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Biomedical subjects

A Berger

Publications and source records attributed to A Berger.

At least 559 records · Page 31Linked to original sources
PubMed1981

[Primary acute and subacute meningomyeloradiculopathies: study of the cerebrospinal fluid].

Forty four patients with primary acute and subacute meningomyeloradiculopathies were studied in respect to the evolutive aspects of the cerebrospinal fluid (CSF) cell-protein dual in several periods of the disease. The tendency of CSF hypercytosis to normal values of cell count occurred in most cases (96%) at the end of the period in which the study was performed (60 days). The CSF protein levels had a similar but slower behavior pattern when compared with hypercytosis. The comparative analysis of clinical improvement of two groups of patients (treated and not treated with ACTH or corticosteroids) showed a statistically significant difference between on the two groups favouring the former. This fact enhances the possibility that an auto-immune process plays an important role in cases of primary meningomyeloradiculopathies.

Acute Disease↗
PubMed1981

[Large surgical flaps in the reconstruction of soft tissues after complicated injuries of the lower leg].

Experiences and results with a so called extended flap transfer including the fascia of the donor leg are discussed. Six patients suffering from complete open fractures of the lower legs underwent this procedure. All patients gained a functional and useful lower extremity. Also late reconstructive operations to cure bony problems did not affect detrimentally the healed flaps.

Fracture Fixation, Internal↗
PubMed1981

A hemodynamic complication of verapamil therapy in a neonate.

The effectiveness and lack of undesirable side-effects has made Verapamil the drug of choice in the treatment of paroxysmal supraventricular tachycardia in infants without underlying heart disease. The case described demonstrates the occasional severe negative inotropic effect of the drug, independent of its influence on heart rate and conduction. Severe heart failure and shock ensued after a therapeutic dose of i.v. Verapamil in a newborn suffering from atrial flutter with no associated heart disease. Although the arrhythmia was promptly converted to sinus rhythm, the baby required two hours of cardiopulmonary resuscitation and inotropic support. Follow-up during the first year of life revealed a normal healthy baby. Attention to the hemodynamic status in addition to continuous ECG monitoring is mandatory during i.v. Verapamil administration also in patients without underlying heart disease.

Atrial Flutter↗
PubMed1981

[Remarks and thoughts on the evaluation of results in replantation surgery].

In order to completely evaluate the results after replantation or revascularization of an amputated part, an additional factor, integration or the adaptation of the replanted part to the activities of daily living and to the occupational life of the patient, should be considered. Six categories are developed and illustrated with examples. Each of the categories is assigned a high differential multiplication factor according to whether the replanted part is useless (factor 1), not useful but also not a hindrance (factor 10), is only an aid to the healthy extremity (factor 30) or is of limited use in daily life and at work (factor 50). Factor 70 is assigned when the amputated part can be used with retraining in another job and is not a hindrance in daily life. Factor 100 applies when the replanted part does not interfere with daily living or occupation. This factor should be regarded as a supplementary assessment which attempts to objectively evaluate a replanted or revascularized part of the hand.

Adolescent↗
PubMed1980

Levels of basic personality factors in a psychiatric population.

Diverse sets of factors have been claimed by various investigators to be basic personality variables of the highest factor order. A sample of 400 psychiatric patient records were rated for pressence or absence of 14 criteria. The data were factor analyzed, and four factors were extracted. Three of the four factors resemble Eysenck's three-factor model of personality at the universal or general level. The fourth factor is interpreted to be a behavioral dimension at a lower level. The results are discussed in terms of the population and the type of data utilized.

Adolescent↗
PubMed1980

Functional results from replantation surgery: a five year report from the Viennese replantation team.

We present the results of treatment of completely and incompletely severed digits achieved by the Viennese Replantation Team. These results are regarded as comparable with other internationally reported series. Our extended use of vein and nerve grafts has effected an improvement in functional results and has made possible a more radical approach to severe hand injuries. We have also used composite and compound grafts for fingertip restoration, and utilized joint transplantation or transposition when necessary.

Austria↗
PubMed1980

Myopathy as a presentation of coeliac disease.

An eight-year-old girl with symptoms and signs of myopathy subsequently was found to suffer from coeliac disease. The myopathy disappeared on a gluten-free diet. It is suggested that the acquired myopathy may be related to deficiency in fat-soluble vitamin D or E, as a result of protracted steatorrhea.

Celiac Disease↗
PubMed1980

Attitudes and knowledge of secondary school girls concerning breast feeding.

A 20-item questionnaire on breast feeding was completed by 242 high school girls ranging in age from 15 to 18 years old. Many girls had significant apprehensions concerning breast feeding, including deleterious influences on the mother and ignorance of the benefits for the infant. Most stated that they would be interested in learning about breast feeding during school health lessons. Offering information to teenagers and correcting their apprehensions might help create sounder knowledge upon which mature motivation can be formulated.

Adolescent↗
PubMed1980

[Primary flexor tendon suture].

Our experience with primary tendon repair in no-man's-land are reported. 25 patients with 28 tendon lesions were treated in our service since 1974. In 2/3 of the cases a good functional result was obtained. This technique can also be recommended for replantation cases and complex injuries. A clear indication, consequent postoperative treatment and the avoidance of technical failures result in less complications and postoperative problems.

Hand Injuries↗
PubMed1980

[Problems of fracture fixation in replantation surgery].

Our management of bone fixation in replantation surgery is reported. The use of Kirschner-wires in phalanges and plates with screws in the region of the metacarpal bones proved to be satisfactory. In the presence of infection we experienced good results with Gentamycin pearls.

Amputation, Traumatic↗
PubMed1980

The role of cytology in the diagnosis of carcinoma of the stomach.

Cytology is an invaluable adjunct in the diagnosis of carcinoma of the stomach. It should be included in the initial diagnostic studies of every patient suspected of having a malignant lesion of the stomach. The yield and accuracy rates of brush cytology are superior to those of endoscopic biopsy. Early or superficial carcinoma can be detected by cytology. Common use of cytology should improve the resectability and the survival rates of the patients.

Adenocarcinoma↗
PubMed1980

[Results of replantation and severe hand injuries in children (author's transl)].

Within the framework of the reimplantation service which has operated in our clinic since June 1974, 23 amputations in children were admitted, out of a total of 184. 17 were complete, 6 were subtotal, and 21 were re-implanted. The healing-quota of 76% is particularly due to the much more generous indications in childhood. The difficulties in post-op. care, and the use of play in physiotherapy are mentioned. Experiences gained in the field of re-implantation, especially through microsurgery, have enabled progress to be made also in the other serious injuries of the hand in childhood.

Amputation, Traumatic↗
PubMed1980

[Reconstructive surgery of the skin (author's transl)].

The particular problems of serious soft-tissue injury to the hand are discussed. The careful treatment of tissues, avoidance of any tension, and the necessity for adequate primary care are pursed. The process of growth should not be forgotten. Microsurgery opens up new possibilities for free tissue transplantation in this field.

Amputation, Traumatic↗
PubMed1980

[Surgical restoration of sensitivity in childhood (author's transl)].

Depending on the injury, there can be direct damage to the nerve or to the overlying skin at points essential to the tactile sense. The restoration of nerves is subject to the same criteria as in adults, although the time factor is not quite so important. In complicated injuries with nerve lesions, a two-stage procedure should be preferred to the primary treatment, since that provides more favourable conditions for restoration of the nerves. Several operative procedures are given for the case where there is a skin defect or scarring at a point necessary for sensitivity. The cross-over finger flap with attached nerves, and full-skin transplant joining the nerves, are described in detail.

Child↗
PubMed1980

[Myelopathies: diagnostic aspects].

A re-evaluation is made of those aspects which led to the etiologic diagnosis in 353 patients who suffered from non-traumatic, non-tumoral myelopathies, and whose cases were studied along a period of 20 years. The cases were distributed as follows: syringomyelia, 5 cases; vascular myelopathy, 15 cases; privation caused myelopathies, 67 cases; infectious or infestation caused myelopathies, 82 cases; post-vaccination, post-infection or post-intoxication, 31 cases; multiple sclerosis and optic neuromyelitis, 20 cases; primary myelopathy, 133 cases. With basis on the diagnosis, those aspects which may contribute to the existing knowledge about physiopathologic mechanisms related to the onset of spinal cord involvement, as related to immunobiologic alterations, are analysed. The role of necrosis, demyelinization and inflammation, and their respective interrelationships are considered in this light.

Adolescent↗