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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Archives of toxicology 71 (1997), S. 455-460 
    ISSN: 1432-0738
    Keywords: Key words Cornea  ;  Cadmium chloride  ;  Calcium chloride  ;  Endothelium  ;  Frog
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The effect of cadmium chloride on the integrity of the endothelium of isolated bullfrog (Rana catesbeiana) corneas was examined by spectrophotometric analysis of corneal uptake of the vital stain Janus green and by scanning electron microscopy (SEM). The uptake of Janus green by the endothelium was dose related between 1.0 and 100.0 μM CdCl2. The effect of cadmium was significantly attenuated by the calcium channel blocker SKF 96365 and was augmented by the calcium ionophore A23187, indicating that cadmium influx through calcium channels is an important determinant of its cellular effect. The effect of cadmium was not altered by changes in the external calcium concentration, indicating that the mechanism does not involve competitive inhibition by calcium. SEM demonstrated significant structural damage to the corneal endothelium exposed to cadmium chloride, including focal disruption and denuding of the apical endothelial membrane.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Respiration Physiology 91 (1993), S. 125-136 
    ISSN: 0034-5687
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Infection 20 (1992), S. S227 
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Infektionen der Prostata entwickeln sich trotz zahlreicher Abwehrmechanismen des Urogenitaltrakts. Entscheidend ist, zwischen Patienten mit echter Prostatitis und der häufigeren Prostatodynie zu differenzieren, wobei letztere an der typischen Symptomatik leiden, ohne eine entzündliche Reaktion der Prostata aufzuweisen. Die Diagnose einer Prostatitis beruht auf der vermehrten Zahl von Leukozyten im Prostatasekret. Sorgfältige Untersuchungen von Urinfraktionen vor und nach Prostatamassage unter Einschluß des Prostatasekrets erlauben dann, die Patienten in zwei Hauptgruppen zu differenzieren — Männer mit bakterieller oder nicht (a-)bakterieller Prostatitis. Haupterreger der chronisch-bakteriellen Prostatitis istEscherichia coli. Die Wertigkeit einer grampositiven Prostatitis ist umstritten. Eine chronisch-bakterielle Prostatitis geht mit einer sekretorischen Dysfunktion einher. Der erhöhte alkalische pH des Prostatasekrets ist eine Ursache für die begrenzten Therapieerfolge antibiotischer Therapieversuche.Chlamydia trachomatis und/oderUreaplasma urealyticum sind ätiopathogenetisch für einige Fälle der nichtbakteriellen Prostatitis zu diskutieren. Eine routinemäßige Diagnostik dieser Mikroorganismen wird nicht empfohlen.
    Notes: Summary Infections of the prostate may occur despite the numerous host defences of the male urogenital tract. It is important to distinguish patients with genuine inflammation of the gland from the larger number of men with symptoms but no signs of an inflammatory response (prostatodynia). To define prostatitis, the degree of the inflammatory reaction must first be determined. Increased numbers of leucocytes in expressed prostatic secrections (EPS) are essential for this diagnosis. Careful lower urinary tract studies may then be used to classify the patients into two major groups of bacterial and nonbacterial prostatitis. Chronic bacterial prostatitis is primarily due toEscherichia coli. Gram-positive prostatitis is debatable. In chronic bacterial prostatitis, secretory dysfunction is common. The increased alkalinity of the pH of expressed prostatic secretions is one of the reasons for poor results of antibiotic therapy. Uncommon microorganisms, such asChlamydia trachomatis andUreaplasma urealyticum may be involved in some cases of the “nonbacterial” form. Routine culture for these microorganisms is not recommended.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The epididymal, testicular, and prostatic tissue penetration of sparfloxacin, a new quinolone, was assessed in a rat model of acute epididymitis. Seventy-two hours after injection of 0.1 ml (106 cfu/ml) of anEscherichia coli suspension into the right epididymis via the right ductus deferens, a single oral dose of sparfloxacin 50 mg/kg body weight was administered. One, 2, 4, 8, 12, and 24 h after administration the animals were sacrificed and the sparfloxacin concentrations and “areas under the curve” (AUC0–24) in both epididymides, both testes, the prostate gland and in the serum were measured by bioassay. The highest mean AUC0–24 was found in the prostate gland, followed by left epididymis, right epididymis, serum, right testis, and left testis (190, 79, 60, 28, 12, and 9 mg/kg×h, respectively). Though there was no statistically significant difference in the sparfloxacin concentration of both epididymides (p=0.09), the mean AUC0–24 was significantly higher in the non-infected left epididymis (p〈0.0001). The AUC0–24 and sparfloxacin concentrations of the right infected epididymis were significantly higher than those observed in the serum (p〈0.0001). In both testes, the AUC0–24 and sparfloxacin concentrations were lower than in the serum (p〈0.0001), however, the concentration exceeded the MIC tenfold for approximately 20 h. It is concluded that the pharmacokinetic properties of sparfloxacin (goodin vitro activity, high penetration into the prostate gland, testes, infected and non-infected epididymides) make this drug a recommendable choice for the initial treatment of acute epididymitis caused byE. coli.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die Relevanz einer serologischen Diagnostik in der Abklärung männlicher Genitalinfektionen mitChlamydia trachomatis und ihre Bedeutung für die männliche Infertilität ist unklar. In einer prospektiven Studie untersuchten wir Serum- und Seminalplasmaantikörper gegenC. trachomatis von 131 konsekutiven Patienten (31: 20–57 Jahre) ohne Hinweis für eine akute Urethritis mit negativer urethraler Chlamydienkultur. Die Antikörperbestimmung wurde mit einem genusspezifischen r-ELISA durchgeführt. Bei Patienten mit positiven Seminalplasma-IgA wurde ein PCR-Nachweis auf Chlamydiengenom durchgeführt. Die Befunde wurden mit Standard-Ejakulatparametern nach WHO-Kriterien verglichen. Serum-IgG-Antikörper fanden sich bei 51 Patienten (38,9%), Serum-IgA-Antikörper bei 39 Männern (29,7%), beide Antikörper bei 25 Patienten (19%). Seminalplasma-IgG wurde bei 7 (5,3%), IgA bei 26 Patienten (19,9%), beide Antikörper bei fünf Männern (3,8%) nachgewiesen. Von den 26 Männern mit positiven Seminalplasma-IgA-Titern wiesen 12 keine Serum-IgA-Antikörper auf. Nur zwei der Patienten mit positiven Seminalplasma-IgA-Titern zeigten eine positive Chlamydien-PCR (8%). Männer mit Seminalplasma-IgA und/oder IgG-Antikörpern unterschieden sich bezogen auf die Standard-Ejakulatparameter nicht signifikant von Patienten ohne Antikörper. Einzige Ausnahme war der vermehrte Nachweis von paroxidase-positiven Leukozyten (p〈0,01). Es fand sich auch keine Assoziation zwischen den einzelnen Ejakulatparametern und der Höhe der Antikörpertiter. Der Nachweis von etwa 40% Chlamydienantikörpern im Serum ohne Assoziation zu Seminalplasmaantikörpern und ohne Zeichen einer klinischen Infektion scheinen eine urogenitale Infektionsanamnese widerzuspiegeln. Der alleinige Nachweis von Seminalplasma-IgA bei 12 von 26 Fällen ist eventuell durch eine lokale Antikörperreaktion bei klinisch inapparenter Infektion zu erklären. Entsprechend fand sich auch eine Assoziation zwischen Seminalplasma-IgA und Entzündungszeichen, während eine Assoziation zum Genom- oder Erregernachweis nicht nachgewiesen werden konnte. Es erscheint uns daher notwendig, die Bedeutung genusspezifischer Seminalplasma-IgA-Antikörper mit einem Spezies-spezifischen Mikroimmunfluoreszenztest zu reevaluieren und diese Befunde mit einem Genomscreening mittels PCR oderin situ Hybridisierung zu überprüfen.
    Notes: Summary The importance of a serological diagnostic workup in male genitourinary infections withChlamydia trachomatis and its relevance for male infertility is still under debate. In a prospective study, antichlamydial serum and seminal plasma antibodies of 131 consecutive patients (mean age 31: 20–57) without evidence of acute urethritis and with negative urethral chlamydial culture were investigated. The antibody determination was carried out with a genus specific rELISA. In patients with positive seminal plasma IgA, chlamydial genome was evaluated by polymerase chain reaction (PCR). The results were associated with standard semen parameters according to evaluated WHO guidelines. Specific serum IgG antibodies were found in 51 patients (38.9%), IgA in in 39 (29.7%); both antibodies were present in 25 patients (19%). Seminal plasma IgG was demonstrable in seven patients (5.3%), IgA in 26 (19.9%), and five patients were positive for both antibody classes (3.8%). Of the 26 men positive for specific seminal plasma IgA antibodies 12 did not demonstrate a serum antibody reaction. Only two patients with positive IgA titers in their seminal plasma showed a positive chlamydial genome reaction in PCR (8%). Men with antichlamydial seminal plasma IgA and/or IgG did not differ significantly in any of the standard semen sperm parameters from men testing negative for antibodies, with the exception of peroxidase positive leukocytes (p〈0.01), nor was there an association between any of the ejaculate parameters and any of the antibody titers. The data of about 40% antichlamydial serum antibody findings without a significant association with seminal plasma antibodies and no clinical signs of infection seem to reflect a history of urogenital infection. The unique presence of seminal plasma IgA in 12 of 26 cases may be caused by a local antibody response due to a “silent” infection. Thus, seminal plasma IgA was associated with signs of inflammation, whereas, there was no association with genome or pathogen demonstration. Therefore, it appears to be necessary to reevaluate genus-specific seminal plasma IgA antibodies with a species-specific microimmunofluorescence test and to compare these results with a genome screening using PCR orin situ hybridization.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die Untersuchung faßt die Ergebnisse einer kompletten Durchuntersuchung nach ätiologischen Mikroorganismen bei 1461 Patienten mit der Symptomatik einer chronischen Prostatis und 202 gesunden Kontrollen in den Jahren 1976 bis 1988 zusammen.
    Notes: Summary The paper summarizes the results of a thorough search for involved microorganisms in 1,461 patients suffering from chronic prostatitis and 202 controls from 1976 to 1988 following a standardized diagnostic program.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1433-8726
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The study population comprised 135 patients with impotence of differing etiologic origin who were initially instructed in the self-injection of papaverine. At the end of the study, 91 men (67.4%) continued to participate after a median follow-up period of 42 months (range, 16–60 months) and a median number of 101 (range, 37–295) injections. Of the 44 men (32.6%) who discontinued therapy, only 8 had reached a point where they could dispense with self-injection. The most important reasons for discontinuation were complications, including abnormalities in liver enzymes in 4 men (3%) and recurrent urethral misinjection in 3 men (2.2%). Prolonged erections, which were recorded in 15 men (11.1%), represented 〈0.1% of the total of 10766 reported injections; 9 of these men continued self-injection without experiencing further episodes of priapism (4 with a decreased amount of papaverine and 5 with prostaglandin E1). Penile nodes were observed in 15 cases (11.1%), and fibrosis of cavernous tissue was evident in 4 men (3%). The development of these complications did not depend on the number, time, or dose of injections.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Cellular and molecular life sciences 39 (1983), S. 1278-1280 
    ISSN: 1420-9071
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Pulmonary hemodynamics and fluid and protein exchange were examined in dogs subjected to three successive periods of intracranial hypertension. Results indicate that the alteration in lung fluid balance is due to increased microvascular surface area following capillary recruitment. The relationship to the mechanism of neurogenic pulmonary edema is discussed.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Der Urologe 37 (1998), S. 277-281 
    ISSN: 1433-0563
    Keywords: Schlüsselwörter Varikozelentherapie • Infertilität • Spermiogramm ; Key words Therapy of varicocele • Infertility • Ejaculate analysis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Therapy of varicocele: a commentary and critical evaluation.
    Notes: Zusammenfassung Aspekte der Varikozelentherapie werden kommentiert und kritisch hinterfragt.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Urological research 18 (1990), S. 207-211 
    ISSN: 1434-0879
    Keywords: Prostatitis ; E. coli ; Mastomys natalensis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Inoculation of Escherichia coli (serotype O:6) into the bladder of male and female Mastomys (Praomys) natalensis produced severe prostatitis. In this rodent both male and female animals possess a well developed prostatic gland. The histologic and microbiologic course of the prostatic infection resembled strongly the human disease. Acute bacterial prostatitis was followed by the development of chronic bacterial or nonbacterial prostatitis. The infection persisted in some animals for up to six months. Prostatitis was observed histologically in all animals sacrificed six months postinfection. Animals responded to the infection with a rise of anti-lipopolysaccharide antibodies. No major morphologic differences were detected in the histologic pattern of the inflammatory process between animals with positive and negative bacterial cultures and between male and female animals.
    Type of Medium: Electronic Resource
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