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[Problem solving of the clinical case-method type for the development of clinical thinking. The illustrative problem of galactosemia]. 临床病例-方法型解决问题促进临床思维的发展。半乳糖血症的说明性问题。
G Kosekova, L Sirakov

Problem-solving case approach is an effective method for teaching clinical concepts. This method makes medical students be aware of the significance of Biochemistry for the clinical practice. The students are stimulated to study basic biochemical principles. The complete text of a problem case on galactosemia is presented. This case, usually given to the students during the final seminar on carbohydrate metabolism reflects a real situation, in which the student feels responsible to make decisions. He has to make the diagnosis and prescribe a treatment. The student's actions are assessed and commented. The students took a great interest in that problem case and that shows that it is possible and necessary even in the second preclinical year to joint the theoretical principles with the future clinical practice.

问题解决案例教学法是临床概念教学的有效方法。这种方法使医学生认识到生物化学对临床实践的重要意义。鼓励学生学习基本的生化原理。完整的文本问题的情况下,半乳糖血症是提出。这个案例通常是在最后的碳水化合物代谢研讨会上给学生的,它反映了一个真实的情况,在这个情况下,学生感到有责任做出决定。他必须做出诊断并开出治疗处方。学生的行为被评估和评论。学生们对这个案例表现出极大的兴趣,这表明即使在临床前的第二年,将理论原理与未来的临床实践结合起来是可能和必要的。
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引用次数: 0
[The determination of the biological activity of insulin by a radioreceptor method]. [用放射受体法测定胰岛素的生物活性]。
E Dimitrova, L Sirakov

A new in vitro radioreceptor assay method for determining the biological activity of insulin substances is put forward. This method is designed mainly to serve the purposes of practice. It perfectly substitutes the biological, expensive labour-taking and slow pharmacopoeial method. It is reproducible, does not depend on the season and reduces the species differences to minimum by using a mixture of bovine and porcine insulins (Forth International Standard) as the source of unlabeled insulin. The rat liver membrane receptors (preparations) retained their insulin-binding ability up to 10 months, when stored at -18 degrees C-(-)20 degrees C. By means of this method the biological activity in different insulin preparations is established. It is found that this activity is highest in the monocomponent insulin substances, followed by the single-peak insulins and it's lowest in the conventional insulins.

提出了一种新的测定胰岛素物质生物活性的体外放射受体测定法。这种方法主要是为实践目的而设计的。它完全替代了生物的、昂贵的、费时的药典方法。它是可重复的,不依赖于季节,并通过使用牛和猪胰岛素的混合物(第四国际标准)作为未标记胰岛素的来源,将物种差异减少到最小。大鼠肝膜受体(制剂)在-18℃-(-)20℃条件下,其胰岛素结合能力可保持10个月。通过该方法,建立了不同胰岛素制剂的生物活性。结果表明,单峰胰岛素的活性最高,单峰胰岛素次之,常规胰岛素的活性最低。
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引用次数: 0
[The radioimmunological determination of porcine pancreatic polypeptide in Bulgarian insulin substances]. [保加利亚胰岛素物质中猪胰腺多肽的放射免疫学测定]。
E Dimitrova, L Sirakov

The contents of pancreatic polypeptide in insulin substances ("Pharmachim" Ltd) is determined in accordance to the needs of pharmaceutical production. The analysed insulin substances pertain to groups of different purity. The results, showing distribution of middle value of pancreatic polypeptide are discussed.

胰岛素物质(“Pharmachim”有限公司)中胰多肽的含量是根据药品生产的需要而确定的。所分析的胰岛素物质属于不同纯度的组。讨论了胰腺多肽中间值分布的结果。
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引用次数: 0
[A selective decrease in cytochrome P450 in the liver microsomes of male rats following phenobarbital and 3-methylcholanthrene induction and acute tetrachloromethane poisoning]. [苯巴比妥和3-甲基胆蒽诱导和急性四氯甲烷中毒后雄性大鼠肝微粒体细胞色素P450选择性降低]。
E P Angelov

The liver microsomal content of cyt. P450 and b5 and activities of selected mixed-function oxidases were compared following phenobarbital (PB)- and 3-methylcholantrene (MC) induction and acute intoxication with carbontetrachloride (CT). PB increased the content of P450 and the activities of both NADPH-cytochrome c reductase and benzphetamin demethylase. MC increased only the content of cytochrome b5. CT after 4 hours damaged selectively the liver monoxidase components: 1. the activity of NADPH-cytochrome c reductase and the content of b5 were not changed in the three groups; 2. the content of P450 was decreased differently: more sensitive to the destructive effect of CT was the PB-inducible P450. Most resistant was the MC-inducible P450; 3. MC decreased the benzphetamin demethylation in control- and PB-microsomes in lower degree than the content of P450. The relative high rates of the benzphetamin demethylase after CT by PB-microsomes was explained by increased activity of NADPH-cytochrome c reductase in this group. The selective damaging effect of CT on P450 was interpreted by complex of local factors: metabolizing of CT to CCL3, lipid peroxidation, phospholipid microenvironment, pO2, antioxidants concentration, activity of heme degrading enzymes.

肝微粒体细胞含量。比较了苯巴比妥(PB)-和3-甲基胆碱(MC)诱导和四氯化碳(CT)急性中毒后P450和b5以及选定的混合功能氧化酶的活性。PB增加了P450的含量以及nadph -细胞色素c还原酶和苯并非他明去甲基化酶的活性。MC只增加了细胞色素b5的含量。4小时后CT选择性损伤肝单氧化酶组分:三组nadph -细胞色素c还原酶活性和b5含量均无明显变化;2. P450含量降低程度不同,pb诱导的P450对CT的破坏作用更敏感。最耐药的是mc诱导的P450;3.MC对对照微粒体和pb微粒体苯丙胺去甲基化的抑制程度低于P450。pb -微粒体CT后苯非他明去甲基化酶的相对高发率可以解释为该组nadph -细胞色素c还原酶活性增加。CT对P450的选择性损伤作用是由CT对CCL3的代谢、脂质过氧化、磷脂微环境、pO2、抗氧化剂浓度、血红素降解酶活性等局部因素综合作用的结果。
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引用次数: 0
[Lymphoid cell infiltration into the pancreas of C57BL/6J mice]. [C57BL/6J小鼠胰腺淋巴样细胞浸润]。
P Petkov, R Zhablenska, A Popov, I Goranova, M Zafirova

Peri-insular lymphoid infiltrations were observed in nondiabetic C57BL/6J mice. The type of infiltrating cells was determined by direct immunoperoxidase technique. A larger part of lymphoid cells did not show reaction with a goat antimouse IgG Rh conjugate. Intensive hyperplastic reaction and the presence of many immunoglobulin producing cells were observed in the lymph nodes adjoining the pancreas. Probably the observed infiltrations in the pancreas of nondiabetic C57BL + 6J mice were composed mainly of T lymphocytes, belonging to T helper subpopulation.

在非糖尿病C57BL/6J小鼠中观察到岛周淋巴浸润。采用直接免疫过氧化物酶法测定浸润细胞类型。大部分淋巴样细胞与山羊抗小鼠IgG Rh偶联物无反应。在胰腺附近的淋巴结中观察到强烈的增生反应和许多产生免疫球蛋白的细胞。在非糖尿病C57BL + 6J小鼠胰腺中观察到的浸润可能主要由T淋巴细胞组成,属于T辅助亚群。
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引用次数: 0
[The morphology of the glial cells in the inferior olivary complex of ground squirrels (Citellus citellus L.). I. Oligodendrocytes]. 地松鼠(Citellus Citellus L.)下橄榄复合体胶质细胞的形态学研究。即少突胶质细胞)。
A Bozhilova-Pastirova, K Ichev, V Ovcharov

The morphological characteristics of oligodendrocytes in the lower olivary complex of ground squirrels at various ages were studied by light and electron microscopes. On the basis of an analysis on thick sections, stained with toluidine blue, it was established that nuclei of these cells were smaller and darker in comparison with those of astrocytes. The mean oligodendrocytes, located in perineuronal, perifascicular, perineuronal-perifascicular, interfascicular, perivascular position or freely situated, predominated in the neuropile of the lower olivary complex. Changes in their ultrastructure were investigated during advancement of age and during the process of aging. An increase in the number of heterogeneous dense bodies were found as well as the presence of lipid-pigmented granules with crystal-like brightening. The connection of oligodendrocyte growth with myelin sheath of axons.

用光镜和电镜观察了不同年龄地松鼠下橄榄复合体少突胶质细胞的形态特征。在用甲苯胺蓝染色的厚切片分析的基础上,与星形胶质细胞相比,这些细胞的细胞核更小,颜色更深。平均少突胶质细胞位于神经元周围、束周、神经周围-束周、束间、血管周围或自由分布,主要位于下橄榄核复合体的神经堆中。观察其超微结构随年龄增长和老化过程的变化。发现非均匀致密体的数量增加,以及具有晶体样光亮的脂质色素颗粒的存在。少突胶质细胞生长与轴突髓鞘的关系。
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引用次数: 0
[The significance of biologically active substances in regulating local vascular tonus]. 【生物活性物质在局部血管张力调节中的意义】。
Iu Iordanov
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引用次数: 0
[Dynamic biochemical, metrometric and histomorphological studies in isoproterenol-induced myocardial hypertrophy and its regression in rats]. 异丙肾上腺素诱导大鼠心肌肥大及其消退的动态生化、计量和组织形态学研究。
K Prodanov, R Kolarova, L Tsakova, M Balutsov

Isoproterenol, administered intraperitoneally in rats in a dose of 2 mg/kg of body mass for a period of 20 days, induced myocardial hypertrophy. After its stoppage a period of regression occurred, during which the myocardium recovered practically to its initial state. Complex studies of connective-tissue components (collagen, glycosaminoglycans, total nonfibrillary protein, total protein, structural, glycoproteins), metrometric data-the coefficient R (1 g of myocardium/199 g of body mass) and histomorphological investigations were performed. The same studies were done on rats of a control nontreated group and of experimental groups-on the 0 day. 7th, 14th and 42 day. It was established there was a gradual recovery to normal values of collagen, total nonfibrillary protein and the coefficient R, which were highest on the day 0. Progressive diminution, e.g., normalization of both the connective tissue components and of the volume of myocardial cells was found histomorphologically, in which the changes were mostly manifested on the day 0, as well. The complex studies of the connective tissue with isoproterenol MH proved that the changes of MH in this tissue correlated with the stages of MH respectively its regression.

异丙肾上腺素按2 mg/kg体重腹腔注射,连续20天诱导心肌肥厚。心肌停止后,出现一段退行期,在此期间心肌几乎恢复到其初始状态。结缔组织成分(胶原蛋白、糖胺聚糖、总非纤维蛋白、总蛋白、结构蛋白、糖蛋白)的复杂研究,计量数据-系数R (1 g心肌/199 g体重)和组织形态学调查。在第0天,对未治疗组和实验组的大鼠进行了同样的研究。第7、14、42天。胶原蛋白、总非纤维蛋白和R系数逐渐恢复到正常水平,在第0天达到最高值。组织学上发现结缔组织成分和心肌细胞体积逐渐减少,如恢复正常,这种变化也主要表现在第0天。对异丙肾上腺素MH结缔组织的复杂研究证明,该组织中MH的变化与MH各自的消退阶段相关。
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引用次数: 0
[Changes in the electrophysiological parameters of hypertensives under the influence of therapeutic swimming]. [治疗性游泳对高血压患者电生理参数的影响]。
E Kiselkova, K Bichev, L Venova

Studies were carried out on patients with hypertension I and II stages to examine the influence of therapeutic swimming on cerebral activity and heart function. The authors investigated 30 persons (mean age of 48.5 +/- 9.5 years) divided into 2 groups: first--experimental including 20 subjects, who participated in a course of therapeutic swimming (according to our methods) for a period of 4 months and second--control, composed of 10 persons, who did not swim. Electroencephalograms and electrocardiograms were recorded from subjects of both groups before and after 4 months of swimming as simultaneously with this blood pressure was measured several times. The results showed that therapeutic swimming affected favourably brain bioelectrical activity (improved regulation and modulation of the rhythm, reduced dysrhythmia and did not increase the number of pathological waves) as well as cardiovascular system of the examined persons with hypertension of the experimental group as statistically significant lowering of blood pressure was induced, while the investigated parameters showed opposite reactions in the persons of the control group. On the basis of positive changes in the investigated parameters the therapeutic swimming is recommended to be included in the complex the therapy of the persons suffering from hypertension I and II stages.

对高血压I期和II期患者进行了研究,以检查治疗性游泳对脑活动和心功能的影响。作者调查了30人(平均年龄48.5±9.5岁),分为两组:第一组为试验组,包括20名受试者,他们参加了一个为期4个月的治疗性游泳课程(根据我们的方法);第二组为对照组,由10人组成,他们不游泳。记录两组受试者游泳前后4个月的脑电图和心电图,同时多次测量血压。结果表明,治疗性游泳对实验组高血压患者的脑生物电活动(改善节律的调节和调节,减少心律失常,不增加病理波的数量)和心血管系统有良好的影响,导致血压有统计学意义的降低,而对照组的研究参数显示相反的反应。根据调查参数的积极变化,建议将治疗性游泳纳入高血压I期和II期患者的综合治疗。
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引用次数: 0
[The hypertensive effect of vasopressin administered into the median eminence of the hypothalamus in rats]. 加压素对大鼠下丘脑正中隆起的降压作用。
R Gindeva, T Pencheva

Data about direct effect of vasopressin (VP) on the central arterial pressure (AP) orientated us to investigate the effect of its local administration in the median eminence (ME) of the hypothalamus in rats. For this purpose VP was administered in ME under micropellet form. AP was measured indirectly on the tail of rats up to 96th hour after operation. After implantation of VP there was an elevation of AP with maximum in the first hour, which was statistically significant (p less than 0.01). Identical manipulation (sham operation) was performed to control the lesion effect. Transitory lowering of AP with maximum in the first hour was also established and it was statistically significant (p less than 0.001), For exclusion a nonspecific systemic effect of VP the same dose was administered in the parietal cortex, during which transitory and short-lasting reaction occurred in the first hour after the operation. The data indicate that the peptide, administered in ME under micropellet form, could induce a longlasting hypertensive effect.

有关抗利尿激素(VP)对中枢动脉压(AP)的直接影响的数据,使我们研究了局部给药对大鼠下丘脑正中隆起(ME)的影响。为此,在ME中以微球形式给药VP。间接测定术后96小时大鼠尾部AP水平。VP植入后第1 h AP升高最大,差异有统计学意义(p < 0.01)。采用相同手法(假手术)控制病变效果。为了排除非特异性的全身效应,在顶叶皮层给予相同剂量的VP,在此期间,短暂性和短期持续的反应发生在手术后的第一个小时。数据表明,以微粒形式给药的肽可以诱导持久的降压作用。
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引用次数: 0
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Eksperimentalna meditsina i morfologiia
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