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Biomedical subjects

W Berger

Publications and source records attributed to W Berger.

At least 289 records · Page 16Linked to original sources
PubMed1975

[Self-testing of urine in insulin treatment (author's transl)].

The self-testing of urine has proved outstanding for the optimal adjustment and supervision of insulin treatment. Among the tests for determination of sugar in the urine, the Clinitest method is preferred to the enzymatic test strip method. The various possibilities for use of the self-testing of urine are shown in a 4-stage scheme. They are determined by the object of therapy and the capacity of the diabetic to co-operate. Self-testing of urine serves the following purposes: 1. prophylaxis of coma, 2. encouragement of dietary discipline, 3. a guide for the doctor, 4. self-adaptation of the insulin dosage.

Adult↗
PubMed1975

Course and prognosis of 86 episodes of diabetic coma. A five year experience with a uniform schedule of treatment.

The admission data and the course of 58 episodes of severe diabetic ketoacidotic coma and of 28 episodes of non-ketotic coma are compared. The non-ketotic patients were older; initial blood glucose, osmolarity, blood urea and serum sodium concentration were higher than in the ketotic patients. Treatment in the first 24 hrs consisted of similar amounts of insulin in both coma forms, the presence of acidaemia did not increase the insulin needs. Acidaemia was corrected only when pH was below 7.20. The disadvantages of alkali therapy are emphasized. A comparison of the age groups of survivors and those patients who died within 72 hrs showed an increase in mortality with age. However, the mortality rates from ketotic and non-ketotic coma were similar in the age groups above 50 years. On admission, blood glucose, osmolarity and blood urea were higher in the fatal cases. Blood urea was the most important indicator of a fatal outcome. The response of blood glucose to insulin was impaired in the subsequently fatal cases. Insulin was given in "moderate" doses by constant infusion. The use of "small" doses is discussed. Early mortality was 14% in the ketotic and 29% in the non-ketotic cases. The most frequent causes of death were circulatory failure of undetermined origin, infections and thromboembolic complications.

Adult↗
PubMed1975

[Electromyographic changes in temporary tourniquet ischemia in man].

After inflating a tourniquet with 600 mm Hg around the thigh a total blockade of the n. peronaeus occurs. This blockade is due to ischemia and spreads from proximal to distal. It is an ischemic blockade as the delay of nerve conduction was measured distal of the tourniquet and therefore cannot be due to the pressure under the cuff.

Adult↗