Delirium in clinical practice: experiences from a specialized delirium ward.

Geriatric patients with known dementia and suffering from an acute somatic disease are highly vulnerable to develop delirium. It is therefore essential to suspect and recognize delirium in these patients, especially in emergency wards. In the present study we evaluated activities on a dedicated delirium ward at a Swedish University Hospital.

The effect of antifibrinolytic agents on wound healing.

The effect on the tensile strength of healing wounds of 2 of the most commonly used antifibrinolytic substances, tranexamic acid and epsilon-aminocaproic acid, has been studied in white rats. 2 symmetrical linear lines were made on the dorsal skin, in 1 of which was injected 1 ml of the test solution. The incisions were closed with interrupted sutures, and after 7 days the animal was sacrificed, the wound excised and its tensile strength determined.

Plasminogen activators in human xenografted oro-pharyngeal squamous cell carcinomas.

Specimens of squamous cell carcinomas of the head and neck established as xenografted tumour lines on nude mice were examined by the fibrin slide method for the presence of plasminogen activator(s). The fibrinolytic activity was partly quenched by antibodies against the vessel-related tissue plasminogen activator and partly by antibodies against urokinase. The results indicate that inactive pre-urokinase in tumour tissue is to some degree activated when the tumour tissue is transplanted to the nude mice.

Laryngeal cancer, aryl hydrocarbon hydroxylase inducibility and smoking. A follow-up study.

In 58 cases with laryngeal cancer (10 supraglottic and 48 glottic), aryl hydrocarbon hydroxylase (AHH) inducibility and smoking habits were studied. All but 2 were smokers and most of them heavy tobacco consumers. The AHH levels were divided into high, intermediate and low groups and were compared to a large healthy control material also divided into the aforementioned groups.

Plasminogen activators in alveolar bone in man.

Plasminogen activators in alveolar bone in man was studied in quenching experiments by a fibrin slide technique with addition of monospecific antibodies against tissue plasminogen activators (t-PA) and urokinase (u-PA). The plasminogen activator activity was quenched in the slides with anti-t-PA. No quenching was observed in the slides with anti-u-PA.

[Smoking and induction of the enzyme aryl hydrocarbon hydroxylase in patients with laryngeal carcinomas and precancerous conditions].

The risk for a smoker of developing cancer of the larynx depends on the activity of the enzyme arylhydroxcarbonhydroxylase in his cells. The higher the genetically determined arylhydroxcarbonhydroxylase activity, the higher is the probability of developing the disease.

Oral and oropharyngeal cancer, aryl hydrocarbon hydroxylase inducibility and smoking. A follow-up study.

In a series of 50 consecutive cases with oral or oropharyngeal malignancies, aryl hydrocarbon hydroxylase (AHH) inducibility and smoking habits were studied. 82% of the patients were smokers. The AHH levels were divided into high, intermediate and low groups and were correlated to a healthy control material also divided into the groups mentioned.

Immunological identification of plasminogen activators in normal and malignant tissues of the oral cavity in man.

Plasminogen-activator activity was examined qualitatively in normal and malignant mucosa of the oral cavity in humans, using an immunological histochemical fibrin slide technique. No fibrinolytic activity was observed in sections of normal mucosa when monospecific antibodies against a melanoma cell activator (anti-MA) were added. Antibodies against urokinase (anti-UK) did not react on the fibrinolytic activity which indicates that the activator is of tissue type.

[Carcinoma and leukoplakia in the oral cavity in relation to AHH induction, smoking and dental status].

Smoking habits, dental status and aryl-hydrocarbonhydroxylase (AHH) inducibility were studied in a series of 52 oral leucoplakias and 20 oral cancers. There was an obvious association between leucoplakia, cancer and smoking. A significant overrepresentation of high AHH and a corresponding underrepresentation of low AHH inducibility were found among the smokers with leucoplakia and in the oral carcinoma group.

Surgical treatment of angular cheilosis.

A surgical method to treat angular cheilosis is described, which does not react favourably to conservative methods. 17 operations have been performed on 13 patients. Successful results were obtained in 9 patients.

Suppression of secondary antibody response by intravenous immunoglobulin in a patient with haemophilia b and antibodies.

A 39-year-old patient, suffering from severe haemophilia B and antibodies against factor IX, has twice been treated with extracorporeal protein A-Sepharose adsorption followed by conventional substitution therapy in combination with immunosuppression (cyclophosphamide). On both occasions, separated by a 2-year interval, the same procedure was followed except that, on the second, administration of i.v.

Metastases in the oral cavity. Case reports.

4 cases of metastases in the oral cavity are described. They were seen in patients with carcinoma of the renal pelvis, renal carcinoma, breast carcinoma and malignant melanoma. In 3 of the cases, the metastases were situated distally to the canines in the mandible, where Roentgen examination had revealed a radiolucent area, and in the 4th case, in the soft tissue in the upper jaw.

Leucoplakia of the oral cavity, smoking and arylhydrocarbon-hydroxylase inducibility.

In a consecutive series of 53 cases of oral leucoplakia, smoking history, oro-dental status and arylhydrocarbon-hydroxylase (AHH) inducibility were assessed. There was an increased association of leucoplakia with smoking, particularly in the male cases, but no remarkable findings as to dental status. Overall, there was a slightly higher frequency of cases with high AHH inducibility than expected from a normal control population.

Carcinoma of the oral cavity in relation to aryl hydrocarbon hydroxylase inducibility, smoking and dental status.

The authors investigated the smoking patterns in a consecutive series of 20 patients with oral cancer and at the same time assessed the aryl hydrocarbon hydroxylase (AHH) inducibility distribution and dental status. The AHH level proved high in 8 patients, intermediate in 7 and low in 5. High AHH inducibility was more common (p = less than 0.

Occurrence of VIP nerves in mammalian dental pulps.

Vasoactive intestinal polypeptide (VIP), a neuropeptide with possible neurotransmitter function, was demonstrating in nerves of dental pulps of several mammals including man. The VIP containing nerves were observed around blood vessels and as single terminals in the pulpal stroma. In view of the potent vasodilatory actions of VIP it is conceivable that pulpal VIP nerves take part in the regulation of local blood flow.

Fibrinolytic activity in human dental pulp.

It has been shown that the fibrinolytic activity is different in different tissues. In this investigation, performed in order to study the fibrinolytic activity in human dental pulp, the authors found a very high activity in this tissue. The importance of this finding is discussed.

Tissue reactions to some dental implant materials. An in vivo study in white rats.

In a 10 week experimental investigation the tissue reactions to implantation of standardised test pieces made of a polysilicone, Silastic, Tantalum, Titanium and a cobalt-chromium alloy, Vitallium, were studied in the white rat. After 2 weeks, polysilicone, Tantalum and Titanium caused slight reactions whilst a comparatively strong round cell infiltration was observed around the cobalt-chromium test pieces. After 10 weeks, no cellular infiltration was demonstrable around any of the implant materials.