Clinical, Biochemical and Physiological Studies in Cases of Recurrent Schizophrenia

1952 ◽  
Vol 98 (410) ◽  
pp. 100-121 ◽  
Author(s):  
Donald W. Rowntree ◽  
W. W. Kay

During the clinical observation of a female patient suffering from recurrent schizophrenic attacks, it was noticed that each psychotic episode was associated with the appearance of acne, and also that during remissions the patient showed an unusual craving for salt. These observations, together with the automatic disturbances characteristic of the onset of attacks, suggested that the adrenal cortex might play a part in the metabolic changes in this type of case, particularly the changes in nitrogen balance which have been demonstrated by Gjessing (1932, 1938). The work here reported was therefore primarily concerned with investigating the possible relationship between adrenal cortex activity and nitrogen metabolism in two patients of this type.

1994 ◽  
Vol 40 (8) ◽  
pp. 645-650 ◽  
Author(s):  
María M. Dobao ◽  
Manuel Martínez-Luque ◽  
Conrado Moreno-Vivián ◽  
Francisco Castillo

The phototrophic bacterium Rhodobacter capsulatus E1F1 possesses an assimilatory, inducible nitrate reductase that is regulated by carbon and nitrogen metabolism. Nitrate reductase activity was detected in cells cultured with amino acids and nitrate as simultaneous nitrogen source but it required an additional carbon source such as D,L-malate. A significant rise in nitrate reductase activity was observed in media with increasing nitrate concentrations up to 10 mM KNO3, although higher nitrate concentrations had an inhibitory effect. Growth yield, generation time, and nitrate reductase activity were also dependent on the concentration of D,L-malate in cells growing with 10 mM nitrate. In carbon-starved cells, nitrate reductase activity dropped even in the presence of nitrate. The intracellular concentration of keto acids such as oxaloacetate or 2-oxoglutarate fluctuated widely depending on the presence of nitrogen and carbon sources in the culture medium. The increase in the intracellular concentration of oxaloacetate or 2-oxoglutarate in R. capsulatus E1F1 correlated well with a rise in nitrate reductase activity. These results suggest that the intracellular carbon–nitrogen balance regulates nitrate uptake in R. capsulatus E1F1, thus affecting the expression of nitrate reductase.Key words: carbon–nitrogen balance, nitrate reductase, Rhodobacter capsulatus.


2001 ◽  
Vol 136 (4) ◽  
pp. 461-470 ◽  
Author(s):  
R. J. EARLY ◽  
O. MAHGOUB ◽  
C. D. LU

The effects of dietary energy concentration on tissue composition and nitrogen metabolism were determined by comparative slaughter and nitrogen balance trials in Omani male lambs during the hot summer months (July to October; maximum temperature 48 °C). Weaned lambs (n = 10 per diet) were fed on one of three isonitrogenous (160 CP g/kg DM) diets that contained low (9·98 MJ/kg DM), medium (10·3 MJ/kg DM) and high (11·4 MJ/kg DM) metabolizable energy contents. An initial slaughter group of 10 animals was used to estimate the initial body composition. Treatment animals were slaughtered at 113–114 days. Increasing dietary energy concentrations resulted in a progressive increase in empty body, carcass and non-carcass water, protein and fat contents. Increasing dietary energy concentrations also resulted in a greater deposition of energy in carcass fat and a reduced deposition of energy in carcass protein. Dietary energy concentration did not affect the distribution of energy between protein and fat within empty body and non-carcass tissues. Ratios of energy to empty body, carcass or non-carcass weight were not affected by dietary energy concentrations and averaged 17·1, 18·2 and 15·9 MJ/kg respectively. These data indicate that more energy is required to deposit carcass tissues than non-carcass tissues. Nitrogen balance trials (feed N–faecal N–urinary N) conducted midway through the experiment indicated that dietary energy concentration had no effect on nitrogen digestibility or nitrogen retention. However, nitrogen retention determined by comparative slaughter showed that animals fed the low energy diet retained significantly less empty body nitrogen compared to animals fed the high energy diet. Thus, nitrogen retention determined by nitrogen balance trials overestimated direct measurements of nitrogen retention determined by comparative slaughter and this overestimation was greater on the low energy diet.


1955 ◽  
Vol 102 (6) ◽  
pp. 767-774 ◽  
Author(s):  
Edward H. Kass ◽  
Mary I. Kendrick ◽  
Maxwell Finland

The effects of hydrocortisone, corticosterone, and pituitary adrenocorticotropin on antibody production were studied immunochemically in rabbits. Hydrocortisone in doses as low as 2.5 mg. per day (approximately 1.0 mg. per kg. per day) markedly depressed antibody production whereas corticosterone in doses four times as large exerted no significant effect. Corticotropin in doses of 15 units daily exerted an effect similar to that of corticosterone, but its effect was more like that of hydrocortisone when given in doses twice as great. This finding is in agreement with observations that the prolonged administration of corticotropin in sufficient dosage leads to increased output of hydrocortisone by the adrenal cortex of the rabbit. Corticosterone did not antagonize the effect of hydrocortisone on antibody production, but seemed to act additively with it. Although each of the hormones tested induced some adverse effect on nitrogen balance as measured by the weights of the animals, and hydrocortisone induced the more striking decreases in weight, there was no direct correlation between the effects of these hormones on antibody production and their effects on weight.


Development ◽  
1957 ◽  
Vol 5 (3) ◽  
pp. 215-224
Author(s):  
James R. Fisher ◽  
Robert E. Eakin

Of the many examples of metabolic changes occurring during development, the most widely cited is that in developing chicks wherein the end product of nitrogen metabolism has been assumed to shift from ammonia to urea and finally to uric acid (Needham, 1931). This system appeared to be ideal for a proposed study of the mechanisms bringing about such changes in metabolism, providing the occurrence of these changes could be further substantiated. The experimental evidence upon which this pattern had been postulated consisted entirely of measurements of the total amounts of ammonia, urea, and uric acid in the allantois and the ratio of their total weights to the weight of the embryo. Nothing was reported concerning the changes in concentration of these substances nor their presence outside the allantois. Lack of this information makes it impossible to conclude that net synthesis occurs, particularly in the cases of ammonia and urea where the total amounts present are quite small.


2019 ◽  
Vol 100 (2) ◽  
pp. 111-115
Author(s):  
D. B. Giller ◽  
Ya. V. Lazareva ◽  
I. I. Martel’ ◽  
A. I. Shekhter ◽  
O. N. Ots ◽  
...  

The low incidence of nodular fistulas can create difficulties in diagnosis and timely treatment. This clinical observation describes the diagnosis of pneumonodular fistula in a female patient with tuberculosis at multiple sites as a complication of tuberculous mediastinitis. It describes the surgical treatment received by this patient and its outcome as an example of correct treatment policy for this complication.


Author(s):  
Ekaterina S. Ilina ◽  
D. A Sychev ◽  
O. T Bogova

The article presents an analysis of a clinical case of a female patient D., aged of 93 years, hospitalized in the cardiology department of the hospital with multimorbidity and polypragmasy, who had the fall episode due to the prescription of midazolam administered parenterally. The fall was accompanied by the development of trauma - bruising her forehead, followed by suppuration, which demanded surgery in a surgical department. In this clinical case, the fall was a predictor of adverse drug reactions associated with the prescription of the drug preparation.


2019 ◽  
Vol 178 (5) ◽  
pp. 107-109
Author(s):  
K. M. Vakhitov ◽  
E. V. Semenova ◽  
A. Yu. Vinokurov ◽  
A. O. Golodova ◽  
I. S. Chernyakov ◽  
...  

The article presented the clinical observation of the development of TRAS and its endovascular treatment in the 60-year-old female patient.The authors declare no conflict of interest.The authors confirm that they respect the rights of the people participated in the study, including obtaining informed consent when it is necessary, and the rules of treatment of animals when they are used in the study. Author Guidelines contains the detailed information.


1965 ◽  
Vol 49 (2) ◽  
pp. 283-288
Author(s):  
C.-G. Dässler

ABSTRACT The excretion of free 17-ketosteroids has been studied in 10 pregnant and 10 nonpregnant women. Urine extracts were chromatographed on silicagel and separated in C19O2- and C19O3-steroids, as described by Goldzieher & Axelrod (1962). The excretion values remained relatively constant in the two groups and in one patient with severe toxaemia. The results indicate that the excretion of free 17-ketosteroids does not reflect the known metabolic changes of adrenal hormones in pregnancy. – A female patient with tumour of the adrenals showed a 27-fold increase in the C19O2-fraction and a 10-fold increase in the C19O3-fraction.


1971 ◽  
Vol 22 (3) ◽  
pp. 429 ◽  
Author(s):  
KH McIntyre

Urea was infused into sheep both intravenously and intraruminally, and at several increasing rates. The infusions were continuous for at least 6 days for each quantity of urea infused. Three predominantly roughage rations were used. Two of these had the same roughage constituents; both had relatively low protein contents, but one contained starch. The amount of urea nitrogen retained in the body from the urea infused was greatest on the ration containing starch, when the nitrogen balance improved by as much as 4.3 g/day. The concentration of ammonia in the rumen increased linearly with the amount of urea infused by either route of administration, but was much higher in the sheep infused intraruminally. Plasma urea nitrogen concentrations increased linearly with each quantity of urea infused until they reached about 30 mg/100 ml. They increased above this concentration only in the sheep fed on the low protein roughage ration without starch. The results suggest that a renal mechanism for urea excretion may control the plasma urea nitrogen concentration at about 30 mg/100 ml under certain conditions.


1922 ◽  
Vol 12 (1) ◽  
pp. 40-56 ◽  
Author(s):  
Charles Crowther ◽  
Herbert Ernest Woodman

This communication deals with the results of two experiments in which the “nitrogen-balance,” or difference between nitrogen-consumption and nitrogen-excretion by the cow, has been studied over prolonged periods, starting with the “dry” cow, not in calf, proceeding through the whole period of pregnancy and well into the period of active lactation.Experiment 1 was performed throughout with the two cows, “dry” and not in calf, receiving a basal ration of hay to which was added increasing amounts of maize meal with a view to securing a progressively increasing consumption of nitrogen. This experiment lasted 196 days, during which period determinations of the nitrogen-balance were made on 90 days.Experiment 2 was carried out similarly with two cows, and covered a period of 722 days, including 546 days on which determinations of the nitrogen-balance were made. Throughout the whole of this period one cow (Cow C) was maintained “dry” and not in calf, as control cow, whilst the other cow (Cow D) after 302 days became pregnant and its record was followed throughout the stages of pregnancy and parturition and for the first 136 days of active lactation.The outstanding features of the results are as follows:(1) With the progressive increase of nitrogen-consumption beyond the fundamental requirements of the dry cow the rate of nitrogen-retention steadily increases to a maximum and then falls. The maximum appears to be attained under the conditions of our experiment with a protein-supply in the neighbourhood of 2·4 kg. crude protein per 1000 kg. live-weight. There are indications that this figure may be independent of the nature of the foods fed along with hay.(2) When the cow is maintained upon a ration which causes an initial nitrogen-retention the rate of retention falls steadily, but a very prolonged period—up to 90–100 days—may be necessary before nitrogenequilibrium is attained.(3) Even after nitrogen-equilibrium is established and a relatively constant nitrogen-consumption is maintained, there may arise from time to time considerable deviations from equilibrium either in the positive or negative direction. It would appear therefore that for reliable work of this character long experimental periods are essential.(4) The very earliest stages of pregnancy are marked by a profound disturbance of nitrogen metabolism, the requirement for maintenance of nitrogen-equilibrium being very sensibly increased. This additional requirement persists at a steadily reduced rate for some 15 to 20 weeks, after which it is very small. Over the whole period of pregnancy the average rate of nitrogen-retention was only about 2·4 gm. per day.(5) During parturition and for a few days subsequently the output of nitrogen is very great and more than can be restored rapidly by food-consumption. With the experimental cow, giving barely three gallons of milk per day at most, some two to three weeks elapsed after calving before nitrogen-equilibrium was restored.(6) It would appear that to maintain nitrogen-equilibrium during lactation, the food must supply from twice to three times the amount of nitrogen secreted in the milk, in addition to that required for the maintenance of equilibrium in the “dry” state. This represents a food-consumption which would be difficult to attain in the case of cows giving large yields of milk, and accounts for the familiar difficulty of maintaining the “condition” of such cows in the earlier stages of lactation.


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