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J Ritter

Publications and source records attributed to J Ritter.

389 records · Page 22Linked to original sources

[Prevalence of exfoliatin-producing strains in phage group II "Staphylococcus aureus" (author's transl)].

Prevalence of exfoliatin production has been investigated in 100 strains of Staphylococcus aureus, bacteriophage group II, by inoculation into newborn mice. Serotyping, detection of protein A and antibiotic susceptibility tests have also been performed. Thirty-one strains (31%) were toxin producers; they all produced a yellow pigment; there was no difference in phage attacks between toxinogenic and non-toxinogenic strains; but exfoliatin production was significantly associated to the presence of agglutinogens h2 and 263-2; rate of protein-A presence and of antibiotic susceptibility did not differ between the two groups of strains. In addition, toxin production has been investigated in 31 isolates from various skin lesions; 9 were found toxinogenic (8 amongst them had been cultivated from bullous lesions); most of them belonged to phage group II and possessed agglutinogens h2 and 263-2. So, in order to carry out the diagnosis of some bacterial skin infections, clinical symptoms, pathological and bacteriological data must be compared; the latter must include phage-typing, serotyping and exfoliatin detection.

Anti-Bacterial Agents↗

[Alpha fetoprotein and neonatal jaundice. Contribution to the study of a physiopathologic mechanism].

The increase in the maternal plasma A.F.P. level is due to an hypoxia of the foetus. The prospective study of 851 single pregnancies shows that there is a significant rise in the A.F.P. levels during the last days of the pregnancy if the babies are going to exhibit a so-called physiological jaundice at birth: the decrease of the A.F.P. levels in these cases is four times slower than in normal cases. The prospective study of another group of 404 pregnancies gave the same results for the A.F.P. level of the blood of the umbilical cord. Statistical analysis showed that the pathological conditions capable of increasing the A.F.P. levels are related to neo-natal jaundice. The neo-natal jaundice may be due to a factor of foetal hypoxia capable of inducing an over stimulation of the foetal erythropoiesis. The results of this mechanism would be a quantitative disequilibrium between an increased hemolysis and a reduced bilirubine fixation capacity during the neo-natal period.

Bilirubin↗

[Quantitative findings on the morphology of the vestibular nerve in Menière's disease].

In vestibular nerves of patients without any inner ear disease and from patients who suffered from Menière's disease, the number, diameter, and density of nerve fibres were determined in the whole nerve as well as in the different parts (pars superior and pars inferior). As regards normal values, the number of fibres in the whole nerve ranged between 17 097 and 23 088 (age group: 40-54 years). In nerves from Menière patients the number of nerve fibres was diminished: in cases of 5-7 years of duration by about 13-37%; in cases of 15-21 years of duration, by about 73%. The persisting nerve fibres showed an increase in the number of thinner fibres, but occasionally also some very thick ones with giant myelin sheaths could be observed. The number and density of nerve fibres were appreciably diminished in the nervus ampullaris anterior, posterior, and nervus saccularis. The degenerative changes in Menière's disease were more pronounced in the phylogenetically younger pars inferior with progression in the later stages of the disease.

Adult↗

[Light and electron microscopic study of the vestibular nerve and Scarpa's ganglion in Ménière's disease].

Degenerative changes in both the nervus vestibularis and in Scarpa's ganglion depending on the duration of Meniére's disease are visualized by light and electron microscopy. The specimens were obtained by transtemporal neurectomy in patients with Meniére's disease and were fixed quickly. On the thick nerve fibres (pars superior) a splintering of the myelin lamellae, an increase in the nerve fibre diameter and the formation of myelin globes were found. On the thin nerve fibres (pars inferior) protrusion and introversion of whole parts of the myelin sheath had been observed. In the later stages of the disease, losses of axons and decay of myelin sheath were evident. In Scarpa's ganglion, different stages of ganglion cell degeneration were found. The degenerative morphological changes in the nerve and ganglion were more obvious in later stages of the disease.

Adult↗

[Premature rupture of membranes at term. Retrospective study of 88 cases].

A retrospective study enabled us to evaluate the "wait-and-see" attitude adopted in our department in case of premature rupture of the membranes at term. The series included 88 patients (9.74%) who delivered spontaneously or after induction. The following maternal parameters were studied:time between rupture and delivery, pyrexia and chorioamnionitis number of vaginal digital examinations, histology and placental bacteriology. Neonatal criteria were based upon an infection assessment. Our results showed that approximately 80% of patients were in labor within 24 hours following rupture. Cesarean section rate remained stable (13%) in comparison with the overall rate for the department. Neonatal infectious morbidity (5.7%) showed no increase. The incidence of chorioamniotitis did not vary (7 cases) but appeared to be related to the number of vaginal examinations before labor. In conclusion, our attitude of temporization did not result in any increase in the number of cesarean sections nor of neonatal infections in comparison with the general population in the department. Prostaglandins might be useful in unfavorable obstetric situations.

Adult↗

Inefficacy of fresh frozen plasma in the treatment of L-asparaginase-induced coagulation factor deficiencies during ALL induction therapy.

A prospective longitudinal study was conducted to determine whether single-donor fresh frozen plasma (FFP) substitution was able to influence L-asparaginase-associated hypoproteinemia. Within a 36-month period, 20 of 42 children with ALL received a total of 42 prophylactic FFP doses at a median of 10 (5-20) mliter/kg when fibrinogen levels decreased to < 60 mg/dL and thrombin time was lengthened. Laboratory monitoring before, during and after FFP substitution showed no short-term improvements and demonstrated only a minimal increase in fibrinogen and alpha 2-antiplasmin. Plasma levels of antithrombin and plasminogen remained unchanged. Furthermore, administration of FFP had no influence on thrombin generation, the plasmin/alpha 2-antiplasmin complex or enhanced D-dimer formation.

Afibrinogenemia↗