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    ELECTRICAL ACTIVITY AND ULTRASTRUCTURE OF BOVINE MESENTERIC LYMPHATICS

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    Membrane action potentials of bovine mesentericlymphatics were recorded simultaneously with isometriccontractions by use of the sucrose gapmethod. The action potentials always had one-to-onecorrespondence to the con traction waves.From the effects of tetrodotoxin, manganese, cal-calcium-free enviroment, and barium chloride onthe spontaneous contractions, it was suggestedthat calcium current may probably play a majorrole in producing spike discharge in the smoothmuscles. Blood capillaries were found within thesmooth muscle layers as well as in the adventitia

    THE MIGRATION OF LYMPHOCYTES ACROSS THE VASCULAR ENDOTHELIUM IN LYMPH NODES: A SCANNING ELECTRON MICROSCOPIC STUDY

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    Endothelial cells of Postcapillary Venules (PCV)and the passage of lymphocytes through the wallof PCV were investigated with Scanning ElectronMicroscope (SEM) in mesenteric lymph nodes ofrats. Individual endothelial cells of PCV in thelymph node did not have flat surface or were nottypically cubic, but swelled at the central partassuming a foot ball-like shape. Circulating lymphocytesare considered to migrate into lymphatictissues through the wall of PCV from the bloodstream. Two hypotheses, inter-endothelial cellpassage and intra-end othelial cell passage, havebeen proposed. The three-dimensional studies onlymphocytes passing the wall with SEM confirmedthat migrating lymphocytes pushes their way throughthe intercellular space with pressing the adjoining endothelialcells from beginning to end, supporting theformer hypothesis. Invasion of lymphocytes in toendothelial cells were not observed

    LYMPHOGRAPHY OF THE EDEMATOUS EXTREMITIES

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    The mechanism of secondary lymphedema of the extremities is not always simple to understand.The unsolved mechanism of lymphedema should be further studied from exploring relationship between lymphatic and venous systems each of which has superficial  and deep systems respectively

    THE SURGICAL TREATMENT OF CHRONIC LYMPHEDEMA OF THE EXTREMITY

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    Twenty-five patients with lymphedema of theextremity have been evaluated. Thirteen weretrea ted surgically and 12 conservatively. TheThompson buried dermis flap operation is the mosteffective procedure and may be combined withomentaplasty

    PULMONARY TRANSVASCULAR FLUID DYNAMICS IN SHEEP DURING HEMORRHAGE

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    The effects of hemorrhage on pulmonary hemodynamicsand lung transvascular fluid dynamics werestudied in sheep. We found that 2 hr of hemorrhagecaused a fall in lung lymph flow (p 0.05 ) and nosigificant change in lymph protein concentration.The fall in lymph flow was not due to decreasedvascular surface area since the regional distributionof pulmonary perfusion was not altered during hemorrhage;however the decrease in lymph flow wasassociated with decrease (p 0.05 ) in the calculatedpulmonary microvascular pressure. The extravascularlung water lung content per g blood less dry lungwas increased (p 0.05 ) in the hemorrhaged sheepfrom the control values. Pulmonary edema was notdue to increased lung vascular endothelial permeabiltlysince the net tran vascular protein flux was notincreased. The finding that pulmonary edema occurreddespite the consistent decreases in lymph flowsuggests that edema may be due to hemorrhage-inducedlymphatic "failure" or that edema fluid issequestered in spaces (e.g., endothelial cells) whereit cannot be drained by the lymphatics

    MORPHOLOGICAL AND PHYSIOLOGICAL STUDY OF THE EFFECT OF HISTAMINE ON THE ISOLATED PERFUSED RABBIT LUNG

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    Histamine causes interstitial pulmonary edema, butwhether this is the re ult of an increased permea·bility of the pulmonary circulation or only of thebronchial circulation remains to be determined. Inorder to selectively study the effect of histamine onthe pulmonary ciculation we used an isolatedperfused rabbit lung preparation because in thisspecies, the bronchial circulation is poorly developed.Edema formation was assessed by continuouslymonitoring the weight of the lung perfused at con-stant pressure . These studies were supplemented byelectrn microscopic observations using hemoglobinultrastructural tracer for microvascular permeability.We found that histamine (8.0 ~ µg / 100 mlperfusate) did not cause lung weight to increase.Ultrastructural studies showed that histamtine, atthis dosage, did not cause a greater leakage of hemo-globin than occurred in the control lungs. Thus, wehave concluded that histamine does not increase thepermeability of the pulmonary microcirculation inthe isolated perfused rabbit lung

    ON THE EXISTENCE OF STRETCHABLE PORES IN THE EXCHANGE VESSELS OF THE ISOLATED RABBIT LUNG PREPARATION

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    In the present work our aim has been to seek evidencefor or againat the existence of stretchableporea in the exchange vessel of the lungs. In isolatedrabbit lungs ventilated by positive pressure and perfusedwith homologous blood we performed repeatedtests with fluid filtration from the exchangevessels. In these tests the outflow pressure was elevatedto specific values for periods of 6 min. Therate of weight gain of the preparation during thelast 2 min of each test period was taken as the rateor fluid filtration from the exchange vessels. Wefound a linear relationship between rate of filtrationand outflow pressure in the range from 5 to 20mm Hg. Thi indicates that the hydraulic conductilftyof the exchange vessels did not change withoutflow pressure and thus that no pore stretchingoccurred within this pressure range. An abrupt increasein filtration rate took place when the outflowpressure was set at 25 or 30 mm Hg. Thehydraulic conductivity of the exchange vessels wastherefore probably increased at these high pressures.Since in 3 lungs this increase in filtration rate wasfully reversible we suggest that a stretching of poresin the exchange vessels of the lungs contributed tothe increase in hydraulic conductivity. This stretchingof pores occurred only when vascular pressureswere at or above the upper level of the physiologicalpressure range for the lungs

    THE ERYTHROPOIESIS IN ACUTE LYMPHOBLASTIC LEUKAEMIA A MORPHOLOGIC STUDY

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    The erythropoietic part  of  the  bone  marrow  has been morphologically analyzed in 18 patients with acute lymphoblastic leukaemia, 44  patients  with acute myeloblastic leukaemia and  in  20  controls. There were significant differences between the find­ ings in  the  lymphoid  and  the  myeloid  leukaemias and  it  seems  possible  that  the  erythropoietic cells are not involved in the leukaemic process  in  the lymphoblastic leukaemias in contradiction to the myeloid ones

    MICROVASCULAR ALTERATIONS IN THE LYMPH NODE DURING THE BCG-INDUCED IMMUNE RESPONSE

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    Previous studies have shown significant microvascular  changes  during  the  evolution  of  the  immuneresponse. In order to assess the BCG-induced micro­ vascular alterations  in  the  lymph  node,  we  injected the left foot pad of 23 rabbit s with 1.6  x  10 6  live BCG/kg  weight; the  right  side  served  as control.Following a period of 1 to 50 days, microangio­ graphy and histology of the popliteal lymph nodes were carried out. On the side where BCG was injected, the lymph nodes initially showed a moderately increased cortical, and later, a markedly increased meduliary hypervascularity. Histologically, there  was  mixed  mononuclear  cellular  infiltration followed by granuloma formation. This latter was temporally related to the florid medullary hypervascularity. No significant changes were present on the control side. The hypervascularity  induced  by BCG was more intense and longer lasting than that seen  with  other  antigens such as Typhoid  O or bovine serum  albumin.The results indicate a prominent vascular component in the BCG-induced primary immune response within the regional lymph node

    LYMPHOCYTOSIS IN RATS TREATED WITH POLYACIDS

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    Inoculation of rats i.v. with dextran sulfate or polymethacrylic acid causes lymphocytosis. Electron microscopy of sections of cervical lymph nodes incontrol rats showed active passage of small lymphocytes through the high endo-thelial cells (HEC) of the post-capillary venules. In treated rats there was no indication of such passage: the HEC were free of small lymphocytes; and in about 25% of the venules apparently stationary lymphocytes, lacking microvilli, were found appressed to the luminal walls of the HEC

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