[Candidiasis test in infants].
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Biomedical subjects
Publications and source records attributed to H Hauck.
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For the practising dermatologist the following examinations for the diagnosis of a fungus infection are recommended: unstained and stained preparations, as well as cultural differentiation of the causative organisms. In case of a first negative culture of a cutaneous mycosis histological examination is advised. The section should be stained by the PAS method. In all mycotic diseases of the skin, skin appendages and mucous membranes, which are resistant to therapy, an intracutaneous test with the specific antigen should be performed to examine the cellular immunity against the cultured organism.
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A rapid and reliable method of carboxyhemoglobin determination is described. Hemoglobin-bound carbon monoxide is released chemically into a continuous nitrogen stream and transported to an infrared gas analyser. The total amount of released CO is determined electronically. 100% CO Hb values are obtained in the same way from diluted blood samples after flushing with pure CO in special saturation vessels. The method described yields results with a standard deviation of +/- 2.5%.
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Complicated pneumothorax is defined as a recurrent or persistent air leak in the pleural interspace beyond 5 days despite adequate tube drainage. Up to now, this disorder could only be corrected by open thoracotomy. Endoscopic fibrin pleurodesis is shown to be a method that could obviate, in most cases, the need for thoracotomy. In the last 6 years, 138 of 153 patients presenting with complicated spontaneous pneumothorax were treated with this method. The fibrin sealant consists of 2 components: fibrinogen, factor XIII, and albumin dissolved in aprotinin (3,000 KIU/ml), and a thrombin calcium chloride solution, which is applied through the working channel of a thoracoscope and vaporized with nitrous oxide. In this observation period, 6 (4.4%) recurrences were observed, which were subsequently treated with thoracotomy; a second attempt at fibrin pleurodesis was not undertaken. In all cases, endoscopic sealing was followed by prompt reexpansion of the collapsed lung. Long-term follow-up was satisfactory, pulmonary function tests showed no signs of restrictive dysfunction, and pleural fibrosis was not observed on x-ray as reported in other modes of treatment. Following these results, it is concluded that this method is useful in cases of persistent, therapy-resistant, complicated spontaneous pneumothorax; its effects are durable and it has a low rate of recurrence. It produces a physiological healing process without damage to the pleura.