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Biomedical subjects

H J Bauer

Publications and source records attributed to H J Bauer.

At least 37 records · Page 2Linked to original sources
PubMed1984

Disability rating with the IFMSS scales.

The long-term continuous care program of the Göttingen MS Information and Counseling Unit is described. In 120 patients, analysis of environmental situation showed that 1/3 of the patients had endangered family situations, 2/3 were unemployed or pensioned and 2/3 were unable to do housework. 1/3 had unsatisfactory financial situations, 1/3 were in need of better housing, 2/3 required daily personal assistance, and in 1/3 transportation was possible only in special vehicles. An attempt is made to qualify the effort and cost/benefit relation to the unit. A summary of the performance-limiting disturbances showed that there were several severe and frequently occurring disturbances which are difficult to document with the IFMSS systems. To deal with this problem, clinical profiles were developed, examples of which are given.

Activities of Daily Living↗
PubMed1982

Prognosis of multiple sclerosis. Results from an epidemiological area in Germany.

Clinical data and the prognosis are presented for an epidemiological group of multiple sclerosis (MS) patients. Symptoms and signs of MS, with the exception of optic nerve involvement, were less frequent in the group of 221 patients from the epidemiological area of Southern Lower Saxony than in the hospital series (n = 1837), although the mean duration of the disease was somewhat longer in the epidemiological group. Fifty-two percent of the latter were unrestricted or minimally restricted upon examination compared to 26% of the hospital group. Taking a progression index as a measure for prognosis (disability grade divided by the duration of the disease) 36% of the epidemiological group belonged to a benign category compared to 16% in the hospital group. The progress of these patients was not more than 1 grade of disability within a 5-year-period (progression index 0.2 or less). A malignant course was defined as a progression of at least 7 grades during a 5-year period (progression index 1.4 or more). Ten percent of the hospital series belonged to this category compared to 2% of the epidemiological group. Thus data from a representative group of patients show that the overall prognosis of MS is considerably better than generally suspected.

Adult↗
PubMed1981

Rehabilitation for patients with multiple sclerosis?

In the epidemiological area of Southern Lower Saxony 92 patients with clinically definite or probable diagnosis of multiple sclerosis (MS) were interviewed and examined. This group contained a remarkably high percentage of benign cases (52%) in comparison with a sample of hospitalized patients. Neurological examination revealed spasticity and pareses to be the most important disturbances followed by ataxia and bladder/bowel problems. After a mean duration of 18.4 years, 52% received a pension and about 30% were still working full time. The pension was granted too early to 11 patients and vocational rehabilitation services would be required for 13 men. Although only half of the patients had an acceptable income, the socioeconomic situation of the families was adequate in 71%; 80% lived with their own families and could stay there in case more ambulant services were offered. Psychotherapeutic measures are required among these to relieve the stress within the families (present in 42%)and to improve the coping behavior (unsatisfactory in 60%).

Disability Evaluation↗
PubMed1981

HLA-antigens and the prognosis of multiple sclerosis.

The histocompatibility pattern of 160 patients with multiple sclerosis (MS) living in the epidemiological area of Southern Lower Saxony was determined and compared to a control population. The only significant difference was the more frequent occurrence of DW2 in the patient group (44% vs. 21%). Taking a progression index (grade of disability divided by the duration of the disease) as a measure for prognosis no difference could be found between the DW2 positive and the DW2 negative patients. The reason why we could not confirm the worse prognosis for DW2 positive patients found by Jersild et al. (1973) and Raun et al. (1980) remains to be investigated.

Ethnicity↗
PubMed1981

[Refractometric determination of the fat base content in emulsion ointments (author's transl)].

The Pharmacopoeia of the GDR provides no direct method for the determination of the fat base content in ointments. The indirect determination which is due to in calculating the difference between 100% and the percentages of all the other constituents is tedious and inexact. For this reason, it was tried to find a direct method which was to be reliable, rapid and easy. In principle, the refractometric method divised by Rudischer [2--5, 9] for the determination of fat in meat and meat products, which has been compulsory since 1965, is suitable for this purpose. Consequently, this method was adapted to the requirements of ointment analysis and subjected to modifications which resulted in the variant A for non-ionic ointments, and the variant B for ointments containing ionic fatty alcohol sulphates. The results obtained with the refractometric method from all kinds of ointments tested were in full agreement with the actual fat contents. Parallel determinations differed by 0.5% at the most.

Drug Stability↗
PubMed1979

Clinical data and the identification of special forms of multiple sclerosis in 1271 cases studied with a standardized documentation system.

In a multicenter study the clinical data of 1271 patients with multiple sclerosis (MS) were recorded in a standardized manner and analysed by a computer program. Some of the retrospective data are compared with previous reports. The frequency of optic nerve involvement in the present series was close to the Japanese figures. The development of signs and symptoms during the course of MS was given for the 1271 patients and differences in the reversibility of symptoms are presented. In this study, one of the chief purposes was the selection of groups of MS patients with particular symptomatology and course of the disease for prospective, detailed study. The following groups were selected and are under further investigation: 109 patients with an exclusively spinal symptomatology throughout the course of their disease; 441 patients with optic neuritis as initial symptom; 110 patients with early brain-stem involvement; 64 benign cases (duration of the disease more than 14 years and disability not more than 3 according to Kurtzke), 35 malignant cases (duration of the disease under 5 years and disability grade of 7 or more); 83 families with more than one member with MS; 289 females with a history of pregnancy, childbirth and/or use of oral contraceptives. In 339 patients a lumbar puncture was performed at the present examination. The parameters determined constitute a pathognomonic pattern highly indicative of the diagnosis of MS.

Brain Stem↗
PubMed1977

Serological response of multiple sclerosis patients and controls to 6/94-parainfluenza virus.

The serological responses of 195 multiple sclerosis (MS) patients and 251 controls were tested against 6/94-parainfluenza virus, which was previously isolated from brain tissue of two patients with MS. The hemagglutination-inhibition titers of greater than or equal to 1: 128 were found more frequently in MS patients (21.5%) than in controls (14.0%). However, the geometric mean titers did not differ between these two groups. The present study concludes that a causal relationship of 6/94-virus to MS, based on a specific immune response, is improbable, although it does not exclude the possibility of a pathogenetic significance of the agent in the cases from which the autopsy material was derived.

Adult↗
PubMed1976

[Bence-Jones proteinemia and amyloidosis (author's transl)].

In a 55-year-old patient with Pattern I amyloidosis it was possible to detect a Lambda-Bence-Jones protein in plasma by means of CAF and immunelectrophoresis and column chromatography, but not in urine because of possible polymerisation.

Amyloid↗