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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Diabetologia 10 (1974), S. 703-708 
    ISSN: 1432-0428
    Keywords: Porcine insulin ; insulin antibodies ; lipoatrophy ; skin reactions ; insulin requirement
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Side effects of insulin treatment (red spots at the injection site, lipoatrophy and insulin antibody formation) are primary related to the purity and the species of the insulin preparations used in treatment. To evaluate the clinical significance of these factors daily insulin requirements were registered in 1685 protamine insulin treated cases; red spots and lipoatrophy recorded in 500 NPH insulin treated patients and insulin antibodies determined in 173 patients. 51 of the patients were treated for more than 12 months with highly purified porcine insulin (proinsulin contamination 〈0.5 mmol/mol). 96 patients were treated for 1–4 years with porcine NPH insulin (proinsulin contamination 12–13 mmol/mol), and most of the remaining patients have been treated with mixed porcine-bovine insulin preparations in earlier periods. It was shown that high purification of porcine NPH insulin is of importance in reducing insulin dose, lipoatrophy and insulin binding capacity of serum. Thus insulin antibodies could be demonstrated in only 3 of 51 patients after 11/2 year of treatment with highly purified porcine NPH insulin. None of these patients developed red spots at the injection site and only one patient developed a small shallow depression of the subcutaneous tissue on one thigh. The daily insulin requirement was significantly lower when compared with the insulin requirement of a porcine NPH insulin treated control group.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0428
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-0428
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Diabetologia 8 (1972), S. 358-361 
    ISSN: 1432-0428
    Keywords: Human insulin ; insulin antibodies ; isoimmunization ; impurities in insulin ; monocomponent insulin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Dix patients non-diabétiques, atteints de maladie psychiatrique, n'ayant pas été traités auparavant par l'insuline, ont subi une thérapeutique par coma insulinique avec de l'insuline humaine contenant plusieurs fractions, recristallisée et mise en solution neutre. Le traitement a été administré pendant 1–3 mois, à des doses maximales de 96–196 unités par jour. Plusieurs patients ont élaboré des anticorps anti-insuline. La cause de la formation d'anticorps est discutée. La présence de petites quantités de la fraction-a dans l'insuline semble avoir une importance dans la formation des anticorps anti-insuline.
    Abstract: Zusammenfassung Zehn nicht-diabetische psychiatrische Patienten, die vorher nicht mit Insulin behandelt worden waren, wurden einer Insulinkomatherapie mit einem nicht-monokomponentartigen Humaninsulin in neutraler Lösung unterzogen. Die Behandlung wurde 1–3 Monate lang mit Maximaldosen von 96–196 E täglich durchgeführt. Mehrere Patienten erzeugten Insulinantikörper. Die Ursache der Antikörperentstehung wird diskutiert. Die Anwesenheit kleiner Mengen der a-Fraktion des Insulins könnte für die Insulinantikörperbildung von Bedeutung sein.
    Notes: Summary Ten non-diabetic psychiatric patients, who had not previously been treated with insulin, underwent insulin coma therapy by recrystallized, non-monocomponent human insulin in neutral solution. The treatment was given for 1–3 months, in maximum doses of 96–196 units daily. Several patients formed insulin antibodies. The cause of the antibody formation is discussed. The presence of small quantities of the a-fraction in the insulin is assumed to be of importance in the insulin antibody formation.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Cellular and molecular life sciences 28 (1972), S. 806-807 
    ISSN: 1420-9071
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Zusammenfassung Es wird am Kaninchen gezeigt, dass die Konzentration ionisierten Kalziums im Ausfluss eines ventriculo-cisternalen Perfusionssystems nur wenig von der Plasmakonzentration beeinflusst ist. pH-Erniedrigung im Blut erhöhte die Konzentration erheblich.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 7 (1974), S. 187-194 
    ISSN: 1432-1041
    Keywords: Imipramine ; imipramine-N-oxide ; emepronium ; enuresis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary The present study was partly a clinical pharmacological analysis of the action of imipramine in nocturnal enuresis and partly an attempt to select children who would benefit most from this treatment. 61 fairly severe cases of nocturnal enuresis were studied as out-patients, divided by the criteria primary/secondary enuresis and with/without associated behavioural disturbances. The patients received imipramine, imipramine-N-oxide, emepronium, and a placebo in random sequence in a double-blind cross-over trial. There was no difference in effect between placebo and emepronium; after imipramine the frequency of enuresis fell to 58% of the figure during placebo treatment, i.e. 31% of the children became dry; imipramine-N-oxide reduced the number of wet nights only to 78% of the number on placebo, 18% of the children became dry. When the patients were classified into groups imipramine and imipramine-N-oxide were found to have had the greatest effect in cases of presumed psychogenic aetiology, a 65% reduction of the frequency of wet nights whilst taking the placebo. The most favourable results were in children with combined nocturnal and diurnal enuresis and in those with urinary frequency and imperative urgency. The effect was maintained during treatment for 3 months with the most suitable drug. The dose was 50 mg regardless of the body weight of the patient. There were no serious side effects. It was concluded that the psychopharmacological actions of imipramine and imipramine-N-oxide appear to be important in their effects on enuresis. Imipramine might have been the best drug because success may require the combination of antidepressant and anticholinergic activity. It was not possible to assess in detail its presumed effect on the level of sleep. Thus many children can be treated successfully and the final cure of enuresis may be hastened by breaking a vicious circle of psychological phenomena.
    Type of Medium: Electronic Resource
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