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Biomedical subjects

E Salehi

Publications and source records attributed to E Salehi.

At least 19 recordsLinked to original sources
PubMed2005

Nationwide outbreak of listeriosis due to contaminated meat.

We used molecular subtyping to investigate an outbreak of listeriosis involving residents of 24 US states. We defined a case as infection with Listeria monocytogenes serotype 4b yielding one of several closely related patterns when subtyped by pulsed-field gel electrophoresis. Patients infected with strains yielding different patterns were used as controls. A total of 108 cases were identified with 14 associated deaths and four miscarriages or stillbirths. A case-control study implicated meat frankfurters as the likely source of infection (OR 17.3, 95% CI 2.4-160). The outbreak ended abruptly following a manufacturer-issued recall, and the outbreak strain was later detected in low levels in the recalled product. A second strain was recovered at higher levels but was not associated with human illness. Our findings suggest that L. monocytogenes strains vary widely in virulence and confirm that large outbreaks can occur even when only low levels of contamination are detected in sampled food. Standardized molecular subtyping and coordinated, multi-jurisdiction investigations can greatly facilitate detection and control of listeriosis outbreaks.

Adolescent↗
PubMed1980

[Anesthesia in pediatric urology].

It is reported on an experience of several years in 4,870 anaesthesias in the paediatric urology. Anaesthesiological peculiarities and anaesthetising techniques were critically represented, and the advantages of the induction of the anaesthesia with ketamines as well as the experiences made are described. Summarizing the following is established: 1. Among the urological patients and also in the anaesthetising techniques a fundamental change appeared. For the majority of the interventions in paediatric urology nowadays the anaesthesia is much simpler and less expensive than several years ago. 2. Inhalation anaesthesia is widely superseded by the dissociative anaesthesia with ketamine and the number of intubation anaesthesias considerably decreased. 3. During complicated and long lasting operations on newborn and infants the child is further on intubated and undergoes an assisted respiration. 4. When choosing the one or another anaesthetising method the character of the intervention in paediatric urology as such was authoritative and not the preference of the one or another anaesthetising method.

Adolescent↗
PubMed1980

[Anesthesia for TUR procedures in the elderly].

Due to the increased life expectancy since the turn of the century also the urological interventions in patients of older age increased in number and thus in significance. Also when a smaller proportion of the TUR-interventions (in most cases only diagnostic measures) can be carried out in local anaesthesia, for the majority of cases a general anaesthesia or a central conduction anaesthesia is necessary. The particular characteristics of the anaesthesia in endovesical interventions, the pathophysiological peculiarities of the senium, the senile involution of the kidney, and a water and electrolyte balance often disturbed by urological complaints are among others the most important criteria which determine the choice of the anaesthesia in a senile patient when TUR-interventions are to be carried out. Based on an experience of many years, it is reported on the results of anaesthesia in 4,130 geriatric patients, among then 2,818 TUR-interventions. On account of the character of the TUR-interventions, of the age of the patient and the factors of risk even nowadays the central conduction anaesthesia, especially the spinal anaesthesia, is more often the method of choice.

Age Factors↗
PubMed1980

[Special problems with anesthesia in urologic emergency surgery].

In the operative medicine the urological emergency interventions occupy a particular position. Apart from iatrogenic and/or emergency cases provoked by the external trauma, the life-threatening and urgent operations are very rare, in comparison to the other surgical disciplines. The maximum stress by anaesthesia of the urological emergency operations is, however, by far less and connected with considerable risks. In the analysis of 1,216 anaesthesias which were declared by the urologists as urgent operations it was shown that the frequency of anaesthesia accidents gradually increases from intact renal function up to uraemia and anuria. On account of less total stress in contraindications for the regional anaesthesia in urological emergency interventions the neuroleptanalgesia is to be preferred in comparison to the other anaesthesia methods.

Acute Kidney Injury↗
PubMed1978

[Experiences with ambulatory anesthesia in urology].

On the basis of more than 6000 cases is reported on the daily ambulatory practice in anaesthesia carried out on urological patients for several years. The problems and the necessity of the ambulatory anaesthesia, methods and experiences are discussed and it is referred to the errors and danger sources. Exact indication, better instruction of the patients and the parents (in children) on the consequence of the ambulatory anaesthesia, exact observation of the pre- and postoperative precautionary measures, strict organisation, choice of a suitable anaesthetic and adequate methods of anaesthesia are according to our experiences the most important prerequisites for a smooth course and an anaesthesia without complications in ambulatory surgical interventions.

Adult↗
PubMed1978

[The current state of spinal anesthesia in urologic interventions].

It is reported on the experiences of several years in 9,400 spinal anaesthesias in the urology in patients at an advanced age. Still at present the spinal anaesthesia has a dominating position in the urological intervention. Despite modern and differenciated anaesthetic methods the importance of the spinal anaesthesia is by no means reduced for most urological interventions, particularly for the transurethral operation technique, but it rather increased during the last years by the new local anaesthetics, by the development of thinnest spinal needles, but also the increased knowledge of the dangers of general anaesthesia. In urological diagnostics and therapy the spinal anaesthesia has still its full right and is less toxic for the patient and has less severe complications than the general anaesthesia. However, prerequisites for its use are: a) mastery of technique b) full assent of the patient c) psychic guidance of the patient during the whole duration of the intervention and d) balanced pre-, intra- and postoperative substitution of the volume e) overcoming of the established opinion that the spinal anaesthesia has a particular depressing effect on circulation and frequently causes post-spinal headache.

Aged↗