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Biomedical subjects

E Schulz

Publications and source records attributed to E Schulz.

At least 91 records · Page 5Linked to original sources
PubMed1991

[Plaque and gingivitis reduction by an amine fluoride/stannous fluoride combination].

A clinical study on children has demonstrated that the accumulation of plaque and the development of experimental gingivitis can be reduced by a daily mouthrinse with AmF/SnF2. Low, reversible yellowish tooth staining can almost be prevented by mechanical oral hygiene. The efficacy of AmF/SnF2 was nearly the same as chlorhexidine and the F combination can be recommended for preventive plaque control, especially on high-risk patients.

Adolescent↗
PubMed1990

[Acute pancreatitis--etiology, pathological anatomy and pathogenesis].

Acute pancreatitis is a disease characterized by abdominal pain, low-grade fever, abdominal tenderness and rigidity, and moderate elevation of the white blood cell count. A widely used revised classification of pancreatitis is that proposed in 1984 at Marseille. It only distinguishes between acute and chronic pancreatitis. In 61 cases were 40 men and 21 women. The mean age in the total series was 52.5 years. The etiology of the acute condition was alcoholism in 32.8% and biliary tract disease in 23%. In 9.8% the acute pancreatitis is associated with alimentary tract diseases (adipositas, hyperlipidemia). The severity of acute pancreatitis is pathological anatomy determined by three stages. In pathogenesis the process of digestion is caused by activated pancreatic enzyme with acinar cell injury. The acinar cell is normally protected from the action of its own enzymes by elaborate intracellular compartmentation of enzymes. Acute pancreatitis is triggered by pancreatic phospholipase A leading to necrosis of lipolytically active fat cells with release of membrane-toxic fatty acids with following destruction of adjacent tissue. Fat necrosis initiates an acute inflammatory reaction with immigration of granulocytes and liberation of kinins, which activate pancreatic enzyme. Pancreatic enzymes are similar to lysosomal enzymes with regard to substrate specificity. Activation will be also triggered by lysosomal enzymes of necrotic acinar cells.

Adult↗
PubMed1990

Contrecoup fractures of the anterior cranial fossae as a consequence of blunt force caused by a fall.

Contrecoup fractures of the base of the skull are regarded as rare in the clinical literature. In our material (n = 171 falls on the same level and on or from stairs), the overall frequency of contrecoup fractures of the anterior cranial fossa in fatal cranio-cerebral trauma due to falls was 12%, as compared to 24% with occipital point of impact of the head. The relationships between the impact site on the head, form of fracture at the point of impact with involvement of the skull cap and/or the base of the skull, coup and contrecoup injuries of the brain, localization of contrecoup fractures in the anterior cranial fossa and the occurrence of monocle and spectacle haematomas display a major variability. Fractures occur in the form of simple fractures and as impression fractures (fracture fragments or fracture boundaries displaced to the inside). Clinical diagnosis is difficult because of the concealed position of the anterior skull base. Contrecoup fractures become of forensic medical significance when symptoms of a frontobasal injury occur for the first time after trauma which has occurred some time in the past and when the question arises as to the causal connection with the original trauma. In investigation of living persons, it may be difficult to decide whether haemorrhages in the region of the orbit and its vicinity result from a direct blunt force or derive from fractures of the base of the skull, especially contrecoup fractures.

Accidental Falls↗
PubMed1990

[Comparison of the Lithander (Kolt test) pediatric visual acuity test with the standardized Landolt ring test].

The visual acuity values obtained with the four test figures of Lithander's "Kolt-test" have been compared with Landolt ring acuity under standardized conditions which meet the requirements of DIN 58,220 and ISO/DIS 8596/7. For a given test figure size, the Kolt-test optotypes turned out to be somewhat easier legible than the Landolt ring. On average, visual acuity measured with the Kolt-test exceeded Landolt ring acuity by 0.08 log (angle of resolution) units. Thus, according to DIN and ISO criteria, the legibility of the Kolt-test is not equivalent to the standard Landolt ring. Equal acuity values could be obtained by increasing the observation distance proposed by the manufacturer of the Kolt-test by 19%. The legibility of the four optotypes differs on adult subjects: "circle" is more difficult, "cross" is easier legible than "square" and "triangle". Confusion of Kolt-test figures is basically restricted to two pairs of two optotypes ("cross" - "triangle", "square" - "circle").

Adult↗
PubMed1990

[Evaluation of instrument improvements in oculomotor muscle surgery].

Five improvements of surgical instruments for strabismus-surgery are introduced; these are a small muscle-hook, a broad, flat muscle-hook, two variants of a retractor and one instrument for the resection or tucking of a rectus-muscle. All instruments have proved to be less traumatic and seem much safer than others even in less experienced hands. Most of them have been used over a period of more than 10 years in a specialized department.

Humans↗
PubMed1990

Experimental studies on nephrotoxicity and pharmacokinetics of LY 146032 (daptomycin) in rats.

The nephrotoxicity and pharmacokinetics of LY 146032 (daptomycin) were studied in an experimental rat model. Nephrotoxicity was assessed by measuring urinary loss of tubular cells and malate dehydrogenase. LY 146032 (10-250 mg/kg daily iv) led to a dose-dependent and reversible increase of cell elimination. The tubulo-toxic threshold dose is stated to be 10 mg/kg daily. Nephrotoxicity induced by LY 146032 can be reduced by coadministration of fosfomycin or D-glucaro-1.5-lactam, and enhanced by combination with tobramycin. LY 146032 accumulated in renal tissue during repeated administration. Electron microscopy revealed histopathological changes in the kidneys. Therefore the nephrotoxic potential of LY 146032 should be taken into consideration in clinical trials.

Animals↗
PubMed1990

[Preoperative autologous blood donation, effect of hydroxyethyl starch on the reticuloendothelial system and opsonins].

The effect of 6% low molecular weight (LMW) HES (MW 270,000) on reticuloendothelial function was studied in 9 male patients, median of age 50 years, who were scheduled for vascular surgery. An erythrocyte clearance test (Anti Rh) labeled with 99 mTc, evaluating primarily the splenic section of the RES, showed a considerable variation (37-87%) prior to hemodilution. 24 hours after replacement of 15 ml/kg body weight of blood, there was no significant change of the clearance rate, a follow up weeks later approached the base line values. Plasma opsonins like fibronectin, complement fraction 3, complement fraction 4 and immunoglobulin G showed a proportional decrease following hemodilution, and after 24 hours approached control levels. Changes at this time seemed to be independent from the course of the hematocrit. It is concluded that LMW HES does not adversely influence the spleen dependent phagocytic capacity of the RES system.

Blood Transfusion, Autologous↗
PubMed1990

[The pharmacologic activity of p-substituted DL-2-phenylglycine octyl esters].

DL-2-phenylglycine octyl ester has antiphlogistic, analgesic and spasmolytic activities as shown in different animal models. The antiphlogistic effectiveness is changed only a little by the p-substitution at the phenyl ring, whereas the analgesic action is markedly influenced. Most of the substituted compounds are significantly more active than the unsubstituted ester. DL-2-(benzyloxyphenyl)glycine octyl ester is the most active compound, it has furthermore the highest therapeutic quotient. Using the i.p. application its efficacy exceeds that of acetylsalicylic acid, phenylbutazone and indometacin, respectively. The spasmolytic activity is differently changed by the substituents. The most active ester, DL-2-(p-methoxyphenyl)glycine octyl ester, is about two times more active than papaverine. In histamine induced spasm the effectiveness is low compared with the specific antagonist mepyramine. The results obtained show that the activities of the p-substituted DL-2-phenylglycine octyl esters are different with regard to the three investigated pharmacological properties.

Animals↗
PubMed1990

[The plaque- and caries-inhibiting efficacy of an amine fluoride/tin fluoride combination in an animal experiment on rats].

A similar plaque inhibition by was found after daily topical application of CHX or AmF/SnF2 in comparison with a placebo on rats. The fluoride combination exhibited a significant caries protective influence which was equal to AmF when the last was used in the same concentration. More concentrated AmF has shown a higher caries reducing effect and higher fluoride accumulation in the enamel surface layer of teeth. AmF/SnF2 could been recommended to individual plaque control with parallel caries protective effect.

Animals↗
PubMed1990

[The individual variability of pyramidal neurons in the neocortex of the rat].

In Golgi-Kopsch impregnated pyramid neurons of the neocortex (regio precentralis agranularis and area striata) of adult rats the individual variability was investigated. As parameters served the dendritic lengths, spine numbers and spine densities along the dendritic orders (basal and apical), within single dendritic fields, the apical and basal parts of the dendritic tree and of the whole neuron. The statistical tests gave the following results: Pyramid neurons in the regio precentralis agranularis are more variable than pyramid neurons in the area striata. Within the area striata the lamina III-pyramid neurons are more invariable than the lamina V-pyramid neurons. The basal dendrites are statistically more invariable than the apical dendrites. The dendritic lengths are less variable than the spine values. In general, the variability is different in particular subdivisions of the neurons analyzed as well as for the parameter chosen. The variability of neuronal structures depends from genetical factors and from a functional training. The knowledges about this variability are still insufficient. They are of considerable importance for the planning of experiments followed by statistical analyses.

Animals↗
PubMed1990

[Case analysis of double or multiple homicides].

Thirty-six patients (the youngest was about one and a half years old, and the oldest 76 years old) were the victims of double or multiple homicides. These comprised a total of 16 homicides, exclusively involving one perpetrator. Seven of these could not be categorized in the group of "family tragedies". These crimes are of particular medical-criminalistic interest in view of their constellation. The way in which the murder weapon was used, the situation-dependence as well as the behavior of the perpetrator after committing the crime are discussed in detail.

Cause of Death↗
PubMed1990

[Statistics of blunt abdominal trauma in an autopsy sample at the Institute of Forensic Medicine of the Würzburg University].

The autopsy material of the Institute for Forensic Medicine of the University of Wuerzburg, comprising 2512 post-mortem examinations between 1981 and 1988, was statistically analyzed. Blunt abdominal traumas could be detected in 424 (= 17%) of the 2512 deceased. Essential results: In 3/4 of the cases a traffic accident was the harmful event, followed by occupational accidents and suicide. In 9 cases the blunt abdominal trauma was caused by resuscitative measures. 96.6% suffered from severe extraabdominal secondary injuries which, in 72% of the cases, occurred as craniocerebral traumas frequently determining the quoad vitam prognosis. In more than 90% death was caused by cranio-cerebral traumas, exsanguination, polytraumas as well as injuries of the cervical spine and the cervical spinal cord. Approx. 2/3 of the casualties died within 1 hour after having sustained the trauma. Only 31 injured persons did survive the harmful event more than 10 days; just 5 of them did not die before a period of more than 30 days. Late death was predominantly caused by secondary injuries adding up, peritonitis, pneumonia or pulmonary embolism.

Abdominal Injuries↗
PubMed1989

Platelet factor 4 and the response to plasma exchange in the treatment of thrombotic thrombocytopenic purpura.

We report two patients with thrombotic thrombocytopenic purpura who were subjected to plasma exchange. In one case, the plasma levels of platelet factor 4, measured shortly after plasma exchange, increased significantly during plasma exchange. This was followed, however, by a failure to respond to therapy. Repeated plasmapheresis over 3 weeks gave no therapeutic benefit and reversible deep coma occurred. This patient recovered completely after treatment with vincristine. In the second patient, a decline in platelet factor 4 was observed after plasma exchange. This was accompanied by improvement of the patient's condition and a slow rise in platelet count. Plasma exchange was again carried out in this patient because of a recurrence of thrombotic thrombocytopenic purpura 3 years later; again decreased platelet factor 4 plasma levels were observed after plasma exchange and again a therapeutic response followed. Platelet factor 4, therefore, seems to be an effective and early index for the therapeutic benefit of plasma exchange in thrombotic thrombocytopenic purpura.

Adult↗
PubMed1989

Antinuclear antibodies in patients with chronic idiopathic autoimmune thrombocytopenia followed 2-30 years.

We determined whether serological investigations can assist to distinguish between chronic idiopathic autoimmune thrombocytopenia (cAITP) and immune-mediated thrombocytopenia in patients at risk to develop systemic lupus erythematosus (SLE); 82 patients were seen in this institution for the evaluation of immune thrombocytopenia. In nine of these patients a diagnosis of SLE was made at presentation or shortly thereafter. In the remaining 73 patients with an established diagnosis of cAITP we obtained serum samples at a median disease duration of 7 years; 45 patients were investigated again 2 years later. cAITP patients suffered from their disease for up to 30 years (median 7 years, range 2-30 years) without developing clinical features of SLE. Elevated antinuclear antibodies were found in all patients with a diagnosis of SLE but also in seven patients with established cAITP. All patients who had thrombocytopenia in association with SLE had additional antibodies to anti-nDNA and/or antibodies to soluble cellular antigens. Neither in the initial, nor in the follow-up investigation, such antibodies were discernible in patients with cAITP. We conclude that patients with cAITP do not develop SLE and do not form antibodies to defined cellular antigens, even if suffering from the disease for many years. The ANA titer does not help to differentiate cAITP from thrombocytopenia of SLE. A differentiation, however, between the two diseases is possible by the combined screening for antinuclear antibodies, anti-nDNA, and antibodies to defined soluble cellular antigens.

Adult↗
PubMed1989

Demonstration of monoamine oxidase-A and -B in the human brainstem by a histochemical technique.

The distribution of both monoamine oxidase subtypes, monoamine oxidase-A and -B, is demonstrated in brainstems from 16 humans by use of a histochemical technique. The results presented here, focus primarily upon the aminergic areas of the substantia nigra, the locus coeruleus and the raphe nuclei. While dopaminergic neurons of the substantia nigra revealed no staining for monoamine oxidase, noradrenergic neurons of the locus coeruleus stained positively with the monoamine oxidase-A substrate serotonin, and serotonergic neurons of the raphe nuclei were stained by the monoamine oxidase-B substrate beta-phenylethylamine. In addition, data are presented showing that glial cells stain predominantly for monoamine oxidase-B.

Adolescent↗
PubMed1989

Long-acting somatostatin analog controls acid and gastrin secretion in benign, not in malignant, Zollinger-Ellison syndrome.

The long-acting somatostatin (SMS) analog, SMS 201-995 has beneficial effects on APUDomas. In two Zollinger-Ellison syndrome (ZES) patients we assessed basal acid output (BAO) and 24-h pH under SMS and compared them to controls. We also assessed total gastrin, gastrin 17, insulin, glucagon, C-peptide, and SMS by radioimmunoassay. In the benign gastrinoma, an acid-controlling action of SMS was shown, elevating the 24-h pH threshold over the pH range 1.5-5 of 55-10% compared with control. A parallel inhibition of the gastrins greater than 90% was apparent. We found no beneficial effect on gastric acid secretion and on tumor gastrin in the malignant gastrinoma despite a fourfold higher plasma SMS level. Non-tumor-related peptides were suppressed by approximately 50% and in contrast to gastrin they again reached pre-SMS levels before the next dose of the drug. We conclude that SMS is more effective in benign than in malignant gastrinomas, and may be exclusively so.

Female↗