Hemodialysis via Shaldon catheter for 40 months: an unique experience in a 24-year-old patient.
Explore the source record for details and available documents.
Adult↗
Biomedical subjects
A Hensel
Publications and source records attributed to A Hensel.
Successful hemodialysis for acute renal failure in late pregnancy.
The occurrence of an acute renal failure during pregnancy does not necessarily imply the termination of the gestation. A 21-year-old pregnant woman was successfully dialyzed because of an acute azotemia developing in the 27th week of pregnancy. After repeated hemodialysis treatments the renal function recovered and the patient gave birth to a healthy child at full term. It is suggested that hemodialysis should be performed as often as possible (twice daily) in order to avoid any dramatic changes of the serum chemistry and the fluid content of the body. Furthermore, such a regimen allows the regular intake of calories, which is considered as especially important in such an event.
Acute Kidney Injury↗
[Investigations on the pharmacokinetics of pentoxifylline in chronic renal failure (authors transl)].
The pharmacokinetical behaviour of 14C-labelled pentoxifylline was investigated in normal volunteers and in patients with different stages of impaired renal function. It was shown that in patients, having a creatinine-clearance of less than 10,0 ml/min., occurs an accumulation of pentoxifylline. This finding leads to the conclusion that in patients with advanced renal failure the daily dose of pentoxifylline should be adjusted to the diminished renal elimination.
Administration, Oral↗
Clinical aspects of hemofiltration.
We report on clinical experiences obtained in 7 uremic patients treated since January 1976 3 times weekly by chronic hemofiltration. The observations which we collected in more than 300 treatments suggest that hemofiltration might be superior to conventional hemodialysis. The main advantages of this treatment are characterized by its better control of hypertension, hyperhydration, and possibly of uremic bone disease. Furthermore, the applied acrylonitrile membrane allows the removal of substances with a molecular weight up to 60,000, similar to the glomerular basement membrane. Additionally, we report on methodological problems, on the compatibility of hemofiltration, and finally on its efficiency for removal of different uremic solutes.
Adult↗
Cellular variables in bronchoalveolar lavage fluids (BALF) in selected healthy pigs.
Reference values are essential for the interpretation of cytological findings in bronchoalveolar-specimens from healthy and diseased pigs, and also for studies on local immunity of the porcine lung. Values were calculated from 164 piglets out of six closed herds based on cellular bronchoalveolar lavage (BAL) data. The piglets were preselected by criteria of pulmonary health and total as well as differential cell count were performed. The values established were: total cell count 1-4.5 Giga litre-1, alveolar macrophages 90-99 per cent, lymphocytes 0-9 per cent, polymorphonuclear neutrophils 0-8 per cent, blastocytes 0-2 per cent, polymorphonuclear eosinophils and basophils 0-1 per cent.
Animals↗
Hippocampal volume discriminates between normal cognition; questionable and mild dementia in the elderly.
The sensitivity of MRI volumetric measures to detect cognitive dysfunction is examined in 39 participants of an epidemiological field study (age 75-85, MMSE 19-30). According to Clinical dementia rating (CDR), 17 subjects had normal cognition (CDR 0), 12 had questionable (CDR 0.5) and 10 mild dementia (CDR 1). Discriminant analysis based on four hippocampal measures resulted in a correct classification of 76.9% of all subjects. Left-sided and posterior hippocampal measures were more responsible for group discrimination than right-sided and anterior measures. In CDR 0.5, a significant hippocampal volume reduction of 14.3% vs.11.3% (left vs. right) relative to normal was found. The right hippocampus was significantly greater than the left in CDR 0 and CDR 0.5, but not in CDR 1. The magnitude of non-directional hippocampal asymmetry increased with decreasing cognitive state. We conclude that hippocampal atrophy is sensitive to detect cognitive dysfunction and subjects at risk for Alzheimer's disease in the elderly population.
Aged↗
Towards the rational use of antibiotics: results of the first International Symposium on the Risk Analysis of Antibiotic Resistance.
The results of four expert working groups on the risk analysis process on anti-microbial resistance are described. They focus on the procedure recommended by the FAO/WHO CODEX Alimentarius Commission in 1999 including hazard identification, hazard characterization, exposure assessment and risk characterization. In all four areas, the current scientific knowledge was evaluated and recommendations for risk management options were given. They will form the basis for mitigating the health risk caused by resistant micro-organisms.
Animals↗
[Diagnosis o Yersinia enterocolitica infections: a review on classical identification techniques and new molecular biological methods].
Only three of the eleven species of the genus Yersinia are associated with disease. Y. pestis is the causative agent of plague, Y. pseudotuberculosis and several pathogenic bio/serovars of the species Y. enterocolitica cause yersiniosis. New Y. enterocolitica subspecies with diagnostic relevance have been proposed allowing the differentiation of European and American isolates. The ISO-standard (ISO 102739) summarizes the knowledge gained from enrichment and isolation of Y. enterocolitica from food and feed samples. The final biochemical identification must be carried out by classical tube testing, as commercially available test-systems are not sensitive and specific. For the assessment of the presumptive pathogenicity of a Y. enterocolitica isolate empiric virulence markers can be replaced by PCR assays targeting plasmoidal or chromosomal genes. Their evaluation in terms of routine diagnostic procedures is still missing. The definite identification of Y. enterocolitica isolates can also be achieved by sequencing the 16S rRNA gene. Immunoblot based on plasmoidal encoded Yersinia proteins enables the serological determination of animal and human infections. The development of simple, sensitive and specific rapid identification systems applicable for the direct and indirect diagnosis for veterinary use is a challenge for the future.
Animal Feed↗
[Yersinia enterocolitica infections: 1. Impact on animal health].
In Europe, yersiniosis is mainly caused by the bacterial species Yersinia enterocolitica. The clinical picture of yersiniosis in farm animals including pig, chinchilla, cattle, small ruminants and the pet animals dog and cat is described in detail. However, data on seroprevalence and prevalence in these animals are not available. Therefore, further research is needed in the fields of epidemiology and epizootiology.
Animals↗
[Yersinia enterolitica infections: 2. Impact on human health].
The clinical picture of yersiniosis in humans and its prevalence in the human population is described in detail. Mass production of animals, development of meat factories based on sophisticated chains of cold storage units and international trade of meat products and animals are believed to be the reasons for the increasing prevalence of yersiniosis in humans. In Germany, anti-Yersinia antibodies are found in up to 40% of the average population. The financial losses for the national economy cannot be judged. Of special interest for industrial medicine are sequelae-like reactive arthritis in exposed occupational groups such as veterinarians or butchers. However, the lack of national and international data makes the assessment of the potential of yersiniosis as a zoonosis difficult. Therefore, intensive and interdisciplinary research is needed to close the gaps described. Already proven and proposed countermeasures at the different stages of mass production of animals and reglementations for international trade of meat products and animals are introduced. The need for development not only of cheap and rapid diagnostic tools but also for countermeasures and treatment strategies is discussed.
Animals↗
Influence of long-time transportation stress on re-activation of Salmonella typhimurium DT104 in experimentally infected pigs.
In this study a Salmonella Typhimurium infection model in swine was used in order to investigate the influence of pre-mortal stress induced by long time period transportation on the re-activation of Salmonella in experimentally infected pigs. Salmonella free pigs were exposed to a highly virulent strain of Salmonella Typhimurium DT104 by direct intragastrical administration. Clinical parameters were monitored and the shedding rate in faeces was qualitatively and quantitatively determined by standard bacteriological procedures for 21 days. The distribution of the challenge organism in 14 different internal organs of transported and nontransported animals was determined. All infected animals developed clinical signs of salmonellosis 12 to 24 hours post infection. About 88 to 100% of the fecal samples were culture-positive up to post exposure day 6, and then varied from 71 to 92% until slaughter, respectively. At necropsy S. Typhimurium was recovered most frequently from caecum and ileocolic lymph nodes (83%), colon (79%), palatine tonsils (71%) and mandibular lymph nodes (62.5%). A negative impact of transportation stress on the shedding rate and the general condition of the animals was observed.
Animals↗
Improvement of an invA-based PCR for the specific detection of Salmonella typhimurium in organs of pigs.
The aim of this study was to investigate the suitability of the invA-based polymerase chain reaction (PCR) assay for the specific detection of Salmonella in organs of experimentally infected pigs and to compare these results to classical bacterial culture. While the PCR conditions specified in the "Deutsche Industrie Norm", DIN 10135 (section 35 LMBG, 1999), cutle based on the publication of Rahn et al. 1992, revealed various unspecific amplification products, modifications of the PCR conditions allowed the specific amplification of the invA fragment from inner organs. The modified PCR assay correlates exactly with cultivation results (as required by DIN Norm 6579) and enables the detection of Salmonella within 48 hours with equal sensitivity compared to routine cultivation.
Animals↗