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Biomedical subjects

D J Bakker

Publications and source records attributed to D J Bakker.

At least 19 recordsLinked to original sources
PubMed1995

Hyperbaric oxygen treatment for haemorrhagic radiation cystitis.

Radiation-induced severe haemorrhagic cystitis is difficult to treat. Conventional treatments may decrease haematuria but do not affect the radiocystitis itself. Hyperbaric oxygen treatment has been reported to do both. We report the results of a prospective study of hyperbaric oxygen (20 sessions of 100% oxygen inhalation at 3 bar for 90 min in a multiplace hyperbaric chamber) to 40 patients with biopsy-proven radiation cystitis and severe haematuria. Haematuria disappeared completely or improved in 37 patients after treatment. Mean follow-up was 23.1 months (range 1-74); and the recurrence rate was 0.12/year. There were no adverse effects. Hyperbaric oxygen treatment should be considered for patients with severe radiation-induced haematuria.

Aged↗
PubMed1995

Hyperbaric oxygen treatment of osteoradionecrosis of the mandible. Experience in 29 patients.

In recent years hyperbaric oxygen has gained an important role in the treatment of osteoradionecrosis of the mandible. In the treatment of 29 patients with osteoradionecrosis of the mandible, a combination of surgical debridement, antibiotics, and hyperbaric oxygen was used in 27 cases. In 20 of the 29 patients the osteoradionecrosis was considered to be resolved after treatment. In 31% of the patients, the continuity of the mandible was lost. It was concluded that combined treatment of surgical debridement, antibiotics, and hyperbaric oxygen gives acceptable results and may, when used in an early phase of the disease, limit the number of patients who lose continuity of the mandible.

Adult↗
PubMed1995

Economic impact of the CNS: practitioner role.

Documentation of the economic benefit of the CNS to the institution and consumer will be vital to help justify the position of the CNS within the evolving health care system. Two tools were developed and piloted to document and evaluate one of the CNS subroles that impacts nursing productivity and patient care outcomes. The practitioner subrole was evaluated by utilizing financial analysis. The rationale for selection of variables addressed within the tools are presented, and strengths and weaknesses of the tools and the implementation process are addressed. Quantification of the outcomes reflecting the cost effectiveness of the practitioner subrole is discussed.

Cost-Benefit Analysis↗
PubMed1994

Red blood cell velocity in nailfold capillaries during hyperbaric oxygenation.

Microcirculatory hemodynamics of the skin during hyperbaric oxygenation were assessed by determination of nailfold capillary red blood cell velocity (Vrbc). Under hyperbaric conditions a continuous increase in Vrbc was found. Control values, 0.43 +/- 0.12 mm. sec-1 (mean +/- sem), were significantly (P < 0.05) lower compared with Vrbc at the end of hyperbaric oxygenation (0.62 +/- 0.16 mm.sec-1).

Adult↗
PubMed1994

Hyperbaric oxygen treatment of osteoradionecrosis of the mandible with repeated pathologic fracture. Report of a case.

Treatment of patients with osteoradionecrosis of the mandible with a pathologic fracture consists in almost all cases of a continuity resection of the mandible. This leads to functional and esthetic problems that can only be solved by often extensive surgery. In this case report we present a 38-year-old woman who developed osteoradionecrosis of the mandible with a pathologic fracture 1 1/2 years after combined surgical and radiation therapy of an adenocarcinoma of the right parotid gland. The patient had a subcondylar pathologic fracture together with osteolysis in the right mandibular body, normally an indication for partial resection of the mandible. Because of the absence of denuded bone, fistulation, and the poor quality of the surrounding soft tissues, a more conservative approach was chosen. Treatment consisted of hyperbaric oxygen and dental extractions with alveolectomy with the patient under local anesthesia. During follow-up, a second pathologic fracture occurred in the region of the right first and second molar. No additional treatment was given. Six and one-half years after the initial treatment and 5 1/2 years after the last fracture, the patient is free of complaints, the fractures have healed and both esthetic and functional results are good.

Adenocarcinoma↗
PubMed1994

Dyslexia and the ecological brain.

Evidence is available to show that normal and disturbed reading is a bilateral rather than an unilateral hemispheric affair. The primary subservience of reading seems to shift from right to left during the development of the learning-to-read process. Since the brain is sensitive to enriched stimulation from the environment, hemisphere-tied dyslexia may be alleviated by selective or alluding stimulation of the right (L-dyslexia) or the left (P-dyslexia) cerebral hemisphere. In general, the results of experimental group and single-case investigations show the fruitfulness of these neuropsychological treatment procedures. However, it is apparent that there are questions that remain to be answered.

Cerebral Cortex↗
PubMed1993

Lexical decision performances in P-type dyslexic, L-type dyslexic, and normal reading boys.

Lexical decision performances in P-type dyslexic, L-type dyslexic, and normal reading boys were investigated using three-letter and four-letter words (familiar words) and nonwords presented in the central visual field. For words, P-type dyslexics displayed significantly longer latencies for four-letter than for three-letter word decisions, whereas L-type dyslexics and normal readers did not. For nonwords, all subject groups showed significantly larger mean latencies for four-letter than for three-letter nonword decisions. In general, the error data corresponded to the latency data. L-type dyslexics, however, made more errors during four-letter words than during three-letter words, although they had similar latencies in both conditions. The results are discussed with reference to the hypothesis that P-type dyslexics would use a sequential processing mode for reading familiar words, whereas L-type dyslexics would employ a parallel processing mode for reading familiar words.

Adolescent↗
PubMed1992

Skeletal muscle PO2 in anaerobic soft tissue infections during hyperbaric oxygen therapy.

In the present study skeletal muscle PO2 measurements were performed in patients with gas gangrene and anaerobic soft tissue infections before, during and after hyperbaric oxygen therapy. Polarographic PO2 needle electrodes appeared to be suitable for application during different ambient pressures. We found that patients with gas gangrene revealed higher skeletal muscle PO2 values than patients with an anaerobic soft tissue infection. This may be explained by a higher metabolic rate within the anaerobically infected soft tissues. The higher PO2 values in gas gangrene may be caused by alpha toxins, affecting cellular and intracellular membranes thus destroying PO2 diffusion barriers.

Bacteria, Anaerobic↗
PubMed1992

Grade-related changes in event-related potentials (ERPs) in primary school children: differences between two reading tasks.

Event-related potentials (ERPs) were recorded from the left and right temporal and parietal sites during word reading in a group of children who were followed over three consecutive years, starting at Grade 1. The first task required the child to read repeatedly presented words; the second task consisted of a series of different words, with each word being presented only once. All ERP components showed changes in amplitude as a function of grade: P240, N530, the parietal N150, and SW all decreased, whereas the temporal N360 and SW both increased. In addition, SW changed from no asymmetry to larger positivity over the right site, whereas N360 changed from symmetric amplitudes to larger amplitudes over the left hemisphere with grade. Single word presentations were associated with smaller SW activity and larger N530 and N360 amplitudes than were repeated word presentations. It was also found that proficient readers showed larger SW and N360 asymmetries and shorter vocal response times than did less proficient readers. In addition, a positive relationship was found between reading performance and ERP amplitudes over the left temporal hemisphere at Grades 2 and 3, particularly in the single word reading task. The results are discussed in terms of age-related changes in right and left hemisphere functions involved in learning to read.

Attention↗
PubMed1992

Neuropsychological classification and treatment of dyslexia.

Evidence shows that initial and advanced learning to read are predominantly mediated by the right and left cerebral hemispheres, respectively. Premature reliance on left-hemispheric reading strategies may result in L-type dyslexia, characterized by hurried and inaccurate reading. P-type dyslexia, characterized by a slow and fragmented style of reading, may result from the inability to shift from the predominant generation of right-hemispheric reading strategies to the predominant generation of left-hemispheric reading strategies. Results of investigations concerning the validity of the L/P-typology are discussed, as are the reading effects of hemisphere-specific and hemisphere-alluding stimulation in children with L- and P-type dyslexia.

Child↗
PubMed1990

Diffuse sclerosing osteomyelitis of the mandible: a new concept of its etiology.

Diffuse sclerosing osteomyelitis of the mandible is a disease of unknown etiology. The clinical and radiographic findings suggest an infectious origin, but bacteriologic and histologic findings do not support this concept. Analysis of clinical symptoms, localization of the condition, and posttreatment findings in a group of 27 patients suggest a chronic tendoperiostitis due to muscular overuse as an etiologic factor in diffuse sclerosing osteomyelitis of the mandible. This hypothesis was supported by the initial results of muscle relaxation treatment in 13 of these patients.

Adolescent↗
PubMed1990

Familial resemblance for cognitive abilities in families with P-type dyslexic, L-type dyslexic, or normal reading boys.

P-type dyslexic, L-type dyslexic, and normal reading boys, and their parents were administered a number of cognitive tasks. The P- and L-type dyslexic boys showed impaired performances on tasks representing a verbal/memory dimension. In addition, L-type dyslexics performed worse on a figure-rotation task, a result that supported the notion of a visuospatial deficit in this type of reading disturbance. The parents of P- and L-type dyslexics exhibited lowered performances on verbal/memory tasks, but they showed no evidence of impaired visuospatial functioning. Indices of familial resemblance revealed differential familial resemblances in the three types of families. In the families of P-type dyslexics, a high father-son effect was found for the visuospatial dimension. In the families of L-type dyslexics, moderately high single-parent/child effects were found for both fathers and mothers and for both the verbal/memory dimension and the visuospatial dimension. In the families of normal readers, only small single-parent/child effects were found.

Aptitude↗