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Biomedical subjects

H Wilhelm

Publications and source records attributed to H Wilhelm.

100 records · Page 6Linked to original sources

[Localization diagnosis and differential diagnosis of postoperative intraperitoneal abscesses using 99m technetium-stannum-colloid-marked granulocytes].

Occult intraperitoneal abscesses are difficult to locate and dispose of. Therefore, a method of examination is needed that is specific, can be used at any time, is not expensive, and yields early results within 2-3 h. This seems possible with a new methods of examination. 99mTc-Sn colloid was used to label autologous polymorphonuclear leukocytes which, when reinjected, emigrate to the site of the suspected abscess. Standard scintigraphy localizes the labeled inflammatory cells. In 32 surgical patients, 34 scans were performed with good results (controlled by greyscale ultrasound); 17 (53.1%) scans represented intraperitoneal abscesses; 3 (9.4%) scans demonstrated true positive extra-abdominal inflammations.

Abscess↗

[Quantitative radiocardiography in the differential diagnosis and follow-up of cardiac disease (author's transl)].

Gated blood pool studies have been performed in about 400 patients, evaluating the regional motility and, by Fourier analysis, the following functional parameters: ejection fraction, peak ejection rate and its time, peak filling rate and its time. Wih the calibration procedure used during the first passage, we measured also the endsystolic and endiastolic volume of the left ventricle and the cardiac outpout. The changes of the different parameters caused by various diseases of the heart are discussed. It can be shown tha the measured values allow important conclusions to be made concerning the differential diagnosis. The examinations before and after surgery facilitate evaluation of therapeutic results.

Aortic Valve Insufficiency↗

The application of radioactive labeled leucocytes for the proof of inflammations.

The methods we have tested are reliable for the labeling of granulocytes and monocytes as well as with colloidal substances and with soluble 99mTc-phytate. Supravital colorations and electronmicroscopic pictures do not show any damage of the cells caused by the labeling procedures. In the clinical application after the reinjection of the labeled granulocytes and monocytes, inflammations in the abdomen and in the bone could be proved and localized exactly. A final evaluation of the described methods and its differentiation from other diagnostic possibilities will only be possible after further investigations.

Adolescent↗

[Current possibilities of preoperative diagnosis in planned partial kidney resections].

Sequential and functional scintigraphy utilizing the regions of interest technique has a definite place in preoperative diagnostic renal evaluation prior to partial nephrectomy. Whereas scintigraphy offers information regarding parenchymal function and eventual therapy, renal angiography enables one to visualize the vascular tree, which is technically important for the urologist during surgery. The fate of the diseased parenchymal portion should not only be determined from the subjective intraoperative findings, but rather from more exact methods which measure function and morphology.

Adult↗

EEG changes during spontaneous and controlled menstrual cycles and their correlation with psychological performance.

1. EEG (occipito-central, anterior and posterior temporo-central), blood concentration of hormones (oestradiol, progesterone, prolactin, folliculo-stimulating (FSH) and luteinizing (LH) hormones) and psychometric tests (reaction time, concentration, simple calculations, visual orientation and simple motor performance tasks) were recorded from 16 young women during a spontaneous menstrual cycle (s.c.w. group) and from 16 women taking combined oral contraceptives (o.c.w. group). All data were collected every second day except Sundays. 2. The EEGs underwent power spectrum analysis. Power and weighted mean frequency were determined for different frequency bands (theta, alpha and beta). The most constant finding in the s.c.w. group was a slight increase of mean alpha frequency during the luteal phase until menstruation (mean of occipital alpha acceleration = +0.3c/sec). The average time course of this acceleration fitted the time course of progesterone increase, but no direct correlation could be established. No such acceleration of alpha frequency could be found in the o.c.w. group, but the mean frequency in this group was about 0.5c/secslower than that of the s.c.w. group. In addition, minor cyclic changes of EEG paramenters in the s.c.w. group were observed in the occipital and temporal theta activity, the temporal alpha activity, but none in the beta range. 3. Reaction times to simple tasks, simple arithmetic, etc. were slightly but significantly decreased in the s.c.w. group during the luteal phase with a minimum on the day before or during menstruation. No such changes were observed in the o.c.w. group, which performed, in all tasks, slightly slower and slightly less correctly than the s.c.w. group. 4. The individual relative accelerations of alpha frequency and shortening of reaction times were positively correlated with each other.

Adult↗

Stimulus overselectivity: a common feature in autism and mental retardation.

Groups of children with different IQ levels were trained to discriminate between stimulus cards containing two or more pictures. In subsequent testing the pictures were presented singly in order to determine how many pictures the child had responded to during discrimination training. The data showed that the lower the IQ, the fewer pictures the child responded to. We speculated that intellectually retarded functioning may be related to problems in overselective attention; the lower a person's IQ level, the less of the environment becomes functional in controlling his behavior.

Adolescent↗

Optic nerve lesion following neuroborreliosis: a case report.

PURPOSE: Neuroborreliosis may cause various neuro-ophthalmological complications. We describe a case with a bilateral optic neuropathy. CASE REPORT: A 58-year-old female developed facial paresis six weeks after an insect bite. One week later she developed bilateral optic disc swelling with haemorrhages and nerve fibre bundle defects in the lower visual field of the left eye. In CSF and serum, raised IgM and IgG titres to Borrelia burgdorferi were found. Systemic antibiotic treatment led to improvement of the vision and facial paresis, but not all visual field defects resolved, probably due to ischemic lesions of the optic disc. DISCUSSION/CONCLUSIONS: In optic nerve lesions due to neuroborreliosis it is difficult to distinguish between inflammatory and ischemic lesions. This patient demonstrated features of an ischemic optic nerve lesion.

Antibodies, Bacterial↗