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  • 1
    ISSN: 0942-0940
    Keywords: Head injury ; penetrating wound ; craniocerebral injury ; shrapnel fragment ; outcome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A follow-up study is presented of the initial neurosurgical treatment of 20 patients who sustained penetrating eraniocerebral injuries during “Operation Desert Storm”. Fifteen of these patients had received intracranial debridement through a craniectomy and five patients had received care of scalp wounds only. Following treatment and stabilisation in a frontline hospital, these patients were transferred to the Riyadh Armed Forces Hospital for further evaluation and management. On admission, all the patients received a computerised tomographic scan which revealed shrapnel fragments inside their brain. No attempt had been made to remove the metal fragments. A patient with an infected scalp wound was treated with a course of appropriate antibiotics and the wound dressed. Dexamethasone was not used. Anticonvulsants were used only in one patient who had been treated for a presumed cerebral abscess. The neurological status of the patients improved along with the reduction of oedema and the swelling of the brain as shown in the follow-up CT scans. No patient died or developed a seizure disorder. These results suggest that re-operation for removal of retained fragments is unnecessary. It is concluded that the initial treatment of shrapnel wounds of the brain should be to preserve maximal cerebral tissue and function either by limiting the wound debridement performed through a craniectomy or by care of scalp wounds only.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 0942-0940
    Keywords: Pineal lesion ; medial AVM ; dependant position ; occipital transtentorial approach
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A recent modification of the occipital transtentorial approach to the pineal region and medial-posterior hemisphere is described. The patient is operated upon in a lateral reclining (park bench) position with the side to undergo occipitoparietal craniotomy, slightly dependant. Following dural opening to the margins of the superior sagittal and lateral sinuses, gentle traction with a brain spatula facilitates the occipital transtentorial and transfalcine approach to the incisural region. Ventricular or spinal fluid drainage is often helpful. The occipital lobe falls away from the midline and falcotentorial regions by gravity. Absence of occipital parasagittal bridging veins is a helpful feature and careful convexity dural opening allows the occipital lobe to move laterally. Microsurgical treatment of pineal, splenial, falcotentorial and medial posterior hemisphere lesions may be greatly facilitated. Our experience with six cases is presented. To date, published results of this operative approach have been excellent with the risk of hemianopsia, parenchymal venous infarction, and air embolus much lessened or eliminated.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1439-6327
    Keywords: Submaximal exercise ; Endurance training ; Heart rate kinetics ; Sympathetic nervous system
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary To find out whether endurance training influences the kinetics of the increases in heart rate (f c) during exercise driven by the sympathetic nervous system, the changes in the rate off c adjustment to step increments in exercise intensities from 100 to 150 W were followed in seven healthy, previously sedentary men, subjected to 10-week training. The training programme consisted of 30-min cycle exercise at 50%–70% of maximal oxygen uptake ( $$\dot V$$ O2max) three times a week. Every week during the first 5 weeks of training, and then after the 10th week the subjects underwent the submaximal three-stage exercise test (50, 100 and 150 W) with continuousf c recording. At the completion of the training programme, the subjects' $$\dot V$$ O2max had increased significantly(39.2 ml·min−1·kg−1, SD 4.7 vs 46 ml·min−1·kg−1, SD 5.6) and the steady-statef c at rest and at all submaximal intensities were significantly reduced. The greatest decrease in steady-statef c was found at 150 W (146 beats·min−1, SD 10 vs 169 beats·min−1, SD 9) but the difference between the steady-statef c at 150 W and that at 100 W (Δf c) did not decrease significantly (26 beats·min−1, SD 7 vs 32 beats·min−1, SD 6). The time constant (τ) of thef c increase from the steady-state at 100 W to steady-state at 150 W increased during training from 99.4 s, SD 6.6 to 123.7 s, SD 22.7 (P〈0.01) and the acceleration index (A=0.63·Δf c·τ−1) decreased from 0.20 beats·min−1·s−1, SD 0.05 to 0.14 beats·min−1·s−1, SD 0.04 (P〈0.02). The major part of the changes in τ and A occurred during the first 4 weeks of training. It was concluded that heart acceleration following incremental exercise intensities slowed down in the early phase of endurance training, most probably due to diminished sympathetic activation.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Berichte der deutschen chemischen Gesellschaft 29 (1896), S. 2050-2051 
    ISSN: 0365-9496
    Keywords: Chemistry ; Inorganic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Berichte der deutschen chemischen Gesellschaft 31 (1898), S. 615-621 
    ISSN: 0365-9496
    Keywords: Chemistry ; Inorganic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Berichte der deutschen chemischen Gesellschaft 24 (1891), S. 631-634 
    ISSN: 0365-9496
    Keywords: Chemistry ; Inorganic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Berichte der deutschen chemischen Gesellschaft 25 (1892), S. 1984-1990 
    ISSN: 0365-9496
    Keywords: Chemistry ; Inorganic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Berichte der deutschen chemischen Gesellschaft 28 (1895), S. 578-585 
    ISSN: 0365-9496
    Keywords: Chemistry ; Inorganic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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