Summary To investigate whether intestinal calcium absorption parallels that of sodium following extracellular fluid volume expansion, the effects of saline loading on intestinal transport of calcium. sodium and water were studied in rats by perfusing jejunal loops in situ.After calcium-free saline infusion net calcium absorption was reversed similar to that of sodium and water and net secretion occurred. Concurrently, blood-to-lumen (b-l) calcium flux, measured using45Ca, increased significantly (P<0.001). Following expansion with calcium-containing Ringer a similar reversal of net calcium, sodium and water flux was also observed. Again, the b-l calcium flux increased but to a significantly lesser extent (P<0.05). Plasma ionized calcium remained unchanged after calcium-rich Ringer loading, but decreased significantly (P<0.001) when calcium was omitted from the solution. Plasma immunoreactive parathyroid hormone was unchanged after expansion with the calcium containing solution but increased following calcium-free infusion.It is concluded that after extracellular fluid volume expansion: 1. net jejunal calcium absorption is decreased; 2. the decrease parallels that of sodium and water; 3. b-l calcium transport is enhanced to a greater degree by calcium-free Ringer infusion than by a calcium-rich solution. This difference could be the result of increased parathyroid hormone secretion. 相似文献
Objective To study on adsorption effect of cadusafos and atropine sulfate by hemoperfusion.Method Hemoperfusions were performed for sheep blood samples with cadusafos and atropineby through imitated extracorporeal closed circulating perfusion apparatus.Residual cadusafos was determined by gas chromatography and residual atropine was determined by high performance liquid chromatography.Result Dose of adsorption agent was 0.5,1.0 and 1.5 g,respectively.Two hours after hemoperfusion with membrane coated activated charcoal,clearance rate of cadusafos in 3 groups all exceeded 90%.and clearance rate of atropine sulfate was 61.9%,84.9%,88.9%,respectively.One and a half hours after hemoperfusion with HA230 absorption resin,clearance rate of eadusafos in 3 groups all exceeded 90%,and clearance rate of atropine sulfate was 88.0%,97.2%,98.4%,respectively.Three hours after hemoperfusion with membrane coated activated charcoal,The concentration ratio of cadusafos and atropine sulfate in blood promoted to 10.1 times,and the ratio was 6.7 times after hemoperfusion with HA230 absorption resin.Conclusion It suggested that cadusafos were mostly removed from blood after 1.5~2.0hours hemoperfusion with membrane activated charcoal or HA230 absorption resin.The concentration ratio of cadusafos and atropine sulfate in blood will increased after hemoperfusion. 相似文献
9 consecutively referred closed head injury (CHI) patients were assessed for sensitivity to light and sound stimuli, within 7-19 days of injury, on both objective and subjective measures. Patients were matched with controls on age, sex, race, socio-economic status and order of test administration. The mean luminance (1366 lux) tolerated by CHI patients was significantly lower (0.01 level by Student's t-test for related samples) than that tolerated by controls (1783 lux). The mean sound intensity tolerated by CHI patients was also lower (82 db) than for controls (94 db), though this difference was not statistically significant. Subjective ratings of sensitivity made by CHI patients after exposure to intense sound and light stimuli, showed no relationship to objective ratings of tolerance. The results demonstrate an objective basis for complaints of increased sensitivity, at least to light, following CHI. These findings do not support earlier "psychogenic" explanations of post-concussion syndrome (PCS) etiology. 相似文献
The lipophilicity of propranolol is increased by some bile salts which form ion-pairs. In the presence of taurodeoxycholate, the logarithm of the apparent partition coefficient (log P) of propranolol is increased. Moreover, the apparent diffusion constants in vitro of propranolol as ion-pairs at pH 3.0–6.0 are about 5–6 times higher than those of propranolol alone.
The area under the curve values of plasma concentration—time profiles of propranolol, following its oral administration to rabbits together with taurodeoxycholate, are about 1.4 times higher than those after administration of propranolol alone. Moreover, after the admistration of propranolol with taurodeoxycholate the plasma concentration rises more rapidly, with a point of inflection between 0.5 and 1.5 h, than after administration of propranolol alone.
Taurodeoxycholate does not modify the first-pass effect of propranolol in rabbits following intravenous and intraportal administration. The absorption of an oral dose of propranolol in the presence of taurodeoxycholate increases from 70% to 100%, due to the higher lipophilicity of the ion-pair. The plasma concentration—time curves suggest the hypothesis that greater absorption of the ion-pair occurs mainly in the upper region of the gastrointestinal tract. 相似文献
As the auscultatory method of blood pressure measurement relies fundamentally on the generation of the Korotkoff sound, identification
of the responsible mechanisms has been of interest ever since the introduction of the method, around the turn of the century.
In this article, a theory is proposed that identifies the cause of sound generation with the nonlinear properties of the pressure-flow
relationship in, and of the volume compliance of the collapsible segment of brachial artery under the cuff. The rising portion
of a normal incoming brachial pressure pulse is distorted due to these characteristics, and energy contained in the normal
pulse is shifted to the audible range. The pressure transient produced is transmitted to the skin surface and stethoscope
through deflection of the arterial wall. A mathematical model is formulated to represent the structures involved and to computer
the Korotkoff sound. The model is able to predict quantitatively a range of features of the Korotkoff sound reported in the
literature. Several earlier theories are summarized and evaluated. 相似文献