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Biomedical subjects

L Mårtensson

Publications and source records attributed to L Mårtensson.

61 records · Page 4Linked to original sources

Effects of sham hemodialysis on plasma levels of vasoactive peptides in patients with uremia.

Changes in plasma levels of vasoactive peptides during hemodialysis have mainly been attributed to changes in plasma volume and osmolality. This study investigated the effect of the extracorporeal circulation on plasma levels of vasoactive peptides, noradrenaline, and renin. Eleven stable hemodialysis patients were studied during sham dialysis for 60 min using a Cuprophan dialyzer (Alwall GFE11, Gambro AB, Lund, Sweden). With regard to vasoconstrictors, there was an increase in noradrenaline (NA) (13%, p < 0.05) and renin (PRA) (32%, p < 0.05), while arginine vasopressin and neuropeptide Y remained unaltered. Concerning vasodilators, an increase in substance P (SP) (23%, p < 0.05) and vasoactive intestinal peptide (VIP) (15%, p < 0.01) was observed, while a decrease in atrial natriuretic peptide (ANP) (17%, p < 0.05) and motilin (MOT) (24%, p < 0.01) occurred. Calcitonin gene related peptide and beta endorphin were unaltered. A decrease in blood pressure was observed, while heart rate remained unchanged. The authors conclude that the extracorporeal circulation, per se, affects plasma levels of vasoactive substances and influences vascular stability. The decrease in ANP and MOT might be due to adsorption to the dialysis membrane. The increase in some vasoconstrictors (NA, PRA) and vasodilators (SP, VIP) might be induced by the blood-artificial surface contact, or by other factors, e.g., heparin or cooling of the blood during the procedure.

Adult↗

The effect of long term treatment with a beta-adrenoceptor blocker, l-propranolol, on the distribution of cardiac output of the late gestational guinea-pig.

1. The effects of daily administration of propranolol on the distribution of cardiac output were studied in the late pregnant guinea-pig. 2. The animals were given either saline, 5 or 50 mg/kg per day of l-propranolol for 15 days during the last trimester of gestation. 3. Blood flow responses were assessed by injecting 15 microns microspheres into the conscious animal one to two days prior to parturition. 4. The fraction of cardiac output reaching the placentas was significantly reduced in both groups (P less than 0.5 and P less than 0.001, respectively), while flow to all other organs studied remained unaltered. 5. It is suggested that propranolol exerts a selective effect on the placental vascular bed in the guinea-pig.

Animals↗

Brånemark Novum: prosthodontic and dental laboratory procedures for fabrication of a fixed prosthesis on the day of surgery.

PURPOSE: The purpose of this report is to describe a new technique to fabricate and deliver an implant-supported fixed prosthesis to the patient on the day of surgery, and to propose a protocol for the prosthodontic and dental laboratory procedures. MATERIALS AND METHODS: The development of the Brånemark Novum prosthodontic protocol is reviewed, and clinical and dental laboratory assessments and methods are described. RESULTS: The total treatment time to fabricate a permanent implant-supported fixed prosthesis in the mandible can be reduced to 1 day with the Brånemark Novum technique. The new method includes a precise surgical technique using drilling templates for predetermined implant positions, a rigid splinting of the implants immediately after placement, the use of a prefabricated titanium framework, and elimination of implant impression procedures. CONCLUSION: With the technique described in this report, it is possible to provide patients with a permanent implant-supported fixed prosthesis in the mandible on the day of implant surgery. Patient benefits are obvious, with drastically reduced total treatment time, lower cost, and fewer clinical visits.

Dental Implantation, Endosseous↗

Cystatin C: a new marker of biocompatibility or a good marker for the redistribution of LMW proteins during hemodialysis?

The mechanism(s) behind the larger relative increase of Plasma beta 2 microglobulin (P-beta 2m) than that of Plasma albumin (P-alb) during Cuprophan hemodialysis is disputed. To elucidate this phenomenon P-alb, P-beta 2m (MW 11,800) and Plasma cystatin (P-cC; MW 13,000) an inhibitor of cystein proteinases, were determined before and after a Cuprophan or polysulphone hemodialysis (4-7 hr, QB 200 ml/min) in 30 stable regular dialysis treatment (RDT) patients. Body weight (BW) decreased by 2.5 +/- 1.4% (mean +/- SD). P-alb, P-beta 2m and P-cC increased by 11.4 +/- 14.8%, 15.4 +/- 11.5%, and 22.1 +/- 14.3%, respectively, during Cuprophan dialysis. The relative increase of P-cC was larger than that of P-beta 2m (P less than 0.05) and that of P-alb (P less than 0.02). During polysulphone dialysis BW decreased by 4.1 +/- 1.8%. P-alb, P-beta 2m, and P-cC increased almost equally by 28.1 +/- 18, 26.5 +/- 19.2, and 26.8 +/- 14.4%, respectively. These results are hard to interpret. Is the increase in P-cC a new marker of biocompatibility or does it reflect the true shift of low molecular weight (LMW) proteins between the interstitial and the plasma volume during hemodialysis better than P-beta 2m? In vitro studies indicate that small amounts of both Serum beta 2m (S-beta 2m) and Serum cystatin C (S-cC) are adsorbed to or sieved through the Cuprophan membrane, findings which render the kinetics of LMW proteins during hemodialysis still more complex.

Biocompatible Materials↗

Salmonella isolated from animals and feed stuffs in Sweden during 1978-1982.

Regulations concerning the control of Salmonella in animals are more strict in Sweden than in most other countries, though a certain liberalization took place in 1982. The main purpose of these regulations is to prevent transmission of Salmonella infections from animals to man. Veterinarians and laboratories are obliged to report all Salmonella cases to the veterinary authorities. The cases are recorded by the Swedish Board of Agriculture. During the period of this report, 1978-1982, 1266 outbreaks of Salmonella in animals were recorded in Sweden. Isolated strains belonged to 78 different serotypes. The most frequent serotypes were S. typhi-murium (38.5% of the recorded cases) and S. dublin (37%). S. dublin was isolated mainly from cattle, while S. typhi-murium was isolated from a wide range of animal species. Next in frequency are some serotypes isolated mainly from chicken, at rates around 2%: S. livingstone, S. liverpool, and S. agona. Of the 78 isolated serotypes, 25 were never isolated before from animals in Sweden. There were 687 outbreaks of Salmonella recorded in cattle. Predominant serotypes are S. dublin (67% of the outbreaks in cattle) and S. typhi-murium (28%). The outbreaks of S. dublin, like earlier in the sixties and seventies, occurred mainly in south-eastern Sweden. The recorded occurrence of Salmonella in swine continued to decrease. During this period only 37 outbreaks were diagnosed. Of these more than half were caused by S. typhi-murium. S. choleraesuis was isolated from 6 cases only.(ABSTRACT TRUNCATED AT 250 WORDS)

Animal Feed↗