Search PubMed⌕ Search

Biomedical subjects

A Mundinger

Publications and source records attributed to A Mundinger.

47 records · Page 3Linked to original sources
PubMed1989

[Pulmonary artery hypertension in chronic obstructive lung disease. The place of morphometric studies in thoracic radiography].

Standard biplane chest X-rays were tested for the validity of morphometric criteria in the diagnosis of pulmonary artery hypertension. Twenty-seven patients suffering from chronic obstructive lung disease were examined and compared with a control group without cardiopulmonary disease. The diameter of the right and left pulmonary artery, pulmonary conus and the hilar-to-thoracic ratio were significantly increased in patients with chronic obstructive lung disease (p less than 0,0001). Measurement of the right pulmonary artery was 19.7 +/- 3.9 mm compared to 13.6 +/- 1.2 mm of the control group; mean hilar thoracic index was 0.35 compared to 0.31. Thus if the width of the descending branch of the right pulmonary artery was above 16 mm, pulmonary arterial hypertension was suggested, with a specificity of almost 100%, although the sensitivity of the diagnosis was only 59%. The mean pulmonary arterial pressure obtained by right heart catheterization correlated poorly with the morphometric criteria obtained.

Adult↗
PubMed1988

Hepatitis A transmitted to five persons by a cook.

A cook prepared and distributed meals for the nursing and cleaning staff of a hospital until he fell ill with hepatitis A. After a mean interval of 26.5 days five staff members contracted hepatitis A. All recovered within three months except a cleaning woman in whom the hepatitis A recurred 4 months later. In view of the decreasing prevalence of protective antibodies against hepatitis A in adults of central and northern Europe, an increasing incidence of small or even large epidemics of hepatitis A can be expected.

Adult↗
PubMed1985

[Therapeutic possibilities in hypereosinophilia syndrome with Löffler's fibroplastic endomyocarditis. Efficacy of cytarabine and 6-thioguanine].

In two of four patients with hypereosinophilia and Löffler's myocarditis (confirmed by biopsy) the activity of the disease was contained with prednisone, in one instance combined with hydroxycarbamide. In two patients, in whom the disease was taking a fulminant course and other treatment had failed, cytarabine and 6-thioguanine proved effective, providing a 16-month symptom-free period in one of them. But the second patient died from septicaemia associated with treatment-induced bone-marrow hypoplasia. Prednisone (1 mg/kg daily) and hydroxycarbamide (0.5-1.5 g daily) are the drugs of choice in the hypereosinophilia syndrome. If they fail, cytarabine (100 mg/m2 on days 1-5, repeated on day 28) and 6-thioguanine (100 mg/m2 daily) should be given.

Adult↗
PubMed1980

[Age-dependent immunological parameters].

Lymphocyte stimulation, frequency of autoantibodies and concentration of immunoglobuline classes were investigated in 90 persons of 3 age-groups (5--15, 30--40 and 65--95 years of age). An age dependent decrease of MLC- and PhA-reactivity was observed. In contrast, the frequency of autoantibodies and the concentration of IgA increased with age. Individuals with a positive antinuclear factor demonstrated decreased IgA levels. No correlation between lymphocyte stimulation and autoantibody-frequency could be observed.

Adolescent↗
PubMedDate not supplied

Imaging in cardiac mass lesions.

In 26 patients with cardiac mass lesions confirmed by surgery, diagnostic imaging was performed preoperatively by means of two-dimensional echocardiography (26 patients), angiography (12 patients), correlative computed tomography (CT, 8 patients), and magnetic resonance imaging (MRI, 3 patients). Two-dimensional echocardiography correctly identified the cardiac masses in all patients. Angiography missed two of 12 cardiac masses; CT missed one of eight. MRI identified three of three cardiac masses. Although the sensitivity of two-dimensional echocardiography was high (100%), all methods lacked specificity. None of the methods allowed differentiation between myxoma (n = 13) and thrombus (n = 7). Malignancy of the lesions was successfully predicted by noninvasive imaging methods in all six patients. However, CT and MRI provided additional information concerning cardiac mural infiltration, pericardial involvement, and extracardiac tumor extension, and should be integrated within a preoperative imaging strategy. Thus two-dimensional echocardiography is the method of choice for primary assessment of patients with suspected cardiac masses. Further preoperative imaging by CT or MRI can be limited to patients with malignancies suspected on the grounds of pericardial effusion or other clinical results.

Adult↗
PubMedDate not supplied

[Attempt at staging articular changes in rheumatoid arthritis using magnetic resonance tomography exemplified by the wrist joint].

Sixty-four examinations of the wrist in patients with rheumatoid arthritis by magnetic resonance imaging using a 0.23 TESLA magnet showed a great sensitivity in detecting proliferative partly exudative or destructive synovialitis, as is common in rheumatoid arthritis. In accordance to the Larsen system for grading rheumatoid arthritis lesions by conventional x-ray, we establish a clinically relevant magnetic resonance grading system which is able to diversify the stages of destruction and inflammative activity in rheumatoid arthritis.

Adult↗
PubMedDate not supplied

Inflammatory and traumatic lesions of the knee and ankle: comparison of 0.23 T and 2 T MRI.

Fifty-six patients with traumatic and 117 patients with inflammatory lesions of the knee and ankle were examined with a 2 T (69 examinations) or 0.23 T (104 examinations) MR system. The quality of all images was assessed by the consensus of three radiologists on a scale of diagnostic (3+, 2+) and nondiagnostic (1+) image quality. More than 90% of images from both systems were diagnostic. However, the proportion of 3+ quality images was significantly higher (p less than 0.001) at the magnetic field strength of 2 T (81% = 56/69 versus 49% = 51/104 at 0.23 T). Motion artifacts were the main cause of reduced image quality independent of field strength. In patients with traumatic and inflammatory diseases of the knee and ankle, high field imaging at 2 T provided better image quality than low field imaging at 0.23 T.

Adolescent↗