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Biomedical subjects

M Górska

Publications and source records attributed to M Górska.

At least 19 recordsLinked to original sources

[Diagnostic and therapeutic usefulness of interventional ultrasound in pancreatic pseudocysts and abscesses].

The purpose of the presented study was the assessment of diagnostic and therapeutic efficacy of percutaneous drainage of pancreatic pseudocysts and abscesses, guided by ultrasound (US). The study population comprised 65 patients, aged 21-79 years: in 18 of them pancreatic abscess and in remaining 47--pancreatic pseudocyst were diagnosed. Causes of the fluid accumulation were: acute pancreatitis--in 57, trauma--in 3 and in 5 the specific etiological factor was not found. Ultrasound was performed with Aloka Hellige SSD 280-LS scanner and Braun Melsungen Nephrofix and Cystofix kits were used for drainage. Enzymatic, bacteriologic and cytologic examination of aspirate was performed. Duration of catheter drainage in pseudocysts was 10-40 days (mean 18) and from abscesses--21-56 days (mean 32). A variety of organisms was cultured from pancreatic fluid, Escherichia coli being most prevalent, also Proteus, Staphylococcus, aureus etc were found. Definite cure was obtained in 54 (83%) patients, among them in 40 (85.1%) with pseudocysts and in 14 (77.7%) with abscesses, which was confirmed in control imaging examinations (US and/or CT) after 4-6 months after catheter was removed. In 10 (15.38%) cases surgical intervention appeared necessary--in 7 patients during unsuccessful drainage and in 3--because of late recurrence. One patient died after relaparotomy. Percutaneous drainage is effective in the treatment of pancreatic fluid collections, allowing in most cases avoiding surgical intervention and providing additional diagnostic data.

Abscess

Widespread myocardial and pulmonary bone marrow embolism following cardiac massage.

Widespread fatal massive bone marrow embolism of the coronary and the pulmonary arteries are described in a 71-year-old man with a respiratory disease. Cardiac massage was carried out during the cardiac arrest. In autopsy findings there were no fractures of the ribs or the sternum. The authors suggested that the cardiac massage was the most important predisposing factor for the bone marrow embolism.

Aged

Antithyroid autoantibodies in the examined population with iodine prophylaxis after the Chernobyl catastrophe.

The aim of the present study was the observation of the frequency of antithyroid autoantibodies in the population in low endemic goitre area after mass iodine prophylaxis after the Chernobyl catastrophe and the estimation of TSH and thyroid hormones secretion in this population. On the basis of the investigations carried out we could conclude that the frequency of antithyroid autoantibodies in the population with confirmed endemic goitre is comparable to the frequency of antithyroid autoantibodies in the healthy population. ATA occurrence in children after iodine prophylaxis could confirm the hypothesis that thyroglobulin immunity is higher after iodine intake. The lower T3 concentration observed in the group with antithyroid autoantibodies suggests that autoantibodies may be involved in the thyroid hormones synthesis or peripheral conversion of thyroid hormones.

Accidents, Occupational

Inhibition of glycogenesis in rat muscles partially depleted of glycogen.

This study aimed to examine the extent to which repletion of glycogen in muscles partially depleted of glycogen may be inhibited by contractions and epinephrine. Four experiments were carried out on untrained male Wistar rats. 1) Animals ran 150 min (1,200 m/h) on a treadmill set at +10 degrees incline. After 60, 90, and 120 min of running, they were given glucose (40% solution, 1 ml/100 g) by a stomach tube. 2) Rats ran on a treadmill set as above for 20 min at 3,200 m/h and then 2 h at 800 m/h. 3) In anesthetized rats, gastrocnemius-plantaris muscle group was made to contract isometrically by means of stimulation of the sciatic nerve. The nerve was stimulated with tetanic pulses (7 V, 0.05-ms duration, delivered in 100-ms trains at 100 Hz): first 15 min, 2 pulses/s, then 2 h, 1 pulse/2 s. 4) Epinephrine (0.5 mg/kg) was administered subcutaneously 10 min before onset of stimulation of the sciatic nerve. The nerve was stimulated 15 min with tetanic pulses (as above), 2 pulses/s. Next, rats were rested for 2 h. Level of glycogen was determined in samples of white and red gastrocnemius, plantaris, and soleus. Initial running or stimulation resulted in pronounced glycogen depletion in each muscle. Thereafter, either considerable or full repletion of glycogen occurred in the muscles despite continued contractile activity or the presence of epinephrine. The degree of repletion depended both on the type of muscle and the type of activation of glycogenolysis (running, stimulation of the nerve, epinephrine).(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

Effect of hyperglycaemia on muscle glycogen mobilization during muscle contractions in the rat.

In the rat, muscle glycogen is mobilized during the first stage of exercise, despite normoglycaemia. The aim of the present study was to examine if this process could be prevented or reduced by hyperglycaemia. Three experiments were carried out: in the first, rats were forced to run on a treadmill; in the second the gastrocnemius muscle group was made to contract by stimulation of the sciatic nerve and in the third adrenaline was administered subcutaneously. Each group was divided into two subgroups: control and enriched with glucose (hyperglycaemic). It was shown that hyperglycaemia has no effect on running-induced glycogen mobilization in hind-limb muscles of different fibre composition but prevented it totally in diaphragm muscle. Hyperglycaemia also did not affect the glycogen mobilization induced by stimulation of the sciatic nerve. However, it delayed and reduced markedly the glycogenolytic effect of adrenaline. It is concluded that increased glycogenolysis in muscles at the beginning of exercise may be a consequence of a delay in the activation of glucose transporting mechanisms in muscle cells.

Animals

Alanine and aspartate aminotransferase activities in muscles of diabetic rats.

Activities of alanine and aspartate aminotransferase in different muscle types and in the liver of streptozotocin diabetic rats were studied 1,2 and 3 days after administering of streptozotocin. It was shown that the activity of both enzymes was elevated in the "white" layer of the vastus lateralis, in the liver and in the heart, whereas it remained unchanged in the "red" layer of the same muscle, in the soleus and the diaphragm. It is concluded that the effect of acute insulin deficiency on the aminotransferase activity in skeletal muscles depends on the muscle fiber composition and does not appear in muscles with a high oxidative potential. These results indicate that muscle fiber composition should be taken into account when evaluating the role of insulin in amino acid metabolism in the muscle.

Alanine Transaminase

The role of insulin in the control of triacyglycerol (TG) in the rat skeletal muscles.

The role of insulin in the control of triacyglycerol (TG) in different types of skeletal muscle has not been fully recognized so the aim of the present study was to fill this gap. The experiments were carried out on control rats, those fed with olive oil or fed with the oil and treated with insulin and on streptozotocin diabetic animals at rest and there after exercise till exhaustion. The level of TG was measured in the white and red layers of the vastus lateralis, the soleus and the diaphragm. It was found that acute feeding with olive oil had no effect on TG level in either muscle type examined. Insulin administered to rats fed with oil increased TG level in the red vastus. Streptozotocin diabetes caused an increase in TG level in muscles with high oxidative potential. Exercise lowered the level of TG only in the red vastus of the diabetic rats. It is concluded that insulin may increase muscle TG level. Accumulation of TG in muscles of rats with acute diabetes is likely to be a result of the high plasma free fatty acid concentration. Acute insulin deficiency did not affect the muscle TG response to exercise.

Animals

Failure to demonstrate the effect of glucose on insulin removal by perfused rat liver.

The effect of glucose on insulin removal by perfused liver of fed and fasted rats has been studied. The perfusion medium contained glucose at a concentration of 300 mg/dl or no glucose. It has been found that glucose has no effect on insulin removal in either group and that fasting had no effect on this process. It is concluded that blood glucose concentration does no influence insulin removal by the liver.

Animals

Effect of acute hyperthyroidism on insulin removal in the rats.

The aim of this work was to study secretion and removal of insulin in hyperthyroidism. The experiments were carried out on two groups of male Wistar rats: control and hyperthyroid. Acute hyperthyyreosis was induced by administration of L-thyroxine (Fluka A.G.) 0.8 mg/kg for 21 days. Each group was divided into three subgroups: fed, fasted 24 h, fasted 24 h-treated with glucose. The insulin concentration was determined in the portal and aortal blood and a difference between the two concentrations was considered as reflecting insulin removal. The plasma insulin concentrations in both vessels of fed as well fasted hyperthyroid group were higher from the respective values in the control one. The removal of the hormone in the fed rats was similar in the both groups. Fasting reduced insulin removal only in the control group. Treatment of the fasted rats with glucose abolishes this difference. The liver glycogen content was similar in the two fasted groups but the blood glucose level was higher in the hyperthyroid than in the control rats. The latter factor could account for the difference in insulin removal between the two groups. It is concluded that hyperthyroidism increases insulin secretion but does not affect its removal.

Animals