[Clinical experience with azlocillin].
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Biomedical subjects
Publications and source records attributed to H Grimm.
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Determination of the minimal inhibitory concentration of fosfomycin in the agar dilution test on Mueller-Hinton agar showed that the addition of glucose-6-phosphate to the nutrient medium potentiates the action of fosfomycin against Escherichia coli, Klebsiella, Enterobacter, Citrobacter and Staphylococcus aureus, sometimes by as much as 256-fold. Such a potentiation of action was not detectable with Serratia marcescens, the individual Proteus species, Pseudomonas aeruginosa or enterococci. Fosfomycin is very effective against most medically important bacterial species on Mueller-Hinton agar containing 25 micrograms/ml glucose-6-phosphate. Over 90% of the cultures of E. coli, Citrobacter, Enterobacter, S. marcescens,Proteus mirabilis, Proteus vulgaris, Proteus rettgeri, P. aeruginosa, S. aureus and enterococci examined were inhibited by less than or equal to 64 micrograms/ml fosfomycin.
A comparison of the minimal inhibitory concentrations (MIC) of cefaclor and cephalexin shows that cefaclor is noticeably superior against Citrobacter. Enterobacter and Proteus mirabilis. Only slight differences are seen against other enterobacteria and Staphylococcus aureus. Both cefaclor and cephalexin are completely ineffective against enterococci and Pseudomonas aeruginosa. Regression analysis to correlate the inhibition zone diameter and MIC of cefaclor produced a very good correlation (r = -0.9741). Using 30 mcg discs on DST agar, inhibition zones of more than 20 mm are to be interpreted as "sensitivity" and zones of less than 13 mm as "resistance".
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In personal recollections, letters a.s.o. written by 23 authors in the sixteenth to the nineteenth century are to be found 52 remarks on home remedies or prescriptions for children or juveniles. It seems that they belong more to dietetics than to pharmacotherapy.
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Review of education, life and work of C.H. Stratz. First a clinical gynecologist and always earning his living from this profession, he was interested in the problems of somatic and regional anthropology. After 1900 he became more and more engaged in observations of the child's development from the new-born to the adolescent. His publications, especially his graphs and pictures of morphological changes in the childs body and the signs of puberty, have the following years deeply influenced our knowledge on "orthology" within the medical problems of youth.
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The author reports on the biting activity of mosquitoes during the years 1957-77. His observations were made in the locality called "Duenenheide" on the island of Hiddensee, GDR. This "Duenenheide" is a heath-landscape with downs, situated near the village of Vitte. The daily rhythm of the mosquitoes is analyzed as well as the dependence on wind speed and air temperature near the ground. The results are compared with sporadic data on Stomoxys and on biting midges. The behaviour of chironomids is integrated in this comparison.
Regression analyses demonstrated a good correlation between the minimum inhibitory concentrations of rifampicin determined by the agar dilution method in Mueller-Hinton or Iso-Sensitest agar and the diameters of the inhibition zones produced by the antibiotic in the agar diffusion test on the same two media. The inhibition zone diameters produced in cultures of gram-positive bacteria most of which are highly sensitive to rifampicin (MIC less than 0.125 microgram/ml), are greater than 32 mm. Clearly discernible zones of inhibition ranging from 9 to 24 mm in diameter are, however, also found with gram-negative bacteria, which are less sensitive to the drug (MIC 4--32 microgram/ml. The simple agar diffusion method consequently provides a reliable indication of the sensitivity of bacteria to rifampicin.
The method for performing regression analysis is described in detail. MIC values and zone sizes are determined on agar throughout. Applying these techniques, good correlation between MIC's and zone sizes (r = greater than -0.9) were found with 82% of 59 regressions (33 different antibiotics). Comparable results were found with DST- and Mueller-Hinton agar. In some cases a linear regression for MIC and zone size values could be demonstrated, independent from the correlation coefficient. Some theoretical aspects of regression analysis are discussed.
Cytophotometric DNA determinations on 26 cases of non-Hodgkin's lymphoma yielded the following findings: 1. Follicular centrocytic/centroblastic lymphomas (M. Brill-Symmers) and diffuse centrocytic lymphomas (lymphocytic lymphosarcoma) have a diploid DNA stem line. Diploid DNA values are observed in benign tumors, so that the assignment of these lymphomas to the group of "low grade malignancies" appears justified. 2. Lymphoblastic sarcomas show an aneuploid DNA stem line, as do 96% of all malignant tumors. 3. Lymphoid cells, plasma cells, and immunoblasts seen in immunocytomas are aneuploid. Thus these lymphomas must belong to the group of "high-grade malignant lymphomas" as regards their DNA distribution. 4. Immunoblastic sarcomas have aneuploid DNA stem lines (1 case tetraploid), in which both the lymphoid cells and the plasma cells from those immunoblastic sarcomas arising from immunocytomas show atypical DNTA distribution patterns. 5. In two cases of angioimmunoblastic lymphadenopathy, the lymphoid cells, plasma cells, and immunoblasts are aneuploid. They are thus regarded as "high grade malignancy" lymphomas. The results are discussed with respect to clinical course and prognosis. Measurements on a larger series of cases and correlation to clinical data are needed to support these results. Ultrafast DNA measurements made by flow-through cytophotometry can perhaps be helpful in the future for making the decision between a "low" or "high" grade malignant lymphoma.
378 remarks on nutrition of children and youth found in personal recollections, letters a. s. o. of 42 authors of the 18th and 19th century are added to a former published sum of 760 items. Again, more mentions of protein (meat, fish a. s. o), fat and sugar are written down in the 19th century, compared with the three centuries before.
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227 remarks on beverages, found in biographies, personal recollections, letters a. s. o. from the 16th to the 19th century are reviewed. As early as in the children's age alcoholic drinks are represented in 27%. There is a slight trend to a reduction of alcoholic drinks in the 19th century compared with three centures before. Remarks on tea and coffee and chocolate resp. cocoa are increasing in 19th century, especially in children.