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Biomedical subjects

A Ohry

Publications and source records attributed to A Ohry.

At least 163 records · Page 9Linked to original sources
PubMed1983

The needs and unique problems facing spinal cord injured persons after limb amputation.

Among hundreds of spinal cord injured patients (SCIP) who have been rehabilitated in the Sir Ludwig Guttmann Spinal Cord Injury Unit at the Sheba Medical Centre, Tel Hashomer; we only found six patients who had lost one or more limbs (upper or lower limbs). Although many plastic and orthopaedic surgeons regard paralytic limbs as useless appendages, we cannot agree with this erroneous viewpoint and we find that the clinical and psychological effects of the absence of limb(s) are tremendous. The six case reports are given together with a brief review of the relevant literature.

Adult↗
PubMed1983

Systemic humoral factors participating in the course of spinal cord injury.

Systemic humoral factors have been studied in traumatic, chronic and acute spinal cord injured patients. Antibodies specific to nervous system autoantigens were detected in a majority of the sera obtained from these patients, at different periods after injury. Limited in vitro sprouting of dorsal root ganglia in chicken embryos was observed in the presence of serum from these patients. The possible association between growth inhibiting factors and the presence of antibodies against nervous tissue autoantigens is discussed.

Adolescent↗
PubMed1983

Peculiar septic responses in traumatic tetraplegic patients.

Patients with a high level tetraplegia from a spinal injury have only been able to survive the critical initial period since the development of modern resuscitation techniques including artificial respiration. However, their lives are still threatened by many complications, such as decubitis ulcers, infections and respiratory failure. We describe four young tetraplegic patients who developed an unusual sepsis pattern several years after the injury. The sepsis was accompanied by hypothermia, leukopenia and mental deterioration. This peculiar 'silent' sepsis may also occur in elderly people who are not paralysed. The question arises, therefore, if the chronic spinal cord injured patient may become 'prematurely aged'.

Adult↗
PubMed1983

Cell-mediated immunity to nervous system antigens in diabetic patients with neuropathy.

We investigated the presence of cell-mediated immunity to neural antigen in diabetes mellitus. The lymphocytes were tested for sensitization to purified antigens of the central and peripheral nervous systems by measuring specific transformation in vitro. The antigens used were a CNS basic encephalitogenic protein and P2, a peripheral nerve basic protein. Of the 40 insulin-requiring diabetes patients, 24 showed clinical manifestations of diabetic neuropathy, and the 16 patients without neuropathy served as a control group. Of the 24 neuropathic patients, 15 showed a positive lymphocyte stimulation index to either one or both antigens, whereas of the 16 control patients only one showed a positive index, and to the P2 antigen only. These findings suggest that cell-mediated autoimmunity may play a role in the pathogenesis of diabetic neuropathy.

Autoantibodies↗
PubMed1982

The social aspects of the treatment of spinal cord injured patients in Israel.

The paper presents the rehabilitation framework of spinal cord injured patients in the Sir Ludwig Guttman Centre in Israel. The social worker's special role in our centre is described, from the beginning of his work just after the patient's admission. A trusting relationship is established between the patient and the social worker throughout hospitalisation and subsequently. The social worker also deals with the special needs of the patient's family, providing emotional support and information on legal rights, etc. We present the specific social structure of Israel in relation to the rehabilitation of the disabled as well as the different official agencies providing services for them. There are considerable differences between the benefits provided by the various agencies for the needs of the spinal-cord injured. As the needs of the injured are the same, irrespective of the cause of injury, the task of the social worker is, therefore, extremely difficult.

Adult↗
PubMed1982

Post-traumatic syringomyelia.

A description is given of the syndrome of post-traumatic syringomyelia amongst patients with traumatic spinal injuries seen at the National Spinal Injuries Centre. The diagnosis was made on clinical grounds. It was confirmed wherever possible by neuroradiology prior to surgery; one case was confirmed only at post-mortem. The incidence of the condition was found to be in keeping with other large series but, in contrast, no difference was found between the time of onset after injury between complete and incomplete lesions of the spinal cord. The commonest manifestation was pain, followed by sensory loss and rarely motor weakness. In the majority of patients the condition eventually became bilateral and in a significant number the lesion ascended to involve the trigeminal territory. The natural history of the condition was followed, and in all cases the condition gradually progressed. The pathogenesis of the condition is briefly discussed in view of the findings.

Adolescent↗
PubMed1982

On pain.

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History, Ancient↗
PubMed1980

[Myokymia].

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Adult↗