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Biomedical subjects

R Seufert

Publications and source records attributed to R Seufert.

At least 19 recordsLinked to original sources

[Congress organization and the internet--new structures in scientific communication for gynecology?].

For decades scientific sessions and conferences were a proven way to spread and exchange scientific results worldwide--not only in the field of medicine. With growing availability and accessibility of information on the internet and WWW conferences are now not only listed and announced on a multitude of websites, but also are prepared ahead from simple registration to online discussions. By means of selected examples information is provided on how keeping oneself informed about former or planned conferences by using the internet.

Computer Communication Networks

[Gynecologic endocrinologic information sources in the internet].

Within the last months a great number of internet pages have become a highly interesting source of up-to-date information in gynecological endocrinology. Most of these World Wide Web-pages present actual scientific fields and abstracts with close relations to basic science, while clinical discussion groups are still rare. The potential of internet presentations will strongly influence communication in cases of gynecological endocrinology.

Computer Communication Networks

[The millenium switch on 01 January 2000--a foreseeable crash for gynecologic and obstetrical software applications?].

The switch to the new millennium causes greater difficulties in computing concerning hard- and software. It is not foreseeable how much each computer will be hit by that. Due to the common use of computers in all parts of medicine the possible crash of data banks and networks across hospitals could afflict the regular care of patients in wards and outpatient clinics. The ability of each computer to go to the new millennium can be checked by simply performed tests or by highly specialized programmes as well. As many mistakes occur in co-operation of hardware and software, it is hard to fix the system. To continue the use of a data bank it is necessary to change the data bank's date format and all applications at the same time. Programmers and providers offer their advice via internet.

Databases, Factual

[Current responsibilities of information processing in gynecology].

The importance of information management systems for obstetrics and gynecology has largely increased during the last years. The reasons are increasing demands for valuable medical data for economical and medical purposes and the growing complexity of sufficient applications. Actual working fields are quality assurance in perinatology and gynecological surgery, networking, image processing and applications for artificial intelligence.

Electronic Data Processing

[The internet--possibilities and risk for gynecology].

The Internet is a rapid growing world wide computer cluster using the TCP/IP communication protocol. In case of scientific data exchange Internet communication is of extraordinary value. Low data security and low data transfer rates are still problems for medical data exchange. New Internet tools--specially new cryptological techniques--are able to improve the communication security for obstetrical and gynecological data.

Computer Communication Networks

[The internet--new information sources on reproductive medicine?].

Within the last two years Internet pages have become a highly interesting source of up-to-date information. The scientific value of those homepages for reproductive medicine differ in a wide range. The Internet still remains a very interesting source for up-to-date information covering the field of infertility treatment with a growing influence on patient decisions and with increasing economical impact.

Computer Communication Networks

[The internet--new communication structures for ultrasound diagnosis in gynecology?].

Within the last two years a great number of internet pages have become a highly interesting source of up-to-date information in ultrasound diagnosis in obstetrics and gynecology. Most of these World Wide Web-pages present high quality ultrasound images (3D, colored doppler scans), while scientific information or special clinical discussion groups are still rare. The potential of new graphical internet techniques will strongly influence communication and education in cases of ultrasound in obstetrics and gynecology.

Computer Communication Networks

[Information processing and perinatology--experiences with GebLan at the Mainz University Gynecologic Clinic].

Modern perinatal information management is a subject of growing complexity. The requirements for perinatal computer applications changed totally during the last years. Today we need applications with a high integration level of data from diverse sources, a modern graphical interface and a powerful data management for example a Client Server architecture. The experience with the perinatal documentation and information system "GebLan" in a local area network is very sufficient though we conclude that stand-alone-systems should only be used in smaller obstetrical departments.

Computer Systems

[Prostaglandins in the urine of hypertensive pregnant patients].

Hypertensive diseases represent the most frequent disorders among medical complications of pregnancy. Numerous studies have proven the central role of prostaglandins in these complex diseases. Thus, determination of urinary prostaglandins may lead to a better understanding of the pathomechanismus and may be a basis for therapeutic approaches. Our study included 59 patients with pregnancy-induced hypertension. From these 18 women had a proteinuria > 300 mg/l and were classified as pre-eclamptic. As controls 53 normotensive pregnancies were investigated. Quantification of 6-keto-PGF1 alpha, 2,3-dinor-6-keto-PGF1 alpha, TxB2, 11-Dehydro-TxB2 and PGE2 was performed with radio or enzyme immunoassays after purification with solid phase extraction and partly HPLC. In the third trimester of pregnancy following alterations were found in urine concentrations of prostaglandins in preeclamptic women compared to controls: 6-keto-PGF1 alpha - 54%, 2,3-dinor-6-keto-PGF1 alpha - 29%, PGE beta 2-41%, TxB2-29% and 11-Dehydro-TxB2 + 21%. Thus, our results show a disturbed balance between vasodilatory and vasoconstrictive prostaglandins in PIH patients. This imbalance correlated to the severity of the disease and was more pronounced in preeclamptic patients. The decrease of PGI2- and PGE2-production was more distinct than the increase of thromboxane production. We conclude that the endothelial damage, rather than an overproduction of TxA2 predominantly is responsible for some pathophysiological events in PIH.

Adult

[The older primipara--an obstetrical risk group?].

While the number of the "elderly primigravida" seems to increase in some perinatal centers, we compared pregnancy, delivery mode and fetal outcome of 416 patients with a matched pair group of 15 year younger primigravida. While the rate of caesarean section and vacuum extraction rises up to 40%, we could not found any difference for the fetal outcome. Though we conclude that modern perinatal management in case of the elderly primigravida is very effective and allows normal fetal outcome.

Adult

[Tuberculous mastitis--a rare differential diagnosis of non-puerperal mastitis].

Tuberculosis in a case of non-puerperal mastitis is a rare clinical finding. A special case of a 28-year old Thai patient was diagnosed and successfully treated with an antituberculous chemotherapy. The most important diagnostic procedure was the microbiological and histological investigation to enable the diagnosis to be made. Surgical therapy was not necessary.

Adult

[Genital tuberculosis in the woman--only of interest in medical history?].

Genital tuberculosis still occurs and is difficult to diagnose. The symptoms are mostly uncharacteristic, whereas infertility and chronic pelvic infections are frequently diagnosed. In the period between 1970 to 1990, we found 21 women with this diagnosis. The occurrence seems to have shifted to greater age and milder clinical disease and are mostly observed within the framework of the sterility complex. We conclude, that primary treatment should be conservative. Intrauterine pregnancies after treatment are very rare, but, in one case, a normal pregnancy and delivery was occurred.

Adult

[Risk assessment in twin pregnancy].

248 twin pregnancies had been examined retrospectively between 1980 and 1988. Each case of twin pregnancy was confronted with a singleton pregnancy of similar age and parity as matched-pair. Aim of the study was to examine the course of delivery as well as fetal outcome. Main reasons of prematurity have been preterm uterine contractions and rupture of fetal membranes. Rates of cesarean sections had been 41.2 per cent in twin pregnancy and 18.8 per cent in singleton ones. Apgar score had been better in singletons. Ph of umbilical artery had similar values in singleton pregnancy and first twin, but lower values in the second twin. Also nowadays twin pregnancy is a risk pregnancy with a 2.3 fold higher perinatal mortality compared with singleton pregnancy in our matched-pair-group.

Apgar Score