body warming and cooling for the drives to local sweat rates.

Climatic chamber experiments were carried out on young, healthy male students. The ambient temperature was 36 degrees C, while local warming of one extremity was compensated for by heatflow-equivalent cooling of the ipsilateral extremity by on-line calculation of the heat balance. When warming the arm and cooling the leg (type 1 experiments), a slight, but not statistically significant increase of local sweat rates at these extremities was recorded. However, when cooling the arm and warming the leg (type 2 experiments), both corresponding local sweat rates declined. The divergent results are interpreted in terms of previously reported different central weighting factors for skin temperatures as determined: (1) by the weighting for the area, or (2) by the weighting for the area and the sensitivity of the local sweat rate to warming and cooling. This means that the central processing of the mean skin temperature may be different for cooling and warming and that in both cases values can be different from recorded (area weighted) skin temperature. Calculating this modified mean skin temperature, we conclude that type 1 experiments may be interpreted by the hypothesis that the central regulator has a status very near an overall heat-balance, whereas type 2 experiments, although also carried out at heat-balance, may be centrally evaluated as predominant cooling. In these experiments again the central drives representing the whole body thermal state seem to override both the direct and centrally mediated local drives.

Adult

[Does induced Heinz body formation lead to the liberation of IgG receptors on the erythrocyte membrane?].

Immunofluorescence microscopical and biochemical studies led other authors to the conclusion that the formation of membrane-bound Heinz bodies at these parts of the plasmalemma of erythrocytes leads to clustering of band 3-protein and increased binding of IgG. We failed to detect immunocytochemically an increased IgG binding over phenylhydrazine induced membrane-bound Heinz bodies in otherwise intact erythrocytes using transmission electronmicroscopy and we also did not notice any clustering of intramembraneous particles over the numerous Heinz bodies by means of freeze etching. Especially at higher phenylhydrazine concentrations the erythrocytes show formation of vesicles and hemolysis accompanied by increased IgG binding and clustering of the intramembraneous particles. Photographs of such cells obtained by immunofluorescence microscopy are very similar to the pictures known from the literature.

Anion Exchange Protein 1, Erythrocyte

Interferon response to human diploid cell strain rabies vaccines in man.

Circulating interferon was found in volunteers immunized with 3.0 ml and 1.0 ml doses of human diploid cell strain (HDCS) rabies vaccines. Peak interferon titres were observed 17--25 hours after primary vaccination and the response diminished upon revaccination. The response was dose-related and did not correlate with the antigenic value of the vaccines or with the titre of infections virus in the vaccines before inactivation.

Cell Line

[Studies on sensitization after repeated topic application of live attenuated influenza vaccine (Gripovax) (author's transl)].

A long term study with bivalent live influenza vaccine was carried out in 18 subjects with no previous history of egg protein hypersensitivity. Experimental conditions included a nine-fold vaccination schedule with collection of serum and nasal fluid. The parameters studied were determination of serium and local antibody formation as well as the demonstration of specific IgE antibodies in serum and nasal fluid. Our major interest was directed towards the question of potential sensitization after repeated doses of non-purified oral vaccine. The close medical follow-up of the subjects revealed no clinical signs of atopic reaction. There were no complaints regarding adverse reactions usually following local application of live influenza vaccines. Determination of total serum IgE rederately elevated levels before, during und after the trial; one vaccinated subject showed high concentrations prior to vaccination with no significant change during the experiment. That individual was ultimately classified atopic with a pronounced hypersensitivity to egg protein. Nevertheless this person tolerated nine doses of vaccine without side reactions and showed no significant increase in total or specific IgE antibodies. Concentrations of IgE in nasal secretion of non-atopic subjects are less than 2U/ml, whereas they are frequently higher in allergic patients and in the presence of nasal IgE levels greater than 4 U/ml one would expect a specific reaction to challenge allergens. In our vaccinees nasal IgE values were consistently within normal range, at no time exceeding 2.6 U/ml, even the atopic subject did not exhibit higher levels in nasal fluid. A correlation between systemic and local IgE antibodies revealed no pathognostic relations; in addition to this, specific IgE-serum-antibodies as measured in the RAST against ovalbumin allergen did not show any correlation to vaccination. These data present good evidence for the innocuity of the vaccine with regard to its repeated application in man.

Administration, Topical

[The exocrine pancreatic function in chronic renal insufficiency (author's transl)].

46 patients, who suffered from chronic renal insufficiency (serum creatinine: 1,4-14,9 mg%) and had not yet been dialysed, were given a secretin-pancreozymin-test. Statistical evaluation of the results and comparison with a healthy reference group showed amylase secretion, total secretory volume and bicarbonate secretion to be significantly reduced in patients with serum creatinine levels above 4,0 mg%. No signs of secondary hyperparathyroidism (laboratory data, osseous changes) were observed. Blood base excess and increased serum creatinine levels were significantly related. Together with influences of low protein diet metabolic acidosis going along with chronic renal insufficiency is consequently considered to be the pathogenic factor responsible for alterations in the exocrine function of the pancreas and for the occurrence of chronic pancreatitis.

Adult

[Local and systemic antibody response after vaccination with 3 different types of vaccines against influenza I. Hemagglutinationinhibiting antibodies (author's transl)].

A comparative study on the formation of hemagglutination inhibiting antibodies after vaccination with 3 different types of Influenza Vaccines (Whole virion, Splitvirion, and Subunit type) was performed in adults and children. The study populations were homogeneous as regards age and pre-immunization antibody profile. The following results were obtained: 1) Strain specific conversion rates for the A component (A/Victoria/3/75 H3N2) were 77% with the whole virion vaccine, 79% with the Splitvirion vaccine and 91% with the Subunit vaccine. The antibody conversion factors calculated on the basis of the geometric mean titers (GMT) were 5.0, 6,7 and 9.0 respectively. A fourfold increase in titers was observed in 68% of vaccinees with the whole virion vaccine, in 55% of vaccinees with the Splitvirion vaccine, and in 70% of vaccinees with the Subunit vaccine. 2) Local antibody formation on the basis of conversion rates yielded values of 18% (whole virion), 22% (Splitvirion), and 28% (Subunit vaccine). 3) Systemic antibody responses revealed predominantly strain and subtype specificity as opposed to local antibody formation which was also directed towards older sybtypes. This phenomenon was more pronounced in adults than in children. 4) A significant correlation was found between the local antibody production and the concentration of hemagglutination inhibiting serum antibodies as well as between the IgA concentration in nasal wash fluid and the percentage of individuals exhibiting local antibody formation in the upper respiratory tract system. 5) In children 6-14 years of age the antibody conversion rates were found to be 91-100% for the A component with the 3 vaccines under study. The GMT for the respective vaccines A, B and S ranged from 1:170 over 1:139 to 1:211. 6) With regard to the induction of hemagglutination inhibiting antibodies to the B component of the vaccine (B/Hongkong/8/73) either vaccine proved to be of insufficinet potency. Though conversion rates of 6/ to 77% (60-90% in children) were observed the GMT range was only 1:17 to 1:21 (1:21 to 1:35 in children). Only 29 to 35% of the adults and about one half of the children developed antibodies of greater than or equal to 1:40 after vaccination. With regard to this observation it has to be discussed whether one shouldn't consider monovalent A vaccines for future use in influenza vaccination campaigns.

Adolescent

[Antibody response to hemagglutinin and neuraminidase induced by an influenza subunit vaccine (author's transl)].

To study antigenicity, persistence of antibody (efficacy) and reactogenicity of a new bivalent influenza subunit vaccine, Sandovac, it was given in two different concentrations (1000 and 2000 IU) to 156 subjects from two epidemiologically destinct areas (119 students from Essen, average age 22 years, 37 residents from Kassel average age 56 years). Serum antibody response was measured by hemagglutination inhibition (HI) and neuraminidase inhibition (NI) tests before, one, two and six months after vaccination. The following results were obtained: 1. Four weeks post vaccination an excellent strain specific and crossreactive (H3 N2 variant-specific) antibody response was observed. Subtype specific (H0, H1 or H2) activity could not be detected. 2. Six months post vaccination a still notably higher antibody level as compared to the preimmunization status could be demonstrated. 3. A difference, however, existed between the immune responses of the Essen student population with an average age of 22 years, and of the Kassel resident population with an average age of 56 years. The immune response being significantly better in younger vaccinees. 4. High and low concentrated vaccines revealed neither objective nor subjective differences in reactogenicity and were very well tolerated. 5. In all immunological parameters tested the double concentrated vaccine (S 2000) proved to be slightly superior to the lower concentrated vaccine (S 1000) that is officially licensed in the German Federal Republic.

Adolescent

Detection of antigenic variation in influenza virus neuraminidase by the ESSEN-NIT and the WHO standard procedure.

A new rapid modified micro-neuraminidase-inhibition test (ESSEN-NIT) has recently been described. This test was originally devised to facilitate large-scale screening for serum antibodies to influenza virus neuraminidase. It was shown that this test yielded results comparable to those obtained with the WHO standard procedure. Our report presents data on the comparison between the WHO method and the ESSEN-NIT with respect to their capability in detecting antigenic differences in neuraminidase of various strains of influenza A viruses belonging to the H3N2 subtype family. Two antiserums against the N2 antigens of the A/Hongkong/1/68 (X15HK) and of the A/Port Chalmers/1/73 (X42) recombinant strains were used in characterization experiments. The results obtained indicate that the ESSEN-NIT is at least as sensitive in detecting antigenic variations of neuraminidase as the WHO standard procedure. The drift of the N2 enzyme which occurred as early as 1969 and is known to continue to date, could be clearly demonstrated. Major and minor antigenic changes of neuraminidase in representative influenza isolates were equally well detected by both assays. The ESSEN-NIT offers the advantage of speed, economy, and computerized evaluation of data.

Antigens, Viral

Myocardial perfusion scintigraphy in patients with mitral valve prolapse: Its advantage over stress electrocardiography in diagnosing associated coronary artery disease and its implications for the etiology of chest pain.

Patients with mitral valve prolapse (MVP) frequently experience chest pain which may, expecially in older subjects and males, be difficult to differentiate from angina pectoris. Electrocardiographic (ECG) changes, ventricular arrhythmias, metabolic abnormalities and rare reports of myocardial infarction and sudden death further suggest the presence of an ischemic process in these patients. The recognition of accompanying coronary artery disease (CAD) and exclusion of other causes of ischemia, therefore, may be important in determining the prognosis and appropriate therapy for such patients.

Adult