Biomedical subjects
Publications and source records attributed to J Esser.
Feminine hygiene is a concern not only in the reproductive years, but should be observed throughout life. Childhood is the formative period for behavior and every day routine, thus proper education and guidance of little girls are essential. Recognizing the importance of good personal hygiene habits for the prevention of diseases, the medical doctor should advise and motivate wherever possible.
For the purpose of a contrastive analysis only distinctive formal elements and functions are to be considered. The latter are "lexical or syntactic disambiguation", "syntactic characterization" and "communicative differentiation". In German, modal particles and intonation render expressive functions which are conveyed in English by intonation only. The differing punctuation systems of English and German have to be considered as a source of interference besides limited differences between the English and the German intonation systems.
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The purpose of this study was to investigate whether the anatomic origin of micro-emboli influences their intracranial distribution. In twenty-two baboons, we examined the distribution of 99-Technetium labelled albumin aggregates (5 to 40 microns in size) after injection into the circulation at the left atrium (LA), carotid trifurcation (CA), and anterior and posterior common carotid artery (CCI). In a further subgroup, the emboli were introduced at the carotid trifurcation with the contralateral carotid artery ligated (CA + L). The results of this study demonstrated that aggregates introduced at the carotid artery lodged preferentially in the ophthalmic (p = 0.032) and middle cerebral artery territories (p = 0.016). If the contralateral common carotid artery was ligated, however, more aggregates were found in the ipsi- and contralateral anterior cerebral artery territories (p = 0.01, p = 0.003). Aggregates introduced into the cardiac circulation were equally distributed throughout the brain. This experimental model determined patterns of flow that might be analogous to the human situation where unilateral or bilateral carotid stenosis or stenosis with contralateral occlusion has occurred or embolus from cardiac source has occurred. The results do not imply that the 40 micron microaggregates do cause TIA. These experimental findings support clinical observations that cardiac lesions may cause transient ischemic attacks (TIA) anywhere in the brain. In contrast, those of carotid artery origin cause predominantly middle cerebral or ophthalmic artery territory TIAs unless the contralateral carotid artery is severely stenosed or occluded.
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