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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Experimental brain research 85 (1991), S. 188-195 
    ISSN: 1432-1106
    Keywords: Ballistic contraction ; Gating ; H reflex ; Muscle afferents ; Reaction time ; Human
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The monosynaptic reflex (H reflex) is facilitated before movement onset in human subjects who are performing a conditioned plantar flexion of the ankle in a reaction time task. The aim of this study was to investigate how tightly this gating of Ia spindle input is coupled with the conditioned muscle contraction. Test H reflexes were elicited at various times during the reaction time (RT) in order to test the efficacy of Ia volleys on the soleus motoneurons. Tactile, auditory and visual go stimuli were used. The RT to a tactile stimulus was about the same as the RT to an auditory stimulus although distance and therefore conduction time from the site of stimulation to the cerebral cortex was much larger for the tactile than for the auditory modality. The RT to visual stimulation was about 20 ms longer than to the other two modalities. Although central latencies depended clearly on the stimulus modality the duration of the H reflex facilitation, i.e. the interval between the onset of the facilitation and the onset of the voluntary muscle contraction, was always the same. Similarly, the reflex facilitation was insensitive to the succeeding contrast of a visual go stimulus. The subjects were also examined in visual RT tasks in which different advance information about the laterality and the execution of the contraction was given. By combination the following four RT situations were realized: (1) simple, go, (2) choice, go, (3) simple, go — no go and (4) choice, go — no go. RT was shortest in the simple go and increased by about 65 ms in the choice, go and the simple, go — no go situation. It lengthened, however, less than 130 ms in the choice, go — no go situation indicating an interaction between the factors laterality and execution of the contraction. As with various stimulus modalities and succeeding contrasts, the premovement H reflex facilitation remained constant irrespective of the complexity of the RT task. This property was however not observed if data obtained within one RT task (constant modality, simple, go) were processed. There was a highly significant positive correlation between the duration of the facilitation and RT. The duration of the EMG burst of the conditioned contraction was, however, independent of RT. These results were interpreted as indicating that RT depended on attention which affects most central components of RT and that the interval between the onset of the gating process and the onset of the contraction (duration of the H reflex facilitation) might depend on several supraspinal motor centers whereas the duration of the EMG burst might be computed locally. Several studies including the present one provide a possible explanation for the lag between the onset of the H reflex facilitation and the movement onset. The relatively slow speed at which presynaptic inhibition at Ia afferents can be removed necessitates an early onset such that a fully operative spinal reflex for assistance of muscle contractions and correction of perturbances is assured at movement onset.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 366 (1985), S. 704-705 
    ISSN: 1435-2451
    Keywords: Liver abscesses ; Diagnosis ; Therapy ; Leberabscesse ; Diagnostik ; Therapie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Fehlende anamnestische Hinweise, uncharakteristische klinische Befunde und unspezifische Laborparameter waren der Grund einer verspäteten Diagnosestellung des Leberabscesses. Die Röntgendiagnostik ließ eine Früherkennung nicht zu. Die Auffmdung auch kleiner Abscesse mit der Sonographie hat zur frühen Diagnose in steigender Häufigkeit geführt (1969–1976: 10 Abscesse, 1977–1985: 37 Abscesse). Die ultraschall-gesteuerte Punktion (Katheterplazierung) bedeutet Diagnosesicherung und gegebenenfalls Therapie (17 von 37 Patienten). Strenge Operationsindikation und gezielte Antibioticatherapie haben bei früher Diagnose zur Senkung der Letalität gefuhrt (bis 1977: 30%, nach 1977: 2,7%). Die Zunahme der Leberabscesse ist ungeklärt (werden sie nur häufiger entdeckt, oder treten sie vermehrt auf?). Ätiologisch finden wir eine Zunahme der biliären (51%) und traumatischen (8%) Abscesse.
    Notes: Summary During the 16-year period from 1 January 1969 to 31 March 1985, 47 patients with liver abscesses have been observed [29♂ with a mean age of 56 (6–82) years, 18 ♀ with a mean age of 63 (3–83) years]. Until 1976, late diagnosis was the reason for the high lethality. Missing hints in the anamnesis, noncharacteristic clinical pictures, and unspecific laboratory findings have reasons for late diagnosis and could not even be improved by X-ray examinations. Sonography permits an early diagnosis and because of that, we have observed an increasing frequency and change in the etiology of the abscesses (1969—1976: 10 patients; since 1977: 37). Puncture under controlled sonography (or placement of catheter) confirms the diagnosis and, if necessary, the therapy (17 out of 37 patients). Determined antibiotic therapy and strict indications for surgery have led to a decrease in lethality by means of early diagnosis (〈 1977: 30%, 〉 1977: 3%).
    Type of Medium: Electronic Resource
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