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  • 1
    ISSN: 1432-0428
    Keywords: Type 1 diabetes ; mortality ; regression analysis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The relative mortality of Type 1 (insulin-dependent) diabetes in Denmark during the period 1933–1981 was studied using a modification of Cox's regression model on the basis of two patient populations, ascertained in different ways and independently of each other. Initial analysis showed that the two groups could be combined completely into one common analysis. Relative mortality was the same for both sexes. The additional variables studied were age at diagnosis, current age, calendar year at diagnosis and calendar time during follow-up. All these interrelated variables were accounted for in the analysis. The analysis showed that relative mortality (a) decreased with increasing age at diagnosis; (b) increased from 1933 to a maximum in about 1965, after which it decreased; (c) increased with increased duration of diabetes to a maximum at 15–25 years, after which it declined.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0428
    Keywords: Persistent proteinuria ; relative mortality ; prognosis ; Type 1 diabetes ; diabetic complications ; angiopathy ; nephropathy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We followed 1, 134 patients with Type 1 (insulin-dependent) diabetes, diagnosed between 1933 and 1952, until 1982 or death or until their emigration. Their age at onset of diabetes was under 31 years. Information concerning the development of persistent proteinuria was sought in every case. In 104 cases, the data were either questionable or the patient could not be traced. Twenty-nine patients developed non-diabetic proteinuria. Among the remaining 1,001 patients, 406 developed persistent proteinuria (350 died) and 595 did not (166 died). The incidence of persistent proteinuria was highest among men; it decreased with increasing year of diabetes onset from 1933 to 1952, and decreased with increasing age at onset. The relative mortality was extremely high among patients with persistent proteinuria, increasing to a maximum of about 100 at age 35 years. Patients not developing proteinuria had a relatively constant low relative mortality of about 2. The decreasing incidence of persistent proteinuria and the decreasing mortality with increasing calender year of diabetes onset resulted in a 50% increase in life-expectancy among patients diagnosed in 1950 compared with patients diagnosed in 1935. In patients who developed persistent proteinuria, relative mortality was higher in women than men at all ages. In patients who did not develop proteinuria, relative mortality was similar in men and women after the age of 35. Uraemia was the main cause of death in patients with persistent proteinuria, although cardiovascular deaths were more frequent than in patients without proteinuria. Thus, proteinuria is associated not only with death from uraemia but also from cardiovascular disease. It is concluded that the development of persistent proteinuria is a major life-threatening complication in patients with early-onset Type 1 diabetes. Patients who do not develop proteinuria have almost a normal life expectancy.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Experimental brain research 13 (1971), S. 208-221 
    ISSN: 1432-1106
    Keywords: Hippocampal formation ; Single units ; Population spike ; Rabbit
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 1. The assumption that the negative extracellular population spikes recorded from the pyramidal or granular layers in the hippocampal formation in response to appropriate afferent volleys is due to the sum of individual unitary discharges was tested by recording unit activity and population spike with microelectrodes, using normal and ultrashort amplifier time constants. 2. Unit spikes were correlated in time with the population spike. 3. The size of the population spike was altered by varying the stimulus strength, or by using a conditioning-test technique. In either case the number of units recorded followed the change in the size of the population spike. For very large population spikes, the technique failed since unit spikes could then no longer be clearly distinguished. 4. The theoretically expected shape of the population spike as a summation of individual unit discharges was derived, and discussed in terms of the observed results. 5. We conclude that over a wide range the height of the population spike is an increasing function of the number of discharging cells and can thus be used as a measure of the extent to which an afferent volley discharges a cell population.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    International archives of occupational and environmental health 61 (1990), S. 31-41 
    ISSN: 1432-1246
    Keywords: Interindividual variability ; Static workload ; EMG gaps ; Neck and shoulder complaints ; Electromyography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Standardized and machine-paced work tasks at a packing machine were examined to evaluate interindividual variability of muscle activity patterns. Ten trained female workers, without musculo-skeletal complaints at the time of the recording, performed the work tasks while electromyographic (EMG) recordings were obtained from both upper trapezius muscles. Static muscle activity and periods of between 0.2 and 2 s duration with low muscle activity, EMG gaps, were analysed. Complaints of muscular fatigue, soreness or pain in the neck and shoulders during the last 12 months were recorded. The level of static muscle activity was 1.6 (range 0.4 to 2.5) per cent of maximal voluntary contraction and median number of EMG gaps was 4.8 (range 0.8 to 20) per minute. Workers with previous episodes of complaints (five subjects) had higher levels of static muscle activity and fewer EMG gaps than workers without such episodes (p 〈 0.05, Wilcoxon 2-sample test, one-tailed). Considerable interindividual variability of muscle activity patterns was found in spite of stereotyped work. No causal relations may be inferred from the correlation between the level of trapezius activity and complaints, though it indicates that individual, inexpedient muscle activity patterns may constitute an important risk factor for development of musculo-skeletal complaints.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Experimental brain research 13 (1971), S. 222-238 
    ISSN: 1432-1106
    Keywords: Hippocampal formation ; Excitatory pathways ; Lamellar organization ; Rabbit
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 1. Entorhinal activation of the hippocampal cortex involves the sequential activation of a four-membered pathway: the perforant path from the entorhinal area — the mossy fibres from the dentate granule cells — the Schaffer collaterals of the CA3 pyramidal cells and finally, the CA1 pyramidal cell axons in the alveus. 2. The spatial orientation of these four fibre bundles has been studied by recording the extracellular field potentials (population spike), signalling the discharge of neurones in response to orthodromic or antidromic impulses. The height of the population spike was taken as an indicator of the number of cells discharged (see the previous paper). 3. The perforant path fibres from neighbouring parts of the entorhinal area run in a parallel fashion in a direction nearly transversely to the longitudinal axis of the hippocampus. In the dorsal part of the hippocampus, this direction was nearly sagittal, confirming Lømo (1971 a). The mossy fibres as well as the Schaffer collaterals and the alvear fibres were all found to run in the same direction. Thus, a point source of entorhinal activity projects its impulses through the four-membered pathway along a slice, or lamella, of hippocampal tissue oriented normally to the alvear surface and nearly sagittally in the dorsal part of the hippocampal formation. Also with more temporal locations of the stimulating and recording electrodes, the lamellar organization was maintained, but with a different orientation, matching the curving of the hippocampus so that the angle between the plane of the lamella and the longitudinal axis remained the same. 4. By injection of a quick-setting solution of vinyl acetate, the direction of the arteries and veins in the hippocampal formation was displayed. The branches from the artery running in the hippocampal fissure are nearly straight and are oriented in a direction similar to that of the lamellae. 5. The hippocampal cortex seems to be organized in parallel lamellae, both with regard to the neuronal and the vascular system. By means of this lamellar organization, small strips of the hippocampal cortex may operate as independent functional units, although excitatory and inhibitory transverse connections may modify the behaviour of the neighbouring lamellae.
    Type of Medium: Electronic Resource
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