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Biomedical subjects

M A Silvert

Publications and source records attributed to M A Silvert.

17 recordsLinked to original sources

Chronic ethanol feeding impairs human chorionic gonadotropin-stimulated testicular testosterone responses of dogs.

To investigate the effects of ethanol on gonadal function, 24 male dogs were divided into four groups: the control group received no ethanol and the other three groups were fed varying amounts of ethanol for 30 days. Plasma concentrations of testosterone and luteinizing hormone (LH) were measured by radioimmunoassay after 30 days of ethanol or control feeding. At the conclusion of the experimental period the testes of each dog were examined for unstimulated and human chorionic gonadotropin (hCG)-stimulated testosterone production by means of an in vivo perfusion method. None of the dogs lost weight or had abnormal liver histology as a result of ethanol feeding. Control dogs and dogs fed ethanol (0.64 g/kg of body weight) showed no changes in gonadal function. Dogs fed ethanol (1.28 g/kg and 1.92 g/kg of body weight) had no decreases in peripheral concentrations of testosterone or LH, but hCG-stimulated testicular testosterone production was significantly impaired in both groups (P less than 0.005 and P less than 0.025, respectively). In addition, the dogs receiving ethanol at 1.92 g/kg of body weight had significantly (P less than 0.05) decreased unstimulated testicular testosterone production. It is concluded that a) daily ingestion of small amounts of ethanol does not cause obvious changes in gonadal function, b) peripheral concentrations of testosterone and LH may not accurately reflect early ethanol-induced gonadal dysfunction, c) hCG-stimulated testicular testosterone production is impaired when daily ethanol consumption is 1.28 g/kg of body weight or greater for 30 days, and d) these changes occur in the absence of weight loss or obvious liver pathology.

Animals↗

Acetaldehyde acutely impairs canine testicular testosterone secretion.

Utilizing a method for perfusion of the in vivo isolated canine testis we have examined basal and human chorionic gonadotropin (hGC)-stimulated testosterone production of testes acutely exposed to ethanol and acetaldehyde. Ethanol infused at concentrations of 0.2 g/dl to 0.6 g/dl did not alter basal of hCG-stimulated testicular testosterone production of one testis when compared to the saline-infused control testis of the same animal. However, acetaldehyde infused at a concentration of 0.2 mg/dkl, a level similar to that found in humans drinking moderate amounts of ethanol, significantly impaired hCG-stimulated testicular testosterone production. It is concluded that acetaldehyde acutely impairs hCG-stimulated testicular testosterone secretion by a direct effect on the testis, but ethanol does not.

Acetaldehyde↗

Chronic ethanol ingestion enhances GnRH-stimulated LH responses of castrated male dogs.

Dogs were given no ethanol, 1.28 g ethanol/kg and 1.92 g ethanol/kg daily for 4 weeks immediately after castration. Plasma LH concentrations, basal and in response to 100 micrograms GnRH, were measured before and at 2 and 4 weeks after castration. Basal LH levels after castration increased significantly (P less than 0.005) within each group but were not significantly different between groups. GnRH-stimulated LH responses were similar before and at 23 weeks after castration, but at 4 weeks the dogs given 1.92 g ethanol/kg had a significantly (P less than 0.05) greater response than did the control dogs. It is concluded that daily ethanol ingestion in the amounts employed in this study does not impair hypothalamic--pituitary function in male dogs.

Animals↗

Normal saline slush preparation for renal surgery.

We describe a simple, rapid method to prepare normal saline slush with commercially available slush mugs that are gas-sterilized in routine fashion and stored in freezer. Slush can be prepared intraoperatively in 10 minutes with this method.

Humans↗

Pacemaker system in the control of ureteral peristaltic rate in the multicalyceal kidney of the pig.

Temporal and distributive properties of ureteral peristaltic contractions in the anesthetized pig have been examined. Interperistaltic time intervals have been recorded, and their frequency during different urine flow rates has been compared. The results show that ureteral peristalsis is increased at high urine flow rates to a maximum of approximately 0.06 Hz. It is further shown from the interperistaltic histograms that ureteral contractions are not clustered into a discreet multimodal spectrum. This represents the first evidence that the multicalyceal kidney has a system of pacemakers of differing fundamental frequencies, tending toward synchronism as urine flow increases.

Animals↗

Rationale of incidental appendectomy.

In an effort to settle the controversy regarding use of incidental appendectomy, we have reviewed the literature regarding the function of the appendix and its role in the development of cancer, incidence of acute appendicitis, pathologic findings in incidentally removed appendices, and morbidity of incidental appendectomy. Considering all parameters we conclude that incidental appendectomy is a service to the patient and should be done except where specifically contraindicated.

Adolescent↗

Reticulum cell sarcoma of testes.

Seven cases of primary reticulum cell sarcoma of the testes have been added to the world literature, bringing the total to 83 cases. Primary reticulum cell sarcoma should be suspected in all patients over the age of fifty years who have a testicular mass. There is a marked tendency of bilateral involvement of this tumor, as well as an association with cutaneous and pharyngeal lesions. Although there have been a few long-term survivors, over-all prognosis is poor.

Adult↗