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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Journal of oral rehabilitation 27 (2000), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The influence of occlusal conditions on stomatognathic function can be assessed by electromyography. Electromyographic activity of left and right temporal and masseter muscles was recorded in 30 young healthy adults with a normal occlusion during: (1) a 3-s maximum voluntary clench on cotton rolls positioned on the posterior teeth (standardization recording); (2) a 3-s maximum voluntary clench in intercuspal position; and (3) a 3-s alternate ‘maximum’ voluntary contraction and relaxation with a 1 Hz frequency. All potentials were standardized as a percentage of the maximum potential of test 1. Waveforms of paired muscles were compared by computing a percentage overlapping coefficient (ratio between each 50-ms overlapped areas and the total areas, up to 100% for symmetric muscles). Waveforms were also analysed for a laterodeviating effect on the mandible given by unbalanced muscular couples, and a torque coefficient (up to 100% for a significant laterodeviating couple on the mandible) was computed. In all subjects, both tests were performed with symmetric muscular patterns (more than 88%) and with negligible laterodeviating couples on the mandible (lower than 10%). The two coefficients allow an assessment of muscular asymmetry during static and dynamic clenching tests, and, together with the standardization of the potentials, could be a useful tool to detect functionally altered occlusal conditions, i.e. conditions where an apparent good morphological situation is not related to a correct neuromuscular status.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A case of Darrow-Gamble disease is presented with review of the radiographic and ultrasonographic appearances of this rare cause of profound chronic diarrhea beginning at birth. The disease is caused by a defect of active intestinal chloride transport which results in a large loss of the electrolytes and water. To prevent growth retardation and renal involvement an adequate replacement therapy is necessary. This uncommon anomaly was detected by ultrasound 3 weeks before delivery. Both sonography and radiography were useful diagnostic tools in the postnatal period. The clinical features of the lesion are also discussed.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 23 (1993), S. 155-156 
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Lipomas of the corpus callosum are benign neoplasm which are rarely diagnosed in pediatric patients. In infants they are congenital lesions consisting of collections of adipose tissue; their etiology is unclear. We describe a case of callosal lipoma discovered by sonography in a 2-day-old neonate.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 26 (2000), S. 97-100 
    ISSN: 1432-1238
    Keywords: Key words Respiratory distress syndrome ; Congenital pulmonary alveolar proteinosis ; Surfactant protein B deficiency
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Hereditary surfactant protein B (SP-B) deficiency is an autosomal recessive disease in which affected infants are unable to produce normally functional surfactant, resulting in neonatal respiratory failure and death within the first year of life. The most common cause of SP-B deficiency is a frameshift mutation in exon 4 (121ins2) of the SP-B gene. We report a newborn infant who had onset of respiratory distress during the first days, was unresponsive to exogenous surfactant, corticosteroids, prostacyclin, high frequency oscillatory ventilation and inhaled nitric oxide, and died after 27 days. Immunostaining of lung tissue obtained at biopsy demonstrated absent staining for SP-B, and robust extracellular staining for proSP-C, findings characteristic for SP-B deficiency. DNA analysis revealed the 121ins2 mutation on one of her SP-B alleles and a novel mutation, 122delC, on her other SP-B allele. The proximity of the novel mutation in exon 4 allele found in this infant to the 121ins2 supports the notion that this region may represent a “hot spot” for SP-B gene mutations and confirms the heterogeneity of mechanisms which lead to SP-B deficiency.¶Hereditary SP-B deficiency is a rare, newly diagnosable and probably under-recognized disease, which should be suspected in term newborn infants with unexplained respiratory failure.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Intensive care medicine 26 (2000), S. 1101-1107 
    ISSN: 1432-1238
    Keywords: Key words Brain damage ; Cerebral extraction of oxygen ; Cerebral perfusion pressure ; Intracranial pressure ; Tracheostomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objectives: To describe the effects of early translaryngeal tracheostomy on intracranial pressure (ICP), cerebral perfusion pressure (CPP), and jugular bulb saturation (SjO2); to identify the main mechanisms affecting ICP during tracheostomy; and to evaluate the long-term effects of tracheostomy on tracheal anatomy and function. Design: Prospective, observational, clinical study. Setting: Neurosurgical intensive care unit in a teaching hospital. Patients: 20 patients admitted to the ICU because of head injury, subarachnoid hemorrhage, or brain tumor with a Glasgow Coma Scale less than 8. Interventions: Patients underwent translaryngeal tracheostomy under strict neuromonitoring. Measurements and results: ICP rose significantly (p 〈 0.05) at the critical time of cannula placement while all other parameters remained stable. At this time five patients suffered intracranial hypertension (ICP 〉 20 mmHg). In one of them CPP dropped below 60 mmHg. Arterial CO2 tension (PaCO2) did not rise significantly. No other major complications were recorded during the procedures. Three months after tracheostomy normal findings were detected by tracheoscopy in all cases (11 patients could be examined). Conclusions: Translaryngeal tracheostomy, performed in selected patients when the risk of intracranial hypertension was reduced to the minimum, was well tolerated in the majority of cases and did not induce persistent intracranial disorders. However, ICP is affected by tracheostomy, and careful monitoring and patient selection is necessary. At follow-up no severe anatomical or functional damage was detected.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-1920
    Keywords: Spinal epidural haematoma ; Gd DTPA MR
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A case of spinal epidural haematoma diagnosed by means of Gadolinium-DTPA-enhanced MR imaging is described. The sensitivity of this recent technique is underlined.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1615-5939
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Intravascular injection of angiographic contrast media results in peripheral vasodilation and hypotension. The mechanisms underlying these hemodynamic changes are not entirely clear. We hypothesized that increased formation of nitric oxide (NO) could be involved in the vasodilatory response to contrast media. To address this assumption we have investigated whether NG-monomethyl-L-arginine (L-NMMA, 200 mg/kg) and NG-nitro-L-arginine methyl ester (L-NAME, 50 mg/kg), two specific NO formation inhibitors, can abolish the hypotensive response to intravascular injection of isopaque amin (1 g/kg), a contrast medium, as well as bradykinin (10 µg/kg), a NO-dependent vasodilator, in anaesthetized normotensive rats. In rats before pretreatment with L-NMMA and L-NAME, the absolute values of the average fall in mean arterial pressure (MAP) induced by intravascular injection of isopaque amin and bradykinin were 21.3 ± 2.1 and 37.2 ± 4.4 mmHg, respectively. Pretreatment with L-NMMA and L-NAME failed to affect the hypotensive response to isopaque amin; by administering isopaque amin in rats pretreated with L-NMMA and L-NAME the absolute values of the average fall in MAP were 25.6±4.9 and 23.4±3.9 mmHg, respectively, similar to the average fall in MAP before treatment with NO formation inhibitors. In contrast, the hypotensive response to bradykinin was significantly inhibited; by administering bradykinin in rats pretreated by L-NMMA and L-NAME, the absolute values of the average fall in MAP were 10.2±2.8 and 7.2±2.2 mmHg, respectively, much less than the average fall in MAP before treatment with NO formation inhibitors. We conclude that intravascular injection of isopaque amin causes reduction in systemic arterial pressure. However, this vasodilative effect seems unrelated majorly to augmented endothelium-derived NO formation.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Neurological sciences 14 (1993), S. 637-639 
    ISSN: 1590-3478
    Keywords: Syringomyelia ; cervicomedullary junction ; genetic
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report a case of familial syringomyelia consisting of two sisters, one of whom had syringomyelia and Chiari type I malformation and the other, who had died 5 years earlier, had syringomyelia and Klippel-Feil syndrome. Although syringomyelia is uncommon and familial cases rare, they continue to be reported from time to time. Review of the literature certainly suggests that genetic factors play a part in the etiopathogenesis of syringomyelia related to abnormalities of the hindbrain structures, although the number of cases is too small for the exact nature of transmission be established.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Neurological sciences 11 (1990), S. 289-292 
    ISSN: 1590-3478
    Keywords: Cerebral sinus thrombosis ; MRI
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Sommario Viene presentato un caso di trombosi dei seni venosi provocata dai contracettivi e documentata dalla risonanza magnetica. Questa indagine si dimostra come esame fondamentale in questa patologia.
    Notes: Abstract We report the entire course of a case of thrombosis of the venous sinuses, very probably caused by contraceptive pill use, documented by MR imaging. MRI appears to be the examination of choice in such cases.
    Type of Medium: Electronic Resource
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