[An unclear process in CT of the liver. Caroli syndrome].
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Biomedical subjects
Publications and source records attributed to J Mayer.
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The authors examined by means of skin tests for moulds 108 patients with the diagnosis of pollen rhinitis and/or pollen bronchial asthma. All had maximum complaints at the end of summer and in autumn and were formerly hyposensitized only by pollen allergens. Sensitization to fungi and its polyvalent character was significantly greater in subjects unsuccessfully treated by pollen hyposensitization, as moulds acted obviously as an important allergen. The authors found a low sensitivity and specificity of USOL screening preparations "Outdoor moulds" (76% and 81%) and "Indoor moulds" (74% and 93%).
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With 378 children suffering from asthma authors performed three types of physical exercises. The correlation between the exercise induced bronchospasm and the clinical symptoms of asthmatics, first of all the severity of asthma, has been investigated. No significant correlation was found between the EIB and age, sex, somatic development, start and duration of asthma and frequent respiratory infections. The seriously ill patients had more serious and frequent EIB. As practical conclusion it can be established that the examination of asthmatic children with exercise induced bronchospasm is important from the point of view of sports, but also in judging the severity of asthma.
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Nine patients were found to have suprascapular nerve entrapment confirmed by electromyographic studies after the diagnosis was suspected. Eight patients who had a surgical release of the suprascapular ligament had good and excellent results. Except in rare cases, a positive electromyogram (EMG) including a delayed nerve conduction (using a coaxial needle) is necessary confirming evidence of the need for surgical treatment. The recommended surgical technique involves detaching the trapezius muscle from the spine of the scapula and opening the space overlying the suprascapular ligament. The trapezius is retracted cephalad while the supraspinatus is retracted caudad. This exposure avoids injury to the spinal accessory nerve and promotes a rapid rehabilitation. Suprascapular nerve entrapment should be suspected and included in the differential diagnosis of ill-defined shoulder pain.
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