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Biomedical subjects

H Goerke

Publications and source records attributed to H Goerke.

At least 19 recordsLinked to original sources

Species-specific elimination of polychlorinated biphenyls in estuarine animals and its impact on residue patterns.

Elimination kinetics of tetra-, penta- and hexachlorobiphenyls (IUPAC Nos. 44, 52, 87, 95, 101, 153) were investigated by laboratory experiments in three species of different phyla: Nereis diversicolor (Polychaeta), Palaemon longirostris (Crustacea) and Platichthys flesus (Pisces). Half-lives were species-specific and structure-dependent. Palaemon longirostris eliminated all components fastest. N. diversicolor was faster than Platichthys flesus except for components 95 and 153. Contrary to the fish species, the two invertebrates contained significant amounts of polar transformation products of No. 52, which had been applied as 14C labelled. Therefore, the faster elimination by Palaemon longirostris and N. diversicolor was assumed to be generally due to increased biotransformation. Elimination was in accordance with polychlorinated biphenyl (PCB) residue patterns obtained from field samples of the species. Congeners with vicinal H atoms in m,p positions were under-represented in Palaemon longirostris and so were congeners with > or = 7 Cl in N. diversicolor, while the PCB residue pattern in Platichthys flesus was similar to that of Clophen A60. By comparing percentages of the experimental congeners in sigma PCB and their elimination half-lives in the three species, it was revealed that residue patterns were also influenced by species-dependent uptake, e.g. feeding habits. Extractable organic matter-based sigma PCB levels increased with trophic levels of the three species.

Animals↗

[Medical discretion in the past and today].

It is based on old traditions that a physician and other medical personal have to be diskrete about their conversation with patients as well as about diagnostic and therapeutical measures. The roots are found in the early times when priests were working as medical therapists. Well known are the Asclepiads in old Greece and later on in the Roman Empire. They were priests in the tempels of the god Asclepios and the famous Hippocrates of Cos was also an Asclepiad and nevertheless the founder of western scientific medicine. The historian of medicine can demonstrate a steady development of the professional discretion observed by physicians and surgeons on different political, cultural and scientific conditions until today.

Confidentiality↗

[Not Available].

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Germany↗

[Roentgenology and tuberculosis in the early part of XXth century].

The author presented the ways the method of radiological examination had developed from inventing it to the wide use of it is diagnostics of tuberculosis. He has proved, that this method, in addition to therapeutic methods, contributed to decrease of a death rate because of tuberculosis, which in 1900 was 150/100,000 inhabitants of Europe and USA, in 1940-only 70 already, and in 1950-5.

Diagnostic Imaging↗

Long-term results of stereotaxy in the treatment of essential tremor.

In patients with severe tremor that is resistant to drug therapy, stereotactic coagulation can achieve a satisfactory and lasting reduction of the movement disorders. Very few long-term studies have been conducted following stereotactic operations. From 1964 to 1984, 104 patients with a diagnosis of essential tremor were operated on in the Division of Stereotaxy and Neuronuclear Medicine. After an average follow-up period of 8.6 years, 65 patients were examined. In 80%, the success of the stereotactic operation was still evident. Complete disappearance or substantial reduction of the tremor was determined in 69% and moderate improvement in 11.9% of the patients.

Aged↗

[Not Available].

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Finland↗

[Patient physiognomy-- the picture of the patient: (author's transl)].

The facial expression of the patient has demonstrably occupied doctors with regard to diagnosis and prognosis even in ancient times. Physiognomy found acceptance in the medicine of modern times, particularly through the publications of Johann Caspar Lavater (1741-1801), Carl Gustav Carus (1789-1869) and then, after 1838, of Karl Heinrich Baumgärtner (1798-1886) who took advantage of lithography, which had just come into use, to reproduce pictures of patients. In the thirties of our century, patient physiognomy has undergone a renaissance (Killian, Fervers, Risak, Lange and others) which was repeated in the sixties. In the last decades, the interest was almost always an expression of dissatisfaction with an exclusively scientifically oriented medicine.

Adult↗