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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 53 (1975), S. 279-281 
    ISSN: 1432-1440
    Keywords: His-bundle ; subjunctional conduction ; peripheral gate ; intraventricular conduction ; His-Bündel ; subjunktionale Leitung ; peripheres gate ; intraventrikuläre Erregungsleitung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung In Verbindung mit His-Bündel-Ableitungen kann durch Registrierung des lokalen Erregungseintritts im peripheren His-Purkinje-System des rechten Bündels und des anterioren und posterioren Faszikels des linken Bündels die Leitungszeit in allen 3 Faszikeln gemessen werden. Die Technik erlaubt eine differenzierte Untersuchung der subjunktionalen und intraventrikulären Leitung und kann Aufschlüsse über den Erregungsweg bei ventrikulären Arrhythmien geben.
    Notes: Summary The conduction time in the 3 fascicles of the His-Purkinje system can be measured by recording the local excitation in the peripheral His-Purkinje system of the right bundle and the anterior and posterior fascicle of the left bundle, in combination with His-bundle recordings. This technique allows a detailed study of the subjunctional conduction and gives information on the conduction pathways in ventricular arrhythmias.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1440
    Keywords: Antibiotics ; C. difficile ; Enterocolitis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A toxin produced by Clostridium difficile has been implicated in the pathogenesis of antibiotic-associated colitis. It is not known how often the microorganism is encountered in Germany particularly in high risk patients. Therefore, following a lethal case of colitis, stool samples of 90 patients and 30 staff members of an intensive care unit were screened routinely for C. difficile over 2 months. The organism was found in 6 of 41 patients treated with antibiotics (14.6%); four of them apparently acquired C. difficile while in hospital whereas in 2 a pre-existing carrier state could not be excluded. Colitis developed in 3 of the 6 patients as judged from endoscopy or a positive cytotoxin assay; in 2 patients (not subjected to endoscopy) colitis was suspected on clinical grounds, and 1 patient became an asymptomatic carrier. C. difficile was not found in 49 patients without antibiotic medication, in the health personal and in 12 patients of a general ward. Patients harbouring C. difficile were clustered in certain bed sites of the unit. Environmental studies recovered the microorganism from bed pan washing mashines of bedridden and from toilets of ambulant patients but not from other sites like the hands of the personal. These results suggest that chronic carriers of C. difficile, as far as they are identified by current bacteriological methods, are rare in Germany (not more than 2 out of 132 persons investigated, i.e. 1.5%). The frequent finding of C. difficile in patients treated in certain bed sites supports the view that the infection may be acquired from exogenous sources. Antibiotic-associated colitis should be considered more often when intensive care patients are treated with antibiotics.
    Type of Medium: Electronic Resource
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