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Biomedical subjects

G Korten

Publications and source records attributed to G Korten.

26 records · Page 2Linked to original sources

[Blood detoxication procedures in extra-renal diseases].

In a survey concerning the application of haemodialysis, ultrafiltration, haemofiltration, haemoperfusion and separation of plasma in the treatment of non-renal diseases clinically tested methods are discussed. The therapy of endogenic and exogenic poisonings as well as the removal of hyperhydrations of different genesis using extracorporeal systems can be clarified scientifically with the help of clinical course and laboratory findings. The separation of plasma on membrane opens new possibilities of therapy of above all immunologically conditioned diseases. The valency of the treatment of schizophrenia needs further intensive research concerning etiology and pathogenesis, since the judgment of the success of therapy still underlies too many subjective factors.

Anemia, Sickle Cell↗

[Clinical and histological studies on the course of glomerulonephritis].

It is reported on 37 patients in whom on the basis of the clinical suspicion of a glomerulonephritis a biopsy of the kidneys was carried out, and after treatment in these patients a rebiopsy was carried out 21 months later in order to examine clinical and histological changes during this period. Hereby could be established that the rebiopsy only six times evoked an apparant improvement, whereas the other cases showed clinical findings or deterioration and only in half the cases a correspondence between clinical and histological developmental tendencies was recognizable. As conclusion indications to rebiopsy are proposed.

Biopsy↗

[Comparative clinical and histological studies in the diagnosis of isolated proteinuria and hematuria].

In 311 patients with clinical suspicion to glomerulonephritis biopsies of the kidneys were performed. In these cases in 82% the histological or tentative diagnosis, respectively, of a glomerulonephritis could be made. As diseases preceding the glomerulonephritis relapsing tonsillitides are occupying the first place, whereas scarlet fever, otitides, furunculoses and sinusitides were observed more infrequently. Clinically cases of oligosymptomatic glomerulonephritis were more frequently observed than monosymptomatic ones. One fifth of the patients exhibited a restricted renal function or a proteinuria of 3 g/24 hours, in which case proliferatively sclerosing, diffusely proliferative and membranaceous forms occupied the first place.

Adolescent↗

Microcirculation of the fingernail fold in CAPD patients: preliminary observations.

OBJECTIVE: To study changes in the peritoneal microcirculation during continuous ambulatory peritoneal dialysis (CAPD) by studying change in the microcirculation of the fingernails of CAPD patients. SETTING: A university department. DESIGN: A cross-sectional study of 10 nondiabetic patients on CAPD. INTERVENTION: Hemorrheological tests of fingernail microcirculation using equipment built at our university. MAIN OUTCOME MEASURES: Microcirculation was characterized by estimation of capillary density, red blood cell (RBC) column diameter, torque index, and RBC flow velocity semiquantitatively using videocapillaroscopy at the fingernail fold and plasma viscosimetry. Findings were correlated with treatment duration, peritoneal clearance, state of capillary morphology and hemodynamics, and lipid and fibrinogen levels. RESULTS: Treatment duration was significantly correlated (p < or = 0.05) with low-density lipoprotein (LDL) (r = 0.776) and clearances of urea (r = -0.583), uric acid (r = -0.666), and potassium (r = -0.764). Changes in capillary morphology were correlated to clearances of urea (r = 0.643) and uric acid (r = 0.701). The fibrinogen concentration increases plasma viscosity (r = 0.799) and deteriorates the capillary state (r = -0.706). In addition, plasma viscosity correlates to cholesterol (r = 0.620, NS) and LDL (r = 0.781), but not to high-density lipoprotein and triglycerides. CONCLUSION: CAPD treatment results in lipid abnormalities and high fibrinogen levels that may cause microvascular damage and poor perfusion. These interactions may explain the deterioration of peritoneal transport in some CAPD patients.

Adult↗