Chronic schizophrenics under neuroleptic medication were compared with normals, matched for age and education, in two conditioning experiments. Both experiments employed a differential paradigm with long conditional stimulus--unconditional stimulus (CS-UCS) intervals. Skin resistance (SR) and finger pulse or heart rate (HR) were recorded. In Experiment 1, half of the subjects were trained in categorizing the to-be conditional stimuli. In a further step, half of the subjects were informed about the CS-UCS contingency. The UCS was an electric shock. Information improved discrimination of SR responses only of normals, and discrimination training had no effect at all on autonomic responses. In Experiment 2, only electrodermal responders were included. Each subject was tested in two sessions, using a loud tone as UCS in one, and a reaction time signal in the other. Again, half of the subjects wee informed about the contingency. Information improved discrimination of SR responses of both diagnostic groups. Decelerations of HR following CS onset showed informed schizophrenics to discriminate better with the loud tone UCS than with the reaction time signal. General autonomic responsivity seems to determine not only discriminative conditioning of schizophrenic patients but also the reports of awareness and the effects of manipulations of awareness. However, when subjects are matched for electrodermal responsivity and are equivalent in terms of SR response conditioning, patients react to information about the contingency with enhanced HR deceleration to the CSs, possibly reflecting a heightened sensitivity of the cardiovascular system.

Adult↗

PubMedDate not supplied

The three-dimensional determination of internal loads in the lower extremity.

A three-dimensional model of the lower limb containing 47 muscles was developed to study the differences between a two- and three-dimensional approach for determining internal loads, the role of the dynamic joint representation, and the behavior of different load-bearing criteria in walking and running. The problem of redundancy of the musculo-skeletal system was resolved by applying inverse dynamics and static optimization methods. Different hypothetical load-bearing capabilities of hinge, spherical and intermediate joint types for the knee and the ankle joints were tested. It was found that even almost planar movements such as walking and running are associated with significant three-dimensional intersegment moments, especially in the frontal plane. Thus, a two-dimensional approach may underestimate internal loads up to 60%. It is shown that pure hinge joints are inappropriate for modeling the dynamical joint function of the knee and ankle joints. A more flexible joint representation in combination with a squared muscle stress minimization criterion predicted a lot of synergistic as well as antagonistic muscle activation which was also found in the EMG patterns. The results indicate the importance of muscular joint stabilization in natural human movements. Compared to in vivo measurements it is speculated that the predicted force magnitudes are considerably overestimated due to error propagation and still insufficient anatomical models. Thus, increased efforts to improve further the reliability of internal load calculations should be made in the future.

Adult↗

PubMedDate not supplied

Adsorption of PCDD/F on MWI fly ash.

The removal of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/F) from waste incinerator off-gas is a costly task, because a considerable part of the PCDD/F may exist in the gas phase (often 50-100% around 200 degrees C). The volatile fraction passes the particle filter and the subsequent gas cleaning equipment, so that an additional unit is needed to remove the gaseous PCDD/F from the flue gas. Moreover, dioxins and furans can accumulate in some parts of the equipment in a way that they can act as a latent source. In this work, we investigate the possibility to adsorb the PCDD/F at the fly ash particles and to remove them during the filtration. The gas/particle partitioning of the PCDD/F depends on the temperature, the vapor pressure, the particle size, the particle number density and on the physical and chemical properties of the particle surface. These relationships are investigated by model calculations and by pilot scale experiments (500 Nm3/h) which employ one selected hexachlorinated dioxin congener. At room temperature, approx. 90% of the HxCDD are found in the particulate phase, while at 135 degrees C that portion is only 10%. This means that at ambient temperatures, the gas/particle partitioning of the dioxin corresponds well to the sublimation equilibrium. At higher temperatures, it is much different from the sublimation equilibrium and the apparent adsorption enthalpy is smaller than the enthalpy of sublimation. This observation is in agreement with literature data. From the above experiments and from similar literature data, the efficiency of fly ash particles as a sink for PCDD/F can be evaluated. The data suggest that the adsorption rate is not the limiting factor for the transfer into the particulate phase. The important factors appear to be the chemical composition of the fly ash and the temperature.

Journal Article↗

PubMedDate not supplied

[Clinical manifestation of Lyme borreliosis in childhood].

We report on 4 children with different clinical manifestations of Lyme-Borreliosis. One patient presented with a stage 2 typical aseptic meningitis and 2 others with symptoms of Schönlein-Henoch purpura and rheumatic disease respectively. A further case had bilateral palsy of abducens nerve and unilateral palsy of trochlearis nerve which are described for the first time in Lyme-Borreliosis. Diagnosis was established by detection of specific antibodies to Borrelia in all patients. Differential diagnosis of these symptoms should include Lyme-Borreliosis.

Adolescent↗

PubMedDate not supplied

[Kawasaki syndrome with acute gallbladder hydrops--case report and review of the literature].

We describe a 2 3/4-year-old boy with Kawasaki disease associated with the rare complication of acute hydrops of the gallbladder. Because of the severe abdominal symptoms cholecystectomy was performed. A review of the literature shows that about half of the patients had been operated upon. Therefore conservative treatment may provide complete improvement. Ultrasonography is not only very helpful in the diagnosis but also in follow-up.

Child, Preschool↗