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Biomedical subjects

R Kissling

Publications and source records attributed to R Kissling.

33 records · Page 2Linked to original sources
PubMed1990

[Sudeck's disease--its clinical picture and therapy].

Early diagnosis and medical as well as physical therapy are necessary to successfully treat reflex sympathetic dystrophy. Psychological support and guidance of the patient are also a must. Due to wide individual differences it is not possible to recommend any single therapy as the sole treatment. The choice of treatment must be selected not only according to disease stages but also taking the individual factors of each patient inter account. Therefore, therapy must often be modified during the course of treatment. As a result a favorable out-course can be expected in most cases. Today severe physical disabilities secondary to sympathetic reflex dystrophy is quite rarely encountered.

Combined Modality Therapy↗
PubMed1986

[Destructive arthropathy in familial Mediterranean fever].

Mediterranean fever, an autosomal recessive hereditary disease usually affecting closely circumscribed populations, is already characterized in early life by recurrent bouts of fever accompanied by polyserositis. One feared complication is amyloidosis, while the other, which is less frequent and almost unknown in Central Europe, is chronic destructive arthropathy. This partial aspect of familial Mediterranean fever is illustrated by the case of an Armenian born in 1960. The value of a theoretically conceivable basic therapy with colchicine is considered. Colchicine has apparently produced good results in the early stages of destructive arthropathy, although the mechanism by which this occurs is not yet understood. The positive effect described is likewise not evident in all cases.

Adult↗
PubMed1983

A survey of anthelmintic usage for sheep: a time for change.

A sample survey of anthelmintic usage and farmers; drenching policies was conducted on 614 sheep farms, in the North and South Islands, selected from among those carrying 1500 or more breeding ewes. The survey was based on information for the 1978179 and 1979/80 farming years recorded on questionnaires completed during personal interviews between Livestock Officers and the farmers concerned. Results show that there were no significant between-Island differences in mean drenching frequencies for any age class of sheep. In 1979/80, the overall New Zealand drenching frequencies were 6.3 for lambs, 1.8 for 1-2-year-olds and 1.2 for sheep older than 2 years. Of the farmers surveyed, 20% did not drench 1-2-year-old sheep and 29% did not drench sheep older than 2 years. There were also no between-Island differences in timing of drenches and alternation of drench brands. Sixty-nine per cent of the farmers followed a pre-determined drenching programme whereas 27% stated that they drenched if and when necessary. For lambs, some drenching was carried out in all months of the year hut fewer farmers drenched during the mid-winter to mid-spring period (July-October). Older stock were drenched in all months also but there was a general acceptance by farmers of the practices of pre-tupping and pre or post-lambing drenching. At the time of the survey, 48% of the farmers were using three or more brands of drench with a maximum of nine. Analysis of data relating to brands of drench used shows that whereas 39% of the farmers w,ere alternating drench families [i.e. benzimidazoles (BZ) c.f. non-benzimidazoles (NBZ)] within a single farming year, only 3% were practising a strict alternation of drench families between years. General comments by the farmers surveyed indicate a disturbing degree of misunderstanding and misconception regarding the properties and limitations of current anthelmintics. The survey also revealed a lack of appreciation of the rationale of prophylactic (;preventive;) parasite control. These aspects are discussed in relation to currently recommended control strategies and the problem of anthelmintic resistance.

Journal Article↗
PubMedDate not supplied

[The course of uncertain mono-arthritis--a follow-up over 30 years].

INTRODUCTION: Despite intensive investigations the original of a monarthritis may remain unclear. In this present study, relevant parameters for prognosis are sought for such cases. METHODS: In a retrospective analysis 501 records, kept over a period of thirty years, of patients with a first diagnosis of arthritis have been evaluated. RESULTS: The percentage of monarticular arthritis which remained unclear is 48% (n = 246). Of these patients, 63% (n = 318) were male, 37% female. A diagnosis was possible in 26% by puncture, in 47% by biopsy of the synovia. White blood cell count and sedimentation rate were of no help for diagnosis. The great joints were mostly affected, especially the knee (148 cases) and the hip (115 cases). Diagnosis of monarthritis was seldom in younger patients (7%). 119 of the 246 cases of arthritis of unknown origin became pain free (48.4%). Influence of age or sex could not be shown in this group of patients. However, younger patients tended more often to become pain free (73% in the group under 10 years of age). DISCUSSION: Exact history, precise primary examination, laboratory tests and radiological investigations are most important for diagnostic reliability. Whenever possible a puncture of the joint and in persisting cases also a biopsy should be performed. With careful examination more cases should be diagnosed.

Adolescent↗
PubMedDate not supplied

[The Efficacy of homeopathy in the treatment of chronic low back pain compared to standardized physiotherapy].

AIM: The aim of this pilot project was to evaluate the efficacy of treatment of chronic low back pain during two months either by homeopathy or by standardised physiotherapy. METHOD: 43 patients suffering from chronic low back pain were included in this controlled, randomised prospective study. They were divided in two treatment groups: homeopathy and standardised physiotherapy. Based on the initial and final clinical investigations, the Oswestry questionnaire and the visual analogue scale, that were assessed at the beginning, at the end and 18.5 months after therapy, the results were statistically evaluated. A further questionnaire documented the acceptance of treatment. RESULTS: A comparison of the groups from the beginning to the end of treatment reveals a significant decrease of the Oswestry score in patients treated by homeopathy. This tendency could not be confirmed 18.5 months later. Homeopathy was well accepted by most of the patients. CONCLUSIONS: Based on these results, nothing can be said against attempting treatment of chronic low back pain by means of homeopathy. Further research is recommended to confirm the results of our investigation, using a larger number of patients, a third treatment group, homeopathy double blinded.

Adolescent↗
PubMedDate not supplied

[Mobility of the sacroiliac joint in vitro].

A photogrammetric method was used to measure the range of motion of the iliosacral joint in a two-dimensional in-vitro model. The results were compared with values reported in the literature. The influence of morphological and histopathological parameters was simultaneously studied on the same objects. This method which does not use radiation or metal implants leads to comparable values. Three-dimensional in-vivo studies using similar photogrammetric methods can achieve the required accuracy in a less invasive way.

Adult↗
PubMedDate not supplied

[Arthropathy in idiopathic hemochromatosis].

Idiopathic hemochromatosis is normally associated with hepatic cirrhosis, myocardial disease and diabetes mellitus. A characteristic arthropathy occurs in approximately 40% of patients with hemochromatosis. The onset may precede other detectable clinical manifestations of the disease. In these cases a early diagnosis and treatment may improve the prognosis. A review of the recent literature is presented. A typical hemochromatosis arthropathy is described in one patient. The significance of a frequent associated chondrocalcinosis is discussed.

Arthritis↗
PubMedDate not supplied

[Bone changes in Gaucher disease].

Among Ashkenazi-Jews, Gaucher' disease, an autosomal-recessive hereditary genetic defect of sphingolipid metabolism, occurs more frequently than in the general population. Because of lack of the specific b-glucosidase, glucocerebrosidase, there is increased deposition of glucocerebrosides in the reticulo-endothelial system, mostly in the spleen, liver, and bone-marrow. In the chronic adult form (type 1), in addition to the hematologic complications (which are mostly associated with a splenomegaly), a less known involvement of the skeletal system occurs, which can lead to significant rheumatologic and orthopedic problems. These are: nonspecific skeletal and joint pain, purulent osteomyelitis, pseudo-osteomyelitis, aseptic necrosis of the femoral head, pathologic fractures of the long bones, acutely occurring kyphosis secondary to pathologic vertebral fractures with or without spinal compression, bony deformities, growth disturbances, arthritis, and bursitis. One sees a wide variety of bone lesions which can be solitary or multiple. Various pathogenic mechanisms have been discussed: toxic reaction to the Gaucher cells, disturbance of the osteoblastic and osteoclastic function, compression of osseous blood vessels by pathological cells, pressure-induced atrophy of the surrounding osseous tissue, local hemorrhage, local thrombosis, invasion of the arterioles with subsequent occlusion, and bone infarcts. The therapy is purely symptomatic. For orthopedic problems there is a greater tendency towards conservative treatment. There is disagreement as to whether splenectomy, which is often performed for hematologic or mechanical reasons, accelerates involvement of the bone. The case of a patient with multiple fractures of the spine and a slight spinal compression is presented.

Bone Diseases↗
PubMedDate not supplied

[Socio-professional aspects of ankylosing spondylitis in Switzerland].

In this study, using a questionnaire, data were collected about the disease, the working conditions and problems, the working ability, the unemployment and the invalidity of 1134 patients suffering from ankylosing spondylitis (Bechterew's disease). In 739 cases (65.2%) a statistical evaluation could be made. 62.2% had pain when working; the reasons were most often the long working time, the position at work, and the climatic factors at the workplace. The solutions to working problems were often applied too late or they did not correspond to the needs of the patients with ankylosing spondylitis. Generally the working ability was with 97.3% high and the invalidity with 2.7% low.

Adolescent↗