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Biomedical subjects

T Fischer

Publications and source records attributed to T Fischer.

At least 307 records · Page 17Linked to original sources

Treatment of psoriasis with trioxsalen baths and dysprosium lamps.

Photochemotherapeutic treatment of psoriasis with trioxsalen baths (0.5 mg/1) for 15 minutes followed by irradiation with dysprosium lamps (Osram HQI-TS) healed or nearly healed the psoriatic lesions in 18 patients within 3-5 weeks. A control area treated with the Ingram method showed a slower healing in 9 of these patients. Methoxsalen bath was not as effective in healing at the concentration used (1 mg/l). The bath method is easy to administer and cosmetically acceptable. Sensitisation to light is maximal immediately after the bath and disappears more quickly than after painting with an alcoholic trioxsalen solution. By using baths, there is less risk of accidental burns or uneven pigmentation than with the often time-consuming local application of psoralen solutions. Toxic systemic effects, which are possible with oral treatment, are less apt to occur. The dysprosium lamps give high intensity in the UV-A region. Exposure times of 10 seconds to 8 minutes are effective in the treatment of psoriasis, where both the UV-B region itself and the UV-A in combination with trioxsalen have psoriasis-healing properties.

Adolescent↗

Microrheology and light transmission of blood. III. The velocity of red cell aggregate formation.

The formation of primary (rouleaux) and secondary (rouleaux networks) RCA was studied by microcinematography (12 frames/sec) and photometry in a counterrotating "rheoscope" chamber. The blood was first subjected to rapid viscometric flow (460 sec-1, all RBC dispersed and aligned in flow) and then brought abruptly to full stop. In normal human blood, primary and secondary RCA occurred simultaneously, and were completed within 8 to 10 sec after stop. Blood from pregnant women at term, known for its pronounced red cell aggregation, shows a dissociation between the formation of short primary rouleaux (initiated even before full stop and completed 1-2 see thereafter) and secondary RCA completed 3-5 see after stop. RCA increases the light transmission of blood (measured by an increase in photovoltage V), the process and its first derivative (dV/dt equals I) can be recorded. After flow stop, there is an exponential decay of I(I equals t-I-o with e-lambda-t). The half time of this decay is recorded and correlated to the kinetics of red cell aggregate formation In human blood the half time of this process varies between 1.0 and 6.0 sec. In suspensions of human RBC in artificial plasmas, t-1/2 decreases with increasing concentration of fibrinogen and/or Dextran 250000, the second component appearing at concentrations above 500 mg-%. The method lend sitself for the quantification of RCA in small blood samples (20 mul).

Blood Viscosity↗

[Allergic cobalt reaction (metallosis) following knee arthroplasty with vitallium endoprosthesis ad modum Walldius (author's transl)].

A case report is given on a woman with rheumatoid arthritis and deformed knee joints. She got a knee arthroplasty with a metal-to-metal Vitallium endoprosthesis ad modum Walldius. About one year after the arthroplasty she showed both a sterile fistulation from the knee joint and an eczema of the skin of the operated knee. An epicutaneous test for cobalt was positive. It is suggested that the metal-to-metal contact in the prosthesis and the proximity of the prosthesis to the skin is a possible explanation to the allergic reaction.

Adrenal Cortex Hormones↗

Development of high intensity narrow-band lamps and studies of the irradiation effect on human skin. Irradiation with high intensity lamps.

A compact light source has been developed. It consists of a high-pressure mercury lamp, a shutter, and water-cooled filters for selected wavelength regions. A mixing device permits simultaneous irradiation from two lamps of different wavelengths. The spectral distribution of the light for seven filter combinations and the construction of a power meter are also described. The application of the lamps to clinical investigations is illustrated by determination of minimal erythemal and blister doses, as well as pigmentation, for various groups of patients. The light intensities available are high enough to make pain threshold measurements possible in the UV and visible regions.

Adolescent↗