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Biomedical subjects

B Keller

Publications and source records attributed to B Keller.

At least 181 records · Page 10Linked to original sources

Effects of regional reductions in sulphur deposition on the chemical and biological recovery of lakes within Killarney Park, Ontario, Canada.

The lakes in Killarney Provincial Park, located 40-60 km southwest of Sudbury, Ontario, were some of the first lakes in North America to be acidified by atmospheric pollutants. Acidification affected thousands of fish and invertebrate populations in dozens of lakes. Since the 1970's, water quality has improved in response to atmospheric pollution reductions and some lakes have already recovered to approximately their pre-industrial pH levels, as inferred from diatom microfossils in lake sediments. Since the 1970's, fish species richness has not changed substantially, but zooplankton species richness has increased in acidified lakes. The critical sulphur load, the amount of SO2-derived acid deposition that can occur while still maintaining suitable water quality, was estimated to be exceeded in 38% of the park area in 1997. Depending on which of four possible North American emission control scenarios (CLR = currently legislated reduction; CLR + 25%; CLR + 50%; CLR + 75%) is achieved by 2010, the projected critical loads will be exceeded in about 0-30% of the park area in the future. There are many factors that can affect biological recovery rates of damaged lakes, but it is expected that biological recovery will lag considerably behind observed chemical recovery rates.

Acid Rain↗

[Johanson-Blizzard syndrome].

Johanson-Blizzard syndrome (JBS) is an autosomal recessively inherited disorder that is characterized by pancreatic insufficiency, a distinct appearance with hypo- or aplasia of the alae nasi and dental anomalies. We report on 3 patients with JBS who demonstrate the clinical variability of additional symptoms. In contrast to the common mental retardation in JBS we stress the outstanding intellectual abilities of one patient. It is important to realize the treatable dysfunctions in JBS. Specific therapy of e.g. pancreatic insufficiency and hypothyroidism can lead to a marked improvement of the clinical course. For the first time we discuss a possible sex influence. There is evidence that females have a better prognosis. The literature is reviewed, and aspects of differential diagnosis of JBS are considered.

Abnormalities, Multiple↗

Management of burns of the penis.

Burns of the penis can be physically and psychologically devastating. This is particularly true in young pediatric patients who have to content with growth as well as with the trials of adolescence and the development of self-image. Little has been written on the grafting management of these injuries. This report reviews a management technique used with great success. Ten patients who sustained full-thickness penis burns were reviewed. The grafting technique consisted of excision and grafting with sheet grafts in a one- or two-stage setting. After grafting, the penis was placed in traction with a weighted Foley catheter. Grafts were left open or stented. No complications occurred from the traction apparatus, and graft take was uniformly excellent. Short-term results have been excellent, and no urethral problems have developed over a median 3-year follow-up. This technique appears to provide excellent means of supporting the penis to accomplish superb graft take in this hard-to-manage area.

Burns↗

[The temporomandibular joint from the rheumatologic viewpoint].

Temporomandibular joint affections in rheumatic disease are described. They were seen in inflamed joint diseases, mostly in rheumatoid arthritis, and less so in juvenile rheumatoid arthritis, psoriatic arthritis, Reiter's syndrome, ankylosing spondylitis, and collagen vascular disease. In osteoarthrosis, the temporomandibular joint affection occurs frequently but pain seems to occur most infrequently. We must bear in mind that a painful temporomandibular joint could be a symptom of myalgia, especially fibrositis syndrome with its painful tendon.

Arthritis, Rheumatoid↗