PubMed Health⌕ Search

Biomedical subjects

M Lorenzen

Publications and source records attributed to M Lorenzen.

29 records · Page 2Linked to original sources
PubMed1996

[The value of MRI in staging gynecologic tumors].

Traditionally gynecologic malignancies are staged by examination under anaesthesia which provides high accuracy as far as small tumors are concerned. In advanced tumors clinical staging is often inaccurate because of the difficulty to evaluate parametrial or myometrial tumor infiltration or lymphatic tumor spread. Therefore imaging modalities, such as sonography, computed tomography (CT), and magnetic resonance imaging (MRI), are required in most cases. The range of applications for MRI imaging includes staging, therapy planning, and follow-up examinations of uterine tumors and recurrent carcinoma. Based on its excellent soft tissue contrast, which allows a precise differentiation between several tissues and its direct multiplanar imaging capability, MRI is superior to sonography and CT. Only in the staging of ovarian carcinoma has the value of MRT not yet been defined, nevertheless it seems to offer diagnostic advantages over CT and sonography on account of its higher specificity. CT lose some of its value after the introduction of MRI into clinical practice. Indications for the use of CT are advanced space-occupying tumors with lymphatic spread or peritoneal implants as well as monitoring the tumor response to therapy for ovarian cancer. Sonography, as the technically simplest imaging modality, has consistently demonstrated its value as a screening method in the evaluation of benign gynecologic disease and is traditionally used for the detection of ovarian masses.

Female↗
PubMed1994

[MRT diagnosis of recurrence of gynecologic tumors].

Because of the differences in the signals from recurrent tumours and fibrosis during MRT, this method is highly suitable for differentiating between recurrent gynaecological tumours and scar formation. The value of MRT in investigating suspected recurrences was studied in 27 patients aged between 34 and 83 years. It was possible to distinguish between recurrent tumour with its high intensity signal from low signal fibrosis, using T2-weighted spin echo sequences in all cases. By means of multiplanar reconstruction and because of its high soft tissue contrast it was possible to determine the extent of tumour growth and differentiate it from surrounding tissues. With a sensitivity of 90%, specificity of 100% and accuracy of 92%, MRT is superior to all other imaging methods, including CT, in the diagnosis of tumour recurrence.

Adult↗
PubMed1989

Vasopressin-induced intramembrane particle aggregates. A dose-response relationship in the isolated cortical collecting duct of the rabbit kidney.

The water permeability of collecting ducts is greatly increased by the antidiuretic hormone, vasopressin (VP). Freeze-fracture studies were carried out to test if this permeability increase is associated with the appearance of intramembrane particle (IMP) aggregates and whether increased doses of VP lead to an increase in the number and size of particle aggregates in the luminal membrane of principal cells in the isolated cortical collecting duct. Unstimulated cells expressed 17 +/- 6.5 particle aggregates per 100 microns 2. Stimulation with VP at concentrations of 20 or 200 microU/ml increased the number of particle aggregates significantly to 129 +/- 15.8 and 324 +/- 45.8, respectively. The size of the particle aggregates increased from 0.0012 microns 2 under control conditions to 0.025 microns 2 at 20 microU/ml VP and to 0.063 microns 2 at 200 microU/ml VP. In addition, the total area occupied by the IMP increased from 0.02 microns 2/100 microns 2 (controls) to 3.17% and 20.38% (after 20 and 200 microU ADH/ml, respectively). Particle aggregates were also observed in the luminal plasma membrane of isolated collecting ducts fixed immediately after dissection, resembling the in vivo status. These results demonstrate that a dose-dependent relationship exists between the concentration of the applied VP and the number of particle aggregates, as well as the size of the aggregates. Cytoplasmic tubular vesicles in fusion with the apical membrane were observed.

Animals↗
PubMed1987

Quinidine effect on hydrosmotic response of collecting tubules to vasopressin and cAMP.

Quinidine, a compound thought to increase cytosolic calcium ion activity, has been found to inhibit the hydrosmotic response to vasopressin (VP) and adenosine 3',5'-cyclic monophosphate (cAMP) in the toad urinary bladder. To test whether this drug has a similar action in the mammalian nephron, the effect of quinidine on the hydraulic conductivity of the isolated perfused rabbit cortical collecting tubule (CCT) exposed to either 20 microU/ml VP or 10(-4) M 8-(p-chlorophenylthio) - adenosine 3',5' - cyclic monophosphate (8-CPT-cAMP) was studied. Quinidine had no effect on the basal water permeability of the CCT. Quinidine sulfate (10(-4) M) reduced the VP-stimulated water permeability from 280 +/- 50 X 10(-7) to 115 +/- 41 X 10(-7) cm X s-1 X atm-1 (P less than 0.05). The hydrosmotic response to 8-CPTcAMP was likewise reduced following exposure to quinidine. This effect was shown to be dose dependent. In paired experiments, inhibition of the response to 10(-4) M 8-CPTcAMP averaged 11% at 10(-6) M, 27% at 5 X 10(-6) M, 53% at 5 X 10(-5) M, and 50% at 10(-4) M quinidine. Inhibition of the response to 8-CPTcAMP was estimated to be half maximal at approximately 5 X 10(-6) M quinidine. Tubules were protected against the quinidine-induced inhibition by the addition of 6.5 X 10(-5) M quin 2-acetoxymethylester in the presence of low peritubular Ca concentration. These results are consistent with the view that elevated cytosolic Ca ion levels inhibit the increase in water permeability elicited by VP or exogenous cAMP in the mammalian CCT.

Animals↗
PubMed1984

[Continuous plasma filtration. Experiences in the treatment of pemphigus vulgaris].

By means of continuous plasmafiltration, considerable and rapid improvement could be achieved with regard to the skin lesions as well as antibody titers of a patient suffering from pemphigus vulgaris. Apart from plasmafiltration, treatment with azathioprim and steroids proved to be effective. Neither significant side effects nor infectious complications have been observed.

Adult↗
PubMed1984

Cytosolic Ca2+ and Na+ activities in perfused proximal tubules of Necturus kidney.

To study the role of intracellular calcium in the regulation of epithelial transport of ions and water, cytosolic calcium ion activity (aiCa) and cytosolic sodium ion activity (aiNa) were measured in cells of isolated perfused proximal tubules of Necturus kidney. aiCa was measured with Ca2+-selective microelectrodes, aiNa with Na+-selective microelectrodes. Under control conditions, i.e., Ringer solution on both sides of the epithelium, aiCa averaged 71 +/- 7 (SE) nM (n = 21) and aiNa was 12.9 +/- 0.6 mmol (n = 56). When peritubular bath sodium was reduced from 100 to 10 mM by choline substitution, aiCa increased from 73 +/- 14 to 382 +/- 69 nmol (paired t test; P less than 0.001; n = 4); in different tubules, aiNa decreased from 12.8 +/- 1.9 to 8.2 +/- 1.8 mM (P less than 0.001; n = 12). Quinidine (10(-4) M) increased aiCa from 87 +/- 19 to 556 +/- 121 nM (P less than 0.02; n = 5) but reduced aiNa from 15.1 +/- 1.2 to 11.8 +/- 0.8 mM (P less than 0.003; n = 8). In contrast, 10(-4) M ouabain increased both aiCa and aiNa; aiCa rose from 71 +/- 9 to 546 +/- 121 nmol (P less than 0.005; n = 9) and aiNa from 15.1 +/- 1.8 to 70.1 +/- 6.3 mM (P less than 0.001; n = 9). The results are consistent with the existence of a Na-Ca exchange process within the contraluminal cell membrane and with the view that increased aiCa inhibits the tubular transport of sodium by decreasing the sodium permeability of the luminal cell membrane.

Animals↗
PubMed1983

Antidiuretic hormone-dependent membrane capacitance and water permeability in the toad urinary bladder.

Antidiuretic hormone (ADH) increased the electrical capacitance of apical membrane of the toad bladder; this effect was modulated by the osmotic gradient across the tissue. Capacitance was measured from the transepithelial voltage response to constant-current pulses using bladders depolarized with KCl-sucrose serosal solution to reduce basolateral resistance and with Na-free mucosal solution to increase apical membrane resistance. Addition of ADH (20 mU/ml) increased capacitance by 28 +/- 9% (mean +/- SD) in the absence and by 8 +/- 3% in the presence of an osmotic gradient (200 mosM, mucosal side hypotonic). With bladders stimulated in the absence of an osmotic gradient, rapidly imposing a gradient resulted in a peak rate of water flow that declined to 40% of the peak value after 15-20 min. ADH-dependent capacitance also decreased with a similar time course. Removal of ADH reversed the capacitance change (t1/2 = 10-15 min), but the reversal was slower than the decline in water flow to basal levels (t1/2 less than 5 min). Colchicine and cytochalasin B also inhibited the ADH-induced capacitance increase. The capacitance change was also inhibited when the mucosal solution was made hypertonic with raffinose. The results are interpreted within the framework of a previously proposed model of ADH-stimulated water transport in which cytoplasmic vesicular structures fuse with the apical plasma membrane.

Animals↗
PubMed1983

pH effect on osmotic response of collecting tubules to vasopressin and 8-CPT-cAMP.

The effect of peritubular and luminal pH changes on hydraulic conductance, (Lp, 10(-7) cm X s-1 X atm-1) in the isolated perfused rabbit cortical collecting tubule (CCT) was tested at 37 degrees C before and after administration of 20 microU/ml vasopressin or 10(-4) M 8-[p-chlorophenylthio]-adenosine cyclic monophosphate (8-CPT-cAMP). In vasopressin experiments when bath pH was changed from 7.58 to 7.16 or from 7.58 to 6.70, mean Lp decreased from 249 +/- 32 to 199 +/- 23 (n = 5; P less than 0.01) and from 231 +/- 38 to 201 +/- 36 (n = 5; NS), respectively. In contrast, in 8-CPT-cAMP experiments when bath [HCO3] was kept constant while CO2 was elevated the hydroosmotic response was increased. Using 2.5 mM HCO3, Lp at 0.4% CO2 was 275 +/- 15 and at 6% CO2 it was 352 +/- 50 (n = 4; paired t test; P less than 0.05). At 8.5 and 21.5 mM HCO3 raising CO2 from 2 to 13% and from 4 to 32% increased Lp from 237 +/- 71 to 410 +/- 32 (n = 4; paired t test; P less than 0.05) and from 282 +/- 45 to 449 +/- 63 (n = 6; paired t test; P less than 0.001), respectively. Reducing luminal pH from 7.40 to 5.40 had no effect on either vasopressin- or cAMP-induced changes in Lp. Accordingly, lowering the bath pH by increasing the PCO2 at constant [HCO3] markedly stimulates the response to 8-CPT-cAMP, whereas lowering the bath pH by reducing [HCO3] inhibits the vasopressin response.

Animals↗
PubMed1981

The role of the physician in the grief process.

A child's death is a particularly painful experience for the family. The grief process involves all family members, and although it is individualized many reactions and concerns are predictable. With knowledge of the grief process, the patient's physician may be of great assistance to the family during this time of need. A plan is suggested for helping the family to cope with their feelings.

Attitude to Death↗
PubMed1980

Exercise-induced release of pancreatic polypeptide and its inhibition by propranolol: evidence for adrenergic stimulation.

Pancreatic polypeptide (PP) has been considered to be predominantly under cholinergic-vagal control and may therefore serve as an indicator of vagal tone. We found similar basal plasma concentrations of PP in athletes with bradycardia and in untrained subjects. We further observed that physical exercise--an adrenergic situation--induces a several-fold rise in PP plasma concentration. Maximal plasma PP levels correlated positively with maximal blood pressure. The exercise-induced rise of PP was completely abolished by propranolol. These findings suggest that stimulation of the adrenergic system releases PP and that therefore plasma PP concentrations cannot be used to determine cholinergic-vagal activity.

Adult↗