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  • 1
    ISSN: 1432-0509
    Keywords: Graft-versus-host-disease (GVHD) ; Bonemarrow transplantation, complications ; Esophagus, motility disorders
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Successful allogeneic bone marrow transplantation (BMT) for hematologic disorders may be complicated by graft-versus-host-disease (GVHD). Chronic GVHD is a systemic disease, involving, among other organs, the skin, mouth, liver, and esophagus. Esophageal involvement results in mucosal inflammation, leading to submucosal fibrosis and, occasionally, formation of webs and strictures. We investigated 25 allogeneic BMT recipients (17 with and eight without chronic GVHD). All patients had a videofluoroscopic study of the pharynx and esophagus to determine the radiographic abnormalities characteristic of chronic GVHD. Oropharyngeal abnormalities (poor bolus control, pharyngeal retention, or excessive mucous secretions) were found in five patients with and three patients without GVHD. Only one patient with GVHD had a pharyngo-esophageal stricture. There was no significant difference between the two groups with regard to pharyngo-esophageal radiographic abnormalities and esophageal symptoms. Radiographic evidence of esophageal motility disorder is not specific for GVHD involvement. In the absence of specific radiographic features, endoscopy is the most accurate method for the diagnosis of esophageal involvement by GVHD.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 153 (1994), S. 409-410 
    ISSN: 1432-1076
    Keywords: Children ; Diabetes Insulin ; Jet injection ; Pain
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to investigate whether insulin application by jet injector is less painful than by needle. Pain was scored by 41 diabetic and seven healthy volunteers after injections with both methods. Injections by jet were no less painful than those by needle but produced several local side-effects.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 153 (1994), S. 409-410 
    ISSN: 1432-1076
    Keywords: Key words     Children ; Diabetes ; Insulin ; Jet injection ; Pain
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract      The aim of this study was to investigate whether insulin application by jet injector is less painful than by needle. Pain was scored by 41 diabetic and seven healthy volunteers after injections with both methods. Injections by jet were no less painful than those by needle but produced several local side-effects.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Journal of materials science 5 (1994), S. 130-137 
    ISSN: 1573-4838
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: The mechanical characteristics of the chorioamniotic membrane were evaluated with a new burst test apparatus by rupturing 35 specimens that were taken from a sample of seven afterbirths. ‘Strength’, ‘stiffness’, ‘toughness’, and ‘ductility’ were measured. Mechanical characteristics did not change significantly with variation in thickness. While ductility should not correlate with thickness, the lack of a significant increase in strength, stiffness and toughness with an increase in thickness is most unusual and requires an explanation. Subsequently, an additional experiment, which was designed to ascertain the mechanical stability of membrane specimens with prolonged exposure to air, showed a dramatic increase in stiffness as membranes were allowed to dry. The increase in stiffness indicates that strength and toughness also increase with drying, provided that ductility remains constant. Thus, the degree of hydration of the membrane, which is reflected in thickness, regulates mechanical characteristics. The increase in the water content of certain amniotic layers has a lubricating effect on the amnion-chorion interface. This lubrication increases as term approaches. Thus, hydration must increase as gestation progresses, and strength, stiffness, and toughness must decrease until the membrane is weak enough to rupture at the end of gestation. Thus, hydration must increase as gestation progresses, and strength, stiffness, and toughness must decrease until the membrane is weak enough to rupture at the end of gestation.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-5233
    Keywords: Insulin-dependent diabetes ; Islet cell antibodies ; Complement-fixing ICA ; C-peptide ; Geographical variation ; Seasonal variation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Finland and Sweden have the highest incidence of insulin-dependent diabetes in children in the world, about 3–4 times that of countries in the Mediterranean area, with the exception of Sardinia. We have collected information from several European clinics and from Pittsburgh, USA, in order to find out whether this difference in incidence is associated with corresponding differences of the disease pattern. Patients in Finland or Sweden (‘North’) and Pittsburgh were younger (〈10 years old) at diagnosis compared with those in the other clinics in Europe (P〈0.05 versusP〈0.02). In the North, boys were in excess (58%) in contrast to France (40%) and Pittsburgh (46%). Patients in the North had a shorter duration of symptoms (〈8 days;P〈0.001) and higher blood glucose (〉20 mmol/l;P〈0.05) than those attending the other European clinics. Irrespective of age, there were more ICA-positive patients in the North (94%) than in Berlin-Vienna (67%;P〈0.01) or in France (70%;P〈0.01). There was a tendency for non-diabetic parents and siblings in the North to have lower C-peptide values (〈0.26 pmol/ml) at the time of diagnosis of the proband and to be ICA-positive more often than relatives in the other European clinics. The seasonal variation of diagnosis, showed no obvious geographical differences, with recorded diagnosis always lowest during the summer. We conclude that certain factors seem to cause not only a high incidence of diabetes in children in Finland and Sweden but perhaps also a more aggressive early disease process.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Annals of biomedical engineering 22 (1994), S. 540-548 
    ISSN: 1573-9686
    Keywords: Puncture test ; Probe diameter ; Chorioamnion ; Membrane characteristics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: Abstract To further the characterization of the chorioamniotic membrane’s physical properties, we assessed its ability to withstand a concentrated force. Probes of various diameters were used to puncture 275 specimens from 11 membranes. Values for “strength”/thickness, “stiffness”/thickness, and “toughness”/thickness all showed positive linear correlations (p〈0.001) with the increase ofd/D, the ratio of probe diameter to specimen diameter. “Ductility” was independent of diameter, though a logarithmic regression did fit the data marginally (p〈0.05). The separate fracture of the amnion and chorion, which is reflected in ductility measurements, results in an increase in the distance the membrane can be deflectedin vitro. In vivo, this behavior would translate to a reduction of pressure exerted on the remaining membrane, while the integrity of the protective sac is maintained. The data pool of mechanical characteristics was enlarged by reconciling data that were gathered by either of two testing methods: puncturing or bursting; the latter method involves the application of force over the entire surface of the test specimen.
    Type of Medium: Electronic Resource
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