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Biomedical subjects

U Braun

Publications and source records attributed to U Braun.

At least 73 records · Page 4Linked to original sources
PubMed2003

[Radiographic findings in 4 cows with traumatic reticuloperitonitis caused by a nonmagnetic copper wire].

The goal of this study was to describe the findings in four cows with non-magnetic reticular foreign bodies composed of copper. The cows were referred to our clinic because of reduced appetite and a marked decrease in milk production. Based on the clinical findings, a tentative diagnosis of traumatic reticuloperitonitis was made in all cows. The reticulum of all cows was then examined ultrasonographically and radiographically. In all cows, radiographs of the reticulum showed wire-shaped foreign bodies, ranging from 3 to 7 cm in length, which appeared to have penetrated the reticular wall. Two cows (No. 3, 4) had a magnet in the reticulum close to the foreign body but there was no direct contact between the two. A magnet was administered to cows No. 1 and 2, and radiography of the reticulum was performed for a second time the following day. The magnets were observed in the reticulum; however, they did not contact the foreign bodies. Because all the magnets were correctly placed in the reticulum yet, despite close proximity, did not contact the foreign bodies, the latter were thought to be non-magnetic. Cow No. 1 was slaughtered. Left flank laparoruminotomy was performed in the remaining three cows. In all cows, copper foreign bodies ranging in length from 3.0 to 7.0 cm, were found in the reticulum. They had penetrated the reticular wall and were not attached to magnets. The radiographic findings described in the present study are strongly indicative of a non-magnetic foreign body. Ruminotomy is the treatment of choice but slaughter may also be considered.

Animals↗
PubMed2003

[Prevalence of Fasciola hepatica and Dicrocoelium dendriticum in the cow: inspection in an east Switzerland abattoir].

On the basis of meat inspection in an abattoir in the eastern part of Switzerland, the incidence of liverflukes in cattle was recorded weekly during one year. The prevalence was compared with surveys from the seventies and nineties. The average incidence of Dicrocoelium dendriticum infection did not change. Although the prevalence of Fasciola hepatica apparently slightly decreased, an actual decrease of liverflukes could not be demonstrated.

Abattoirs↗
PubMed2003

Differences among forced-air warming systems with upper body blankets are small. A randomized trial for heat transfer in volunteers.

BACKGROUND: Forced-air warming is known as an effective procedure in prevention and treatment of perioperative hypothermia. Significant differences have been described between forced-air warming systems in combination with full body blankets. We investigated four forced-air warming systems in combination with upper body blankets for existing differences in heat transfer. METHODS: After approval of the local Ethics Committee and written informed consent, four forced-air warming systems combined with upper body blankets were investigated in a randomized cross-over trial on six healthy volunteers: (1) BairHugger trade mark 505 and Upper Body Blanket 520, Augustine Medical; (2) ThermaCare trade mark TC 3003, Gaymar trade mark and Optisan trade mark Upper Body Blanket, Brinkhaus; (3) WarmAir trade mark 134 and FilteredFlow trade mark Upper Body Blanket, CSZ; and (4) WarmTouch trade mark 5800 and CareDrape trade mark Upper Body Blanket, Mallinckrodt. Heat transfer from the blanket to the body surface was measured with 11 calibrated heat flux transducers (HFTs) with integrated thermistors on the upper body. Additionally, the blanket temperature was measured 1 cm above the HFT. After a preparation time of 60 min measurements were started for 20 min. Mean values were calculated over 20 min. The t-test for matched pairs with Bonferroni-Holm-correcture for multiple testing was used for statistical evaluation at a P-level of 0.05. The values are presented as mean+/-SD. RESULTS: The WarmTouch trade mark blower with the CareDrape trade mark blanket obtained the best heat flux (17.0+/-3.5 W). The BairHugger trade mark system gave the lowest heat transfer (8.1+/-1.1 W). The heat transfer of the ThermaCare trade mark system and WarmAir trade mark systems were intermediate with 14.3+/-2.1 W and 11.3+/-1.0 W. CONCLUSIONS: Based on an estimated heat loss from the covered area of 38 W the heat balance is changed by 46.1 W to 55 W by forced-air warming systems with upper body blankets. Although the differences in heat transfer are significant, the clinical relevance of this difference is small.

Adult↗
PubMed2003

Comparison of forced-air warming systems with lower body blankets using a copper manikin of the human body.

BACKGROUND: Forced-air warming has gained high acceptance as a measure for the prevention of intraoperative hypothermia. However, data on heat transfer with lower body blankets are not yet available. This study was conducted to determine the heat transfer efficacy of six complete lower body warming systems. METHODS: Heat transfer of forced-air warmers can be described as follows:[1]Qdot;=h.DeltaT.A where Qdot; = heat transfer [W], h = heat exchange coefficient [W m-2 degrees C-1], DeltaT = temperature gradient between blanket and surface [ degrees C], A = covered area [m2]. We tested the following forced-air warmers in a previously validated copper manikin of the human body: (1) Bair Hugger and lower body blanket (Augustine Medical Inc., Eden Prairie, MN); (2) Thermacare and lower body blanket (Gaymar Industries, Orchard Park, NY); (3) WarmAir and lower body blanket (Cincinnati Sub-Zero Products, Cincinnati, OH); (4) Warm-Gard(R) and lower body blanket (Luis Gibeck AB, Upplands Väsby, Sweden); (5) Warm-Gard and reusable lower body blanket (Luis Gibeck AB); and (6) WarmTouch and lower body blanket (Mallinckrodt Medical Inc., St. Luis, MO). Heat flux and surface temperature were measured with 16 calibrated heat flux transducers. Blanket temperature was measured using 16 thermocouples. DeltaT was varied between -10 and +10 degrees C and h was determined by a linear regression analysis as the slope of DeltaT vs. heat flux. Mean DeltaT was determined for surface temperatures between 36 and 38 degrees C, because similar mean skin temperatures have been found in volunteers. The area covered by the blankets was estimated to be 0.54 m2. RESULTS: Heat transfer from the blanket to the manikin was different for surface temperatures between 36 degrees C and 38 degrees C. At a surface temperature of 36 degrees C the heat transfer was higher (between 13.4 W to 18.3 W) than at surface temperatures of 38 degrees C (8-11.5 W). The highest heat transfer was delivered by the Thermacare system (8.3-18.3 W), the lowest heat transfer was delivered by the Warm-Gard system with the single use blanket (8-13.4 W). The heat exchange coefficient varied between 12.5 W m-2 degrees C-1 and 30.8 W m-2 degrees C-1, mean DeltaT varied between 1.04 degrees C and 2.48 degrees C for surface temperatures of 36 degrees C and between 0.50 degrees C and 1.63 degrees C for surface temperatures of 38 degrees C. CONCLUSION: No relevant differences in heat transfer of lower body blankets were found between the different forced-air warming systems tested. Heat transfer was lower than heat transfer by upper body blankets tested in a previous study. However, forced-air warming systems with lower body blankets are still more effective than forced-air warming systems with upper body blankets in the prevention of perioperative hypothermia, because they cover a larger area of the body surface.

Air Movements↗
PubMed2003

The influence of a fermentation-resistant glucose diet on the glucose concentration and other metabolites in portal and jugular blood in cows.

The goal of this study was to determine the effect of fermentation-resistant glucose on the glucose concentration and other metabolites in portal and jugular blood in 15 non-lactating cows. In all cows, an indwelling catheter was placed in the left jugular vein and the portal vein for collection of blood samples. Five control cows were fed hay as a normal diet, five control cows were fed straw to induce an energy deficit and five cows were fed hay and they received additionally 2000 g of a fermentation-resistant D-glucose product. The glucose concentration in jugular and portal blood was not influenced by feeding. The concentration of urea and bile acids were significantly higher in portal blood than jugular blood. There was no difference between portal and jugular blood of glucose and total solids. Diet had a significant effect on the concentrations of ammonia, urea, free fatty acids and triglycerides. The concentrations of ammonia and urea were higher in blood of cows fed straw than in blood of cows fed either hay or a fermentation-resistant glucose product. The concentration of urea remained constant in cows fed hay, but increased in cows fed straw and decreased in cows fed a fermentation-resistant glucose product. The concentration of free fatty acids and triglycerides were significantly higher in cows fed a fermentation-resistant glucose product than in cows fed hay. In the present study, a single administration of 300 g of fermentation-resistant glucose did not affect the concentration of blood glucose. Therefore, despite ongoing promotion of such products, there is no indication at this time that administration of fermentation-resistant glucose to cows at the start of lactation results in an increase in blood glucose concentration.

Ammonia↗
PubMed2003

Ultrasound-guided catheterization of the portal vein in 11 cows using the Seldinger technique.

Catheterization of the portal vein using the Seldinger technique [Acta Radiol. (1958) 38, 368] was performed in 11 cows. Ultrasound-guided percutaneous portocentesis, using a 25-cm, 14-gauge steel cannula, was performed from the 10th, 11th or 12th intercostal space on the right side. A stylet was placed through the cannula, which was then removed, and a polyurethane balloon-tipped catheter was advanced over the stylet into the portal vein and sutured to the skin (Seldinger, 1952). Blood samples were collected from the catheter at least once daily. The catheter was removed 9-15 days later when blood could no longer be aspirated. The cows were then slaughtered and a post-mortem examination was performed. During the study, appetite remained normal in nine of 11 cows. In three cows, the general behaviour and demeanour were mildly, but transiently, abnormal. Four cows had leucopoenia. The most frequently encountered problem was occlusion of the catheter, which usually was resolved by flushing with heparinized saline. The most common post-mortem lesion observed was an increase in fibrous connective tissue at the site of cannulation. In nine of 11cows, there was a thrombus in the portal vein at the site of catheterization. Generally, the severity of the lesions was mild. The results of this study demonstrated that ultrasound-guided percutaneous catheterization of the portal vein, using the Seldinger technique, is possible in cows. The catheter may be left in place for collection of blood samples for up to 15 days.

Animals↗
PubMed2003

Innovative technologies for decentralised water-, wastewater and biowaste management in urban and peri-urban areas.

Avoiding the comingling of water flows coming from different sources and thus obtaining flows with a very low dilution factor is the first and major step key to technical solutions for adequate treatment of household wastewaters. Through their decentral structure and effective recovery of water, energy and fertiliser these systems can be highly cost efficient. Fresh water consumption can be reduced by up to 80% while nutrients can be recovered to a large extent. Source control is also advantageous for hygienic reasons: low volumes are far easier to sanitise. Source separation technology in municipal waste water treatment does often lead decentralised or semicentral systems. The first essential step is the separate collection and treatment of toilet waste in households, which contains almost all pathogens and nutrients. New toilet systems with very low dilution factors, ranging from vacuum- through urine sorting to dry toilets, have been introduced in several projects and proven feasible. New ideas such as the black- and greywater cycle systems are presently under research at the Technical University Hamburg Harburg. Such modular, integrated and small scale systems are only possible through recent advances in membrane technology and, due to their small scale, do have the potential to be installed in densely populated regions. These technologies are options for following the principles of ecological sanitation, to contain, to sanitise and to reuse also in urban areas (EcoSanRes, 2003).

Cities↗
PubMed2002

Effect of a treatment with eprinomectin or trichlorfon on the yield and quality of milk produced by multiparous dairy cows.

The effects of a strategic antiparasitic treatment against Hypoderma species and other parasites on the milk yield, composition, and somatic cell counts of 742 multiparous dairy cattle were investigated on 79 farms in a Hypoderma species-endemic area in western Switzerland; 357 of the cows were treated with eprinomectin, 252 with trichlorfon, and 133 were left untreated. The treatments were given between October and early December 1998, on average 53 days before calving. Milk yield, fat, protein and somatic cell counts were measured once a month until the end of lactation. Eprinomectin and trichlorfon significantly increased milk yield during the first month after treatment compared with the control cows by 2.14 (P < 0.001) and 2.50 kg per day (P < 0.001), respectively. Initially, the difference between the eprinomectin- and trichlorfon-treated animals was not significant, but the effect of eprinomectin on milk yield was persistent, whereas the effect of trichlorfon decreased significantly by 0.12 kg per day per month (P < 0.05). The somatic cell counts increased significantly slower in the treated cows than in the control cows (P < 0.05). Milk composition was not affected by the treatments.

Animals↗
PubMed2002

Diagnosis by ultrasonography of congestion of the caudal vena cava secondary to thrombosis in 12 cows.

This paper describes the clinical, ultrasonographic, radiographic and postmortem findings in 12 cows with thrombosis of the caudal vena cava. The principal clinical signs were chronic bronchopneumonia and fever in 11 cows; one cow had epistaxis and one cow bled from the mouth; eight cows had anaemia and leucocytosis, and the clotting time for the glutaraldehyde test was markedly decreased in all the cows; in nine of the cows the activity of gamma-glutamyltransferase was high, suggesting chronic hepatic congestion. The most important ultrasonographic finding was congestion of the caudal vena cava attributable to thrombosis of the vein. In all the cows the caudal vena cava was round to oval on cross-section, rather than the normal triangular shape. The hepatic, splenic and portal veins were dilated in five, three and one cow, respectively. The results of radiography and endoscopy supported a diagnosis of bronchopneumonia, but there were radiographic changes in the diaphragmatic lung lobes that supported a diagnosis of vena caval disease in only four cows. Postmortem there was a thrombosis of the caudal vena cava in all the cows, and the thrombi were located in the thoracic, subphrenic and abdominal part of the caudal vena cava at the level of the liver in four, one and seven cows, respectively. In three cows, the thrombus was situated where a hepatic abscess had broken into the caudal vena cava, and in one cow it was at the site of a diaphragmatic abscess. In another cow, there was a fistula between the major bronchus of the right diaphragmatic lung lobe and the caudal vena cava where the thrombus was situated. Three cows had liver abscesses that had not broken into the caudal vena cava. There was severe bronchopneumonia in 11 of the cows, some of which also had multiple pulmonary abscesses.

Animals↗
PubMed2002

Ultrasonographic findings in cows with dilatation, torsion and retroflexion of the caecum.

Thirty cows with caecal dilatation underwent clinical and ultrasonographic examinations, followed by a right flank laparotomy and surgical correction. The intraoperative findings were compared with the results of the ultrasonographic examination. The appearance, position, dimensions, diameter and nature of the contents of the caecum and proximal and spiral ansa of the colon were determined with a 3.5 MHz linear transducer. The wall of the proximal ansa of the colon and of the dilated caecum closest to the abdominal wall was visible in all the cows and appeared as an echogenic semicircular line immediately adjacent to the peritoneum. The contents of the caecum and of the proximal and spiral ansa of the colon were not visible in 21, 25 and 25 cows, respectively, owing to gas. In the remaining cows, the contents were hypoechogenic to echogenic in appearance. In all of the cows, the dilated caecum was imaged from the right abdominal wall at the level of the tuber coxae. The caecum was imaged from the 12th, 11th and 10th intercostal spaces in 11, five and three cows, respectively. The caecum and proximal ansa of the colon were situated immediately adjacent to the right abdominal wall in 28 cows, but in the other two cows parts of these structures were pushed away from the abdominal wall by the liver or gall bladder. The diameter of the caecum, measured at various sites varied from 7.0 to 25.0 cm. Caecal dilatation was diagnosed on the basis of the results of rectal examinations in 28 of the cows, but in all 30 cows on the basis of the results of the ultrasonographic examinations. Dilatation and caudal displacement of the caecum were diagnosed in 18 cows; dilatation and cranioventral retroflexion of the caecum were diagnosed in six cows, and dilatation and craniodorsal retroflexion of the caecum were diagnosed in two cows. In the four other cows, the direction of the retroflexed caecum could not be determined. The diagnosis of caecal dilatation based on the ultrasonographic findings was confirmed in all the cows during exploratory laparotomy. The results of ultrasonography and exploratory surgery with regard to the position of the dilated and sometimes retroflexed or twisted caecum were in complete agreement in 18 cases, in partial agreement in eight cases, but in four cases did not agree.

Animals↗
PubMed2002

Clinical findings and treatment of listeriosis in 67 sheep and goats.

This paper describes the clinical findings and treatment of 67 sheep and goats with listeriosis. In 55 of them the diagnosis was made on the basis of the typical signs, which included vestibular ataxia, circling, head tilt and unilateral cranial nerve deficits, but in 12 animals a definitive diagnosis was made only after postmortem examination. The most significant haematological and biochemical findings were a high haematocrit in 16 animals, a high concentration of total protein in 33, a high concentration of bilirubin in 39 and a high concentration of urea nitrogen in 28 animals. Twenty-eight of the animals had a metabolic acidosis. Thirty-nine animals were treated with antibiotics, intravenous sodium chloride and glucose solutions and sodium bicarbonate. Ten of them survived and the others were euthanased because their condition deteriorated. Of the 10 that survived, nine were able to stand when they were first examined and one was in lateral recumbency. Of 15 animals treated with chloramphenicol, one survived; of 11 animals treated with oxytetracycline, two survived; and of nine animals treated with gentamicin and ampicillin, six survived.

Animals↗
PubMed2002

[Long-term results after surgical tracheotomy and percutaneous dilatation tracheostomy. A comparative retrospective analysis].

Besides surgical tracheostoma for treatment of long-term intubation, percutaneous dilatational tracheostomy (PDT) has become available during the last few years. Long-term results of the PDT are rare in the medical literature. This paper reports a retrospective analysis comparing the results after PDT with those after surgical tracheostomy. The methods include subjective evaluation of both techniques by the patients using a standardized questionnaire. It also includes the objective cosmetic result of the outside scar, as well as endoscopic inspection of the larynx and trachea. The patients own evaluation showed a higher content in the PDT group mainly due to the cosmetic result. The objective data confirmed those results. Patients with surgical tracheostomy had an average scar length of 5 cm (2 inches), compared to 1,2 cm (5 inch) in the PDT group. The endoscopic examination showed minor stenosis of the trachea in both groups that were not functionally relevant. The average stenosis of 14% for the PDT was similar to that observed after surgical tracheostomy which was 19%. The choice of the best technique should be made in close cooperation between head- and neck surgeons and anesthesiologists.

Adult↗
PubMed2002

[Clinical signs and diagnosis of BSE].

Bovine spongiform encephalopathy (BSE) in cattle is characterised by typical signs and an insidious course. There is gradual weight loss and decreased milk production, and the disease is distinguished by disturbances in behaviour, sensitivity and locomotion. The most common behavioural changes are apprehension and abnormal temperament. The most common changes in sensitivity are hypersensitivity to tactile, auditory and optical stimuli, kicking during milking and excessive licking of the muzzle. The most important disturbances in locomotion include ataxia, falling down and inability to get up. Diagnostic procedures include a thorough clinical and neurological examination followed by a more detailed examination to assess behaviour, locomotion and sensitivity to touch, sound and light stimuli. Other causes of central nervous system disease may be ruled out by a complete blood count, biochemical profile, urinalysis and examination of cerebrospinal fluid. Disturbances in behaviour, locomotion and sensitivity that occur singly, rather than in combination with each other, should be interpreted with caution. However, in cattle with disturbances in two or more of these categories, a tentative diagnosis of BSE can be made, and the veterinary authorities must be notified.

Animals↗