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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Environmental geology 40 (2000), S. 19-26 
    ISSN: 1432-0495
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences
    Notes: Abstract  The major ion chemistry of the Garonne River is indicative of seasonal variations in the weathering dynamics of the drainage basin. Using the geochemical model MEGA for calculation of the contribution of atmospheric CO2 to the total bicarbonate fluxes exported by the Garonne River allows estimations of the concentrations of the major dissolved elements that originate from silicate- and carbonate-rock weathering. The molecular ratio SiO2/Al2O3 was calculated for the 1989–1992 period to identify the main type of weathering in the Garonne River, and montmorillonite was shown to be the major mineral occurring in the weathering products. The seasonal variations of the SiO2/Al2O3 ratio also showed that removal of silica was accelerated during humid periods.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    s.l. ; Stafa-Zurich, Switzerland
    Materials science forum Vol. 273-275 (Feb. 1998), p. 667-672 
    ISSN: 1662-9752
    Source: Scientific.Net: Materials Science & Technology / Trans Tech Publications Archiv 1984-2008
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK; Malden, USA : Blackwell Science Ltd/Inc.
    Wound repair and regeneration 12 (2004), S. 0 
    ISSN: 1524-475X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background: More than three quarters of patients with a connective tissue disorder will develop secondary Raynauld’s disease. This more severe form of the Raynauld’s can lead to digital ischemia, tissue loss and may even result in the need for amputation of one or more digits. Cilostazol is a phosphodiesterase inhibitor currently approved for use in vascular disease of the lower extremities. Case History: In August of 2002 a 62 year old female pianist with scleroderma presented to the wound clinic with a two year history of intractable digital pain secondary to ischemic ulcerations of the index, long and ring fingers of the right hand. She suffered from secondary Raynauld’s disease. Prior unsuccessful treatments included warming the hands, calcium channel blockade, anticoagulation, topical xylocaine and narcotic analgesics. In August of 2002 cilostazol was started at 100mg BID. Wound care consisted of serial debridement, moist wound healing and topical rhPDGF. Results: Four weeks into treatment the patient’s narcotic requirement decreased substantially and the fingers had a pink appearance. The ring finger healed after eight weeks. At three months the patient discontinued narcotic pain medication. Nine months into treatment the index finger had healed and she resumed playing the piano. The long finger finally healed one year after she initially presented to the wound clinic. Conclusion: Cilostazol may be an important adjunct in the treatment of secondary Raynauld’s disease particularly when digital ischemia has developed. Acknowledgements: Funding from Otsuka Pharmaceuticals.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The humoral and cell-mediated immune response was investigated in 90 patients suffering from chronic posttraumatic osteomyelitis. In 10–20% of the patients the serum IgG and IgM was increased, in 5–10% the levels were decreased. The values were compared with those of a control group of 35 normal healthy volunteers. Of 55 patients with staphylococcal infection only 25 had a positive antistaphylolysin titer. Eleven out of 25 patients with staphylococcal osteomyelitis showed a positive in vitro lymphocyte transformation after stimulation with α-staphylolysin (mean transformation rate 5.4 ± 0.9). The phytohemagglutinin and the pokeweed-mitogen response were normal. A comparison of the immunological reactivity of the patients and the clinical severity of the disease showed that patients with established delayed-type hypersensitivity phenomena suffered a significantly worse clinical course of the disease.
    Notes: Zusammenfassung Neunzig Patienten mit chronischer post-traumatischer Osteomyelitis wurden immunologisch untersucht. Die Ergebnisse wurden mit einer Kontrollgruppe von 35 gesunden Freiwilligen verglichen. In 10–20% der Patienten fanden sich erhöhte Serum-IgG- und IgM-Konzentrationen; in 5–10% waren diese erniedrigt. Unter 55 Patienten mit Staphylokokkeninfektion zeigten nur 25 einen positiven Antistaphylolysintiter. Elf von 25 untersuchten Patienten mit Staphylokokken-Osteomyelitis zeigten eine positive in-vitro-Lymphozytentransformation nach Stimulation mit α-Staphylolysin (durchschnittliche Transformationsrate 5,4 ± 0,9). Dabei war die Phytohämagglutinin- sowie die Pokeweed-Mitogen-Antwort normal. Ein Vergleich der immunologischen Reaktionslage der Patienten mit dem Schweregrad der klinischen Erkrankung ergab, daß die schwersten Verläufe in der Gruppe der Patienten mit nachweisbarer zellulärer Überempfindlichkeit gefunden wurden.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 297 (1961), S. 85-90 
    ISSN: 1435-2451
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Bei traumatischen Hautlücken am Schädeldach bevorzugen wir die Deckung durch gestielte Hautlappen: 1. weil sie von Anfang an gut ernährt sind und dadurch auch bei nicht sauberen infektiösen Wundflächen verwendet werden können, da sie sicherer einheilen, 2. weil sie unseres Erachtens kosmetisch bessere Ergebnisse erzielen. Es wird darauf hingewiesen, daß besonders bei elektrischen und thermischen Verbrennungen die sorgfältige Vorbehandlung: Hebung des Allgemeinzustandes, gezielte antibiotische Behandlung, örtliche Wundbehandlung, eine unerläßliche Voraussetzung für den Erfolg der plastischen Operationen bildet.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 342 (1976), S. 319-322 
    ISSN: 1435-2451
    Keywords: Fractures: Physiotherapy ; Fractures: Management ; Fractures: Growth ; Übungsbehandlung ; Frakturen ; Begutachtung ; Wachstum
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Kindliche Frakturen benötigen Übungsbehandlung wie diejenigen Erwachsener in entsprechender Abwandlung; bis zum 7. Lebensjahr vorwiegend Überwachung der Stellung, danach ist die Übungsbehandlung maßgeblicher Bestandteil des Behandlungsprogramms. Massagen und Bestrahlungen sind kontraindiziert. Passive Bewegungsübungen sind schädlich, zumal am Ellenbogengelenk. Wirbelsäulenverletzungen und Rückenmarkverletzungen erheischen funktionelle Behandlung. Dauerschäden sind endgültig erst nach dem Wachstumsabschluß zu beurteilen.
    Notes: Summary Fractures in Children need physio- and ergotherapy as much as fractures in adults. Before the seventh year monitoring is of prime importance, because malpositioning of fractures is frequent. In children between 7 and 12 years of age physio- and ergotherapy are essential factors in rehabilitation. Massage and irradiation are noxious. Passive exercise of the elbow joint is not successful but causes new injuries. Fractures of the vertebral column or injuries of the spinal cord should receive only functional treatment. Later consequences cannot be assessed until growth has ceased.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 355 (1981), S. 449-451 
    ISSN: 1435-2451
    Keywords: Medical opinion ; Injuries of the foot ; Disability ; Undiagnosed lesions ; Begutachtung ; Fußverletzungen ; Invaliditätsgrad ; übersehene Fußverletzungen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Ein Siebentel aller Frakturen betrifft den Fuß ohne Knöchel. Jedoch beeinträchtigen auch die Verletzungen des Unterschenkels und Kniegelenkes mittelbar den Fuß. Etwa /13 der Fußverletzungen führt zu einer Gebrauchsbeeinträchtigung von 30% und mehr. Einige Verletzungen (der Bänder, des Gelenkknorpels, Teilverrenkungen des Talus und Kalkaneus, Brüche und Verrenkungen der Keilbeine I und II sowie der Mittelfußknochen I bis III, ferner Fremdkörpereinsprengungen) werden häufig übersehen. Wichtig für die Begutachtung sind Vorgeschichte, Klagen des Patienten, objektiver Befund und Funktionszustand. Röntgenaufnahmen in 2 oder 3 Richtungen sowie Schichtaufnahmen sind differentialdiagnostisch unentbehrlich. Rechtskenntnisse sind unerläßliche Voraussetzung.
    Notes: Summary One-seventh of all fractures concerns the foot, excluding the malleolus, and injuries of the lower leg and knee are also followed by disturbances in the foot. One-third of the foot injuries lead to a 30% disability. Some of the lesions are often undiagnosed (ligaments, articular cartilage, subtotal luxations of the talus or calcaneus, fractures and luxations of the cuneiform bones I and 11 and tarsal bones I–III, additional foreign bodies in the metatarsus). For expert opinion anamnesis, complaints, objective findings, and functional state are important. X-ray pictures in two or three directions or tomograms are needed for differential diagnosis. Knowledge of the laws and of jurisdiction is required to form an opinion.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Research in experimental medicine 171 (1977), S. 163-172 
    ISSN: 1433-8580
    Keywords: Traumatic modell ; Hematom ; Compliance ; Low molecular weight serum substances ; Pathogenesis of acute pulmonary insufficiency ; Traumatisches Modell ; Hämatom ; Compliance ; Niedermolekulare Serumsubstanzen ; Pathogenese akuter pulmonaler Insuffizienz
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Es wurden Funktionsparameter der Lunge (Compliance, PaCO2, PaO2) im Zusammenhang mit experimentell gesetzten pathophysiologischen Faktoren, wie Hämatom, Knochenmarkintravasation und Blutentzug, bei Kaninchen gemessen. Der Compliancequotient ist bei all den Versuchstieren zu den Kontrollen signifikant erniedrigt, bei denen ein Hämatom entweder alleine oder zusammen mit einem der übrigen Faktoren bestand. Zudem zeigt das histologische Bild der Lungen bei den Versuchstieren mit Hämatom perivaskuläre und interstitielle Ödembildung und ausgeprägte Atelektasen. Vergleichende Messungen des zentralvenösen Druckes nach Applikation niedermolekularer Substanzen aus dem Serum vom Hämatomträger an das gesunde Geschwistertier lassen das Auftreten pharmakodynamisch ähnlicher Substanzen, wie dem Serotonin, im Blut von Hämatomträgern vermuten.
    Notes: Summary Parameters of the lungs as Complicance, PaCO2, PaO2, have been measured in connection with experimental, pathophysiological insults like hematoma, bone marrow intravasation and hemorrhage, in rabbits. Concerning the compliance quotient, a statistically proved decrease was found within that groups, which have had a hematoma. Moreover, the histological picture of the lungs from rabbits with a hematom showed perivascular and intersitial edema and considerable atelectases. Serum of animals, which have had a hematom for at least 24 h has been fractionated by gel chromatography; low molecular weight substances of the fractionated serum were injected into healthy recipients. Thereafter, measurement of the centralvenous pressure suggests the appearance of substances, pharmacodynamic similar to 5-Hydroxytryptamin, in blood of rabbits with hematom.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Der Unfallchirurg 101 (1998), S. 72-73 
    ISSN: 1433-044X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1433-044X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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