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  • 1
    ISSN: 1432-1440
    Schlagwort(e): Lung diseases ; Bone marrow transplantation ; Clinic ; Radiology ; Histology ; Immunology ; Lung function
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The case histories of 72 subsequently treated patients — 44 with acute leukemia, 10 with chronic myeloid leukemia, 16 with severe aplastic anemia and 2 with neuroblastoma — were analyzed after bone marrow transplantation (BMT) with respect to pulmonary diseases. Thirty-eight patients suffered from a total of 51 pulmonary complications, which led to death in 20. Of 13 patients, 3 died of bacterial pneumonia, all of them during granulocytopenia; 2 of 6 patients died of fungal pneumonia and 2 out of 3 of a mixed bacterialmycotic infection. Adult respiratory distress syndrome (ARDS) led to death in 2 patients. A granulocyte count under 500/µl correlated significantly (P〈0.002) with the fatal outcome of bacterial, fungal and ARDS pneumonia as well as with bronchitis. Viral pneumonia led to death in 8 of 9 patients; in each there was a significant correlation (P〈0.05) with graft-versus-host disease (GvHD). Patients with repeated episodes of pulmonary illness had significantly more chronic GvHD (P〈0.05); several of these patients displayed a reduction in helper T cells and an increase in suppressor T cells in the peripheral blood. The natural killer (NK) cells were reduced and the percentage of activated NK cell level lay between 6% and 69%. B-cells were absent or deficient. These findings explain in part the absence of specific antibody reactivity. Five of these patients also contracted GvHD-associated obstructive bronchiolitis, which did not respond to therapy. Pulmonary infiltrates of unknown origin (including idiopathic interstitial pneumonia) occurred in 8 of the patients (11.1%), with a fatal outcome in 3 patients. Significant changes (P〈0.05) in lung function after BMT appeared in the form of reduced vital capacity (VC) increased residual volume (RV) and an increase in RV expressed as the percentage of total lung capacity. Pulmonary diseases were the most common complication and cause of death in our patients after BMT.
    Materialart: Digitale Medien
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  • 2
    Digitale Medien
    Digitale Medien
    Springer
    Journal of molecular medicine 16 (1937), S. 1125-1125 
    ISSN: 1432-1440
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
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  • 3
    ISSN: 1432-2307
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary A study of 110 patients with membranoproliferative glomerulonephritis (MPGN) revealed that this disease appears in a simple form and in a lobular form. Both forms are characterized by a differently severe proliferation of mesangial cells and by a mostly extensiv thickening of the glomerular basement membrane. The proliferation of mesangial cells and thickening of the glomerular basement membrane is more severe in the lobular form of MPGN. Dense deposit lesions were observed in association with both the simple form and the lobular form of MGPN. An analysis of the morphological and clinical features of MPGN in patients with dense deposits in the glomerular capillary walls failed to indicate that dense deposits represent a unique disease entity.
    Materialart: Digitale Medien
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  • 4
    ISSN: 1432-2307
    Schlagwort(e): Perimembranous glomerulonephritis ; Glomerular amyloidosis ; Therapy with D-penicillamine
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary The results of electron microscopic examination of renal biopsies from 3 patients with rheumatoid arthritis treated with penicillamine are presented. All 3 patients developed a nephrotic syndrome upon discontinuation of penicillamine therapy. When viewed with the electron microscope, segmental forms of perimembranous glomerulonephritis (Stages I–II of Ehrenreich and Churg) and glomerular renal amyloidosis Grade I–III were observed. In all three cases the nephrotic syndrome was considered to be due to the simultaneous occurrence of the two disease processes. In 2 cases perimembranous glomerulonephritis with immuno-complex-deposits was assumed to be the dominant factor in the causation of the disease, in the other case amyloidosis was the principle abnormality.
    Materialart: Digitale Medien
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  • 5
    ISSN: 1432-2013
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In order to test the applicability of the occlusion time method for measuring the reabsorptive characteristics in the proximal convolution of the rat kidney, a quantitative analysis of this method was performed. The time course of decrease in tubular diameter, following interruption of GFR, was measured from time sequenced photomicrographs taken before and during the period of occlusion. Tubular occlusion, as measured by direct microscopic observation or by extrapolating the initial slope of decrease in luminal diameter to zero diameter, was found to be constant over a range of GFR from 0.3–2.2 ml/min · g kidney weight. A positive correlation was observed between GFR and free flow luminal diameter. The decrease in luminal diameter, which occurs during the period of occlusion, is a linear function of time. The results indicate that the lateral water flux is directly related to the free flow luminal diameter prior to the period of occlusion, i.e., to GFR. In contrast, the lateral water flux remains constant during the decrease in luminal diameter, which occurs during the period of occlusion. Although the results are consistent with the assumption of a glomerular-tubular balance in the proximal convolution, the absolute values for lateral water flux, as measured by the occlusion method, are approximately twice as high as values calculated from free flow micropuncture experiments, split droplet experiments, and cinematographic experiments.
    Materialart: Digitale Medien
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  • 6
    ISSN: 1432-2013
    Schlagwort(e): Glomerulo-Tubular Balance ; Reabsorptive Capacity ; Variations of GFR ; Renal Artery Constriction ; Glomerulo-tubuläre Balance ; Resorptionskapazität ; Filtravariationen ; Constriction der Nierenarterie
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In the present study it is demonstrated that reabsorptive functions of the proximal tubule during partial renal artery clamping display significant differences when compared to spontaneous GFR variations. During moderate clamping fractional fluid reabsorption was 69.8% and fell during severe clamping to 55.2%. Proximal tubular passage time increased progressively with the degree of clamping. This indicates that radius does not change as a function of GFR, a finding supported by microphotography of the renal surface. During moderate arterial clamping proximal reabsorptive rate was correlated to the tubular cross-sectional area, but in the face of severe clamping this relationship was abolished. We conclude, therefore, that mechanisms other than tubular geometry participate in regulating proximal tubular reabsorption, when GFR is altered by arterial constriction.
    Materialart: Digitale Medien
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  • 7
    ISSN: 1432-2013
    Schlagwort(e): Renal Transport ; Proximal Glomerulo-Tubular Balance ; Lateral Net Flux ; Variations of GFR ; Tubular Diameter ; Renaler Transport ; Proximale glomerulo-tubuläre Balance ; Lateraler Nettofluß ; GFR-Variationen ; Tubulärer Durchmesser
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In rats with hereditary Diabetes insipidus (Brattleboro strain) proximal fluid reabsorption was studied during spontaneous variations of GFR. Independent of kidney weight and arterial blood pressure total kidney GFR varied between 0.35 ml/min×gKW and 1.8 ml/min×gKW, while single nephron filtrate showed a variation between 18 nl/min×gKW and 66 nl/min×gKW. End-proximal TF/P inulin of 78 fluid samples did not correlate with filtration rate and averaged 2.38±0.55 S.D. Also, proximal transit time was independent of filtration rate with a mean of 9.7 sec±1.1 S.D. These results imply a direct correlation between mean luminal radius and filtration rate, which was demonstrated by microphotography of the renal surface. Our data show that complete glomerulo-tubular balance in the proximal tubule exists during spontaneous variations of glomerular filtration rate. In support of the hypothesis ofGertz [4,6] the lateral net fluid flux was found to be linearly dependent upon tubular surface area. In addition, intratubular volume changed in direct proportion to single nephron filtrate. The present results are interpreted to further strengthen the assumption of a critical influence of tubular geometry on proximal fluid reabsorption during spontaneous variations of GFR.
    Materialart: Digitale Medien
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  • 8
    ISSN: 1432-2013
    Schlagwort(e): Hereditary Diabetes Insipidus ; Proximal Convolution ; Loops of Henle ; ADH ; Hereditärer Diabetes Insipidus ; Proximales Konvolut ; Henle'sche Schleife ; ADH
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Micropuncture studies were carried out on rats with hereditary hypothalamic diabetes insipidus, in order to measure net sodium and water reabsorption in proximal convolutions and short loops of Henle during water diuresis and ADH-induced antidiuresis. Intravenous infusion of 0.15 mU ADH per minute reduced urine flow from 74.5 μl per kidney per minute to 10.8 μl, and increased urine osmolality from 117 to 605 mOsm/kg. These changes could be reversed by stopping ADH. ADH did not alter the fractional reabsorption of fluid or the reabsorptive capacity for sodium in the proximal tubules. Nor did it change glomerular filtration rates of single superficial nephrons or of the entire kidney. Fractional reabsorption of the glomerular filtrate up to the early distal convolution was significantly higher (82.0%) in water diuresis than in antidiuresis (74.4%). Since this reabsorption remained unchanged in the proximal convolutions, the decreased reabsorption during antidiuresis must have occurred in the short loops. Fractional reabsorption of sodium up to the early distal tubule was essentially identical during water diuresis and antidiuresis, indicating that ADH does not enhance urinary concentration by increasing the reabsorption of sodium from short loops.
    Materialart: Digitale Medien
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  • 9
    Digitale Medien
    Digitale Medien
    Springer
    Pflügers Archiv 312 (1969), S. 91-98 
    ISSN: 1432-2013
    Schlagwort(e): Fundulus heteroclitus ; Euryhaline Fish ; Hypertonic Urine ; Marine Teleost Kidney ; Fundulus heteroclitus ; Euryhaline Fische ; Hypertoner Urin ; Meeresteleostierniere
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary In fresh water, Fundulus heteroclitus produces copious hypotonic urine. After transferring the fish over a period of 7–8 hours from fresh to seawater, the urine becomes hypertonic (UP/osm up to 2.4) and remains so for 24 to 36 hours. Transferring F. heteroclitus to seawater over a period of 3 days results in its producing an iso-to hypotonic urine. The nephron of the fish has been reconstructed with the help of serial sectioning. Its anatomy does not defer from that of marine teleosts.
    Materialart: Digitale Medien
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  • 10
    Digitale Medien
    Digitale Medien
    Springer
    Pflügers Archiv 304 (1968), S. 365-375 
    ISSN: 1432-2013
    Schlagwort(e): Dog Kidney Micropuncture ; Glomerulo-Tubular Balance ; Proximal Tubular Function ; Ethacrynic Acid ; Mikropunktion an Hundenieren ; Glomerulo-tubuläre Balance ; Proximale Tubulusfunktion ; Ethacrynsäure
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary Micropuncture studies have been carried out on the dog kidney in order to evaluate the proximal tubular response in different experimental settings. When total and single nephron GFR varied spontaneously, a constancy of fractional reabsorption was observed. When GFR was drastically reduced following regitine-induced hypotension no significant difference in late proximal fractional reabsorption was noted when compared to controls, but lateral water flux and reabsorptive capacity fell markedly. Finally, during ethacrynic acid administration late proximal TF/P inulin remained constant, transit time was prolonged, and tubular radius and intratubular pressure increased. The lateral water flux was slightly reduced and reabsorptive capacity showed a moderate decrease. These studies have provided normal values for the reabsorptive characteristics of the canine proximal tubule (radius, transit time, intratubular pressure, lateral water flux, and reabsorptive capacity) and indicate that, under control conditions and during hypotension and diuretic administration, the dog and the rat have similar proximal tubular responses.
    Materialart: Digitale Medien
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